Computational comparison of reamed versus unreamed intramedullary tibial nails

Journal of Orthopaedic Research

Volumn 25, Issue 2, 2007, Pages 191-200

  Gómez Benito, María José ^a   Fornells, Pere ^a   García Aznar, José Manuel ^a   Seral, Belén ^b   Seral Iñnigo, Fernando ^b   Doblaré, Manuel ^a  

^a UNIVERSITY OF ZARAGOZA   (Spain)

^b HOSPITAL CLÍNICO UNIVERSITARIO LOZANO BLESA   (Spain)

Author keywords

Close tibial shaft fracture; Finite element model; Interfragmentary strain; Reamed intramedullary tibial nails; Unreamed intramedullary tibial nails

Indexed keywords

ARTICLE; BIOMECHANICS; BONE STRESS; DISTAL TIBIA FRACTURE; EQUIPMENT DESIGN; INTERLOCKING NAIL; INTERMETHOD COMPARISON; INTRAMEDULLARY NAIL; MATERIALS TESTING; MATHEMATICAL COMPUTING; MATHEMATICAL MODEL; PRIORITY JOURNAL; PROXIMAL TIBIA FRACTURE; SIMULATION; STRESS STRAIN RELATIONSHIP; TIBIA SHAFT FRACTURE; AGED; BONE NAIL; COMPARATIVE STUDY; COMPUTER SIMULATION; EQUIPMENT; FEMALE; FIBULA; FINITE ELEMENT ANALYSIS; FRACTURE HEALING; HUMAN; INSTRUMENTATION; MATHEMATICS; MECHANICAL STRESS; METHODOLOGY; ORTHOPEDIC EQUIPMENT; OSTEOSYNTHESIS; PATHOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; TIBIA; TIBIA FRACTURE;

AGED; BIOMECHANICS; BONE NAILS; COMPUTER SIMULATION; EQUIPMENT FAILURE; FEMALE; FIBULA; FINITE ELEMENT ANALYSIS; FRACTURE FIXATION, INTERNAL; FRACTURE HEALING; HUMANS; MATHEMATICS; ORTHOPEDIC FIXATION DEVICES; STRESS, MECHANICAL; TIBIA; TIBIAL FRACTURES;

EID: 33847245456     PISSN: 07360266     EISSN: None     Source Type: Journal    
DOI: 10.1002/jor.20308     Document Type: Article

References (37)

