Long vs short intramedullary nails for reverse pertrochanteric fractures: A biomechanical study.

Details

Serval ID
serval:BIB_933CA4911566
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long vs short intramedullary nails for reverse pertrochanteric fractures: A biomechanical study.
Journal
Medical engineering & physics
Author(s)
Udin G., Hoffmann L., Becce F., Borens O., Terrier A.
ISSN
1873-4030 (Electronic)
ISSN-L
1350-4533
Publication state
Published
Issued date
09/2024
Peer-reviewed
Oui
Volume
131
Pages
104230
Language
english
Notes
Publication types: Journal Article ; Comparative Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
There is currently no definitive evidence for the implant of choice for the treatment of reverse pertrochanteric fractures. Here, we aimed to compare the stability provided by two implant options: long and short intramedullary nails. We performed finite element simulations of different patterns of reverse pertrochanteric fractures with varying bone quality, and compared the short vs long nail stabilization under physiological loads. For each variable combination, the micromotions at the fracture site, bone strain, and implant stress were computed. Mean micromotions at the fracture surface and absolute and relative fracture surface with micromotions >150 µm were slightly lower with the short nail (8%, 3%, and 3%, respectively). The distal fracture extension negatively affected the stability, with increasing micromotions on the medial side. Bone strain above 1 % was not affected by the nail length. Fatigue stresses were similar for both implants, and no volume was found above the yield and ultimate stress in the tested conditions. This simulation study shows no benefit of long nails for the investigated patterns of reverse pertrochanteric fractures, with similar micromotions at the fracture site, bone strain, and implant stress.
Keywords
Bone Nails, Finite Element Analysis, Biomechanical Phenomena, Humans, Fracture Fixation, Intramedullary/instrumentation, Stress, Mechanical, Hip Fractures/surgery, Hip Fractures/physiopathology, Mechanical Phenomena, Fem simulation, Intra-medullary nails, Reverse pertrochanteric fractures
Pubmed
Web of science
Open Access
Yes
Create date
20/09/2024 14:57
Last modification date
21/09/2024 6:10
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