Intraprosthetic screw fixation increases primary fixation stability in periprosthetic fractures of the femur: A biomechanical study

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Autoren

  • Stephan Brand
  • Johannes Klotz
  • Thomas Hassel
  • Maximilian Petri
  • Max Ettinger
  • Friedrich Wilhelm Bach
  • Christian Krettek
  • Thomas Gösling

Organisationseinheiten

Externe Organisationen

  • Medizinische Hochschule Hannover (MHH)
Forschungs-netzwerk anzeigen

Details

OriginalspracheEnglisch
Seiten (von - bis)239-243
Seitenumfang5
FachzeitschriftMedical Engineering and Physics
Jahrgang36
Ausgabenummer2
Frühes Online-Datum30 Aug. 2013
PublikationsstatusVeröffentlicht - Feb. 2014

Abstract

Background: The purpose of this study was to develop a new fixation technique for the treatment of periprosthetic fractures using intraprosthetic screw fixation. The goal was to biomechanically evaluate the increase in primary fixation stability compared to unicortical locked-screw plating. Methods: A Vancouver C periprosthetic fracture was simulated in femur prosthesis constructs. Fixation was then performed with either unicortical locked-screw plating using the LISS-plate or with intraprosthetic screw fixation. Fixation stability was compared in an axial load-to-failure model. Results: The intraprosthetic fixation model was superior to the unicortical locked-screw fixation in all tested devices. The intraprosthetic fixation model required 11,807. N ± 1596. N for failure and the unicortical locked-screw plating required 7649. N ± 653. N (p= 0.002). Conclusion: Intraprosthetic screw anchorage with a special prosthesis drill enhances the primary stability in treating periprosthetic fractures by internal fixation.

ASJC Scopus Sachgebiete

Zitieren

Intraprosthetic screw fixation increases primary fixation stability in periprosthetic fractures of the femur: A biomechanical study. / Brand, Stephan; Klotz, Johannes; Hassel, Thomas et al.
in: Medical Engineering and Physics, Jahrgang 36, Nr. 2, 02.2014, S. 239-243.

Publikation: Beitrag in FachzeitschriftArtikelForschungPeer-Review

Brand S, Klotz J, Hassel T, Petri M, Ettinger M, Bach FW et al. Intraprosthetic screw fixation increases primary fixation stability in periprosthetic fractures of the femur: A biomechanical study. Medical Engineering and Physics. 2014 Feb;36(2):239-243. Epub 2013 Aug 30. doi: 10.1016/j.medengphy.2013.07.016
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T1 - Intraprosthetic screw fixation increases primary fixation stability in periprosthetic fractures of the femur

T2 - A biomechanical study

AU - Brand, Stephan

AU - Klotz, Johannes

AU - Hassel, Thomas

AU - Petri, Maximilian

AU - Ettinger, Max

AU - Bach, Friedrich Wilhelm

AU - Krettek, Christian

AU - Gösling, Thomas

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N2 - Background: The purpose of this study was to develop a new fixation technique for the treatment of periprosthetic fractures using intraprosthetic screw fixation. The goal was to biomechanically evaluate the increase in primary fixation stability compared to unicortical locked-screw plating. Methods: A Vancouver C periprosthetic fracture was simulated in femur prosthesis constructs. Fixation was then performed with either unicortical locked-screw plating using the LISS-plate or with intraprosthetic screw fixation. Fixation stability was compared in an axial load-to-failure model. Results: The intraprosthetic fixation model was superior to the unicortical locked-screw fixation in all tested devices. The intraprosthetic fixation model required 11,807. N ± 1596. N for failure and the unicortical locked-screw plating required 7649. N ± 653. N (p= 0.002). Conclusion: Intraprosthetic screw anchorage with a special prosthesis drill enhances the primary stability in treating periprosthetic fractures by internal fixation.

AB - Background: The purpose of this study was to develop a new fixation technique for the treatment of periprosthetic fractures using intraprosthetic screw fixation. The goal was to biomechanically evaluate the increase in primary fixation stability compared to unicortical locked-screw plating. Methods: A Vancouver C periprosthetic fracture was simulated in femur prosthesis constructs. Fixation was then performed with either unicortical locked-screw plating using the LISS-plate or with intraprosthetic screw fixation. Fixation stability was compared in an axial load-to-failure model. Results: The intraprosthetic fixation model was superior to the unicortical locked-screw fixation in all tested devices. The intraprosthetic fixation model required 11,807. N ± 1596. N for failure and the unicortical locked-screw plating required 7649. N ± 653. N (p= 0.002). Conclusion: Intraprosthetic screw anchorage with a special prosthesis drill enhances the primary stability in treating periprosthetic fractures by internal fixation.

KW - Intraprosthetic screw fixation

KW - LISS-plate

KW - Locking-screw plating

KW - Periprosthetic fracture

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