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Principles of Stable Internal Fixation

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The Rationale of Operative Fracture Care
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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.

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References

  • Allgöwer M, Matter P, Perren SM, Rüedi T (1973) The dynamic compression plate. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Charnley J (1953) Compression arthrodesis. Livingstone, Edinburgh

    Google Scholar 

  • Kempf I, Grosse A, Beck G (1985) Closed locked intramedullary nailing. J Bone Joint Surg 67A : 709–720

    PubMed  CAS  Google Scholar 

  • Key JA (1932) Positive pressure in arthrodesis for tuberculosis of the knee joint. South Med J 25:909–915

    Article  Google Scholar 

  • Matter P, Brennwald J, Perren SM (1974) Biologische Reaktion des Knochens auf Osteosyntheseplatten. Helv Chir Acta [Suppl] 12

    Google Scholar 

  • Müller ME, Allgöwer M, Willenegger H (eds) (1970) Manual of internal fixation, 1st edn. Springer, Berlin Heidelberg New York, p 10

    Google Scholar 

  • Müller ME, Allgöwer M, Schneider R, Willenegger H (eds) (1979) Manual of internal fixation, 2nd edn. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Schatzker J, Horne JG, Sumner-Smith G (1975a) The effects of movement on the holding power of screws in bone. Clin Orthop 111:257–263

    Article  PubMed  Google Scholar 

  • Schatzker J, Sanderson R, Murnaghan P (1975b) The holding power of orthopaedic screws in vivo. Clin Orthop 108 : 115

    Article  PubMed  Google Scholar 

  • 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 306–314

    Google Scholar 

  • Schenk R, Willenegger H (1963) Zum histologischen Bild der sogenannten Primärheilung der Knochenkompakta nach experimentellen Osteotomen am Hund. Experientia 19:593

    Article  PubMed  CAS  Google Scholar 

  • Tscherne H, Brüggemann H (1976) Die Weichteilbehandlung bei Osteosynthesen, insbesondere bei offenen Frakturen. Unfallheilkunde 79 : 467

    PubMed  CAS  Google Scholar 

  • Tscherne H, Gotzen L (1984) Fractures with soft tissue injuries. Springer, Berlin Heidelberg New York Tokyo, pp 1–9

    Book  Google Scholar 

  • Tscherne H, Östern HJ (1982) Die Klassifizierung des Weichteilschadens bei offenen und geschlossenen Frakturen. Unfallheilkunde 85 :111

    PubMed  CAS  Google Scholar 

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© 1987 Springer-Verlag Berlin Heidelberg

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Schatzker, J. (1987). Principles of Stable Internal Fixation. In: The Rationale of Operative Fracture Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-02483-6_1

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  • DOI: https://doi.org/10.1007/978-3-662-02483-6_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-02485-0

  • Online ISBN: 978-3-662-02483-6

  • eBook Packages: Springer Book Archive

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