Evaluation of Compression in Intramedullary Hindfoot Arthrodesis
Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a “second generation” intramedullary compression nail. Four cadaver specimens were used. Four trials were done with each specimen. Trial 1: manual compression with the 1st generation nail....
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| Published in: | Foot & ankle international Vol. 23; no. 11; pp. 992 - 995 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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Los Angeles, CA
SAGE Publications
01-11-2002
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| Abstract | Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a “second generation” intramedullary compression nail. Four cadaver specimens were used. Four trials were done with each specimen.
Trial 1: manual compression with the 1st generation nail.
Trial 2: external fixator for compression with the 1st generation nail.
Trial 3: external fixator for compression with the 2nd generation nail.
Trial 4: nail-mounted compression device with the 2nd generation nail.
In Trial 1 it was not possible to obtain or maintain compression. In Trial 2 large values of compression were obtained with the external fixator, however compression was not maintained after the first generation nails were locked and the fixator was removed. In Trial 3 large values of compression were obtained with the external fixator, but minimal compression was maintained after the second-generation nails were locked and the fixator was removed. In Trial 4 large values of compression were obtained with the compression device and greater than 60% of the compression was maintained after the nail was locked and the compression device was released. The study revealed that both the external fixator and the compression device could produce compression. The external fixator is useful as an aid in the O.R. However, in this study significant compression was maintained only with utilization of the compression device. |
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| AbstractList | Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a "second generation" intramedullary compression nail. Four cadaver specimens were used. Four trials were done with each specimen. Trial 1: manual compression with the 1st generation nail. Trial 2: external fixator for compression with the 1st generation nail. Trial 3: external fixator for compression with the 2nd generation nail. Trial 4: nail-mounted compression device with the 2nd generation nail. In Trial 1 it was not possible to obtain or maintain compression. In Trial 2 large values of compression were obtained with the external fixator, however compression was not maintained after the first generation nails were locked and the fixator was removed. In Trial 3 large values of compression were obtained with the external fixator, but minimal compression was maintained after the second-generation nails were locked and the fixator was removed. In Trial 4 large values of compression were obtained with the compression device and greater than 60% of the compression was maintained after the nail was locked and the compression device was released. The study revealed that both the external fixator and the compression device could produce compression. The external fixator is useful as an aid in the O.R. However, in this study significant compression was maintained only with utilization of the compression device. Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a “second generation” intramedullary compression nail. Four cadaver specimens were used. Four trials were done with each specimen. Trial 1: manual compression with the 1st generation nail. Trial 2: external fixator for compression with the 1st generation nail. Trial 3: external fixator for compression with the 2nd generation nail. Trial 4: nail-mounted compression device with the 2nd generation nail. In Trial 1 it was not possible to obtain or maintain compression. In Trial 2 large values of compression were obtained with the external fixator, however compression was not maintained after the first generation nails were locked and the fixator was removed. In Trial 3 large values of compression were obtained with the external fixator, but minimal compression was maintained after the second-generation nails were locked and the fixator was removed. In Trial 4 large values of compression were obtained with the compression device and greater than 60% of the compression was maintained after the nail was locked and the compression device was released. The study revealed that both the external fixator and the compression device could produce compression. The external fixator is useful as an aid in the O.R. However, in this study significant compression was maintained only with utilization of the compression device. |
| Author | McGarvey, William C. Clanton, Thomas O. Berson, Lawrence |
| Author_xml | – sequence: 1 givenname: Lawrence surname: Berson fullname: Berson, Lawrence – sequence: 2 givenname: William C. surname: McGarvey fullname: McGarvey, William C. – sequence: 3 givenname: Thomas O. surname: Clanton fullname: Clanton, Thomas O. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12449401$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.2106/00004623-199072050-00016 10.1177/107110079501600704 10.1177/107110079501600710 10.2106/00004623-199307000-00012 10.2106/00004623-199274070-00011 10.1177/107110079701800412 10.1177/107110079701801104 10.1177/107110079701801007 10.1177/107110079401501208 10.2106/00004623-198567040-00008 10.1097/00003086-199207000-00019 10.1097/00003086-199004000-00029 10.2106/00004623-198870090-00004 10.1016/S1048-6666(96)80006-1 10.1016/S0266-7681(98)80176-9 10.1016/S0363-5023(10)80059-0 |
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| Keywords | Ankle Intramedullary Nail External Fixator Arthrodesis Compression Tibiotalocalcaneal |
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Orthop. contributor: fullname: Kitaoka HB – ident: bibr8-107110070202301103 doi: 10.1177/107110079401501208 – ident: bibr26-107110070202301103 – ident: bibr22-107110070202301103 doi: 10.2106/00004623-198567040-00008 – ident: bibr7-107110070202301103 – volume-title: Ankle Arthrodesis Nail Surgical Technique year: 1999 ident: bibr17-107110070202301103 contributor: fullname: Quill G – ident: bibr6-107110070202301103 doi: 10.1097/00003086-199207000-00019 – volume-title: Revision Nail Surgical Technique year: 1996 ident: bibr5-107110070202301103 contributor: fullname: Graves SC – ident: bibr25-107110070202301103 doi: 10.1097/00003086-199004000-00029 – ident: bibr20-107110070202301103 doi: 10.2106/00004623-198870090-00004 – volume: 268 start-page: 102 year: 1991 ident: bibr24-107110070202301103 publication-title: Clin. 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| Snippet | Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a “second generation” intramedullary... Compression was evaluated in an intramedullary hindfoot arthrodesis cadaver model using an external fixator and a "second generation" intramedullary... |
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| SubjectTerms | Ankle Joint - surgery Arthrodesis - instrumentation Biomechanical Phenomena Cadaver Calcaneus - surgery Equipment Design External Fixators Fracture Fixation, Intramedullary - methods Humans Models, Biological Talus - surgery Tibia - surgery |
| Title | Evaluation of Compression in Intramedullary Hindfoot Arthrodesis |
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