Is there an increased risk for subtrochanteric stress fracture with the Femoral Neck System versus multiple cannulated screws fixation?

This study sought to compare the risk of subtrochanteric stress-riser fractures and biomechanical stability of the Femoral Neck System (FNS) versus multiple screw fixation (MSF). Eight paired cadaveric femurs were randomly assigned to FNS or MSF. Physiologic load mimicking single leg stance at the s...

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Veröffentlicht in:Journal of orthopaedics 2022-03, Vol.30, p.127-133
Hauptverfasser: Hsu, Megan R., Shu, Henry T., Luksameearunothai, Kitchai, Margalit, Adam, Yu, Andrew T., Hasenboehler, Erik A., Shafiq, Babar
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container_end_page 133
container_issue
container_start_page 127
container_title Journal of orthopaedics
container_volume 30
creator Hsu, Megan R.
Shu, Henry T.
Luksameearunothai, Kitchai
Margalit, Adam
Yu, Andrew T.
Hasenboehler, Erik A.
Shafiq, Babar
description This study sought to compare the risk of subtrochanteric stress-riser fractures and biomechanical stability of the Femoral Neck System (FNS) versus multiple screw fixation (MSF). Eight paired cadaveric femurs were randomly assigned to FNS or MSF. Physiologic load mimicking single leg stance at the subtrochanteric region was applied to the constructs. No constructs failed in the subtrochanteric region during loading. There was no significant difference in force (P = 0.364) or loading cycles (P = 0.348) between groups. FNS constructs were not associated with an increased incidence of iatrogenic subtrochanteric fractures or biomechanical stability versus MSF.
doi_str_mv 10.1016/j.jor.2022.02.016
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subjects Biomechanics
Cannulated screws
Femoral neck fractures
Femoral neck system
Orthopedic trauma
Stress fracture
title Is there an increased risk for subtrochanteric stress fracture with the Femoral Neck System versus multiple cannulated screws fixation?
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