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Internal Contradictions of External Fixation. Combined External Fixation

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The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices

Abstract

The assembly of an external fixation apparatus must fully accord with the most recent developments in transosseous osteosynthesis. The experimental/theoretical and clinical knowledge base is currently such that the rigidity of bone fragment fixation in relation to the diameter of the transosseous elements used, their type and crossing angle, the geometry of the external supports, the distance between external supports, etc., can be predicted. As discussed in Chap. 2, the biomechanics of external fixation consist of three interconnected parts: (1) the relationship between the transosseous elements (wires, half-pins) and the surrounding tissue; (2) the control of bone fragment position; (3) the control of bone fragment rigidity.

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References

  1. Shevtsov VI, Nemkov VA, Sklyar LV (1995) Ilizarov apparatus. Biomechanics. Periodika, Kurgan

    Google Scholar 

  2. Popkov AV, Shevtsov VI (2001) Achondroplasia. Meditsina, Moscow

    Google Scholar 

  3. Ozhegov SI (1997) Explanatory dictionary of the Russian language. Azbukovnik, Moscow

    Google Scholar 

  4. Demjanov VM, Dager NM, Abeleva GM (1986) Modern aspects of forearm closed shaft fractures treatment. Ortopedija, Travmatologija i Protezirivanije 12:57–61

    Google Scholar 

  5. Mamonov JP (1987) Combined osteosynthesis in shaft bone fractures. Vestnik khirurgii imeni 1.1. Grekova1, pp 100–101

    Google Scholar 

  6. Sukhonosenko VM (1995) Surgical treatment of femoral bone mal-union complicated by extension knee joint contracture. In: Proceedings of the conference actual problems of traumatology and orthopedics. CITO, Moscow, 1995, pp 76–78

    Google Scholar 

  7. Tajlashev MM, Rahmatulin AG, Salatin PP, Puseva ME (1995) To a problem of operative treatment of shaft forearm fractures. Ortopedija i Travmatilogija Rossii 4:35–36

    Google Scholar 

  8. Gjulnazarova SV (2000) Modern methods of nonunion treatment. Ortopedija i Travrnatilogija Rossii 1:78–83

    Google Scholar 

  9. Inan M, Karaoglu S, Turk CY, Argiin M (1999) Overnailing Ilizarov method for treatment of nonunions after intramedullary nailing in femoral fractures. In: Proceedings of the 21st Triennial World Congress of the Societe Internationale de Chirurgie Orthopedique et de Traumatologie (SI COT), Sydney, 1999, p 221

    Google Scholar 

  10. Murase T, Kishida Y, Hiroshima K (1999) Intrafocal pinning combined with external fixation for distal radial fractures: a preliminary report. In: Proceedings of the 21st Triennial World Congress of the Societe Internationale de Chirurgie Orthopedique et de Traumatologie (SICOT), Sydney, 1999, p 188

    Google Scholar 

  11. Krupko IL (1974) Traumatology and orthopedics, vol 1. Meditsina, Leningrad, p 424

    Google Scholar 

  12. Ternovoj KS, Sinilo MI (1987) Mistakes and complications in traumatology and orthopedics. Mova, Kiev, p 287

    Google Scholar 

  13. Kljuchevskij VV, Suhanov GA, Zverev EV et al (1993) Osteosynthesis using rectangular-section nails. ORTOPRO, Yaroslavl, p 322

    Google Scholar 

  14. Viktorova NL (1995) Examination of treatment of long bone shaft fractures. Annali travrnatologii i ortopedii 1:8–10

    Google Scholar 

  15. Kotenko VV, Korniliv NV, Kopisova VA et al (1996) Osteosynthesis using devices with thermomechanical memory. In: Kotenko VV (ed) Compression clips and circular clamps, part I. AO “Novokuznetskij Poligrafkombinat”, Novokuznetsk, p 94

    Google Scholar 

  16. Bogdanovich UJ (1981) Plate osteosynthesis. Meditsina, Leningrad, p 146

    Google Scholar 

  17. Krivenko et al (2008)

    Google Scholar 

  18. Vvedenskij SP (1983) Classification of compression-distraction devices and some technical development of new frames. In: Proceedings of the conference invention and efficiency work in traumatology and orthopedics. CITO, Moscow, 1983, pp 50–54

    Google Scholar 

  19. Llizarov GA (1976) Clinical and theoretical aspects compression and distraction osteosynthesis. In: Proceedings of the all-union scientific-practical conference “theoretical and practical aspects of transosseous”. RSC “RTO”, Kurgan, 1976, pp 7–11

    Google Scholar 

  20. Devjatov AA (1990) Transosseous osteosynthesis. Shtiintca, Kishinev, p 316

    Google Scholar 

  21. Kovalenko IL, Davydov AB, Belyh SI (1990) Combined osteosynthesis with application of biocompatible polymeric clamps in treatment of long bone fractures. Ortopedija, Travmatologija i Protezirivanije 7:11–15

    Google Scholar 

  22. Antoniadi JV, Runkov AV, Shlykov IL, Mukhachjov VA (1999) Combined osteosynthesis in pelvis injury. Actual questions of traumatology and orthopedics. GFUN UNIITO, Ekaterinburg, pp 8–12

    Google Scholar 

  23. Kotelnikov GP, Bezrukov AE, Volova LT, Nagoga A (1995) Use of demineralised bone graft in treatment of hip fractures at elderly and senile patients. Annali traumatologii i ortopedii 1:48–52

