Mechanical failures of intramedullary tibial nails applied without reaming

James Hutson, Jr., Gregory A Zych, J. D. Cole, K. D. Johnson, P. Ostermann, E. L. Milne, L. Latta

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The clinical mechanical failures of small diameter intramedullary interlocking nails were evaluated to determine the relationship of failure modes to the type or location of tibial fractures. Methods were developed to duplicate failure modes in vitro in standardized tests to simulate the clinical situations. Where standard test methods were inadequate, new methods were developed to provide quantifiable, reliable methods of evaluating potential clinical performance. The modes and rates of mechanical failure in the clinical series were consistent among participating centers: (1) In diaphyseal fractures with secondary trauma, the intramedullary nail bent at the fracture site where the working length was unsupported; (2) failures that occurred several weeks after nailing were the result of fatigue fractures of the locking screws, usually at the distal end; and (3) nail and screw failures occurred most commonly in proximal and distal tibial fractures. The strength of the 8- and 9-mm sizes of Synthes and Russell-Taylor nails were comparable.

Original languageEnglish
Pages (from-to)129-137
Number of pages9
JournalClinical Orthopaedics and Related Research
Issue number315
StatePublished - Jan 1 1995

Fingerprint

Nails
Tibial Fractures
Stress Fractures

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Hutson, Jr., J., Zych, G. A., Cole, J. D., Johnson, K. D., Ostermann, P., Milne, E. L., & Latta, L. (1995). Mechanical failures of intramedullary tibial nails applied without reaming. Clinical Orthopaedics and Related Research, (315), 129-137.

Mechanical failures of intramedullary tibial nails applied without reaming. / Hutson, Jr., James; Zych, Gregory A; Cole, J. D.; Johnson, K. D.; Ostermann, P.; Milne, E. L.; Latta, L.

In: Clinical Orthopaedics and Related Research, No. 315, 01.01.1995, p. 129-137.

Research output: Contribution to journalArticle

Hutson, Jr., James ; Zych, Gregory A ; Cole, J. D. ; Johnson, K. D. ; Ostermann, P. ; Milne, E. L. ; Latta, L. / Mechanical failures of intramedullary tibial nails applied without reaming. In: Clinical Orthopaedics and Related Research. 1995 ; No. 315. pp. 129-137.
@article{b240eaf734634e36ba0d82450c6d71f1,
title = "Mechanical failures of intramedullary tibial nails applied without reaming",
abstract = "The clinical mechanical failures of small diameter intramedullary interlocking nails were evaluated to determine the relationship of failure modes to the type or location of tibial fractures. Methods were developed to duplicate failure modes in vitro in standardized tests to simulate the clinical situations. Where standard test methods were inadequate, new methods were developed to provide quantifiable, reliable methods of evaluating potential clinical performance. The modes and rates of mechanical failure in the clinical series were consistent among participating centers: (1) In diaphyseal fractures with secondary trauma, the intramedullary nail bent at the fracture site where the working length was unsupported; (2) failures that occurred several weeks after nailing were the result of fatigue fractures of the locking screws, usually at the distal end; and (3) nail and screw failures occurred most commonly in proximal and distal tibial fractures. The strength of the 8- and 9-mm sizes of Synthes and Russell-Taylor nails were comparable.",
author = "{Hutson, Jr.}, James and Zych, {Gregory A} and Cole, {J. D.} and Johnson, {K. D.} and P. Ostermann and Milne, {E. L.} and L. Latta",
year = "1995",
month = "1",
day = "1",
language = "English",
pages = "129--137",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "315",

}

TY - JOUR

T1 - Mechanical failures of intramedullary tibial nails applied without reaming

AU - Hutson, Jr., James

AU - Zych, Gregory A

AU - Cole, J. D.

AU - Johnson, K. D.

AU - Ostermann, P.

AU - Milne, E. L.

AU - Latta, L.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - The clinical mechanical failures of small diameter intramedullary interlocking nails were evaluated to determine the relationship of failure modes to the type or location of tibial fractures. Methods were developed to duplicate failure modes in vitro in standardized tests to simulate the clinical situations. Where standard test methods were inadequate, new methods were developed to provide quantifiable, reliable methods of evaluating potential clinical performance. The modes and rates of mechanical failure in the clinical series were consistent among participating centers: (1) In diaphyseal fractures with secondary trauma, the intramedullary nail bent at the fracture site where the working length was unsupported; (2) failures that occurred several weeks after nailing were the result of fatigue fractures of the locking screws, usually at the distal end; and (3) nail and screw failures occurred most commonly in proximal and distal tibial fractures. The strength of the 8- and 9-mm sizes of Synthes and Russell-Taylor nails were comparable.

AB - The clinical mechanical failures of small diameter intramedullary interlocking nails were evaluated to determine the relationship of failure modes to the type or location of tibial fractures. Methods were developed to duplicate failure modes in vitro in standardized tests to simulate the clinical situations. Where standard test methods were inadequate, new methods were developed to provide quantifiable, reliable methods of evaluating potential clinical performance. The modes and rates of mechanical failure in the clinical series were consistent among participating centers: (1) In diaphyseal fractures with secondary trauma, the intramedullary nail bent at the fracture site where the working length was unsupported; (2) failures that occurred several weeks after nailing were the result of fatigue fractures of the locking screws, usually at the distal end; and (3) nail and screw failures occurred most commonly in proximal and distal tibial fractures. The strength of the 8- and 9-mm sizes of Synthes and Russell-Taylor nails were comparable.

UR - http://www.scopus.com/inward/record.url?scp=0029001684&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029001684&partnerID=8YFLogxK

M3 - Article

C2 - 7634661

AN - SCOPUS:0029001684

SP - 129

EP - 137

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 315

ER -