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The purpose of the study was to examine and compare the tensile characteristics of 1.8 mm smooth Kirschner wires (K-wires) fixed with four different clamping mechanisms:Ilizarov and Taylor Spatial Frame (TSF) are two widely used types of external fixation devices, in both of which fine K-wires are used as transosseous elements. The K-wires are pretensioned and fixed to the rings using specialised fixation bolts. In this study, two types of fixation bolts, namely slotted and cannulated bolts, are used to clamp wires to Ilizarov as well as TSF rings, resulting in a total of four groups of tests. Each of the four groups of tests were carried out three times. A fixation torque of 15 Nm was applied to all bolts. The wires were then subjected to tensile loads up to failure. The results for load-deflection characteristics, ultimate load and elastic stiffness, and maximum deflection are presented. The results show the TSF rings had a better grip on the wires than the Ilizarov rings.
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http://dx.doi.org/10.1016/j.injury.2025.112458 | DOI Listing |
J Orthop
November 2025
Orthopedic Department, Tanta University, Tanta, Egypt.
Background: High-energy tibial plateau fractures are commonly observed in concomitant with other injuries, soft tissue lacerations, and ischemic complications. The widely accepted management approach involves the application of a bridging external fixator to allow for soft tissue recovery, followed by delayed ORIF. Nonetheless, delayed internal fixation remains associated with notable risks, including deep infection, non-union, and implant failure.
View Article and Find Full Text PDFInjury
August 2025
Department of Mechanical and Aerospace Engineering, University of Manchester, Manchester, UK. Electronic address:
The purpose of the study was to examine and compare the tensile characteristics of 1.8 mm smooth Kirschner wires (K-wires) fixed with four different clamping mechanisms:Ilizarov and Taylor Spatial Frame (TSF) are two widely used types of external fixation devices, in both of which fine K-wires are used as transosseous elements. The K-wires are pretensioned and fixed to the rings using specialised fixation bolts.
View Article and Find Full Text PDFJ Orthop Surg Res
April 2025
Department of hand surgery, The 960th Hospital of PLA, No.25 Shifan Road, Tianqiao District, Jinan, Shandong, China.
Background: Metacarpal neck fractures are common and there are numerous surgical methods available, but each has certain disadvantages and limitations. We modified the conventional Ilizarov external mini-fixator and this study is designed to compare the biomechanical stability of a modified Ilizarov external mini-fixator with conventional fixation methods for metacarpal neck fractures and to provide a basis for its clinical application.
Methods: Forty fresh porcine metacarpal specimens were used to create metacarpal neck fracture models.
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.
View Article and Find Full Text PDFJ Orthop Surg Res
January 2025
Guizhou Medical University, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, Guizhou, People's Republic of China.
Background: Wound repair methods are commonly used in clinical practice, such as skin graft and flap repair, which can cause secondary injuries, and high costs. Many methods for skin stretching and repair have been reported domestically and internationally. However, their clinical use is limited owing to lack of equipment, complexity, and high costs.
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