Evidence map›Paper›PMID 39863714›Full record

ArticleScientific reports2025

Biomechanical evaluation of the modified proximal femoral nail for the treatment of reverse obliquity intertrochanteric fractures.

Qian Wang, Liang Sun, Lu Liu, Teng Ma, Zhong Li, Kun Zhang, Qiang Huang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

7 authors.

Qian WangDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China.
Liang SunDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China.
Lu LiuDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China.
Teng MaDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China.
Zhong LiDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China.
Kun ZhangDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China. gukezhangk@163.com.
Qiang HuangDepartment of Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, 710054, Shaanxi, China. 369292735@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The best treatment method for reverse obliquity intertrochanteric fractures (ROIFs) is still under debate. Our team designed the modified proximal femoral nail (MPFN) specially for treating such fractures. The objective of this research was to introduce the MPFN device and compare the biomechanical properties with Proximal Femoral Nail Antirotation (PFNA) and InterTAN nail via finite element modelling. An AO/OTA 31-A3.1 ROIF model was established via Mimics software. Three implants were depicted and assembled on the ROIF models. The axial, bending, and torsion loads were simulated to test stress and displacement of three fixation models. Compared to the PFNA and InterTAN models, the MPFN model had more dispersed stress distribution under axial loads of 2,100 N. The MPFN showed lower von Mises stress on bones compared with that of PFNA and InterTAN in axial loads. In term of maximum displacement, the MPFN had a 12.6% reduction compared to the PFNA model in axial load case. In bending and torsion loads, the MPFN model also demonstrated better biomechanical properties than the PFNA and InterTAN models. The modified proximal femoral nail presented the best biomechanical performance, followed by the InterTAN nail, and the PFNA for fixing reverse obliquity intertrochanteric fractures. The MPFN has the potential to be a promising device for patients with ROIFs.

Indexed as

Bone NailsFemurFracture Fixation, IntramedullaryHip FracturesBiomechanical PhenomenaFinite Element AnalysisHumansStress, MechanicalBiomechanicalFemoralFinite elementIntertrochanteric fractureIntramedullary nailModifiedReverse obliquity

Identifiers

PMID39863714
PMCPMC11763255

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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.