Medial migration of intramedullary intertrochanteric fracture fixation devices

2021 ◽  
Author(s):  
George Mikhail
Biomaterials ◽  
1990 ◽  
Vol 11 (8) ◽  
pp. 541-547 ◽  
Author(s):  
Stanley A. Brown ◽  
Robert S. Hastings ◽  
Jeffrey J. Mason ◽  
Abdelsamie Moet

Author(s):  
Julieta L. Merlo ◽  
María R. Katunar ◽  
María Florencia Tano de la Hoz ◽  
Sabrina Carrizo ◽  
Leandro Salemme Alonso ◽  
...  

2019 ◽  
Vol 10 (2) ◽  
pp. 282-285
Author(s):  
Daniel B. Dix ◽  
Ibukunoluwa B. Araoye ◽  
Jackson R. Staggers ◽  
Chee P. Lin ◽  
Ashish B. Shah ◽  
...  

2018 ◽  
Vol 7 (1) ◽  
pp. 111-120 ◽  
Author(s):  
A. MacLeod ◽  
A. H. R. W. Simpson ◽  
P. Pankaj

ObjectivesSecondary fracture healing is strongly influenced by the stiffness of the bone-fixator system. Biomechanical tests are extensively used to investigate stiffness and strength of fixation devices. The stiffness values reported in the literature for locked plating, however, vary by three orders of magnitude. The aim of this study was to examine the influence that the method of restraint and load application has on the stiffness produced, the strain distribution within the bone, and the stresses in the implant for locking plate constructs.MethodsSynthetic composite bones were used to evaluate experimentally the influence of four different methods of loading and restraining specimens, all used in recent previous studies. Two plate types and three screw arrangements were also evaluated for each loading scenario. Computational models were also developed and validated using the experimental tests.ResultsThe method of loading was found to affect the gap stiffness strongly (by up to six times) but also the magnitude of the plate stress and the location and magnitude of strains at the bone-screw interface.ConclusionsThis study demonstrates that the method of loading is responsible for much of the difference in reported stiffness values in the literature. It also shows that previous contradictory findings, such as the influence of working length and very large differences in failure loads, can be readily explained by the choice of loading condition. Cite this article: A. MacLeod, A. H. R. W. Simpson, P. Pankaj. Experimental and numerical investigation into the influence of loading conditions in biomechanical testing of locking plate fracture fixation devices. Bone Joint Res 2018;7:111–120. DOI: 10.1302/2046-3758.71.BJR-2017-0074.R2.


2020 ◽  
Vol 3 (6) ◽  
Author(s):  
M Bobby Kannan ◽  
Jonathon Chappell ◽  
Hadis Khakbaz ◽  
Mehdi Taherishargh ◽  
Thomas Fiedler

2009 ◽  
Vol 58 (3) ◽  
pp. 423-427 ◽  
Author(s):  
Gentaro Hanaishi ◽  
Masato Nagashima ◽  
Kenichiro Nakai ◽  
Katsuhiko Ishibashi ◽  
Hiroaki Tanaka ◽  
...  

Author(s):  
Liyun Liu ◽  
Yongqiang Sun ◽  
Linlin Wang ◽  
Qiankun Gao ◽  
Ang Li ◽  
...  

Abstract Background Intertrochanteric fracture is a common fracture suffered by elderly patients. Total hip arthroplasty (THA) is regarded as a salvage operation to restore hip joint function after fixation failure, which remains somewhat controversial due to some clinical potential issues. Methods 18 elderly patients (average age 70.3 years) each with intertrochanteric fracture fixation failure treated with THA between September 2013 and October 2016 were retrospectively analyzed. Internal fixation treatments involved 5 patients who had received proximal femoral nail anti-rotation, 7 who received locking proximal femur plates and 6 who received dynamic hip screws. All patients were treated with THA using biological acetabular prosthesis and hip arthroplasty (HA) coating skillet femoral prosthesis, with the greater trochanter fixed using wire or steel when necessary. Patients’ Harris scores pre- and post-treatment, SF-36 Health Questionnaire score and digital radiology (DR) were used for joint prostheses initial stability and survival evaluation. Results 15 patients completed follow-up periods ranging between 19 and 54 months (mean 26.2 months; 1 patient died from a pulmonary embolism, 1 patient died from pulmonary heart disease 1 year after surgery and 1 patient withdrew for personal reasons). There were no joint infections, periprosthetic fractures or dislocations. The average Harris score increased significantly, from 32.68 ± 12.04 points before surgery to 91.08 ± 5.9 points at 24 months post-treatment. SF-36 scores were significantly increased. Conclusion THA as salvage treatment for failed internal fixation of intertrochanteric femoral fractures in elderly patients significantly reduced hip pain and restored joint function, and early clinical outcomes were satisfactory.


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