MECHANICAL STUDY ON DORSAL STABILITY OF INTRAMEDULLARY OSTEOSYNTHESIS ASSOCIATED WITH EXTERNAL FIXATION (ULSON'S METHOD)

Rev Bras Ortop. 2015 Nov 16;46(6):656-9. doi: 10.1016/S2255-4971(15)30321-9. eCollection 2011 Nov-Dec.

Abstract

Objective: To evaluate the Ulson intramedullary fixation method, with external fixation in which the level of the external locking of the Kirschner wires is varied, and without external fixation.

Methods: Eighteen porcine tibias were used. Transverse osteotomy was performed in the region of the tuberosity, and two intramedullary Kirschner wires were inserted into each specimen, using three different assembly patterns: Group I: locking with external minifixator at a height of 3.0 cm; Group II: locking at a height of 4.5 cm; Group III: without external locking. Mechanical shear tests were then conducted, to determine the maximum load, proportionality limit and coefficient of rigidity.

Results: There were no significant differences in maximum load or proportionality limit between the groups. The coefficient of rigidity was higher in Group II.

Conclusion: The locking height for the Kirschner wires in Ulson's method, within the limits evaluated, did not harm the stability of the fracture fixation system.

Keywords: Biomechanics; External Fixators; Radius Fractures.