Journal of Foot and Ankle Surgery
Volume 46, Issue 5 , Pages 325-335 , September 2007

Mechanical Testing of Seven Fixation Methods for Generation of Compression Across a Midtarsal Osteotomy: A Comparison of Internal and External Fixation Devices

  • William P. Grant, DPM

      Affiliations

    • Diplomate, American Board of Podiatric Surgery, Director Fellowship in Diabetic Limb Salvage, Tidewater Foot and Ankle Center, Virginia Beach, VA.
    • Corresponding Author InformationAddress correspondence to: William P. Grant, DPM, 762 Independence Blvd, Ste 771, Virginia Beach, VA 23455.
    • ,
  • Laurence G. Rubin, DPM

      Affiliations

    • Diplomate, American Board of Podiatric Surgery, Foot and Ankle Specialists of Virginia, Richmond, VA.
    • ,
  • Guy R. Pupp, DPM

      Affiliations

    • Diplomate, American Board of Podiatric Surgery, Clinical Director of the Foot and Ankle Clinic, Southeastern Michigan Surgical Hospital, Warren, MI, Clinic Director at the Sinai Grace Diabetic Foot Center, Detroit, MI.
    • ,
  • George Vito, DPM

      Affiliations

    • Diplomate, American Board of Podiatric Surgery, Atlanta Leg Lengthening and Deformity Correction Center, Macon, GA.
    • ,
  • Dwayne Jacobus, DPM

      Affiliations

    • Fellow, Tidewater Foot and Ankle Center, Virginia Beach, VA; Private Practice, Dillion County, SC.
    • ,
  • Erin A. Jerlin, DPM

      Affiliations

    • Fellow in Diabetic Limb Salvage, Tidewater Foot and Ankle Center, Fellowship, Virginia Beach, VA.
    • ,
  • Harry S. Tam, DPM

      Affiliations

    • Fellow in Diabetic Limb Salvage, Tidewater Foot and Ankle Center, Fellowship, Virginia Beach, VA.

References 

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  2. McElhaney J, Fogle J, Byars E, Weaver G. Effects of embalming on the mechanical properties of beef bone. J Appl Physiol. 1964;19:1234–1236
  3. Landsman AS, Chang TJ. Can synthetic bone models approximate the mechanical properties of cadaveric first metatarsal bone?. J Foot Ankle Surg. 1998;37:122–127
  4. Lundy DW, Albert MJ, Hutton WC. Biomechanical comparison of hybrid external fixators. J Orthop Trauma. 1998;12:496–503
  5. Neufeld SK, Parks BG, Melamed EA, Schon LC. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study comparing memory compression staples, cannulated screws, and a dorsal plate. Foot Ankle Int. 2002;23:97–101
  6. Pugh KJ, Wolinsky PR, Dawson JM, Stahlman GC. The biomechanics of hybrid external fixation. J Orthop Trauma. 1999;13:20–26
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  9. Ray RG. Methods of osseous fixation. In: McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery. ed 3. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 65
  10. Stein H, Perren SM, Mosheiff R, Baumgart F, Cordey J. K-wire tension of the circular external fixator. Orthopedics. 2001;24:985–989
  11. Talarico LM, Vito GR. Triple arthrodesis using external ring fixation and arched wire compression: an evaluation of 87 patients. JAPMA. 2004;9:12–21
  12. Thordarson DB, Markolf K, Cracchiolo A. Stability of an arthrodesis fixed by cancellous-bone screws compared with that fixed by an external fixator. J Bone Joint Surg. 1992;74A:1050–1055
  13. Johnson EE, Weltmer J, Lian GJ, Cracchiolo A. Ilizarov ankle arthrodesis. Clin Orthop. 1992;280:160–169
  14. Pugh KJ, Wolinsky PR, Pienkowski D, Banit D, Dawson JM. Comparative biomechanics of hybrid external fixation. J Orthop Trauma. 1999;13:418–425
  15. Dalton SK, Bauer GR, Lamm BM, Hillstrom HJ, Spadone SJ. Stability of the offset V osteotomy: effects of fixation, orientation, and surgical translocation in polyurethane foam models and preserved cadaveric specimens. J Foot Ankle Surg. 2003;42:53–62
  16. Khuri J, Wertheimer S, Krueger J, Haut R. Fixation of the offset V osteotomy: mechanical testing of 4 constructs. J Foot Ankle Surg. 2003;42:63–67
  17. Khalily C, Voor M, Seligson D. Fracture site motion with Ilizarov and “hybrid” external fixation. J Orthop Trauma. 1998;12:21–26
  18. Baker MJ, Offutt SM. External fixation: indications and patient selection. Clin Podiatr Med Surg. 2003;20:9–26
  19. Green DR. The hazards of internal fixation in podiatry. Clin Podiatr. 1985;2:95–119
  20. Caja V, Kim W, Larsson S. Comparison of the mechanical performance of three types of external fixators: linear, circular, and hybrid. E YC Clin Biomech. 1995;10:401–406
  21. Hamilton GA, Ford LA. External fixation of the foot and ankle: elective indications and techniques for external fixation in the midfoot. Clin Podiatr Med Surg. 2003;20:45–63
  22. Wang JC. Use of external fixation in the reconstruction of the Charcot foot and ankle. Clin Podiatr Med Surg. 2003;20:97–117

PII: S1067-2516(07)00195-0

doi: 10.1053/j.jfas.2007.05.010

Journal of Foot and Ankle Surgery
Volume 46, Issue 5 , Pages 325-335 , September 2007

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