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b Allograft fixation clamp.
All the observed failures occurred close to the fixation clamp in both groups (Fig. 7b).
A hybrid fixation clamp model of stainless steel and a high resistance polymer (ertacetal) was used copying, with prior authorization by the authors, a clamp model tested to bear up to 2500 N tension without slippage of the tendon (Li et al. 2014) (Fig. 1b).
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Careful consideration was given to the design of the fixation clamps [ 13] with the purpose of minimizing shifting due to soft tissue motion and at the same time avoiding pain, which makes it hard for the subject to relax during the examination.
According to the theory of McKee and Jupiter [ 15], who figuratively compared distal humerus fixation to clamping a spool between thumb and index finger, the biomechanical benefit of interconnecting the two humeral columns is frequently emphasized in the literature [ 13, 16].
The free edges of the graft were prepared using reabsorbable sutures (Vicryl 2-0™, EthiCincinnatinnati, USA) for fixation to the clamp during the trial.
Most mainstream manufacturers have engineered these devices to provide ease of application without sacrifice of secure fixation when the clamp is tightened.
The enzyme-bound APS is held in a strained conformation by the Arg-A317/Leu-A278 clamp fixation of the adenine ring and the curved APS conformation.
The first method was a curved osteotomy under the tibial tuberosity (TT) (Fig. 2a), stabilized with an above-the-knee cast for 8 weeks; the second, from 1961 onwards, involved fixation with Charnley clamps and Steinmann pins; the third, from 1964, was an osteotomy with wedge extraction from the tibial tuberosity and fixation with staples and a cast (Fig. 2b).
Since anodic oxide coating was performed on the surface of the external fixator, the interval between the fixation pin and the clamp was in an insulated state.
In an experimental study that compared different implants, osteosynthesis with two LCPs was better than osteosynthesis with two DCPs, LC-DCPs or clamp rod internal fixation systems for the fixation of a simple oblique fracture in an equine long-bone model [ 34].
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