Osteosynthesis and Trauma Care 2004; 12(3): 100-107
DOI: 10.1055/s-2004-822772
Original Article

© Georg Thieme Verlag Stuttgart · New York

The Biomechanics of Intramedullary Fixation Devices for the Lower Limb

E. L. Milne1 , L. L. Latta1 , S. Malik1 , G. Brusovanik1
  • 1Max Biedermann Institute for Biomechanics, Miami Beach, FL, USA
Further Information

Publication History

Publication Date:
06 September 2004 (online)

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Abstract

Objectives: The purpose of this paper is to report on the mechanical behavior of a large variety of intramedullary fixation devices in a manner that reflects their potential clinical behavior.
Design: The mechanical failure modes associated with intramedullary fixation devices clinically were reproduced by a series of in vitro tests in cadaver bones and then in synthetic models in an effort to produce a simple and reliable means of evaluating their potential clinical mechanical performance. The results of static and fatigue tests using these methods are reported. The biomechanical properties of a large variety of designs of intramedullary fixation devices are compared.
Setting: Biomechanics laboratory of a medical school at a major medical center.
Main Outcome Measure: Structural bending stiffness, bending strength, fatigue strength and mechanical failure modes were measured and recorded.
Results: Since 1986 almost 2 000 components of 185 designs and sizes of femoral and tibial IMFD's from 9 different manufacturers have been tested.