ArticleBiomedical engineering online2019
Biomechanical investigation of dynamic hip screw and wire fixation on an unstable intertrochanteric fracture.
Article in Biomedical engineering online, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- When to Reduce and Fix Displaced Lesser Trochanter in Treatment of Trochanteric Fracture: A Systematic Review.Frontiers in surgery · 2022Pooled it
- The effect of pericapsular nerve group (PENG) block on postoperative analgesia in elderly patients who underwent proximal femoral nail anti-rotation surgery: a prospective, randomized-controlled trial.BMC anesthesiology · 2024Trial
- Trial
- Comparison of the Dynamic Cut-Out Failure Modes of Common Proximal Femoral Fixation Devices Using a Mesh-Free Computational Method.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Article
- Biomechanical evaluation of the triangular support structure of the proximal femoral bionic nail compared to conventional long intramedullary nails for subtrochanteric fractures.Frontiers in bioengineering and biotechnology · 2025Article
- Finite element analysis of fixation stability according to reduction position for internal fixation of intertrochanteric fractures.Scientific reports · 2024Article
- Biomechanical evaluation of a modified intramedullary nail for the treatment of unstable femoral trochanteric fractures.Heliyon · 2024Article
- Relative instability ratios of bone wall defects in trochanteric hip fractures: A finite element analysis.Frontiers in bioengineering and biotechnology · 2023Article
- Reduction with Pre-Drilling Combined with a Finger Reduction Tool in Difficult-to-Reduce Intertrochanteric Fracture.Orthopaedic surgery · 2022Article
- The impact of the union of lesser trochanter fragments after intramedullary fixation of trochanteric femoral fractures: an X-ray based study.BMC musculoskeletal disorders · 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
- Selection of internal fixation method for femoral intertrochanteric fractures using a finite element method.World journal of clinical cases · 2021Article
- Article
- The lesser trochanter "Sling fixation technique" in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough use of a dynamic hip screw (DHS) for stable intertrochanteric hip fracture fixation has been successfully applied in fracture healing for more than 20 years, DHS fixation on unstable intertrochanteric fractures still has a high failure rate, especially in patients with osteoporosis. Although the wire fixation is usually incorporated with orthopedic device to treat fracture, the wiring techniques are developed through experiences. Thus, this study is objective to investigate the biomechanical property of different wire fixation methods incorporated with DHS system to provide the lesser trochanter fragment stable fixation on osteoporotic TypeA2.1 fracture for enhancing stability after bone reduction.
resultsSawbone testing results demonstrated higher maximum load, stiffness, and energy in a DHS with wire fixation compared with DHS fixation only. In static biomechanical testing of a cadaver femur, we compared the stiffness of five fixation models and then tested a fatigue failure model in cycle loading with DHS fixation only. Wiring fixation can enhance stability and the cut-out failure model in the fatigue test was identical to the clinical failure model.
conclusionsLesser trochanteric fragment fixation is a crucial concern in the stability of an A2.1 unstable fracture, and the combination of a wiring technique with a DHS seems beneficial for achieving better stability. The addition of an antirotational greater trochanter is likely to enhance stability through wiring of the greater trochanter.
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