    Google Scholar 

  24. Zulkarneev RA (1986) Combined osteosynthesis and its biomechanical substantiation. In: Kalnberz VK (ed) Medical biomechanics, vol 3. RITO, Riga, pp 469–474

    Google Scholar 

  25. Zulkarneev RA, Zulkarneev RR (2001) Combined osteosynthesis in osteoporotic fractures. In: Proceedings of the international conference “treatment of damages and diseases of pelvis bones”. UNIITO, Ekaterinburg-Revda, 2001, pp 115–116

    Google Scholar 

  26. Dulaev AK, Didikin AV (1999) Experimental development and substantiation of a method Hybrid osteosynthesis. In: Proceedings of the conference “modern technologies in traumatology and orthopedics”. CITO, Moscow, 1999, p 69

    Google Scholar 

  27. Rajasekaran S (1999) Hybrid fixation of complex tibial plateau fractures. In: Proceedings of the 21st Triennial World Congress of the Société Internationale de Chirurgie Orthopedique et de Traumatologie (SI COT), Sydney, 1999, p 605

    Google Scholar 

  28. Zeiler C (1999) Treatment of bone loss with an central wire distraction system controlled and regulated by tensile forces in vivo. In: Proceedings of the 21st Triennial World Congress of the Société Internationale de Chirurgie Orthopedique et de Traumatologie (SI COT), Sydney, 1999, p 151

    Google Scholar 

  29. Jacques E Jr (1999) Treatment of pseudarthrosis Illizarov method. In: Proceedings of the 21st Triennial World Congress of the Société Internationale de Chirurgie Orthopedique et de Traumatologie (SICOT), Sydney, 1999, p 153

    Google Scholar 

  30. Pizzoli AL, Giotakis N, Lavini FM et al (2001) The use of Orthofix Hybrid external fixator in the treatment of proximal and distal meta-epiphyseal lesions of the tibia. In: Fifth congress of EFORT, Greece, 2001, pSI

    Google Scholar 

  31. Janson IA, Adamovich IS, Mastinja MO (1983) Basic factors influencing quantity of initial wire tension in devices of external fixation. Questions of biomechanics and rehabilitation. RITO, Riga, pp 109–118

    Google Scholar 

  32. Janson LA, Janson HA (1985) Some questions of biomechanics of external fixation. In: Kalnberz VK (ed) Devices and methods of external fixing in traumatology, vol 3. RITO, Riga, pp 78–80

    Google Scholar 

  33. Kalnberz VK, Janson lA (1986) Basic features of “wire” external fixation device biomechanics. In: Proceedings of the international conference “medical biomechanics”, vol 2, RITO, Riga, 1986, pp 475–480

    Google Scholar 

  34. Kalnberz VK, Adamovich IS, Perper MI, Janson LA (1988) Strained and deformed condition of a wire of external fixation device with rigid rings. In: Kalnberz VK (ed) Biomechanics: problems and researches. RITO, Riga, pp 198–203, References, p 14

    Google Scholar 

  35. Huisres R, Chao EY (1985) Guidelines for external fracture fixation frame rigidity and strength. Devices and methods of external fixation in traumatology and orthopedics, vol 3. RITO, Riga, pp 63–65

    Google Scholar 

  36. Vasilenkajtis VV (1985) Biomechanical substantiation of compression-distraction osteosynthesis using “elastic-strained suspended path”. In: Janson LA (ed) Medical biomechanics, vol 3. RITO, Riga, pp 428–434

    Google Scholar 

  37. Kalnberz VK, Studers PJ, Dobelis MA (1988) Comparative research of Kirshner-wires, Steinmann rods and Shants-screws rigidity in identical experimental conditions and in clinic. Ortopedija, Travmatologija i ProtezirivanijeI 2:16–19

    Google Scholar 

  38. Tishkov NV (1995) Treatment of closed tibia shaft fractures using a method of transosseous osteosynthesis in region with small population density. Abstract of PhD thesis. I1TO, Irkutsk, p 20

    Google Scholar 

  39. Solomin LN (1996) The controlled combined osteosynthesis of long bones: development, substantiation and clinical use. PhD thesis. I1TO, Irkutsk, p 348

    Google Scholar 

  40. Evseeva SA, Solomin LN, Barabash AP (1996) Theoretical and experimental substantiation of support for a tension of axial compression wires rigidity in the combined strained fixation. Bull Siberian Branch Russ Acad Med Sci 4:18–20

    Google Scholar 

  41. Bejdik QV, Kireev SI (2000) Ways of a method of transosseous osteosynthesis according to GA Ilizarov optimization in treatment of orthopedic patients. Abstracts of a scientific conference, vol 1. RSC “RTO”, Kurgan, 2000, p 29

    Google Scholar 

  42. Shukejlo JA, Pechkurov AL, Kormilitsin OP (2000) Experimental research of gunshot fractures stability. In: Proceedings of the fifth all-Russia biomechanics conference “biomechanics 2000”. NNIITO, Nizhni Novgorod, 2000, p 140

    Google Scholar 

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Correspondence to Leonid Nikolaevich Solomin M.D., Ph.D. .

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Solomin, L.N. (2012). Internal Contradictions of External Fixation. Combined External Fixation. In: Solomin, L. (eds) The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2619-3_3

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  • DOI: https://doi.org/10.1007/978-88-470-2619-3_3

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