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Principles of Stable Internal Fixation

  • J. Schatzker

Abstract

The principal mechanical function of bone is to act as a supporting structure and transmit load. The loads which bone has to withstand are those of pure compression, those of bending, which result in one cortex being loaded in tension and the other in compression, and those of torque, or twisting. Bone is strongest in compression and weakest in tension. Fractures as a result of pure compression are therefore rare and occur only in areas of cancellous bone with a thin cortical shell. Thus, we find pure compression fractures in such areas as the metaphyses, vertebral bodies, and the os calcis. Transverse, oblique, and spiral are the common fracture patterns seen in tubular bone.

Keywords

Internal Fixation Intramedullary Nailing Absolute Stability Tubular Bone Soft Tissue Component 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Allgöwer M, Matter P, Perren SM, Rüedi T (1973) The dynamic compression plate. Springer, Berlin Heidelberg New YorkCrossRefGoogle Scholar
  2. Charnley J (1953) Compression arthrodesis. Livingstone, EdinburghGoogle Scholar
  3. Kempf I, Grosse A, Beck G (1985) Closed locked intramedullary nailing. J Bone Joint Surg 67A : 709–720PubMedGoogle Scholar
  4. Key JA (1932) Positive pressure in arthrodesis for tuberculosis of the knee joint. South Med J 25:909–915CrossRefGoogle Scholar
  5. Matter P, Brennwald J, Perren SM (1974) Biologische Reaktion des Knochens auf Osteosyntheseplatten. Helv Chir Acta [Suppl] 12Google Scholar
  6. Müller ME, Allgöwer M, Willenegger H (eds) (1970) Manual of internal fixation, 1st edn. Springer, Berlin Heidelberg New York, p 10Google Scholar
  7. Müller ME, Allgöwer M, Schneider R, Willenegger H (eds) (1979) Manual of internal fixation, 2nd edn. Springer, Berlin Heidelberg New YorkGoogle Scholar
  8. Schatzker J, Horne JG, Sumner-Smith G (1975a) The effects of movement on the holding power of screws in bone. Clin Orthop 111:257–263PubMedCrossRefGoogle Scholar
  9. Schatzker J, Sanderson R, Murnaghan P (1975b) The holding power of orthopaedic screws in vivo. Clin Orthop 108 : 115PubMedCrossRefGoogle Scholar
  10. Schatzker J, Manley PA, Sumner-Smith G (1980) In vivo strain gauge study of bone response to loading with and without internal fixation. In : Uhthoff H (ed) Current concepts of internal fixation of fractures. Springer, Berlin Heidelberg New York, pp 306–314Google Scholar
  11. Schenk R, Willenegger H (1963) Zum histologischen Bild der sogenannten Primärheilung der Knochenkompakta nach experimentellen Osteotomen am Hund. Experientia 19:593PubMedCrossRefGoogle Scholar
  12. Tscherne H, Brüggemann H (1976) Die Weichteilbehandlung bei Osteosynthesen, insbesondere bei offenen Frakturen. Unfallheilkunde 79 : 467PubMedGoogle Scholar
  13. Tscherne H, Gotzen L (1984) Fractures with soft tissue injuries. Springer, Berlin Heidelberg New York Tokyo, pp 1–9CrossRefGoogle Scholar
  14. Tscherne H, Östern HJ (1982) Die Klassifizierung des Weichteilschadens bei offenen und geschlossenen Frakturen. Unfallheilkunde 85 :111PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • J. Schatzker

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