Novel slide compression anatomic plates of the femoral neck for treating unstable femoral neck fracture: A biomechanical study

To compare the biomechanical stability of slide compression anatomic plates of the femoral neck, cannulated compression screws and dynamic hip screws with derotation screws for stabilizing unstable femoral neck fractures (Pauwels angle = 70°). Pauwels III femoral neck fractures were created on 45 Sa...

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Veröffentlicht in:Journal of orthopaedic research 2023-05, Vol.41 (5), p.1088-1096
Hauptverfasser: Li, Jia, Yin, Pengbin, Li, Jiantao, Zhao, Zhe, Zhao, Jingxin, Cui, Xiang, Lyu, Houchen, Zhang, Licheng, Tang, Peifu
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container_end_page 1096
container_issue 5
container_start_page 1088
container_title Journal of orthopaedic research
container_volume 41
creator Li, Jia
Yin, Pengbin
Li, Jiantao
Zhao, Zhe
Zhao, Jingxin
Cui, Xiang
Lyu, Houchen
Zhang, Licheng
Tang, Peifu
description To compare the biomechanical stability of slide compression anatomic plates of the femoral neck, cannulated compression screws and dynamic hip screws with derotation screws for stabilizing unstable femoral neck fractures (Pauwels angle = 70°). Pauwels III femoral neck fractures were created on 45 Sawbones femurs and randomly assigned to three implant groups (1:1:1). The biomechanical stability of all Sawbones in each treatment group was evaluated with three tests. First, in the static loading test, the load–displacement curve, vertical stiffness (load/vertical displacement [N/mm]) and 5 mm failure load were recorded. Second, in the incremental cyclic loading test (700, 1000, and 1400 N), the cyclic−displacement curve and the displacement of the fragments were recorded. Third, in the torsion test, the torsional rigidity, maximum torque, and torsional angle corresponding to the maximum torque were recorded. The static compression test showed that slide compression anatomic place‐femoral neck (SCAP‐FN) had the largest vertical stiffness (275 ± 11 N/mm, p  CCS, and the torsional angle corresponding to the maximum torque followed the order SCAP‐FN 
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The biomechanical stability of all Sawbones in each treatment group was evaluated with three tests. First, in the static loading test, the load–displacement curve, vertical stiffness (load/vertical displacement [N/mm]) and 5 mm failure load were recorded. Second, in the incremental cyclic loading test (700, 1000, and 1400 N), the cyclic−displacement curve and the displacement of the fragments were recorded. Third, in the torsion test, the torsional rigidity, maximum torque, and torsional angle corresponding to the maximum torque were recorded. The static compression test showed that slide compression anatomic place‐femoral neck (SCAP‐FN) had the largest vertical stiffness (275 ± 11 N/mm, p &lt; 0.01) and 5 mm failure load (1232 ± 156, p &lt; 0.01). The cyclic loading test showed that SCAP‐FN had the lowest change in displacement after 30000 cycles of loading. The torsional stiffness and the maximum torque followed the order SCAP‐FN &gt; dynamic hip screw systems (DHS) + derotational screw (DS) &gt; CCS, and the torsional angle corresponding to the maximum torque followed the order SCAP‐FN &lt; DHS + DS &lt; CCS. The SCAP‐FN construct provides stiffness and stability compared with other standard fixation techniques (3CS and DHS + DS). The fixation strategy of SCAP‐FN might be sufficient for clinical use, indicating studies in the human body are warranted.</description><identifier>ISSN: 0736-0266</identifier><identifier>EISSN: 1554-527X</identifier><identifier>DOI: 10.1002/jor.25447</identifier><identifier>PMID: 36116025</identifier><language>eng</language><publisher>United States</publisher><subject>Biomechanical Phenomena ; biomechanics ; Bone Plates ; Bone Screws ; DHS ; Femoral Neck Fractures - surgery ; Femur Neck - surgery ; fracture fixation ; Fracture Fixation, Internal - methods ; Humans ; slide compression anatomic plate‐femoral neck (SCAP‐FN) ; unstable femoral neck fractures</subject><ispartof>Journal of orthopaedic research, 2023-05, Vol.41 (5), p.1088-1096</ispartof><rights>2022 Orthopaedic Research Society. 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The biomechanical stability of all Sawbones in each treatment group was evaluated with three tests. First, in the static loading test, the load–displacement curve, vertical stiffness (load/vertical displacement [N/mm]) and 5 mm failure load were recorded. Second, in the incremental cyclic loading test (700, 1000, and 1400 N), the cyclic−displacement curve and the displacement of the fragments were recorded. Third, in the torsion test, the torsional rigidity, maximum torque, and torsional angle corresponding to the maximum torque were recorded. The static compression test showed that slide compression anatomic place‐femoral neck (SCAP‐FN) had the largest vertical stiffness (275 ± 11 N/mm, p &lt; 0.01) and 5 mm failure load (1232 ± 156, p &lt; 0.01). The cyclic loading test showed that SCAP‐FN had the lowest change in displacement after 30000 cycles of loading. 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The fixation strategy of SCAP‐FN might be sufficient for clinical use, indicating studies in the human body are warranted.