The Effect of Fracture Stability on the Performance of Locking Plate Fixation in Periprosthetic Femoral Fractures
Abstract Periprosthetic femoral fracture (PFF) fixation failures are still occurring. The effect of fracture stability and loading on PFF fixation has not been investigated and this is crucial for optimum management of PFF. Models of stable and unstable PPFs were developed and used to quantify the e...
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| Veröffentlicht in: | The Journal of arthroplasty 2013-10, Vol.28 (9), p.1589-1595 |
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| container_title | The Journal of arthroplasty |
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| creator | Moazen, Mehran, PhD Mak, Jonathan H., MEng Etchels, Lee W., MEng Jin, Zhongmin, PhD Wilcox, Ruth K., PhD Jones, Alison C., PhD Tsiridis, Eleftherios, MD, PhD, FRCS |
| description | Abstract Periprosthetic femoral fracture (PFF) fixation failures are still occurring. The effect of fracture stability and loading on PFF fixation has not been investigated and this is crucial for optimum management of PFF. Models of stable and unstable PPFs were developed and used to quantify the effect of fracture stability and loading in a single locking plate fixation. Stress on the plate was higher in the unstable compared to the stable fixation. In the case of unstable fractures, it is possible for a single locking plate fixation to provide the required mechanical environment for callus formation without significant risk of plate fracture, provided partial weight bearing is followed. In cases where partial weight bearing is unlikely, additional biological fixation could be considered. |
| doi_str_mv | 10.1016/j.arth.2013.03.022 |
| format | Article |
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The effect of fracture stability and loading on PFF fixation has not been investigated and this is crucial for optimum management of PFF. Models of stable and unstable PPFs were developed and used to quantify the effect of fracture stability and loading in a single locking plate fixation. Stress on the plate was higher in the unstable compared to the stable fixation. In the case of unstable fractures, it is possible for a single locking plate fixation to provide the required mechanical environment for callus formation without significant risk of plate fracture, provided partial weight bearing is followed. In cases where partial weight bearing is unlikely, additional biological fixation could be considered.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.03.022</identifier><identifier>PMID: 23642449</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Biomechanical Phenomena ; Bone Plates ; Femoral Fractures - physiopathology ; Femoral Fractures - surgery ; finite element method ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - instrumentation ; fracture movement ; Humans ; Models, Theoretical ; Orthopedics ; Periprosthetic Fractures - physiopathology ; Periprosthetic Fractures - surgery ; stiffness ; strain ; Stress, Mechanical ; Weight-Bearing</subject><ispartof>The Journal of arthroplasty, 2013-10, Vol.28 (9), p.1589-1595</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-4006ae0642ea53f668bb6557d24fb5e69f3256bad3259b09eae3d62c15c6ae743</citedby><cites>FETCH-LOGICAL-c455t-4006ae0642ea53f668bb6557d24fb5e69f3256bad3259b09eae3d62c15c6ae743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2013.03.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27926,27927,45997</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23642449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moazen, Mehran, PhD</creatorcontrib><creatorcontrib>Mak, Jonathan H., MEng</creatorcontrib><creatorcontrib>Etchels, Lee W., MEng</creatorcontrib><creatorcontrib>Jin, Zhongmin, PhD</creatorcontrib><creatorcontrib>Wilcox, Ruth K., PhD</creatorcontrib><creatorcontrib>Jones, Alison C., PhD</creatorcontrib><creatorcontrib>Tsiridis, Eleftherios, MD, PhD, FRCS</creatorcontrib><title>The Effect of Fracture Stability on the Performance of Locking Plate Fixation in Periprosthetic Femoral Fractures</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Periprosthetic femoral fracture (PFF) fixation failures are still occurring. The effect of fracture stability and loading on PFF fixation has not been investigated and this is crucial for optimum management of PFF. Models of stable and unstable PPFs were developed and used to quantify the effect of fracture stability and loading in a single locking plate fixation. Stress on the plate was higher in the unstable compared to the stable fixation. In the case of unstable fractures, it is possible for a single locking plate fixation to provide the required mechanical environment for callus formation without significant risk of plate fracture, provided partial weight bearing is followed. In cases where partial weight bearing is unlikely, additional biological fixation could be considered.