ArticlePloS one2021
Biomechanics of subtrochanteric fracture fixation using short cephalomedullary nails: A finite element analysis.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effect of cerclage wiring with intramedullary nail surgery in proximal femoral fracture: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Prospective Pilot Clinical Study of High-Purity Magnesium Plates and Screws for Le Fort I Osteosynthesis.International dental journal · 2026Article
- Effect of intramedullary nail length on the biomechanical performance of internal fixation for subtrochanteric femoral fractures.BMC musculoskeletal disorders · 2026Article
- Finite element analysis of PFNA in the treatment of osteoporotic intertrochanteric A2.3 fractures of the femur.Frontiers in bioengineering and biotechnology · 2026Article
- Optimisation strategies for intramedullary nailing parameters in subtrochanteric fractures of the femur: a multimodal assessment based on finite element and biomechanical experiments.International journal of surgery (London, England) · 2025Article
- 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
- 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
- Complications and survival rates of subtrochanteric fractures are similar between short and long intramedullary nail fixation and independent of weight-bearing.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- What is the Optimal Nail Length to Treat Osteoporotic Subtrochanteric Fractures? A Finite Element Analysis.Clinics in orthopedic surgery · 2024Article
- Subtrochanteric Fractures of The Femur: May a Short Nail Be a Reliable Option?The archives of bone and joint surgery · 2024Article
- Biomechanical Behavior of Dynamic vs. Static Distal Locking Intramedullary Nails in Subtrochanteric Femur Fractures.Bioengineering (Basel, Switzerland) · 2023Article
- Long-term results comparison after anterior cervical discectomy with BGS-7 spacer (NOVOMAX®-C) and allograft spacer: A prospective observational study.Frontiers in bioengineering and biotechnology · 2023Article
- Future Directions in Patellofemoral Imaging and 3D Modeling.Current reviews in musculoskeletal medicine · 2022Review
- The Clinical Efficacy of Minimally Invasive Clamp-Assisted Reduction and Open Reduction with Wire Cerclage for Unstable Subtrochanteric Fractures.Journal of healthcare engineering · 2022Article
- Subtrochanteric femoral fractures: A case series of 194 patients treated with long and short intramedullary nails.Orthopedic reviews · 2022Article
- Short Versus Long Nails in Treating Subtrochanteric Hip Fractures: A Systematic Review and Meta-analysis of Complication Rates.JB & JS open accessReview
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A finite element analysis was performed to evaluate the stresses around nails and cortical bones in subtrochanteric (ST) fracture models fixed using short cephalomedullary nails (CMNs). A total 96 finite element models (FEMs) were simulated on a transverse ST fracture at eight levels with three different fracture gaps and two different distal locking screw configurations in both normal and osteoporotic bone. All FEMs were fixed using CMNs 200 mm in length. Two distal locking screws showed a wider safe range than 1 distal screw in both normal and osteoporotic bone at fracture gaps ≤ 3 mm. In normal bone FEMs fixed even with two distal locking screws, peak von Mises stresses (PVMSs) in cortical bone and nail constructs reached or exceeded 90% of the yield strength at fracture levels 50 mm and 0 and 50 mm, respectively, at all fracture gaps. In osteoporotic bone FEMs, PVMSs in cortical bone and nail constructs reached or exceeded 90% of the yield strength at fracture levels 50 mm and 0 and 50 mm, respectively, at a 1-mm fracture gap. However, at fracture gaps ≥ 2 mm, PVMSs in cortical bone reached or exceeded 90% of the yield strength at fracture levels ≥ 35 mm. PVMSs in nail showed the same results as 1-mm fracture gaps. PVMSs increased and safe range reduced, as the fracture gap increased. Short CMNs (200 mm in length) with two distal screws may be considered suitable for the fixation of ST transverse fractures at fracture levels 10 to 40 mm below the lesser trochanter in normal bone and 10 to 30 mm in osteoporotic bone, respectively, under the assumptions of anatomical reduction at fracture gap ≤ 3 mm. However, the fracture gap should be shortened to the minimum to reduce the risk of refracture and fixation failure, especially in osteoporotic fractures.
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