Intraprosthetic fixation techniques in the treatment of periprosthetic fractures: A biomechanical study

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autoren

  • Stephan Brand
  • Johannes Klotz
  • Thomas Hassel
  • Maximilian Petri
  • Carl Haasper
  • Friedrich Wilhelm Bach
  • Christian Krettek
  • Thomas Goesling

Organisationseinheiten

Externe Organisationen

  • Medizinische Hochschule Hannover (MHH)
Forschungs-netzwerk anzeigen

Details

OriginalspracheEnglisch
Seiten (von - bis)162-166
Seitenumfang5
FachzeitschriftWorld Journal of Orthopedics
Jahrgang3
Ausgabenummer10
Frühes Online-Datum18 Okt. 2012
PublikationsstatusVeröffentlicht - 18 Okt. 2012

Abstract

AIM: To develop new fixation techniques for the treatment of periprosthetic fractures using intraprosthetic screw fixation with inserted threaded liners. METHODS: A Vancouver B1 periprosthetic fracture was simulated in femur prosthesis constructs using sawbones and cemented regular straight hip stems. Fixation was then performed with either unicortical locked-screw plating using the less invasive stabilization system-plate or with intraprosthetic screw fixation using inserted liners. Two experimental groups were formed using either prostheses made of titanium alloy or prostheses made of cobalt chrome alloy. Fixation stability was compared in an axial load-to-failure model. Drilling was performed using a specially invented prosthesis drill with constantly applied internal cooling. RESULTS: The intraprosthetic fixation model with titanium prostheses was superior to the unicortical lockedscrew fixation in all tested devices. The intraprosthetic fixation model required 10 456 N ± 1892 N for failure and the unicortical locked-screw plating required 7649 N ± 653 N (P < 0.05). There was no significant difference between the second experimental group and the control group. CONCLUSION: Intraprosthetic screw anchorage with special threaded liners enhances the primary stability in treating periprosthetic fractures by internal fixation.

ASJC Scopus Sachgebiete

Zitieren

Intraprosthetic fixation techniques in the treatment of periprosthetic fractures: A biomechanical study. / Brand, Stephan; Klotz, Johannes; Hassel, Thomas et al.
in: World Journal of Orthopedics, Jahrgang 3, Nr. 10, 18.10.2012, S. 162-166.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Brand, S, Klotz, J, Hassel, T, Petri, M, Haasper, C, Bach, FW, Krettek, C & Goesling, T 2012, 'Intraprosthetic fixation techniques in the treatment of periprosthetic fractures: A biomechanical study', World Journal of Orthopedics, Jg. 3, Nr. 10, S. 162-166. https://doi.org/10.5312/wjo.v3.i10.162
Brand, S., Klotz, J., Hassel, T., Petri, M., Haasper, C., Bach, F. W., Krettek, C., & Goesling, T. (2012). Intraprosthetic fixation techniques in the treatment of periprosthetic fractures: A biomechanical study. World Journal of Orthopedics, 3(10), 162-166. https://doi.org/10.5312/wjo.v3.i10.162
Brand S, Klotz J, Hassel T, Petri M, Haasper C, Bach FW et al. Intraprosthetic fixation techniques in the treatment of periprosthetic fractures: A biomechanical study. World Journal of Orthopedics. 2012 Okt 18;3(10):162-166. Epub 2012 Okt 18. doi: 10.5312/wjo.v3.i10.162
Brand, Stephan ; Klotz, Johannes ; Hassel, Thomas et al. / Intraprosthetic fixation techniques in the treatment of periprosthetic fractures : A biomechanical study. in: World Journal of Orthopedics. 2012 ; Jahrgang 3, Nr. 10. S. 162-166.
Download
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abstract = "AIM: To develop new fixation techniques for the treatment of periprosthetic fractures using intraprosthetic screw fixation with inserted threaded liners. METHODS: A Vancouver B1 periprosthetic fracture was simulated in femur prosthesis constructs using sawbones and cemented regular straight hip stems. Fixation was then performed with either unicortical locked-screw plating using the less invasive stabilization system-plate or with intraprosthetic screw fixation using inserted liners. Two experimental groups were formed using either prostheses made of titanium alloy or prostheses made of cobalt chrome alloy. Fixation stability was compared in an axial load-to-failure model. Drilling was performed using a specially invented prosthesis drill with constantly applied internal cooling. RESULTS: The intraprosthetic fixation model with titanium prostheses was superior to the unicortical lockedscrew fixation in all tested devices. The intraprosthetic fixation model required 10 456 N ± 1892 N for failure and the unicortical locked-screw plating required 7649 N ± 653 N (P < 0.05). There was no significant difference between the second experimental group and the control group. CONCLUSION: Intraprosthetic screw anchorage with special threaded liners enhances the primary stability in treating periprosthetic fractures by internal fixation.",
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T1 - Intraprosthetic fixation techniques in the treatment of periprosthetic fractures

T2 - A biomechanical study

AU - Brand, Stephan

AU - Klotz, Johannes

AU - Hassel, Thomas

AU - Petri, Maximilian

AU - Haasper, Carl

AU - Bach, Friedrich Wilhelm

AU - Krettek, Christian

AU - Goesling, Thomas

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