GeneralG10InternalFixPrinciples幻灯片.pptVIP

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GeneralG10InternalFixPrinciples幻灯片.ppt

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* ? * Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 8, 1987. * Use as sole technique of fixation is limited and advocated only in the fibula and femoral neck and unicondylar fractures. Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 8, 1987. * Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 8, 1987. * Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 8, 1987. * ? * ? * Alternatively a Verbrugge clamp over a screw can be similarly used to promote compression. Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 9, 1987. * Alternatively a Verbrugge clamp over a screw can be similarly used to promote compression. Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 9, 1987. * Alternatively a Verbrugge clamp over a screw can be similarly used to promote compression. Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 9, 1987. * Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p.9, 1987. * ? * ? * ? * * Figure from: Schatzker J, Tile M: The Rationale of Operative Fracture Care. Springer-Verlag, New York, p. 320, 1987. Tension Band Plates Plate counteracts natural bending moment seen w/ physiologic loading of bone Applied to tension side to prevent “gapping” Plate converts bending force to compression Examples: Proximal Femur Olecranon JOINT SURFACE Tension band Tension Band Theory The fixation on the opposite side from the articular surface provides reduction and compressive forces at the joint by converting bending forces into compression The fracture has tension forces applied by