0000000000459955

AUTHOR

Boyko Gueorguiev

showing 2 related works from this author

A Locked Intraosseous Nail for Transverse Patellar Fractures: A Biomechanical Comparison with Tension Band Wiring Through Cannulated Screws.

2018

Background Displaced transverse patellar fractures require open reduction and internal fixation. State-of-the-art stabilization techniques are tension band wiring (TBW) using Kirschner wires or cannulated screws. These techniques are associated with high rates of secondary fracture displacement, implant migration, implant prominence, wound-healing disturbances, and the need for implant removal. Recently, a locked intraosseous patellar nail prototype was developed. The aim of the present study was to investigate the biomechanical performance of this nail compared with TBW using cannulated screws. Methods Seven paired fresh-frozen human cadaveric knees were stripped of all soft tissues except…

musculoskeletal diseasesMalemedicine.medical_treatmentBone ScrewsKnee InjuriesBone NailsOsteotomy03 medical and health sciencesFracture Fixation InternalFractures Bone0302 clinical medicineCadaverFracture fixationmedicineCadaverInternal fixationHumansOrthopedics and Sports MedicineRange of Motion ArticularOrthodontics030222 orthopedicsbusiness.industryTension band wiring030208 emergency & critical care medicineGeneral MedicinePatellamusculoskeletal systemmedicine.diseaseBiomechanical Phenomenamedicine.anatomical_structureSurgeryFemaleQuadriceps tendonPatella fractureCadaveric spasmbusinessThe Journal of bone and joint surgery. American volume
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Screw‐in‐screw fixation of fragility sacrum fractures provides high stability without loosening—biomechanical evaluation of a new concept

2020

Surgical treatment of fragility sacrum fractures with percutaneous sacroiliac (SI) screw fixation is associated with high failure rates. Turn-out is detected in up to 20% of the patients. The aim of this study was to evaluate a new screw-in-screw implant prototype for fragility sacrum fracture fixation. Twenty-seven artificial hemipelvises were assigned to three groups (n = 9) for instrumentation of an SI screw, the new screw-in-screw implant prototype, ora transsacral screw. Before implantation, a vertical osteotomy was set in zone 1 after Denis. All specimens were biomechanically tested to failure in upright position. Validated setup and test protocol were used for complex axial and torsi…

musculoskeletal diseasesSacrumMaterials sciencePercutaneousmedicine.medical_treatmentBone Screws0206 medical engineering02 engineering and technologyOsteotomyPelvisScrew fixationFracture Fixation InternalFractures Bone03 medical and health sciences0302 clinical medicineFragilitymedicineHumansOrthopedics and Sports MedicinePelvis030203 arthritis & rheumatologyOrthodonticsX-Raysequipment and suppliesmusculoskeletal systemSacrum020601 biomedical engineeringBiomechanical PhenomenaOsteotomyRadiographysurgical procedures operativemedicine.anatomical_structureSpinal FracturesStress MechanicalImplantTest protocolJournal of Orthopaedic Research
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