Transfixing thin Kirschner wires (K-wires) are the key components of the Ilizarov fixator regarding its axial stiffness, which affects the mechanobiological environment in which bone is healed. Mechanically speaking, K-wires are slender beams that are axially tensioned, then fixed and transversely loaded. The existing solutions to such a problem either do not accommodate any axial loading prior to transverse loading, or do not account for the change in the axial load (reaction) due to transverse loading. Their applicability is also limited vis-à-vis applied loads and beam dimensions. This work seeks to address those problems by providing a mathematical formulation for a pretensioned slender beam that accounts for the change in the beam tension due to lateral loading. Central loading of a pretensioned beam was studied and new polynomial equations have been derived, the roots of which yield the final tension for a (i) long, slender and heavily loaded beam and (ii) relatively thicker beam subjected to a lower load. Results were produced and discussed for the specific application of pretensioned K-wires in circular (ring) external fixators in orthopaedics (such as Ilizarov's), which were checked (validated) via two- and three-dimensional finite-element analyses.
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http://dx.doi.org/10.1098/rsif.2008.0251 | DOI Listing |
Vet Comp Orthop Traumatol
January 2025
Veterinary Specialists of Sydney, Sydney, New South Wales, Australia.
Objective: To determine (1) whether the tibial plateau angle (TPA) in dogs with Salter-Harris type 1 (SH-1) or type 2 (SH-2) fractures of the proximal tibial physis significantly decreases in the time between diagnosis and reevaluation following surgical repair and (2) whether the method of surgical repair influences the change in TPA over time.
Study Design: This study was a retrospective study. Medical records from 2017 to 2022 were reviewed to identify dogs with SH-1 or SH-2 fractures of the proximal tibial physis that had undergone surgical repair with Kirschner wires (K-wires), with or without a tibial tuberosity tension band.
Cureus
December 2024
Orthopaedics and Traumatology, District Headquarters Hospital, Cuddalore, IND.
Foot tuberculosis is rarely reported in the literature, with most tuberculosis of the foot being an uncommon manifestation of skeletal tuberculosis. Early diagnosis and timely medical and surgical intervention can significantly reduce morbidity. A 23-year-old male presented with persistent swelling and pain in his right foot for six months, accompanied by a discharging sinus over the affected area in the last week, making weight-bearing increasingly difficult.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Department of Orthopedic Surgery, The Second Hospital Affiliated to Shenyang Medical College, Shenyang City, Liaoning Province, China.
Objective: The treatment of comminuted inferior pole patellar fractures has long posed a challenge for orthopedic surgeons. This study aims to compare the biomechanical stability and clinical efficacy of Kirschner wire tension band combined with anchor cross-suture fixation versus traditional partial patellectomy in the treatment of comminuted inferior pole patellar fractures.
Methods: A retrospective analysis was conducted on 14 patients who underwent Kirschner wire tension band combined with anchor cross-suture fixation (Group A) in our department of orthopedics from September 2020 to April 2022.
Background: Kirschner wire (K-wire) and intramedullary (IM) screw fixation are accepted techniques for treatment of unstable proximal phalanx fractures, but comparative reports are lacking. This study aimed to evaluate early clinical outcomes following treatment with K-wire or IM fixation.
Methods: A retrospective review of all proximal phalanx fractures treated surgically at a single center by multiple surgeons was performed from May 1, 2019 to March 1, 2024.
JBJS Case Connect
January 2025
Department of Surgery, Plastic and Reconstructive Surgical Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Case: Wide resection of a synovial sarcoma of the anteromedial distal leg involving the dimetaphyseal tibia and posterior tibial tendon produced an 8.5-cm osseous defect. To keep the free flap from invaginating into the defect and prevent kinking of the anastomosis, six 1.
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