Evidence map›Paper›PMID 34407833›Full record

ArticleJournal of orthopaedic surgery and research2021

Titanium alloy cannulated screws and biodegradable magnesium alloy bionic cannulated screws for treatment of femoral neck fractures: a finite element analysis.

Kai Ding, Weijie Yang, Jian Zhu, Xiaodong Cheng, Haicheng Wang, Du Hao, Song Yinuo, Yanbin Zhu, Yingze Zhang, Wei Chen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Development and testing of a prognostic scoring system for screw-positioning related femoral neck fracture failures for younger adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Kai Ding *Trauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China.
Weijie Yang *Trauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China.
Jian ZhuSchool of Medicine, Nankai University, Tianjin, 300071, People's Republic of China.
Xiaodong ChengTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China.
Haicheng WangTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China.
Du HaoThe First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, 471003, China.
Song YinuoYanjing Medical College, Capital Medical University, Beijing, China.
Yanbin ZhuTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China.
Yingze ZhangTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China. dryzzhang@126.com.
Wei ChenTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China. surgeonchenwei@126.com.
Qi ZhangTrauma Emergency Center, Key Laboratory of Biomechanics and Orthopaedic Research Institute of Hebei Province, The Third Hospital of Hebei Medical University, No.139 Ziqiang Road, Shijiazhuang, 050051, Hebei, People's Republic of China. drzhangqi1@163.com.
Third Hospital of Hebei Medical University · CNCapital Medical University · CNChinese Academy of Engineering · CNFirst Affiliated Hospital of Henan University of Science and Technology · CNHebei Medical University · CNNankai University · CN

Funding

the hebei national science foundation-outstanding youth foundation H2017206104the national natural science foundation of china 81401789the national natural science foundation of china 82072447
6 · The paper itself

Abstract

backgroundCannulated screws (CS) are one of the most widely used treatments for femoral neck fracture, however, associated with high rate of complications. In this study, we designed a new type of cannulated screws called degradable magnesium alloy bionic cannulated screws (DMBCS) and our aim was to compare the biomechanical properties of DMBCS, the traditionally used titanium alloy bionic cannulated screws (TBCS) and titanium alloy cannulated screws (TTCS).

methodsA proximal femur model was established based on CT data of a lower extremity from a voluntary healthy man. Garden type III femoral neck fracture was constructed and fixed with DMBCS, TBCS, and TTCS, respectively. Biomechanical effect which three type of CS models have on femoral neck fracture was evaluated and compared using von Mises stress distribution and displacement.

resultsIn the normal model, the maximum stress value of cortical bone and cancellous bone was 76.18 and 6.82 MPa, and the maximum displacement was 5.52 mm. Under 3 different fracture healing status, the stress peak value of the cortical bone and cancellous bone in the DMBCS fixation model was lower than that in the TTCS and TBCS fixation, while the maximum displacement of DMBCS fixation model was slightly higher than that of TTCS and TBCS fixation models. As the fracture heals, stress peak value of the screws and cortical bone of intact models are decreasing, while stress peak value of cancellous bone is increasing initially and then decreasing.

conclusionsThe DMBCS exhibits the superior biomechanical performance than TTCS and TBCS, whose fixation model is closest to the normal model in stress distribution. DMBCS is expected to reduce the rates of post-operative complications with traditional internal fixation and provide practical guidance for the structural design of CS for clinical applications.

Indexed as

Femoral Neck FracturesAlloysBiomechanical PhenomenaBionicsBone ScrewsFinite Element AnalysisFracture Fixation, InternalHumansMagnesiumMaleTitaniumAlloysMagnesiumTitaniumBiomechanical testDegradable magnesium alloy bionic cannulated screws (DMBCS)Femoral neck fractureFinite element analysisStress distributionTitanium alloy bionic cannulated screws (TBCS)Titanium alloy cannulated screws (TTCS)

Identifiers

PMID34407833
PMCPMC8371795
OpenAlexW3193515349

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.