26 March 2018 : Clinical Research
Limited Dynamic Hip Screw for Treatment of Intertrochanteric Fractures: A Biomechanical Study
Chunlei ZhangABCFG, Bin ZhangBF, Qirong DongAG, Dawei GeBEFDOI: 10.12659/MSM.906351
Med Sci Monit 2018; 24: CLR1769-1775
Abstract
BACKGROUND: The aim of this article is to introduce a novel technique of limited dynamic hip screw (LDHS) in the treatment of intertrochanteric fractures and to evaluate its biomechanical effects.
MATERIAL AND METHODS: Based on the principle of providing both dynamic and static pressure to stabilize the fracture, we improved the dynamic hip screw (DHS) and designed the LDHS. Six fresh cadavers were collected and intertrochanteric fracture models were established, including Evan’s type I fracture (n=3) and type II (n=3). We used the left-to-right comparison in this study. LDHS technique was performed on the left femoral head of each cadaver (LDHS group: n=6), while DHS was performed on the right side (DHS group: n=6). After fixation by either LDHS or DHS, compressive strength, rigidity, shear stress and strain, torsional properties, and ultimate loads were measured and compared in both groups.
RESULTS: Under the 1200 N pressure, compressive strength, rigidity, shear stress and strain, and ultimate loads of LDHS were better than those of DHS in the 2 groups. All differences were statistically significant. Although LDHS enhanced the torsional properties, there was no significant difference.
CONCLUSIONS: Our study demonstrates that the biomechanical effects of LDHS are superior than those of DHS, and there was no screw failure after implantation. Armed with those better properties, LDHS, as a new internal fixation device, may be a good alternative option in the treatment of intertrochanteric fractures.
Keywords: Biomedical Research, Cadaver, Hip Fractures, Internal Fixators
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
21 Mar 2024 : Meta-Analysis
Economic Evaluation of COVID-19 Screening Tests and Surveillance Strategies in Low-Income, Middle-Income, a...Med Sci Monit In Press; DOI: 10.12659/MSM.943863
10 Apr 2024 : Clinical Research
Predicting Acute Cardiovascular Complications in COVID-19: Insights from a Specialized Cardiac Referral Dep...Med Sci Monit In Press; DOI: 10.12659/MSM.942612
06 Mar 2024 : Clinical Research
Enhanced Surgical Outcomes of Popliteal Cyst Excision: A Retrospective Study Comparing Arthroscopic Debride...Med Sci Monit In Press; DOI: 10.12659/MSM.941102
06 Mar 2024 : Clinical Research
Prevalence and Variation of Medical Comorbidities in Oral Surgery Patients: A Retrospective Study at Jazan ...Med Sci Monit In Press; DOI: 10.12659/MSM.943884
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952