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A mechanical and clinical evaluation of the Helix Wire for subcapital humerus fracture ostheosynthesis

Wybrane pełne teksty z tego czasopisma
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this paper is to irwestigate the mechanical propcrties the Helix Wire, a device that has been employed for subcapital humerus fracture ostheosynthesis in recent years. There are several potential clinical advantages associated with its use, but clinical results reported in literature are controversial. The Helix Wire has been assimilated into a helical spring, and several analytical solutions for displacements and stresses have been compared and experimentally validated, showing the importance of the pitch angle contribution. Based on the results, the main factor for the clinical indication of this fixation device was found to be the patient age. In fact, the use of the Helix Wire should be avoided in case of young patients or of patients with well-developed muscular masses, where the forces may easily lead to critical stresses in the spring and separation of the fracture surfaces. The clinical results obtained in the tests on 30 elderly patients confirmed these findings.
Słowa kluczowe
Rocznik
Strony
3--12
Opis fizyczny
Bibliogr. 18 poz., rys., tab., wykr.
Twórcy
autor
  • Dipartimentodi Energetica, Universitadegli Studi di Trieste
  • U.C.O. Clinica Ortopedica e Traumatologica, Università degli Studi di Trieste
autor
  • U.C.O. Clinica Ortopedica e Traumatologica, Università degli Studi di Trieste
Bibliografia
  • [1] FAURE R., KAUFMANN A., DENIS-PAPIN M., Manuale di Matematica, ISEDI, Milano, 1973.
  • [2] DELL’OCA F.A.A., The principle of helical implants. Unusual ideas worth considering, Injury, 2002, Vol. 33, Suppl. 1, 2002.
  • [3] www.its-implant.com
  • [4] ANGEL K., GRANHED H., LINDSJÖ U., NYBERG P., Helix wire fixation of dislocated surgical neck fractures of the humerus – preliminary results, Acta Orthop. Scand., 1999, Vol. 70, Suppl. 287, pp. 68–69.
  • [5] TRAXLER H., SURD R., LAMINGER K.A., WINDISCH A., SORA M.C., FIRBAS W., The treatment of subcapital humerus fracture with dynamic helix wire and the risk of concomitant lesion of the axillary nerve, Clin. Anat., 2001, Vol. 14, No. 6, pp. 418–423.
  • [6] RAISSADAT K., van LOON C.J.M., STRUBEN P.J., Poor results of the Helix wire osteosynthesis for proximal humeral fractures, Dutch Orthopaedic Society, Utrecht, October 11, 2002, p. 8.
  • [7] FALSTER O., KLEMENT P., PHILIPSEN A., Displaced fractures of the humeral surgical neck treated with titanium helix wire, Danica Ortopaedica Societas Bullein, 2002, No. 6, p. 23.
  • [8] KHODADADYAN-KLOSTERMANN C., RASCHE M., FONTES R., MELCHER I., SOSSON A., BAGCH K., HAAS N., Treatment of complex proximal humeral fractures with minimally invasive fixation of the humeral head combined with flexible intramedullary wire fixation. Introduction of a new treatment concept, Langenbeck’s Arch. Surg., July 2002, pp. 153–160.
  • [9] ERHART J., HEINZ T., SCHUSTER R., GRETBAUER M., VÈCSEI V., Die Stabilisierung von proximaelen Humerunsfrakturen mit der intramedullaeren Titanwendel Helix Wire, Wien klein, Wochenschr, 2002, pp. 859–865.
  • [10] ZYTO K., AHRENGART L., SPIRBI A., TORMKUIST H., Treatment of displaced proximal fractures in elderly patient, J. Bone Joint Surg., 1997, pp. 412–417.
  • [11] DONACHIE M.J. Jr., Titanium: A Technical Guide, 2nd edition, ASM International, 2000, pp. 5–11.
  • [12] Titanium Industries, Inc., 181 East Halsey Road, Parsippany, NJ USA 07054.
  • [13] STROZZI A., Costruzione di Macchine, ed. Pitagora, Bologna, 1998, pp. 643–652.
  • [14] DORNIG A., Le molle – calcolo e dimensionamento, ed. CLUP, Milano, 1979.
  • [15] WAHL A.M., Mechanical springs, Penton Publishing Company, Cleveland, Ohio, 1944, pp. 25–49.
  • [16] ANCKER C.J., GOODIER J.N., Pitch and curvature corrections for helical springs, J. Appl. Mech., December 1958, pp. 466–470.
  • [17] ANCKER C.J., GOODIER J.N., Theory of pitch and curvature corrections for the helical spring – I (Tension), J. Appl. Mech., December 1958, pp. 471–483.
  • [18] CONSTANT C.R., MURLEY A.H.G., A clinical method of functional assessment of the shoulder, Clin. Orthop., 1987, pp. 106–164.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPB2-0010-0001
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