Intramedullary nailing in humeral shaft fractures. Mechanical behavior in vitro after osteosynthesis with three different intramedullary nails.

The aim of this in vitro study was to compare the mechanical behavior of fixation by the Russell-Taylor nail with the more recent Polarus nail. Fixation with an experimental nail made from polyacetal polymer was also included in the study. Thirty humeri were fractured and randomized to receive one of the three nail types. A four-point nondestructive bending test was performed, as well as torsional testing to failure. The torsional test was designed to record the amount of 'play' (uncontrolled rotation) in the bone/implant construct. The Polarus nail gave higher rigidity of the nail/bone construct than the two other types. The Russell-Taylor nailing exhibited a high degree of 'play' (uncontrolled rotation). The polyacetal nails allowed a large elastic deformation before failure.

Mechanical effects of different localization of the point of entry in femoral nailing.

Twenty pairs of human femora were reamed alternatively on the right or left side, with the opposite side serving as the unreamed control. The fossa piriformis (group I) or tip of the greater trochanter (group II) were chosen for introduction of the intramedullary reamer (Howmedica type). The femora were tested in vertical compression in a MTS mechanical testing machine until failure. In group I, all femora fractured through the entry portal. This happened in only 3 out of 10 in group II, where 7 fractured through the medial part of the femoral neck remote from the portal. The difference is statistically significant. Reduction in strength between the unreamed control side and the reamed femur was median 1486 (23%) in group I and 506 N (11%) in group II. Reduction in energy absorption between the control side and reamed side was median 9786 Nm (44.5%) in group I and 1142 Nm (10.5%) in group II. The difference in energy absorption reduction between groups I and II was statistically significant (P = 0.04). We conclude that reaming through an entry point (portal) in the piriformis fossa weakens the femoral neck and creates a localizing point for fracture.

Effects of episodic sedimentation on the net-spinning caddisflies Hydropsyche betteni and Ceratopsyche sparna (Trichoptera: Hydropsychidae).

Net-spinning caddisflies commonly inhabit the chronically sedimented waters of midwestern agricultural catchments despite the presumed costs of sedimentation-induced gill-and net-fouling. We conducted a laboratory experiment to determine whether larval growth and survival of Hydropsyche betteni and Ceratopsyche sparna are affected by daily exposure to moderate levels of sedimentation. Sedimentation did not alter the relative growth rate of either species although slight losses by H. betteni and gains by C. sparna produced significant differences between species. H. betteni had a decreased likelihood of survival in sedimentation treatments relative to controls, but significantly outperformed C. sparna overall. Larval C. sparna are reportedly more sensitive than H. betteni to the instream effects of agricultural land use; however, the results of this experiment suggest that this differential sensitivity is probably not caused by episodic increases in suspended sediment concentration.