</description><subject>Biomechanical Phenomena</subject><subject>biomechanics</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>DHS</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Femur Neck - surgery</subject><subject>fracture fixation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Humans</subject><subject>slide compression anatomic plate‐femoral neck (SCAP‐FN)</subject><subject>unstable femoral neck fractures</subject><issn>0736-0266</issn><issn>1554-527X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10DtPwzAUhmELgaBcBv4A8ghDiu3Ycc2GKq5CICGQ2CLHOQGDExfbAXXhtxNoYUBiOsN59A0vQruUjCkh7PDZhzETnMsVNKJC8Eww-bCKRkTmRUZYUWygzRifCSGSssk62sgLSgvCxAh9XPs3cDg6WwM2vp0FiNH6DutOJ99ag2dOJ4jYNzg9AW6g9UE73IF5wY0POAXQyXaPuO9i0pX7S4I2qQ9whI9xZX0L5kl31gzvmPp6vo3WGu0i7CzvFro_PbmbnmdXN2cX0-OrzORMyIyzgkMNTCoFuSSiUZzVquFSKzaAotKqVrXOVV4L0IorEJJJVkEloJkYlm-h_cXuLPjXHmIqWxsNOKc78H0smaSC5xPF6EAPFtQEH2OAppwF2-owLykpv3KXQ-7yO_dg95azfdVC_St_-g7gcAHerYP5_0vl5c3tYvITioOLiA</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Li, Jia</creator><creator>Yin, Pengbin</creator><creator>Li, Jiantao</creator><creator>Zhao, Zhe</creator><creator>Zhao, Jingxin</creator><creator>Cui, Xiang</creator><creator>Lyu, Houchen</creator><creator>Zhang, Licheng</creator><creator>Tang, Peifu</creator><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><orcidid>https://orcid.org/0000-0003-4279-1704</orcidid></search><sort><creationdate>202305</creationdate><title>Novel slide compression anatomic plates of the femoral neck for treating unstable femoral neck fracture: A biomechanical study</title><author>Li, Jia ; Yin, Pengbin ; Li, Jiantao ; Zhao, Zhe ; Zhao, Jingxin ; Cui, Xiang ; Lyu, Houchen ; Zhang, Licheng ; Tang, Peifu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3257-4264ede2799e3705f942d9f47a923256ba9d9da393d5ea949e57272beb5ef8c23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Biomechanical Phenomena</topic><topic>biomechanics</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>DHS</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Femur Neck - surgery</topic><topic>fracture fixation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Humans</topic><topic>slide compression anatomic plate‐femoral neck (SCAP‐FN)</topic><topic>unstable femoral neck fractures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Jia</creatorcontrib><creatorcontrib>Yin, Pengbin</creatorcontrib><creatorcontrib>Li, Jiantao</creatorcontrib><creatorcontrib>Zhao, Zhe</creatorcontrib><creatorcontrib>Zhao, Jingxin</creatorcontrib><creatorcontrib>Cui, Xiang</creatorcontrib><creatorcontrib>Lyu, Houchen</creatorcontrib><creatorcontrib>Zhang, Licheng</creatorcontrib><creatorcontrib>Tang, Peifu</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>Journal of orthopaedic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Jia</au><au>Yin, Pengbin</au><au>Li, Jiantao</au><au>Zhao, Zhe</au><au>Zhao, Jingxin</au><au>Cui, Xiang</au><au>Lyu, Houchen</au><au>Zhang, Licheng</au><au>Tang, Peifu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Novel slide compression anatomic plates of the femoral neck for treating unstable femoral neck fracture: A biomechanical study</atitle><jtitle>Journal of orthopaedic research</jtitle><addtitle>J Orthop Res</addtitle><date>2023-05</date><risdate>2023</risdate><volume>41</volume><issue>5</issue><spage>1088</spage><epage>1096</epage><pages>1088-1096</pages><issn>0736-0266</issn><eissn>1554-527X</eissn><abstract>To compare the biomechanical stability of slide compression anatomic plates of the femoral neck, cannulated compression screws and dynamic hip screws with derotation screws for stabilizing unstable femoral neck fractures (Pauwels angle = 70°). Pauwels III femoral neck fractures were created on 45 Sawbones femurs and randomly assigned to three implant groups (1:1:1). The biomechanical stability of all Sawbones in each treatment group was evaluated with three tests. First, in the static loading test, the load–displacement curve, vertical stiffness (load/vertical displacement [N/mm]) and 5 mm failure load were recorded. Second, in the incremental cyclic loading test (700, 1000, and 1400 N), the cyclic−displacement curve and the displacement of the fragments were recorded. Third, in the torsion test, the torsional rigidity, maximum torque, and torsional angle corresponding to the maximum torque were recorded. The static compression test showed that slide compression anatomic place‐femoral neck (SCAP‐FN) had the largest vertical stiffness (275 ± 11 N/mm, p &lt; 0.01) and 5 mm failure load (1232 ± 156, p &lt; 0.01). The cyclic loading test showed that SCAP‐FN had the lowest change in displacement after 30000 cycles of loading. 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subjects Biomechanical Phenomena
biomechanics
Bone Plates
Bone Screws
DHS
Femoral Neck Fractures - surgery
Femur Neck - surgery
fracture fixation
Fracture Fixation, Internal - methods
Humans
slide compression anatomic plate‐femoral neck (SCAP‐FN)
unstable femoral neck fractures
title Novel slide compression anatomic plates of the femoral neck for treating unstable femoral neck fracture: A biomechanical study
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