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tendon, thereby restoring tendon stiffness and tensile strength. 78 , 79 After approximately ten weeks, the maturation stage occurs, which includes an increase of collagen fibril crosslinking and the formation of a tendon-like tissue. 80 In
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comparing anterior and superior plate placement showed that, for all fracture patterns, more construct stiffness was achieved in axial compression and with a superior plate, whereas more construct stiffness was achieved in cantilever bending with an anterior
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biomechanical strength and stiffness of two-hole and four-hole DHS constructs used for the fixation of unstable trochanteric fractures (equivalent to AO-OTA 31-A2 fractures) created in cadaveric femora. 39 They found that the two-hole DHS was
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, primarily with dorsiflexion. Clinical evaluation Patients typically present with a history of pain and stiffness that is worse with activities, particularly with first MTP dorsiflexion involvement, such as stairs, running or push-ups. Discomfort during
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( Fig. 3 ). The loss of mineralisation and increased bone volume lowers the tissue stiffness (Young’s modulus) but increases the structural stiffness. Fig. 2. Proposed scheme for the development of bone marrow lesions and progression of
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back, but this is not always achieved and a number of factors may contribute to this. Intra-operatively the titanium shell can deform diametrically because the titanium shell has a thinner wall than the ceramic, and the material stiffness of titanium is
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did not decrease over the test period of six weeks. 28 In 2007, Konkel et al presented a study group with 48 toes which were successfully treated with absorbable pins. 29 In 2011, the same group of authors showed a superiority of the stiffer
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long-term follow-up, with a mean of six years (range, 2–15 years). Ninety-one per cent of the patients were satisfied with the treatment; however, two patients were unsatisfied due to chronic stiffness and pain respectively. The mean DASH score was 2
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described the resulting condition as a ‘diagnostic trap’ due to its occasional occurrence and possible neglection by unwary surgeons. 4 As the duration of dislocation lengthens, patients suffer from chronic pain, stiffness, disability and decreased
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Bereiter trochleoplasty and reported that the tissue in the trochlear groove remained viable. Stiffness Postoperative stiffness is a common complication, which sometimes needs a revision with arthrolysis. Its rate is in the range of 2% to 46
