Cerclage wiring technique after proximal femoral fracture in total hip arthroplasty
Autor: | Seung-Moo Han, Zair Fishkin, Israel Ziv |
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Rok vydání: | 1999 |
Předmět: |
Orthodontics
medicine.medical_specialty Calcar business.industry Arthroplasty Replacement Hip medicine.medical_treatment Fracture mechanics Femoral fracture medicine.disease Arthroplasty Surgery Fracture Fixation Internal medicine.anatomical_structure Cadaver mental disorders Fracture fixation medicine Humans Orthopedics and Sports Medicine business Femoral Fractures Bone Wires Total hip arthroplasty Femoral neck |
Zdroj: | The Journal of Arthroplasty. 14:98-101 |
ISSN: | 0883-5403 |
DOI: | 10.1016/s0883-5403(99)90209-7 |
Popis: | Cerclage wires have been used to stabilize proximal femoral cracks after stem insertion in cementless total hip arthroplasty. The objective of this study was to determine the optimal number and orientation of cerclage wires necessary to prevent stem subsidence and crack propagation. The crack was stabilized by 1, 2, or 3 wires placed either normal to the femoral neck axis or normal to the crack. The femora were compressed to 2,670 N while measuring crack opening and stem subsidence. Wires placed normal to the crack allowed less stem subsidence by 3.17 mm and less crack opening by 1.55 mm compared with wires placed normal to the neck. The addition of multiple wires reduced subsidence by 50% and reduced crack opening to |
Databáze: | OpenAIRE |
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