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Analyse und Funktion von Fixateur-externe-Systemen

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Externe und interne Fixateursysteme
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Zusammenfassung

Die Aufgabe eines Fixateur-externe-Systems besteht aus biomechanischer Sicht darin, die zur Erreichung des Behandlungsziels und zur Aufrechterhaltung der übrigen Funktionen des Bewegungsapparates notwendigen mechanischen Bedingungen bereitzustellen [12, 23]. Bei der Frakturbehandlung muß die Kontinuität der Extremitäten so weit wiederhergestellt werden, daß Kräfte, wie sie bei postoperativem, funktionellem Gebrauch benachbarter Gelenke oder durch die Rehabilitation während der Heilungszeit entstehen, zumindest in beschränktem Umfang wieder übertragen werden können. Dies ist eine Frage der Festigkeit des Fixateurs.

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Literatur

  1. Agee JM (1993) External fixation. Technical advances based upon multiplanar ligamentotaxis. Orthop Clin North Am 24 (2): 265

    PubMed  CAS  Google Scholar 

  2. Allard RN, Birch JG, Samchukov ML (1992) A multiple variable analysis of the parameters affecting the rigidity of the Ilisarow fixator. An ORS 38/ 17: 586

    Google Scholar 

  3. Aro HT, Chao EY (1993) Bone-healing patterns affected by loading, fracture fragment stability, fracture type, and fracture site compression. Clin Orthop 293: 8

    PubMed  Google Scholar 

  4. Aro HT, Markel MD, Chao EY (1993) Cortical bone reactions at the interface of external fixation half-pins under different loading conditions. J Trauma 35 (5): 776

    Article  PubMed  CAS  Google Scholar 

  5. Aronson J, Harp JH (1994) Mechanical forces as predictors of healing during tibial lengthening by distraction osteogenesis. Clin Orthop 301: 73

    PubMed  Google Scholar 

  6. Biliouris TL, Schneider E, Rahn B, Gasser B, Perren SM (1989) The effect of radial preload on the implant-bone interface: a cadaveric study. J Orthop Res 3: 323

    CAS  Google Scholar 

  7. Bosse MJ, Holmes C, Vossoughi J, Alter D (1994) Comparison of the Howmedica and Synthes military external fixation frames. J Orthop Trauma 8 (2): 119

    Article  PubMed  CAS  Google Scholar 

  8. Bouvy BM, Markel MD, Chelikani S, Egger EL, Piermattei DL, Vanderby R Jr (1993) Vet Surg 22 (3): 194

    Article  PubMed  CAS  Google Scholar 

  9. Briggs BT, Chao EYS (1982) The mechanical performance of the standard Hoffmann-Vidal external fixation apparatus. J Bone Joint Surg [Am] 64: 566

    CAS  Google Scholar 

  10. Calhoun JH, Li F, Bauford WL, Lehmann T, Ledbetter BR, Lowery R (1992) Rigidity of half-pins for the Ilizarov external fixator. Bull Hosp Joint Dis 52 (1): 21

    CAS  Google Scholar 

  11. Calhoun JH, Li F, Ledbetter BR, Gill CA (1992) Bio-mechanics of the Ilizarov fixator for fracture fixation. Clin Orthop 280: 15

    PubMed  Google Scholar 

  12. Chao EY-S (1987) Biomechanics of external fixation. In: Lane JM (ed) Fracture healing. Churchill Livingstone, New York, pp 105–122

    Google Scholar 

  13. Chen PQ, Wu CM, Jao WT, Shih CM, Cheng CK (1991) Biomechanical studies of the anterior spinal fixators after corpectomy in pigs. J Formos Med Assoc 90 (1): 72

    PubMed  CAS  Google Scholar 

  14. Claes L (1991) Die Messung der Knochenheilung bei Fixateur-externe-Osteosynthesen mit dem Fraktometer FM 100. Chirurg 62 (4): 354

