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OBJECTIVE To investigate if the radiographically correct and anatomically safe starting point and the appropriate sagittal plane vector could be obtained using a retropatellar technique for proximal tibia fractures treated with an intramedullary device. METHODS We performed a cadaveric and radiographic study utilizing 16 limbs. We performed a… (More)
Anteroinferior plating has been described for internal fixation of clavicular fractures, citing improved bicortical fixation, less hardware prominence, and safer drill trajectories compared with other plate configurations. This anatomic study defined structures at risk during anteroinferior clavicular plating. Four paired cadaveric specimens (8 clavicles)… (More)
PURPOSE The aim of this study was to evaluate the effect that different drill trajectories across the radius have on the proximity of the drill tip to the posterior interosseous nerve (PIN). METHODS In 10 cadaveric specimens, we drilled from the bicipital tuberosity across the radius using 4 different trajectories: (1) aiming across the radius at 90° to… (More)
Early studies on the treatment of osteoporotic distal fibular fractures suggest that poor bone quality can compromise fixation and, therefore, clinical outcome. Multiple prior biomechanical studies evaluated length-stable fracture models with destructive load-to-failure protocols, which may not represent a clinically relevant failure mode. The current… (More)
Newer studies on surgical management of ankle fractures have given us a greater appreciation of the spectrum of stability for multiple patterns of injury, and newer fixation approaches and techniques may allow us to optimize fixation.