Theoretical and clinical bases of the method of osteosynthesis by screws in oblique and spiral fractures of the tibia
Tkachenko, S.S.; Erokhov, A.N.; Mel'nikov, B.E.
Ortopediia Travmatologiia i Protezirovanie 7: 5-9
1990
ISSN/ISBN: 0030-5987 PMID: 2290680 Document Number: 352749
The results of experiments with axial loading of human tibia preparations used for simulation of oblique (spiral) fractures and different methods of osteosynthesis by screws revealed that higher strength was ensured by the method of bone connection with the screws directed perpendicular to the segment axis (4.1 times more than in case of screws directed perpendicular to the plane of fracture). Explanation of the obtained facts necessitated development of more precise biomechanical model of deformation. Practical recommendations have been formulated.