The static and dynamic behaviour of tibial fractures due to unlocking external fixators

Clinical Biomechanics

Volumn 11, Issue 8, 1996, Pages 425-430

  Gardner, T N ^a   Hardy, J R W ^b   Evans, M ^b   Richardson, J B ^b   Kenwright, J ^b  

^a NOC   (United Kingdom)

^b NONE

Author keywords

Displacement; External fixator; Fracture; Tibia

Indexed keywords

BONE; DYNAMICS; FRACTURE; ORTHOPEDICS; STRAIN; TRANSDUCERS;

BONE SCREWS; DISPLACEMENT; EXTERNAL FIXATOR; HEALING; INTERFRAGMENTARY LOADING; STRAIN REDUCTION; TIBIAL;

FRACTURE FIXATION;

ADOLESCENT; ADULT; ARTICLE; BONE SCREW; CLINICAL ARTICLE; CLINICAL STUDY; FEMALE; FRACTURE EXTERNAL FIXATION; FRACTURE HEALING; HUMAN; MALE; PRIORITY JOURNAL; TIBIA FRACTURE;

EID: 0030561303     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0268-0033(96)00038-1     Document Type: Article

References (23)

1. 1 Sarmiento A, Schaffer J F, Beckerman L et al. Fracture healing in rat femora as affected by functional weight hearing. J Bone Joint Sitrg 1977; 59-A: 369-75
2. 2 Lindholm RV, Lindholm TS, Toikkanen S, Leino R. The effect of forced interfragmental movements on the healing of tibial fractures in rats. Acta Orthop Scand 1970; 40: 721-8
3. 3 Egger El, Norrdin RW, Konde LJ, Schwartz PD. An experimental comparison of canine osteotomy healing stabilized with constantly rigid fixation against decreasingly rigid fixation. Vet Surg 1983; 12: 130-6
4. 4 Goodship AE, Kenwright J. The influence of induced micromovement upon the healing of experimental tibial fractures. J Bone Joint Surg 1985; 67-B: 650-5
5. 5 Kenwright J, Goodship AE. Controlled mechanical stimulation in the treatment of tibial fractures. Clin Orthop 1989; 241: 36-41
6. 6 Kenwright J, Richardson JB, Cunningham JL et al. Axial movement and tibial fractures. J Bone Joint Surg 1991; 73-B: 654-9
7. 7 Schenk RK, Willlenegger H. Zum histologischen Bild der sogenannten Primarheilinung der Knochenkompakta nach experimentellen Osteotomien am Hund. Experientia 1963; 19: 593-8
8. 8 Etter C, Burri C, Claes et al. Treatment by external fixation of open fractures associated with severe soft tissue damage of the leg - Biomechanical principles and clinical experience. Clin Orthop 1983; 178: 80-8
9. 9 Aalto K, Holmström T, Karaharju E et al. Fracture repair during external fixation. Acta Orthop Scand 1987; 58: 66-70
10. 10 Chao EYS, Aro HT, Lewallen DG, Kelly PJ. The effect of rigidity on fracture healing in external fixation. Clin Orthop 1989; 241: 24-35
11. 11 Kershaw CJ, Cunningham JL, Kenwright J. Tibial external fixation, weight bearing and fracture movement. Clin Orthop 1993; 293: 28-36
12. 12 Gardner TN, Evans M, Simpson AHRW, Turner-Smith AR. 3-Dimensional movement at externally fixated tibial fractures and osteotomies during normal patient function. Clin Biomech 1994; 9(1): 51-9
13. 13 Kay PR, Ross ERS, Powell ES. Development and clinical application of an external fixator monitoring system. J Biomed Eng 1989; 11: 240-4
14. 14 Cunningham JL, Evans M and Kenwright J. Measurement of fracture movement in patients treated with unilateral external skeletal fixation. J Biomed Eng 1989; 11: 118-22
15. 15 Gardner TN, Evans M. Relative stiffness, transverse displacement and dynamisation in comparable external fixators. Clin Biomech 1992; 7: 231-9
16. 16 Gardner TN, Evans M, Kenwright J. The influence of external fixators on fracture motion during simulated walking. J Med Eng Phys 1996; 18: 305-13
17. 17 De Bastiani G, Aldegheri R, Brivio LR. The treatment of fractures with a dynamic axial fixator. J Bone Joint Surg 1984; 66-B: 538-45
18. 18 De Bastiani G, Aldegheri L, Brivio R, Trivella GP. Dynamic axial external fixation. Automedica 1989; 10: 235-72
19. 19 Yamagishi M, Yoshimura Y. The biomechanics of fracture healing. J Bone Joint Surg 1955; 37A: 1035-68
20. 20 Claes L, Wilkie HJ, Augat et al. The influence of fracture gap size on bone healing. ISFR-92 Conference Proceedings, 1992; 77-8
21. 21 Gardner T, Evans M, Kyberd PJ. An instrumental spacial linkage for measuring the three dimensional displacement of one point relative to another. J Biomech Eng (in press)
22. 22 Huiskes R, Chao EYS. Guidelines for external fixation frame rigidity and stresses. J Orthop Res 1986; 4(1): 68-75
23. 23 Evans M, Kenwright J, Cunningham JL. Design and performance of a fracture monitoring transducer. Biomed Eng 1988; 10: 64-9