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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-5-19
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pubmed:abstractText |
Experimentally, two slotted nails, the Grosse-Kempf nail and the AO/ASIF universal femoral nail, were compared to the non-slotted Grosse-Kempf nail and control bone using a cadaver femoral osteotomy. The stiffnesses and strengths of the osteotomies fixed with slotted nails in 10-30 degrees torsion were 6-8% and the values of non-slotted nails 40% of control bone. The maximal moments were 14-18% and 48%, respectively. In the "clinical range" of torsion, the implant-bone construct never failed or was deformed. Clinically, 46 femoral shaft fractures were randomized to treatment with Gross-Kempf nails, 24 with slotted nails and 22 with non-slotted nails. Four complications in the slotted nail group and three in the non-slotted nail group were considered to be independent of the choice of nail and did not affect the end result. Three splinterings of the distal fragment, one resulting in a change of the osteosynthesis implant to a condylar plate, were considered to result from the high stiffness of the non-slotted nail. Osteosynthesis of femoral shaft fractures using slotted nails has not resulted in healing disturbances, which could be accounted for by the high torsional elasticity of the nail; there seems to be no indication for high-stiffness nails in femoral fractures.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0936-8051
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
111
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
91-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1562431-Adolescent,
pubmed-meshheading:1562431-Adult,
pubmed-meshheading:1562431-Aged,
pubmed-meshheading:1562431-Aged, 80 and over,
pubmed-meshheading:1562431-Bone Nails,
pubmed-meshheading:1562431-Female,
pubmed-meshheading:1562431-Femoral Fractures,
pubmed-meshheading:1562431-Fracture Fixation, Intramedullary,
pubmed-meshheading:1562431-Humans,
pubmed-meshheading:1562431-Male,
pubmed-meshheading:1562431-Middle Aged,
pubmed-meshheading:1562431-Postoperative Complications
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pubmed:year |
1992
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pubmed:articleTitle |
Slotted versus non-slotted locked intramedullary nailing for femoral shaft fractures.
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pubmed:affiliation |
Orthopaedic Department, Ullevål Hospital, University of Oslo, Norway.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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