Biomedical Engineering and Bioengineering Commons^™

Optimizing Hybrid Plate Fixation With A Locked, Oblique End Screw In Osteoporotic Fractures, Patrick Atkinson, Aaron Wynkoop, Osy Ndubaku, Paul M. Charpentier, Jeffrey B. Peck, Norman E. Walter

Mechanical Engineering Publications

Background

The end screw in a fracture plate creates the greatest resistance to bending. For osteoporotic fractures treated with plates, there is some question as to the optimal screw insertion technique for the screw farthest from the fracture. A locked, oblique end screw was previously shown to increase resistance to periprosthetic fracture. It is unknown, however, how this end screw configuration would resist pullout when subjected to bending.

Methods

Narrow, low contact 3.5 mm locking compression plates with 6 and 12 holes were anchored to simulated bone material with material properties representing osteoporotic bone. Four configurations were evaluated for the …

Biomechanical Evaluation Of Locked And Non-Locked Constructs Under Axial And Torsion Loading, Vinit A. Patel

Browse all Theses and Dissertations

Locking compression plates are proven to be safe for use in open reduction and internal fixation (ORIF). The ORIF is a procedure performed to treat fractures. It has various combination of holes, the system provides more options for clinicians to use either locking screw or non-locking screws. This thesis investigates and determines the best construct with special locking and non-locking screws under both axial and torsion loading. Twenty femur constructs were assembled with 2 cm osteotomy gap between femur shaft and condyle, bridged with 4.5 mm - 10 holes condyle plates. Femurs were divided in to 4 groups according to …

Evaluation Of 135- And 150-Degree Sliding Hip Screws, Kelly Blayne Crittenden

Doctoral Dissertations

Sliding hip screws are routinely used to repair Garden III femoral neck factures. This research seeks to better understand the influence of the hip screw angle on the performance of the fixation. The mechanics of fractured femurs repaired with 135- and 150-degree sliding fixation devices are explored using experimental, finite element, and analytical modeling. The experimental study involves testing of both intact and fixated femurs; the finite element work centers on two-dimensional models of intact and fixated femurs; and the analytical modeling explores the forces, moments and stresses in the fixation. The analytical model predicts that the screw will serve …

Focal Osteolysis At The Junctions Of A Modular Stainless-Steel Femoral Intramedullary Nail, Darron M. Jones, Lawrence Marsh, James V. Nepola, Joshua J. Jacobs, Anastasia K. Skipor, Robert M. Urban, Jeremy L. Gilbert, Josheph A. Buckwater

Biomedical and Chemical Engineering - All Scholarship

Background:

During routine follow-up of patients treated with a three-piece stainless-steel modular femoral nail, osteolysis and periosteal reaction around the modular junctions of some of the nails were noted on radiographs. The purpose of this study was to evaluate the prevalence, etiology, and clinical relevance of these radiographic findings.

Methods:

Forty-four femoral fractures or nonunions in forty-two patients were treated with a modular stainless-steel femoral intramedullary nail. Seventeen nails were excluded, leaving twenty-seven intramedullary nails in twenty-seven patients for this study. All patients had had a femoral diaphyseal fracture; nineteen had had an acute fracture and eight, a nonunion. These …

Clinical Applications Of Recombinant Gene Technology: Bone And Cartilage Repair, Thomas A. Einhorn

Cells and Materials

Over the past decade, the field of molecular biology has given rise to the development of the applied discipline of molecular medicine. Based on recent developments using recombinant gene technology, genetic mapping analysis and other investigational tools, the physician and surgeon is now ready to begin using those instruments in the diagnosis and treatment of musculoskeletal disease. This article reviews the history of scientific exploration in recombinant gene technology as it applies to bone and cartilage repair. Clinical cases are presented to show how the fruits of scientific knowledge may be brought to bear on some of the more challenging …