ArticleJournal of orthopaedic surgery and research2024
Initial construct stability of long cephalomedullary nails with superior locking for a complex trochanteric fracture model AO31A2.2- a biomechanical study.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 5 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Comparison of integrated dual-lag screw versus single lag screw cephalomedullary nails for intertrochanteric femoral fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Dual mobility total hip arthroplastyPeerJ · 2026Pooled it
- Neutrophil-to-lymphocyte ratio for predicting postoperative mortality after hip fracture surgery: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Effect of different types of internal fixation on the incidence of femoral head necrosis in adult femoral neck fractures: a single-arm rate and network meta-analysis.European journal of medical research · 2025Pooled it
- Proximal femoral bionic nail (PFBN) offers comparable functional and clinical outcomes to PFNA and intertan in the treatment of intertrochanteric fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Observational
- Four different fixation strategies for ipsilateral femoral neck and shaft fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2026Article
- Orthogeriatric care after hip fracture: the role of process reliability in improving outcomes.Journal of orthopaedic surgery and research · 2026Article
- Recovery trajectories of spatiotemporal gait after bipolar hemiarthroplasty versus closed reduction and internal fixation for unstable intertrochanteric fracture: a prospective wearable-sensor study.Journal of orthopaedic surgery and research · 2026Article
- Dexmedetomidine mitigates postoperative delirium after hip fracture surgery in elderly patients by modulating miR-107 expression.Journal of orthopaedic surgery and research · 2026Article
- Determinants of mortality following intertrochanteric fractures, comorbidities versus reduction quality: retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- Systematic evaluation of the biomechanical characteristics of PFNA, PFBN, and InterTan fixation for intertrochanteric fractures under gradient variations of proximal femoral lateral wall thickness and delineation of optimal fixation domains.Journal of orthopaedic surgery and research · 2026Article
- Concordance of surgical treatment with AO/OTA subclassification in intertrochanteric femoral fractures.Journal of orthopaedic surgery and research · 2026Article
- Retrospective study of mechanical complications after cephalomedullary nail implantation from 2019 to 2024 following per-, sub- or intertrochanteric femur fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Measurement of the principal compressive trabeculae in the midcoronal plane of proximal femur and its significance in lag screw fixation.Journal of orthopaedic surgery and research · 2026Article
- Intraoperative hypotension is associated with adverse postoperative clinical outcomes in elderly patients with hip fractures.Journal of orthopaedic surgery and research · 2026Article
- Patient-specific anatomical alignment relative to the contralateral collodiaphyseal angle as an independent predictor of screw cut-out after proximal femoral nailing.Journal of orthopaedic surgery and research · 2026Article
- Quality of life trajectories following geriatric hip fracture surgery: a growth mixture modelling approach.Journal of orthopaedic surgery and research · 2026Article
- The effect of fully threaded cannulated screws in sliding fixation of femoral neck fractures: a retrospective study.Journal of orthopaedic surgery and research · 2026Article
- Biomechanical analysis of anatomical intramedullary nails and proximal femoral anti-rotation-II intramedullary nails for the treatment of unstable intertrochanteric fractures (AO type 31-A2.2) in older patients.Journal of orthopaedic surgery and research · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplex fractures of the trochanteric region, as well as fractures located in the directly subtrochanteric region, are controversially discussed around the world regarding the nail type to be used. A long nail is recommended by manufacturers but requires longer surgical and fluoroscopy times. A possible solution could be a nail with an appropriate length which can be locked in a minimally invasive manner by the main aiming device. We aimed to determine if such a nail model (DCN SL nail, SWEMAC, Linköping, Sweden) offers similar structural stability on biomechanical testing on artificial bone as a standard long nail when used to treat complex trochanteric fractures and compared it to long nails usually used in this setting.
methodsAn osteoporotic bone model was chosen. The Swemac Hansson DCN Nail System was used as osteosynthesis material. Two types of nails were chosen: a superior lock nail which can be implanted with a singular targeting device, and a long nail with distal locking using free-hand technique. AO31A2.2 fractures were simulated in a standardised manner. Axial height of the construct, varus collapse, and rotational deformity directly after nail insertion were simulated. A Universal Testing Machine was used. Measurements were made with a stereo-optic tracking system.
findingsThere was a detectable difference in the axial fracture movement resulting in narrowing of the fracture gap. There was no difference in varus collapse or rotational deformity between the nail variants
conclusionWe conclude that there are small differences which are clinically insignificant and that a superior locking nail can safely be used to manage complex trochanteric fractures.
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