    PubMed  CAS  Google Scholar 

  15. Delprete C, Gola MM (1993) Mechanical performance of external fixators with wires for the treatment of bone fractures - Part I: Load - displacement behavior. J Biomech Eng 115 (1): 29

    Article  PubMed  CAS  Google Scholar 

  16. Delprete C, Gola MM (1993) Mechanical performance of external fixators with wires for the treatment of bone fractures - Part II: Wire tension and slippage. J Biomech Eng 115 (1): 37

    Article  PubMed  CAS  Google Scholar 

  17. Drijber FL, Finlay JB, Dempsey AJ (1992) Evaluation of linear finite-element analysis models’ assumptions for external fixation devices. J Biomech 25 (8): 849

    Article  PubMed  CAS  Google Scholar 

  18. Drijber FL, Finlay JB (1993) Universal joint slippage as a cause of Hoffmann half-frame external fixator failure. J Biomed Eng 14 (6): 509

    Article  Google Scholar 

  19. Egbers HJ, Draijer F, Havemann D, Zenker W (1992) Stabilisierung des Beckenrings mit Fixateur externe. Biomechanische Untersuchungen und klinische Erfahrung. Orthopäde 21 (6): 363

    PubMed  CAS  Google Scholar 

  20. Evans M, Spencer M, Wang Q, White SH, Cunningham JL (1990) Design and testing of external fixator bone screws. J Biomed Eng 12 (6): 457

    Article  PubMed  CAS  Google Scholar 

  21. Frykman GK, Peckham RH, Willard K, Saha S (1993) External fixators for treatment of unstable wrist fractures. A biomechanical, design feature, and cost comparison. Hand Clin 9 (4): 555

    PubMed  CAS  Google Scholar 

  22. Gasser B, Boman B, Wyder D, Schneider E (1990) Stiffness characteristics of the circular Ilisarov external fixator as opposed to conventional external fixa-tors. J Biomech Eng 112: 15

    Article  PubMed  CAS  Google Scholar 

  23. Goodship AE, Watkins PE, Rigby HS, Kenwright J (1993) The role of fixator frame stiffness in the control of fracture healing. An experimental study. J Biomech 26 (9): 1027

    Article  PubMed  CAS  Google Scholar 

  24. Guglielmino E, La Rosa G, Leonardi W, Longo GF (1993) Comparative study of the mechanical behaviour of Castaman external fixator in different mounting configurations. Biomed Mater Eng 3 (2): 57

    PubMed  CAS  Google Scholar 

  25. Halsey D, Fleming B, Pope MH, Krag M, Kristiansen T (1992) External fixator pin design. Clin Orthop 278: 305

    PubMed  Google Scholar 

  26. Huiskes R, Chao EYS, Crippen TE (1985) Parametric analyses of pin-bone stresses in external fixation devices. J Orthop Res 3: 341

    Article  PubMed  CAS  Google Scholar 

  27. Hyldahl C, Pearson S, Tepic S, Perren SM (1991) Induction and prevention of pin loosening in external fixation: an in vivo study on sheep tibiae. J Orthop Trauma 5 (4): 485

    Article  PubMed  CAS  Google Scholar 

  28. Juan JA, Prat J, Vera P et al (1992) Biomechanical consequences of callus development in Hoffmann, Wagner, Orthofix and Ilisarow external fixators. J Biomech 25 (9): 995

    Article  PubMed  CAS  Google Scholar 

  29. Kasman RA, Chao EY (1984) Fatigue performance of external fixator pins. J Orthop Res 2: 377

    Article  PubMed  CAS  Google Scholar 

  30. McCoy MT, Kasman RA, Chao EY (1983) Comparison of mechanical performance in four types of external fixators. Clin Orthop 180: 23

    PubMed  Google Scholar 

  31. Muller ME, Allgöwer M, Schneider R, Willenegger H (1991) Manual of Internal Fixation. Techniques recommended by the AO-ASIF Group, 3rd edn. Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  32. Nordeen MH, Taylor BA, Briggs TW, Lavy CB (1993) Pin placement in pelvic external fixation. Injury 24 (9): 581

