Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7632
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dc.contributor.authorGreenfield, Julia-
dc.contributor.authorAppelmann, Philipp-
dc.contributor.authorWunderlich, Felix-
dc.contributor.authorMehler, Dorothea-
dc.contributor.authorRommens, Pol Maria-
dc.contributor.authorKuhn, Sebastian-
dc.date.accessioned2022-10-26T08:27:37Z-
dc.date.available2022-10-26T08:27:37Z-
dc.date.issued2022-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7646-
dc.description.abstractObjectives Retrograde tibial nailing using the Distal Tibia Nail (DTN) is a novel surgical option in the treatment of distal tibial fracture. Its unique retrograde insertion increases the range of surgical options in far distal fractures of the tibia beyond the use of plating. The aim of this study was to assess the feasibility of the DTN for far distal tibia fractures where only double rather than triple-distal locking is possible due to fracture localisation and morphology. Methods Six Sawbones® were instrumented with a DTN and an AO/OTA 43-A3 fracture simulated. Samples were tested in two configurations: first with distal triple locking, second with double locking by removing one distal screw. Samples were subjected to compressive (350 N, 600 N) and torsional (± 8 Nm) loads. Stiffness construct and interfragmentary movement were quantified and compared between double and triple-locking configurations. Results The removal of one distal screw resulted in a 60–70% preservation of compressive stiffness, and 90% preservation of torsional stiffness for double locking compared to triple locking. Interfragmentary movement remained minimal for both compressive and torsional loading. Conclusions The DTN with a distal double locking can, therefore, be considered for far distal tibia fractures where nailing would be preferred over plating.en_GB
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleRetrograde tibial nailing of far distal tibia fractures : a biomechanical evaluation of double- versus triple-distal interlockingen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7632-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleEuropean journal of trauma and emergency surgeryde
jgu.journal.volume48de
jgu.pages.start3693de
jgu.pages.end3700de
jgu.publisher.year2022-
jgu.publisher.nameSpringer Medizinde
jgu.publisher.placeHeidelbergde
jgu.publisher.issn1863-9941de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s00068-021-01843-5de
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:JGU-Publikationen

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