Tibial fracture stability: Analysis of external fracture immobilization in anatomic specimens in casts and braces

J. B. Zagorski, L. L. Latta, A. R. Finnieston, Gregory A Zych

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Plaster casts, custom-fabricated fracture braces, and prefabricated fracture braces were compared in the laboratory for the stability they provided to closed, experimental, diaphyseal fractures of the tibia and fibula on anatomic specimens. The stability was comparable for each type of device tested for the loading conditions of isolated compression, bending, and torsion. Length stability (overriding at the fracture site) was poor, rotation was marginal (by clinical standards), and angulation was very good. Selective removal of portions of each cast and brace demonstrated that the classic patellar-tendon-bearing (PTB) extension proximally and below ankle extensions distally had insignificant effects on stability of these middle- third diaphyseal fractures for the conditions tested. The soft-tissue compression provided by a snug, tapered 'cylindrical' sleeve, which encompassed the soft tissues from the tibial tubercle to the flare of the distal tibia and fibula, provided the stabilizing effect for all of the devices tested.

Original languageEnglish
Pages (from-to)196-207
Number of pages12
JournalClinical Orthopaedics and Related Research
Issue number291
StatePublished - Jan 1 1993

Fingerprint

Braces
Tibial Fractures
Immobilization
Fibula
Tibia
Surgical Casts
Equipment and Supplies
Patellar Ligament
Ankle

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Tibial fracture stability : Analysis of external fracture immobilization in anatomic specimens in casts and braces. / Zagorski, J. B.; Latta, L. L.; Finnieston, A. R.; Zych, Gregory A.

In: Clinical Orthopaedics and Related Research, No. 291, 01.01.1993, p. 196-207.

Research output: Contribution to journalArticle

@article{4e897554b44b46b58a25f4d4973f68cb,
title = "Tibial fracture stability: Analysis of external fracture immobilization in anatomic specimens in casts and braces",
abstract = "Plaster casts, custom-fabricated fracture braces, and prefabricated fracture braces were compared in the laboratory for the stability they provided to closed, experimental, diaphyseal fractures of the tibia and fibula on anatomic specimens. The stability was comparable for each type of device tested for the loading conditions of isolated compression, bending, and torsion. Length stability (overriding at the fracture site) was poor, rotation was marginal (by clinical standards), and angulation was very good. Selective removal of portions of each cast and brace demonstrated that the classic patellar-tendon-bearing (PTB) extension proximally and below ankle extensions distally had insignificant effects on stability of these middle- third diaphyseal fractures for the conditions tested. The soft-tissue compression provided by a snug, tapered 'cylindrical' sleeve, which encompassed the soft tissues from the tibial tubercle to the flare of the distal tibia and fibula, provided the stabilizing effect for all of the devices tested.",
author = "Zagorski, {J. B.} and Latta, {L. L.} and Finnieston, {A. R.} and Zych, {Gregory A}",
year = "1993",
month = "1",
day = "1",
language = "English",
pages = "196--207",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "291",

}

TY - JOUR

T1 - Tibial fracture stability

T2 - Analysis of external fracture immobilization in anatomic specimens in casts and braces

AU - Zagorski, J. B.

AU - Latta, L. L.

AU - Finnieston, A. R.

AU - Zych, Gregory A

PY - 1993/1/1

Y1 - 1993/1/1

N2 - Plaster casts, custom-fabricated fracture braces, and prefabricated fracture braces were compared in the laboratory for the stability they provided to closed, experimental, diaphyseal fractures of the tibia and fibula on anatomic specimens. The stability was comparable for each type of device tested for the loading conditions of isolated compression, bending, and torsion. Length stability (overriding at the fracture site) was poor, rotation was marginal (by clinical standards), and angulation was very good. Selective removal of portions of each cast and brace demonstrated that the classic patellar-tendon-bearing (PTB) extension proximally and below ankle extensions distally had insignificant effects on stability of these middle- third diaphyseal fractures for the conditions tested. The soft-tissue compression provided by a snug, tapered 'cylindrical' sleeve, which encompassed the soft tissues from the tibial tubercle to the flare of the distal tibia and fibula, provided the stabilizing effect for all of the devices tested.

AB - Plaster casts, custom-fabricated fracture braces, and prefabricated fracture braces were compared in the laboratory for the stability they provided to closed, experimental, diaphyseal fractures of the tibia and fibula on anatomic specimens. The stability was comparable for each type of device tested for the loading conditions of isolated compression, bending, and torsion. Length stability (overriding at the fracture site) was poor, rotation was marginal (by clinical standards), and angulation was very good. Selective removal of portions of each cast and brace demonstrated that the classic patellar-tendon-bearing (PTB) extension proximally and below ankle extensions distally had insignificant effects on stability of these middle- third diaphyseal fractures for the conditions tested. The soft-tissue compression provided by a snug, tapered 'cylindrical' sleeve, which encompassed the soft tissues from the tibial tubercle to the flare of the distal tibia and fibula, provided the stabilizing effect for all of the devices tested.

UR - http://www.scopus.com/inward/record.url?scp=0027211903&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027211903&partnerID=8YFLogxK

M3 - Article

C2 - 8504600

AN - SCOPUS:0027211903

SP - 196

EP - 207

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 291

ER -