    Article  Google Scholar 

  33. Oni OO, Capper M, Soutis C (1993) A finite element analysis of the effect of pin distribution on the rigidity of a unilateral external fixation system. Injury 24 (8): 525

    Article  PubMed  CAS  Google Scholar 

  34. O’Sullivan ME, Bronk JT, Chao EY, Kelly PJ (1994) Experimental study of the effect of weight bearing on fracture healing in the canine tibia. Clin Orthop 302: 273

    PubMed  Google Scholar 

  35. Perren SM, Cordey J, Gautier E (1987) Rigid internal fixation using plates: terminology, principles, and early problems. In: Lane JM (ed) Fracture healing. Churchill Livingstone, New York, pp 139–151

    Google Scholar 

  36. Pettine KA, Chao EY, Kelly PJ (1993) Analysis of the external fixator pin-bone interface. Clin Orthop 293: 18

    PubMed  Google Scholar 

  37. Prat J, Juan JA, Vera P et al (1994) Load transmission through the callus site with external fixation systems: theoretical and experimental analysis. J Biomech 27 (4): 469

    Article  PubMed  CAS  Google Scholar 

  38. Ralston JL, Brown TD, Nepola JV, Williams DR, Marsh JL (1990) Mechanical analysis of the factors affecting dynamization of the Orthofix Dynamic Axial Fixator. J Orthop Trauma 4 (4): 449

    PubMed  CAS  Google Scholar 

  39. Ramotowski W, Granowski R (1991) Zespol. An original method of stable osteosynthesis. Clin Orthop 171: 67

    Google Scholar 

  40. Remiger AR, Predieri M, Frankle M, Tepic S, Perren SM (1994) Long-term results of fracture treatment with the point contact fixator - an in vivo study on sheep. An ORS 19: 532

    Google Scholar 

  41. Schneider E, Sasse S, Schmidt HG, Schumann U (1992) Zur Biomechanik des Ringfixateurs - Beiträge einzelner Strukturelemente. Unfallchirurg 95: 580

    PubMed  CAS  Google Scholar 

  42. Seitz WH Jr, Froimson AI, Brooks DB, Postak P, Polando G, Greenwald AS (1991) External fixator pin insertion techniques: biomechanical analysis and clinical relevance. J Hand Surg [Am] 16 (3): 560

    Article  Google Scholar 

  43. Shiba R, Chao EYS, Kasman R (1984) Fatigue properties of the Hoffman-Vidal external fixation apparatus. Orthopaedics 7 (3): 443

    Google Scholar 

  44. Simpson NS, Wilkinson R, Barbenel JC, Kinninmonth AW (1994) External fixation of the distal radius. A biomechanical study. J Hand Surg [Br] 19 (2): 188

    Article  CAS  Google Scholar 

  45. Smit TS, Schneider E (1992) The limits of radial preload in a Schanz-type screw fixation. Internal Report Technical University, Hamburg-Harburg

    Google Scholar 

  46. Williams RP, Friis EA, Cooke FW, McQueen DA, Toohey JS (1992) External fixation of unstable Malgaigne fractures: the comparative mechanical performance of a new configuration. Orthop Rev 21 (12): 1423

    PubMed  CAS  Google Scholar 

  47. Williams RL, Aggarwal NK, Klenerman L (1994) Biomechanical analysis of a new external fixation system and its clinical significance. J Trauma 37 (1): 66

    Article  PubMed  CAS  Google Scholar 

  48. Younger AS, Mackenzie WG, Morrison JB (1994) Femoral forces during limb lengthening in children. Clin Orthop 301: 55

    PubMed  Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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Schneider, E. (1995). Analyse und Funktion von Fixateur-externe-Systemen. In: Wolter, D., Hansis, M., Havemann, D. (eds) Externe und interne Fixateursysteme. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79598-5_4

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  • DOI: https://doi.org/10.1007/978-3-642-79598-5_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-59003-3

  • Online ISBN: 978-3-642-79598-5

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