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Intramedullary nailing biomechanics: Evolution and challenges

Natacha Rosa; Miguel Marta; Mário Vaz; Sérgio M. O. Tavares; Ricardo Simões; Fernão D. Magalhães; António Torres Marques

This article aims to review the biomechanical evolution of intramedullary nailing and describe the breakthrough concepts which allowed for nail improvement and its current success. The understanding of this field establishes an adequate background for forthcoming research and allows to infer on the path for future developments on intramedullary nailing. It was not until the 1940s, with the revolutionary Kuntsch...


Recent developments on intramedullary nailing: a biomechanical perspective

António Torres Marques; Natacha Rosa; Magalhães, F. D.; Mário Vaz; Sérgio Tavares; Ricardo Simões; Miguel Marta

Combining contributions from engineering and medicine, we highlight the biomechanical turning points in the historical evolution of the intramedullary nailing stabilization technique and discuss the recent innovations concerning increase in bone-implant system stability. Following the earliest attempts, where stabilization of long bone fractures was purely based on intuition, intramedullary nailing evolved from...


From mechanical stimulus to bone formation: A review

Natacha Rosa; Ricardo Simões; Fernão D. Magalhães; António Torres Marques

Bone is a remarkable tissue that can respond to external stimuli. The importance of mechanical forces on the mass and structural development of bone has long been accepted. This adaptation behaviour is very complex and involves multidisciplinary concepts, and significant progress has recently been made in understanding this process. In this review, we describe the state of the art studies in this area and highl...


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