ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
A biomechanical comparison of three fixation techniques in osteoporotic reverse oblique intertrochanteric femur fracture with fragmented lateral cortex.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05286905 (Biomechanical Testing, Finite Element Analysis and Pilot, Prospective, Randomized, Experimental Clinical Study of Osteosynthesis of Reverse Oblique Peritrochanteric Fractures With PFLP vs Cephalomedullary Nail.), which is not on this map. Cited by 12 papers.
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Biomechanical Testing, Finite Element Analysis and Pilot, Prospective, Randomized, Experimental Clinical Study of Osteosynthesis of Reverse Oblique Peritrochanteric Fractures With PFLP vs Cephalomedullary Nail.
Who cites it
12 citing papers in PubMed, 18 citations in OpenAlex.
- Initial construct stability of long cephalomedullary nails with superior locking for a complex trochanteric fracture model AO31A2.2- a biomechanical study.Journal of orthopaedic surgery and research · 2024Article
- Biomechanical comparison of femoral neck anti-rotation and support system versus femoral neck system for unstable pauwels III femoral neck fractures.Journal of orthopaedic surgery and research · 2024Article
- Posterolateral wall integrity in reverse oblique intertrochanteric fracture fixation: A new perspective in evaluation.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Surgical options for Evans-Jensen type IV intertrochanteric femur fractures in the elderly over 65: a comparison between total hip arthroplasty and proximal femoral nail antirotation.Frontiers in surgery · 2024Article
- Article
- Effects of surgical treatment modalities on postoperative cognitive function and delirium in elderly patients with extremely unstable hip fractures.World journal of psychiatry · 2023Article
- Risk factors for over-telescoping in reverse oblique intertrochanteric fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Effects of alendronate sodium combined with InterTan on osteoporotic femoral intertrochanteric fractures and fracture recurrence.World journal of clinical cases · 2022Article
- Biomechanical study of extramedullary and intramedullary fixation in the treatment of unstable intertrochanteric reversed-tilt fractures of the femur.Annals of translational medicine · 2022Article
- 3D Printing and Computer-Aided Design for Precision Osteotomy-Aided Modules in Bone Biomechanical Study.International journal of bioprinting · 2022Article
- Fracture reduction has a dominant effect over cerclage wiring in increasing stiffness of intertrochanteric OTA/AO 31-A3.1 (reverse oblique) fractures managed with cephalomedullary osteosynthesis.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Biomechanics of Osteoporotic Fracture Fixation.Current osteoporosis reports · 2019Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of the reverse oblique osteoporotic femur fractures is still problematic and can be complicated especially that are accompanied by a fragmented lateral cortex.
aimThe aim of this study was to compare three different internal fixation methods in the osteosynthesis of osteoporotic reverse oblique intertrochanteric femur fracture models with a fragmented lateral cortex. STUDY
designBiomechanical experiment study.
methodsA total of 24 osteoporotic femur models were obtained and divided into three groups [Group A: Proximal femoral nail (PFN), Group B: 95° angled blade plate (ABP), and Group C: proximal femoral anatomic locking plate (PFLP)] with each group which include eight bones. A standard fracture configuration was created as a reverse oblique intertrochanteric fracture and fixed with these implants. After fixation, all femur constructs were tested with an Instron 5800R tester (Instron, Canton, MA) in the biomechanics laboratory with axial loading and bending forces to assess axial and rotational stiffness and failure load. Displacement over 10 mm and angulation greater than 10° in the fracture line were considered as failure.
resultsIn all tests, ABP had statistically poorer results in comparison to the PFN and PFLP group. PFLP fixation had better biomechanical fixation results in comparison to the PFN group, although the results were not statistically significant.
conclusionOrthopaedic surgeons should keep in mind that lateral cortex comminution brings further instability to these reverse oblique intertrochanteric osteoporotic fractures and high rates of failure may be encountered due to this instability. PFLP fixation may be an alternative fixation method biomechanically for these instable fractures.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.