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Critical Reviews™ in Biomedical Engineering

年間 6 号発行

ISSN 印刷: 0278-940X

ISSN オンライン: 1943-619X

SJR: 0.262 SNIP: 0.372 CiteScore™:: 2.2 H-Index: 56

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The Effect of Screw Insertion Site and Unused Drill Holes on Stability and Mode of Failure After Fixation of Basicervical Femoral Neck Fracture

巻 28, 発行 1&2, 2000, pp. 11-16
DOI: 10.1615/CritRevBiomedEng.v28.i12.40
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要約

The intent of this biomechanical study is to characterize the effect of unused drill holes and cannulated screw insertion site on the fixation stability and mode of failure after fixation of basicervical femoral neck fractures. Fourteen matched pairs of embalmed human cadaver femora were sorted into four groups according to the level of screw insertion along the lateral cortex. Screws inserted at higher positions along the lateral cortex afforded higher rigidity, thus decreasing the amount of motion at the fracture site. In addition, higher insertion positions reduced the rate of permanent displacement, thus better maintaining reduction. Although all specimens failed at the neck, post-failure inspection revealed upward translation of the inferior screw head when inserted 20 mm below the lesser trochanter. Unused drill holes and guidepin holes had no observed affect on stability or failure mode.

によって引用された
  1. DeAngelis Joseph P., Biomechanics of Femoral Neck Fracture Fixation, Techniques in Orthopaedics, 25, 3, 2010. Crossref

  2. Brandt Erwin, Verdonschot Nico, van Vugt Arie, van Kampen Albert, Biomechanical analysis of the sliding hip screw, cannulated screws and Targon® FN in intracapsular hip fractures in cadaver femora, Injury, 42, 2, 2011. Crossref

  3. Toh E.M, Sahni V, Acharya A, Denton J.S, Management of intracapsular femoral neck fractures in the elderly; is it time to rethink our strategy?, Injury, 35, 2, 2004. Crossref

  4. Zhang Yang, Tian Li, Yan Yabo, Sang Hongxun, Ma Zhensheng, Jie Qiang, Lei Wei, Wu Zixiang, Biomechanical evaluation of the expansive cannulated screw for fixation of femoral neck fractures, Injury, 42, 11, 2011. Crossref

  5. Noda Mitsuaki, Saegusa Yasuhiro, Takahashi Masayasu, Tezuka Daichi, Adachi Kazuhiko, Naoi Kazuya, Biomechanical Analysis of the Risk of an Unused Guide Pin Hole on the Postoperative Subtrochanteric Fractures After Femoral Neck Fracture Pinning, Techniques in Orthopaedics, 31, 1, 2016. Crossref

  6. Goharian Amirhossein, Kadir Mohammed R.A., Femur Trauma Plating Fixation, in Trauma Plating Systems, 2017. Crossref

  7. Kloen Peter, Rubel Iván F., Lyden John P., Helfet David L., Subtrochanteric Fracture After Cannulated Screw Fixation of Femoral Neck Fractures: A Report of Four Cases, Journal of Orthopaedic Trauma, 17, 3, 2003. Crossref

  8. Schenkelhalsverschraubung beim alten Menschen, Der Unfallchirurg, 114, 11, 2011. Crossref

  9. Jansen H., Frey S.P., Meffert R.H., Schenkelhalsverschraubung beim alten Menschen, Der Unfallchirurg, 114, 5, 2011. Crossref

  10. Moon Jun-Ki, Lee Jung Il, Hwang Kyu-Tae, Yang Jae-Hyuk, Park Ye-Soo, Park Ki-Chul, Biomechanical comparison of the femoral neck system and the dynamic hip screw in basicervical femoral neck fractures, Scientific Reports, 12, 1, 2022. Crossref

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