Evidence map›Paper›PMID 37892909›Full record

ArticleBioengineering (Basel, Switzerland)2023

Biomechanical Behavior of Dynamic vs. Static Distal Locking Intramedullary Nails in Subtrochanteric Femur Fractures.

Carmen Martínez-Aznar, Jesús Mateo, Elena Ibarz, Luis Gracia, Jorge Rosell, Sergio Puértolas

Open access · goldAbstract read
In one paragraph

Article in Bioengineering (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Carmen Martínez-AznarDepartment of Orthopaedic Surgery and Traumatology, Reina Sofía Hospital, 31500 Tudela, Spain.
Jesús MateoDepartment of Orthopaedic Surgery and Traumatology, Miguel Servet University Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-8289-791X
Elena IbarzDepartment of Mechanical Engineering, University of Zaragoza, 50018 Zaragoza, Spain.
Luis GraciaDepartment of Mechanical Engineering, University of Zaragoza, 50018 Zaragoza, Spain.
Jorge RosellDepartment of Mechanical Engineering, University of Zaragoza, 50018 Zaragoza, Spain.ORCID 0000-0003-3781-8589
Sergio PuértolasDepartment of Mechanical Engineering, University of Zaragoza, 50018 Zaragoza, Spain.ORCID 0000-0002-3613-4209
Universidad de Zaragoza · ESHospital Universitario Miguel Servet · ESHospital Universitario Reina Sofía · ES

Funding

Gobierno de Aragón LMP37_21
6 · The paper itself

Abstract

objectiveHip fractures are one of the most frequent fractures presenting to the emergency department and orthopedic trauma teams. The aim of this study was to determine the best indication and therapeutic technique for subtrochanteric fractures and unifying criteria when choosing the most suitable type of nail. MATERIALS AND

methodsTo analyze the influence of the material and the type of distal locking of intramedullary nails (static or dynamic), a femur model with a fracture in the subtrochanteric region stabilized with a long Gamma intramedullary nail was applied using finite element method (FEM) simulation.

resultsThe mechanical study shows that titanium nails allow for greater micromobility at the fracture site, which could act as a stimulus for the formation of callus and consolidation of the fracture. In the mechanical study, the type of distal locking mainly affects mobility at the fracture site and stress in the cortical bone around the distal screws, without in any case exceeding values that may compromise the viability of the assembly or that may result in detrimental effects (in terms of mobility at the fracture site) for the consolidation process.

conclusionSubtrochanteric fractures treated with titanium nail and static distal locking is safe and does not hinder consolidation.

Indexed as

biomechanicsfinite element analysisintramedullary nailosteosynthesissubtrochanteric fracture

Identifiers

PMID37892909
PMCPMC10604699
OpenAlexW4387558768

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.