The goal of any internal fixation produce is to increase the stability of fractures, to transfer load across the fracture site, and to maintain anatomic alignment to induce bony union. While there is general agreement on the usefulness of intramedullary fixation techniques, the method has been criticized because of technical difficulties and mechanical failures. Intramedullary nails are load-sharing devices, allowing the bone to transmit compressive forces while maintaining axial alignment. The function of an intramedullary nail to facilitate healing is secured by its stiffness, which is usually expressed according to load directions as bending or torsional stiffness. Nail stiffness has been determined in a large number of studies. Nail design influences both bending and torsional stiffness. Important parameters are nail diameter, nail material, cross-section (open vs. closed) and design of the screw/nail interface. Nail strength is influenced by material, design and manufacturing properties. The video extensometer markers were placed on distal and proximal side of the fracture. The displacements between the markeres were measured with two non-contact CCD camera extensometers (Non-contact Video Extensometer DVE-101/201, Shimadzu, Japan). The axial compression was applied to all materials with the loading speed of 5 mm/min (max. 800 N). Biomechanical test, axial compression, was performed on materials. In present study, standard intramedullary nails with 11 mm diameter and 400 mm length are used. The intramedulary nails are Ti–6A1–4V alloys. Fracture gap of the models was 10mm. In three different groups, nine tests in each one were carried out. The intramedullary nail distance of the screws was 210 mm in the first group, 110 mm (between two distal gaps) in the second group and six screw fixed in the third groups. Polyethylene materials with 210 mm length are fixed to each intramedullary nails. Results of compression tests of all groups are evaluated and compared statistically. According to statistical assessment there is significant change between each three groups. In a recent, more detailed comparative study it was shown, that significant variations in axial rigidity exist between the proximal and the distal segment of certain nails, and that more screw do not always lead to increased stiffness. If the interface is insufficient, the load on the bone will be taken mostly by the screw holes through the screws instead of by the nail body; however, the screw holes are the weakest part of the nail. Local stress peaks in the region of the interlocked screws can lead to a material failure of the bone, which can result in complications such as nail or screw brake-down and bone refracture.
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