1. Praemer A, Furner S, Rice DP. 1992. Musculoskeletal conditions in the United States. American Academy of Orthopaedic Surgeons.
2. Schmidt AH, Finkemeier CG, Tornetta P. 2003. Treatment of closed tibial fractures. J Bone Joint Surg 85A:351-368.
3. Horne G, Iceton J, Twist J, et al. 1990. Disability following fractures of the tibial shaft, Orthopedics 13:423-426.
4. Hooper GJ, Keddell RG, Penny ID. 1991. Conservative management or closed nailing for tibial shaft fractures, a randomised prospective trial. J Bone Joint Surg (Br) 73:83-85.
5. Mueller CA, Eingartner C, Schreitmueller E, et al. 2005. Primary stability of various forms of osteosynthesis in the treatment of fractures of the proximal tibia. J Bone Joint Surg (Br) 87:426-432.
6. Schemitsch E, Kowalski M, Swiontkowski M, et al. 1994. Cortical bone blood flow in reamed and unreamed locked intramedullary nailing: a fractured tibia model in sheep. J Orthop Trauma 8:373-382.
7. Markmiller M, Tjarksen M, Mayr E, et al. 2000. The unreamed tibia nail. multicenter study of the ao/asif. osteosynthesefragen/association for the study of internal fixation. Langenbecks Arch Surg 385:276-283.
8. Klein M, Rahn B, Frigg R, et al. 1990. Reaming versus non-reaming in medullary nailing: interference with cortical circulation of the canine tibia. Arch Orthop Trauma Surg 109:314-316.
9. Boenisch UW, de Boer PG, Journeaux SF. 1996. Unreamed intramedullary tibial nailing-fatigue of locking bolts. Injury 27:265-270.
10. Court-Brown CM, Will E, Christie J, et al. 1996. Reamed or unreamed nailing for closed tibial fractures. A prospective study in tscherne c1 fractures. J Bone Joint Surg (Br) 78-B:580-583.
11. Bonnevialle P, Bellumore Y, Foucras L, et al. 2000. Tibial fracture with intact fibula treated by reamed nailing. Rev Chir Orthop Reparatrice Appar Mot 86:29-37.
12. Keating JF, Blachut PA, O'Brien PJ, et al. 2000. Reamed nailing of gustilo grade iiib tibial fractures. J Bone Joint Surg (Br) 82B:1113-1116.
13. Raunest J, Kynast W, Lesch V, et al. 1996. Geometric properties of the fractured tibia stabilized by unreamed interlocking nail: development of a three-dimensional finite element model. Comp Biomed Res 29:259-270.
14. Duda GN, Mandruzzato F, Heller M, et al. 2001. Mechanical boundary conditions of fracture healing: borderline indications in the treatment of unreamed tibial nailing. J Biomech 34:639-650.
15. Lambert KL. 1971. The weigh-bearing function of the fibula. J Bone Joint Surg 53A:507-513.
16. Kumar A, Charlebois SJ, Cain EL, et al. 2003. Effect of fibular plate fixation on rotational stability of simulated distal tibial fractures treated with intramedullary nailing. J Bone Joint Surg 85A:604-608.
17. Sonoda N, Chosa E, Totoribe K, et al. 2003. Biomechanical analysis for stress fractures of the anterior middle third of the tibia in athletes: nonlinear analysis using a three-dimensional finite element method. J Orthop Sci 8:505-513.
18. Pulido JI, Serón FJ. 2005. Statistical adaptive potential for active contours. In: European Conference on Visual Perception, Vol. 34S. London: p. 174. Abstract online www. perceptionweb.com/ecvp05
19. Mins RJ, Hunter JAA. 1976. The mechanical and structural characteristics of the tibio-fibular interosseous membrane. Acta Orthop Scand 47:236-240.
20. Glitsch U, Baumann W. 1997. The three dimensional determination of internal loads in the lower extremity. J Biomech 11(12):1123-1131.
21. Perren SM, Cordey J. 1980. The concept of interfragmentary strain. Current concepts of internal fixation of fractures. Berlin: Springer-Verlag; pp. 63-77.
22. Goodwin KJ, Sharkey NA. 2002. Material properties of interstitial lamellae reflect local strain environments. J Orthop Res 20:600-606.
23. Klein P, Schell H, Streitparth F, et al. 2003. The initial phase of fracture healing is specifically sensitive to mechanical conditions. J Orthop Res 21:662-669.
24. Schell H, Epari D, Kassi J, et al. 2005. The course of bone healing is influenced by the initial shear fixation stability. J Orthop Res 23:1022-1028.
25. Epari DR, Schell H, Bail HJ, et al. 2006. Instability prolongs the chondral phase during bone healing in sheep. Bone 38:864-870.
26. Augat P, Burger J, Schorlemmer S, et al. 2003. Shear movement at the fracture site delays healing in a diaphyseal fracture model. J Orthop Res 21:1011-1017.
27. Whittle AP, Russell TA, Taylor JC, et al. 1992. Treatment of open fractures of the tibial shaft with the use of interlocking nailing without reaming. J Bone Joint Surg Am 74:1162-1171.
28. Hou S-M, Wang J-L, Lin J. 2002. Mechanical strength, fatigue life, and failure analysis of two prototypes and five conventional tibial locking screws. J Orthop Trauma 16:701-708.
29. Gayet LE, Dupport G, Pries P, et al. 1996. In-vitro biomechanical study of a dorso-lumbo-sacral posterior supple instrumentation with variable section. Eur J Pediatr Surg 6:294-300.
30. Gaebler C, Stanzl-Tschegg S, Laube W, et al. 2001. The fatigue strength of small diameter tibial nails. Injury 32:401-405.
31. Haddad FS, Desai K, Sarkar JS, et al. 1996. The ao unreamed nail: friend or foe. Injury 27:261-263.
32. Angliss R, Tran T, Edwards ER, et al. 1996. Unreamed nailing of tibial shaft fractures in multiply injured patients. Injury 27:255-260.
33. Fairbank AC, Thomas D, Cunningham B, et al. 1995. Stability of reamed and unreamed intramedullary tibial nails: a biomechanical study. Injury 26:483-485.
34. Martin RB, Burr DB, Sharkey NA. 1998. Skeletal Tissue Mechanics. New York: Springer-Verlag. p 141.
35. Lembcke O, Ruter A, Beck A. 2001. The nail-insertion point in unreamed tibial nailing and its influence on the axial malalignment in proximal tibial fractures. Arch Orthop Trauma Surg 121:197-200.
36. Blachut PA, O'Brien PJ, Meek RN, et al. 1997. Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. A prospective, randomized study. J Bone Joint Surg Am 79:640-646.
37. McGinley JC, Kozin SH. 2003. Interosseous membrane anatomy and functional mechanics. Clin Orthop 383:108-122.