Evidence map›Paper›PMID 40918431›Full record

ArticleFrontiers in bioengineering and biotechnology2025

Quantitative biomechanical analysis of fracture patterns in ipsilateral femoral neck and shaft fractures: an in-silico study.

Zhongwei Xiong, Zihao Liu, Houquan Zhou, Xiang Zhang, Jialei Chen

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

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2citing papers in PubMed
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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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5 · Who and what money

Authors and funding

5 authors.

Zhongwei Xiong *Department of Orthopedics, Luzhou Longmatan District People's Hospital, Luzhou, Sichuan, China.
Zihao Liu *Orthopaedic Trauma, Harrison International Peace Hospital, Hengshui, Hebei, China.
Houquan ZhouDepartment of Orthopedics, Luzhou Longmatan District People's Hospital, Luzhou, Sichuan, China.
Xiang ZhangDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jialei ChenDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ipsilateral femoral neck and shaft fractures (IFN-SFs) caused by high-energy trauma pose a significant risk of complications related to bone healing. Prompt identification of fracture types and maintenance of fracture fixation stability can mitigate this risk. This study employed finite element analysis to evaluate biomechanical parameters for the stability of fixation in IFN-SFs and quantify differences in biomechanical stability among various fracture types. Methods: Patient-specific femur models were constructed from computed tomography data of 10 individuals. Simulating combinations of three Pauwels classifications (I-III) of femoral neck fractures (FNFs) and three femoral shaft fracture (FSF) types (transverse, wedge-shaped, comminuted), a total of 90 FNF-FSF models were generated. Reconstruction nails with cannulated screws were used to fix the fracture models, and postoperative single-leg standing loads were simulated. The entropy method comprehensively evaluated biomechanical parameters to assess the fixation stability for different fracture types. Results: Among fracture types, Pauwels Type III FNF combined with comminuted FSF showed the lowest stability (composite score = 0.22), while Pauwels Type I FNF with transverse FSF was the most stable (composite score = 0.79). Maximum implant stress (weight = 24.5%) and maximum proximal-distal femur interfragmentary motion (weight = 17.1%) were the most influential biomechanical parameters for assessing IFN-SF stability. Conclusion: For IFN-SFs, the FNF type primarily dictates fixation stability, with the FSF contributing synergistically. Maximum implant stress and proximal-distal femur interfragmentary motion are key biomechanical indicators for assessing IFN-SFs. Personalized enhanced fixation strategies are essential for ipsilateral Pauwels Type III FNF and comminuted FSF.

Indexed as

biomechanicsevaluation parametersfinite element analysisfixation stabilityipsilateral femoral neck and shaft fractures

Identifiers

PMID40918431
PMCPMC12411502

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