Abstract
Reproducible fractures of the posterior wall of the acetabulum were created in 10 paired hemipelves from fresh human cadavers. Under anterior-to-posterior loading by a Materials Testing System machine, the load to failure of fixation of the acetabular fractures treated with steel pelvic reconstruction plates and steel screws was significantly higher than that of fixation with titanium ribbons and titanium screws. Forces as little as 725 newtons applied directly to the fragment caused fixation failure; even the most secure form of fixation failed when a relatively small force of 2,123 newtons was applied. These results emphasize the importance of appropriate postoperative measures, such as limitation of hip flexion and restricted weightbearing, to minimize the force directed against the posterior wall until the fracture has healed. Secure fixation of fractures of the posterior wall of the acetabulum is critical, since loss of fixation results in instability and joint incongruity, which limit the options for reconstruction.
| Original language | English (US) |
|---|---|
| Journal | Journal of the Southern Orthopaedic Association |
| Volume | 8 |
| Issue number | 4 |
| State | Published - 1999 |
| Externally published | Yes |
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Biomechanical evaluation of fixation of posterior acetabular wall fractures. / Zoys, G. N.; McGanity, P. L.; Lanctot, D. R.; Athanasiou, K. A.; Heckman, J. D.
In: Journal of the Southern Orthopaedic Association, Vol. 8, No. 4, 1999.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Biomechanical evaluation of fixation of posterior acetabular wall fractures.
AU - Zoys, G. N.
AU - McGanity, P. L.
AU - Lanctot, D. R.
AU - Athanasiou, K. A.
AU - Heckman, J. D.
PY - 1999
Y1 - 1999
N2 - Reproducible fractures of the posterior wall of the acetabulum were created in 10 paired hemipelves from fresh human cadavers. Under anterior-to-posterior loading by a Materials Testing System machine, the load to failure of fixation of the acetabular fractures treated with steel pelvic reconstruction plates and steel screws was significantly higher than that of fixation with titanium ribbons and titanium screws. Forces as little as 725 newtons applied directly to the fragment caused fixation failure; even the most secure form of fixation failed when a relatively small force of 2,123 newtons was applied. These results emphasize the importance of appropriate postoperative measures, such as limitation of hip flexion and restricted weightbearing, to minimize the force directed against the posterior wall until the fracture has healed. Secure fixation of fractures of the posterior wall of the acetabulum is critical, since loss of fixation results in instability and joint incongruity, which limit the options for reconstruction.
AB - Reproducible fractures of the posterior wall of the acetabulum were created in 10 paired hemipelves from fresh human cadavers. Under anterior-to-posterior loading by a Materials Testing System machine, the load to failure of fixation of the acetabular fractures treated with steel pelvic reconstruction plates and steel screws was significantly higher than that of fixation with titanium ribbons and titanium screws. Forces as little as 725 newtons applied directly to the fragment caused fixation failure; even the most secure form of fixation failed when a relatively small force of 2,123 newtons was applied. These results emphasize the importance of appropriate postoperative measures, such as limitation of hip flexion and restricted weightbearing, to minimize the force directed against the posterior wall until the fracture has healed. Secure fixation of fractures of the posterior wall of the acetabulum is critical, since loss of fixation results in instability and joint incongruity, which limit the options for reconstruction.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033278657&partnerID=8YFLogxK
M3 - Article
C2 - 12132798
AN - SCOPUS:0033278657
VL - 8
JO - Journal of the Southern Orthopaedic Association
JF - Journal of the Southern Orthopaedic Association
SN - 1548-825X
IS - 4
ER -