</description><subject>Biomechanical Phenomena</subject><subject>Bone Plates</subject><subject>Femoral Fractures - physiopathology</subject><subject>Femoral Fractures - surgery</subject><subject>finite element method</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>fracture movement</subject><subject>Humans</subject><subject>Models, Theoretical</subject><subject>Orthopedics</subject><subject>Periprosthetic Fractures - physiopathology</subject><subject>Periprosthetic Fractures - surgery</subject><subject>stiffness</subject><subject>strain</subject><subject>Stress, Mechanical</subject><subject>Weight-Bearing</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1rGzEQhkVJady0fyCHomMu644-bUMplBC3BUMDSc9Cqx01cnZXiaQt9b-vFic59FAQzOV5X0bPEHLOYMmA6Y_7pU3lbsmBiSXUx_krsmBK8GYtQZ-QBazXolESxCl5m_MegDGl5BtyyoWWXMrNgjze3iG98h5dodHTbbKuTAnpTbFt6EM50DjSUplrTD6mwY4OZ3AX3X0Yf9Hr3hak2_DHllDJMM5geEgx11AJjm5xiMn2L835HXntbZ_x_dM8Iz-3V7eX35rdj6_fL7_sGieVKo0E0Bah7olWCa_1um21UquOS98q1BsvuNKt7erYtLBBi6LT3DHlam4lxRm5OPbWZR4nzMUMITvseztinLJhUgoJXLEZ5UfU1b1zQm8eUhhsOhgGZlZt9mZWbWbVBurjvIY-PPVP7YDdS-TZbQU-HQGsv_wdMJnsAlZ_XUhVt-li-H__53_irg9jcLa_xwPmfZzSWP0ZZjI3YG7mY8-3ZgKAa7kSfwHHTaT-</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Moazen, Mehran, PhD</creator><creator>Mak, Jonathan H., MEng</creator><creator>Etchels, Lee W., MEng</creator><creator>Jin, Zhongmin, PhD</creator><creator>Wilcox, Ruth K., PhD</creator><creator>Jones, Alison C., PhD</creator><creator>Tsiridis, Eleftherios, MD, PhD, FRCS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>The Effect of Fracture Stability on the Performance of Locking Plate Fixation in Periprosthetic Femoral Fractures</title><author>Moazen, Mehran, PhD ; Mak, Jonathan H., MEng ; Etchels, Lee W., MEng ; Jin, Zhongmin, PhD ; Wilcox, Ruth K., PhD ; Jones, Alison C., PhD ; Tsiridis, Eleftherios, MD, PhD, FRCS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-4006ae0642ea53f668bb6557d24fb5e69f3256bad3259b09eae3d62c15c6ae743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biomechanical Phenomena</topic><topic>Bone Plates</topic><topic>Femoral Fractures - physiopathology</topic><topic>Femoral Fractures - surgery</topic><topic>finite element method</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>fracture movement</topic><topic>Humans</topic><topic>Models, Theoretical</topic><topic>Orthopedics</topic><topic>Periprosthetic Fractures - physiopathology</topic><topic>Periprosthetic Fractures - surgery</topic><topic>stiffness</topic><topic>strain</topic><topic>Stress, Mechanical</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moazen, Mehran, PhD</creatorcontrib><creatorcontrib>Mak, Jonathan H., MEng</creatorcontrib><creatorcontrib>Etchels, Lee W., MEng</creatorcontrib><creatorcontrib>Jin, Zhongmin, PhD</creatorcontrib><creatorcontrib>Wilcox, Ruth K., PhD</creatorcontrib><creatorcontrib>Jones, Alison C., PhD</creatorcontrib><creatorcontrib>Tsiridis, Eleftherios, MD, PhD, FRCS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moazen, Mehran, PhD</au><au>Mak, Jonathan H., MEng</au><au>Etchels, Lee W., MEng</au><au>Jin, Zhongmin, PhD</au><au>Wilcox, Ruth K., PhD</au><au>Jones, Alison C., PhD</au><au>Tsiridis, Eleftherios, MD, PhD, FRCS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Fracture Stability on the Performance of Locking Plate Fixation in Periprosthetic Femoral Fractures</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>28</volume><issue>9</issue><spage>1589</spage><epage>1595</epage><pages>1589-1595</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Periprosthetic femoral fracture (PFF) fixation failures are still occurring. The effect of fracture stability and loading on PFF fixation has not been investigated and this is crucial for optimum management of PFF. Models of stable and unstable PPFs were developed and used to quantify the effect of fracture stability and loading in a single locking plate fixation. Stress on the plate was higher in the unstable compared to the stable fixation. In the case of unstable fractures, it is possible for a single locking plate fixation to provide the required mechanical environment for callus formation without significant risk of plate fracture, provided partial weight bearing is followed. In cases where partial weight bearing is unlikely, additional biological fixation could be considered.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23642449</pmid><doi>10.1016/j.arth.2013.03.022</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Biomechanical Phenomena Bone Plates Femoral Fractures - physiopathology Femoral Fractures - surgery finite element method Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - instrumentation fracture movement Humans Models, Theoretical Orthopedics Periprosthetic Fractures - physiopathology Periprosthetic Fractures - surgery stiffness strain Stress, Mechanical Weight-Bearing |
| title | The Effect of Fracture Stability on the Performance of Locking Plate Fixation in Periprosthetic Femoral Fractures |
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