ArticleInternational orthopaedics2017
Numerical investigation of fracture impaction in proximal humeral fracture fixation with locking plate and intramedullary nail.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Comparison of short-term clinical efficacy between shoulder arthroplasty and plate fixation combined with bone cement augmentation for pathological fractures of the proximal humerus caused by metastatic tumors: a retrospective study of 40 cases.Frontiers in medicine · 2026Article
- Circulating miRNA-21 as a diagnostic biomarker for acute coronary syndrome: a systematic review and meta-analysis of diagnostic test accuracy study.Cardiovascular diagnosis and therapy · 2024Article
- Intramedullary nailing versus cemented plate for treating metastatic pathological fracture of the proximal humerus: a comparison study and literature review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Review
- Biomechanical analysis of subcondylar fracture fixation using miniplates at different positions and of different lengths.BMC oral health · 2021Article
- Comparison between osteosynthesis with interlocking nail and minimally invasive plating for proximal- and middle-thirds of humeral shaft fractures.International orthopaedics · 2021Article
- Finite Element Analysis of Fracture Fixation.Current osteoporosis reports · 2021Review
- Factors associated with maintaining reduction following locking plate fixation of proximal humerus fractures: a population-based retrospective cohort study.JSES international · 2020Article
- Article
- The plate fixation strategy of complex proximal humeral fractures.International orthopaedics · 2020Review
- Roles of the screw types, proximity and anterior band wiring in the surgical fixation of transverse patellar fractures: a finite element investigation.BMC musculoskeletal disorders · 2019Article
- Biomechanical investigation of the type and configuration of screws used in high tibial osteotomy with titanium locking plate and screw fixation.Journal of orthopaedic surgery and research · 2019Article
- Comparison of Mechanical Stability of Elastic Titanium, Nickel-Titanium, and Stainless Steel Nails Used in the Fixation of Diaphyseal Long Bone Fractures.Materials (Basel, Switzerland) · 2018Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFracture impaction is a surgical technique used to support the fractured humerus with locking plate or intramedullary nail when treating proximal humeral fractures. However, few studies have investigated the mechanical difference between fracture impaction with locking plate and with intramedullary nail. The mechanism of fracture impaction to increase stability is still unclear. The aim of this study was to use numerical methods to compare the biomechanical effect of treating proximal humeral fracture.
methodsSix different humerus models, including intact and fractured humeri with various fixation patterns were used in this study. Fracture impaction was simulated by moving the distal fragment of the humeral shift upwards directly until touching the inferior surface of the proximal fragment. We also considered both poor- and normal-quality bone in the simulation.
resultsResults confirmed that fracture impaction increases fracture stabilityand decreases peak stress in both implant and bone. Also, fracture impaction and plating with medial shift of the humeral shaft provides the highest stability. The metallic implant shared loading with the bone in the impacted models, while implants sustained all the loading alone in the nonimpacted models.
conclusionsBased on the results, the technique of fracture impaction is suggested for both nail and plate to reduce stresses on bone and implants and to increase structural stability. Furthermore, impaction with medial shift of the humeral shaft with plate is found to achieve the highest stability when treating proximal humeral fractures.
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