Kiehl K
Arch Orthop Unfallchir. 1975 Jun 27;82(3):205-16. doi: 10.1007/BF00417032.
Transverse strength of tibia osteosynthesis with wire bracings, nails, screws and self-tensed pressure plates was determined in biomechanical researches. The mechanical limits determined of the various kinds of osteosynthesis were compared with calculated transverse moments that are found at early mobilisation. The osteosynthesis with 3 single wire bracings shows neither sufficient rotary nor bending stability, however, the osteosynthesis with 3 twin wire bracings appears to be sufficient providing participation of medical guidance and possible inactive support is assured. The osteosynthesis with the modified Küntscher nail is only stable under additional utilization of bone weight and muscle power. The nailing is not stable without muscular guarantee. The osteosynthesis with screws and self-tensed pressure plates is sufficient stable, additional application of the broad plate is not necessary because of over dimension.
在生物力学研究中测定了采用钢丝支架、髓内钉、螺钉和自张紧加压接骨板进行胫骨接骨术的横向强度。将各种接骨术所确定的力学极限与早期活动时发现的计算横向力矩进行了比较。采用3个单钢丝支架的接骨术既没有足够的旋转稳定性也没有足够的弯曲稳定性，然而，采用3个双钢丝支架的接骨术在有医疗指导参与且确保可能的非主动支撑的情况下似乎是足够的。采用改良的 Küntscher 髓内钉的接骨术仅在额外利用骨重量和肌肉力量的情况下才稳定。没有肌肉保障，髓内钉固定不稳定。采用螺钉和自张紧加压接骨板的接骨术足够稳定，由于尺寸过大，无需额外应用宽接骨板。
