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But accurately determining the condyle position in the fossa is essential when using a rigid fixation, because no spontaneous adaptation is possible.
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Nevertheless, further investigation of PET-CT misalignment would be useful, and the use of a rigid fixation device (e.g. a radiotherapy mask) may be advantageous.
However due to rigid body displacements, an optimal superposition may not be obtained using a rigid body superposition method.
The clinical case showed that a rigid fixation using a 4.5 mm titanium locking plate with a short bridging length did not promote healing and ultimately failed.
The frame was then extended to the femur to augment the fixation, the sub-epiphyseal bone stock being inadequate for a rigid fixation using Shantz screws alone.
An alternative approach would be to use a less rigid fixation system that would provide anterior support while allowing micromotion that could enhance bone healing within the fusion site.
A rigid fixation is required to achieve good alignment and stability of the implants.
Based on the results of the current study, the TomoFix plate seems the implant of choice for a rigid fixation.
Finally, the intramedullar pinning provides a rigid fixation and preserves a nearly normal ability for the rat to walk, which makes it preferable to other options for fracture fixation, such as an external fixator.
Regarding the use of a similar system as a preventative reinforcement and an adjunct to fusion surgery, Hudson et al. implanted a rigid fixation system for fusion at the caudal levels, and implanted dynamic instruments at the more cephalic level of the instrumented lumbar vertebrae without fusion in a 28-patient clinical report with 2-year follow-up [ 26].
Use a rigid stone hone to identify washboard.
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