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By Jon Appleton

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This is called the pilot hole. Within the fragment near the head of the screw, the thread of the screw should not anchor but glide (gliding hole). A pilot hole is prepared when inserting a Schanz screw or Steinmann pin. Pin Loosening: The pins of external fixator frames serve to stabilise the fragments of a fracture. The stability provided depends, amongst other things, on the contact between pin and bone. If bone surface resorption at the pin-bone interface occurs, stability is reduced. Pin loosening is less important in respect to loss of stability but is important in respect to its deleterious effect on pin track infection.

This was not possible as it is said that it had by then incorporated. This would have to be regarded as unusual, as normally only the patient's own bone- an autograft- will incorporate and not suffer rejection. Bone from another subject of the same speciesan allograft - contains elements which may stimulate an immune response by the recipient (host) but certain methods of processing the graft can destroy them and allow an allograft to be accepted, still retaining some power to stimulate new bone formation.

For this cortex, the term "cis-cortex" is used as well. In respect to bending, the near cortex contributes little to stability of fixation. When, for example, in a wave plate application, the distance between the plate and the near cortex is increased, the bone and the repair tissues gain better leverage. Neutralisation: An implant (plate, external fixators or nail) which acts based upon its stiffness is said to neutralise the effect of the functional load. The implant carries a major part of the functional load and thus • 26 protects, for example, a screw fixation.

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21st-Century Musical Instruments. Hardware and Software by Jon Appleton

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