Long vs short intramedullary nails for reverse pertrochanteric fractures: A biomechanical study.
Détails
ID Serval
serval:BIB_933CA4911566
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Long vs short intramedullary nails for reverse pertrochanteric fractures: A biomechanical study.
Périodique
Medical engineering & physics
ISSN
1873-4030 (Electronic)
ISSN-L
1350-4533
Statut éditorial
Publié
Date de publication
09/2024
Peer-reviewed
Oui
Volume
131
Pages
104230
Langue
anglais
Notes
Publication types: Journal Article ; Comparative Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
20/09/2024 14:57
Dernière modification de la notice
21/09/2024 6:10