Open reduction and internal fixation of supracondylar fractures of the femur.
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Mechanical failure was induced in cadaver spines by applying flexion, extension, and lateral bending loads with continuous recordings of moment and rotation. Each spine was then stabilized with Harrington distraction rods, compression rods, and titanium mesh in sequence, and tested in a similar manner. The spines stabilized with mesh appeared stronger but less stiff than spines stabilized with Harrington rods.
We have reviewed twenty cases of subcapital femoral neck fractures fixed internally with non-cannulated screws. These were used in the absence of a cannulated screw system, a problem faced in many centres. The authors describe a method of placing parallel screws without special jigs using AO guidewires and taps. A small incision is used and recommended. The approach is especially recommended in old, frail patients.