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International Orthopaedics

Erschienen in:

01.03.2020 | SICOT award papers

Efficiency of an implant: new criterion of objective assessment of implants for osteosynthesis of femoral neck fracture

verfasst von: Chingiz Alizade, Afgan Jafarov, Farhad Alizada, Mahir Gülsen, Emre Togrul

Erschienen in: International Orthopaedics | Ausgabe 3/2020

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Abstract

Purpose

In line with several designs for osteosynthesis of femoral neck fracture (FNF), their effectiveness is still estimated by the results of biomechanical and clinical trials, finite element method (FE). But surgeons require the criteria which would define their properties in advance and allow improve the results of treatment.

Methods

When new implant (NI) is being designed, we developed such criterion – index efficiency of an implant (IEI) – and performed mathematical comparative researches of properties of NI with the known designs. We analyzed the results of comparative clinical trials on treatment of FNF with various implants considering their IEI.

Results

Analysis showed that results of comparative clinical trials with the use of various implants for osteosynthesis FNF completely correlated to their IEI; IEI of the NI two to three times exceeds IEI of all known designs, and the destruction percentage of a bone tissue is two to three times less when it is applied.

Conclusion

The offered IEI can be used for designing new implants and allows improving the results of treatment of patients with FNF by optimizing the choice of implant for osteosynthesis.

Johnell O, Kanis JA (2004) An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 15:897–902. https://doi.org/10.1007/s00198-004-1627-0 CrossRefPubMed

The FAITH Investigatiors (2014) Fixation using alternative implants for the treatment of hip fractures (FAITH): design and rationale for a multi-centre randomized trial comparing sliding hip screws and cancellous screws on revision surgery rates and quality of life in the treatment of femoral neck fractures. BMC Musculoskelet Disord 15:219. https://doi.org/10.1186/1471-2474-15-219 CrossRef

Leonardsson O, Sernbo I, Carlsson A, Akesson K, Rogmark C (2010) Long-term follow-up of replacement compared with internal fixation for displaced femoral neck fractures: results at ten years in a randomised study of 450 patients. J Bone Joint Surg (Br) 9(2):406–412. https://doi.org/10.1302/0301-620X.92B3.23036 CrossRef

Chua D, Jagai SB, Schatzker J (1997) An orthopedic surgeon survey on the treatment of displaced femoral neck fracture: opposing views. Can J Surg 40:271–277PubMedPubMedCentral

Masson M, Parker MJ, Fleischer S (2002) Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001708

Bhandari M, Devereaux PJ, Swiontkowski M, Tornetta P, Obremskey W, Koval K, Nork S, Sprague S, Schemitsch E, Guyatt G (2003) Internal fixation compared with arthroplasty for displaced fractures of the femoral neck. J Bone Joint Surg 85A:1673–1681CrossRef

Elmerson S, Sjostedt A, Zetterberg C (1995) Fixation of femoral neck fracture. A randomized 2-year follow-up study of hook pins and sliding screw plate in 222 patients. Acta Orthop Scand 66:507–510CrossRef

Lu-Yao GL, Keller RB, Littenberg B, Wennberg JE (1994) Outcomes after displaced fractures of the femoral neck: a meta-analysis of one hundred and six published reports. J Bone Joint Surg [Am] 76-A:15–25. https://doi.org/10.1055/s-2005-919113 CrossRef

Parker M, Johansen A (2006) Hip fracture. BMJ 333(7557):27–30. https://doi.org/10.1136/bmj.333.7557/27 CrossRefPubMedPubMedCentral

10.

Jafarov A, Ali-Zadeh C, Özer Z, Mamedov AM, Özbay E (2018) Stress distribution of a new type of perforated implants in femur neck fracture: finite element model. Journal of Physics: Conf. Series 1045:012017. https://doi.org/10.1088/1742-6596/1045/1/012017 CrossRef

11.

Radchenko VP, Nekhozhin AV, Matveev AL (2011) Mathematical modeling of the stressed state of the reinforced bone tissue of the femoral neck with static loads. Vestn.Sam.gos.tehn.un-ta.Ser.Fiz.-mat. Science 4(25):75–81

12.

Strömqvist B, Hansson LI (1984) Femoral head vitality in femoral neck fracture after hook-pin internal fixation. Clin Orthop Relat Res 191:105–109

13.

Strömqvist B, Hansson LI (1983) Avascular necrosis associated with nailing of femoral neck fracture. Two cases examined pre- and postoperatively by tetracycline and radionuclide tracer techniques. Acta Orthop Scand 54(5):687–694CrossRef

14.

Strömqvist B, Hansson LI, Palmer J, Ceder L, Thorngren KG (1983) Scintimetric evaluation of nailed femoral neck fractures with special reference to type of osteosynthesis. Acta Orthop Scand 54(3):340–347CrossRef

15.

Gautier E, Ganz K, Krugel N, Gill T, Ganz R (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. The Journal of Bone and Joint Surgery 82-B(5):679–683. doi.org/10.1302/0301-620X.82B5.0820679 CrossRef

16.

Alfredo Brodetti I (1960) Blood supply of the femoral neck and head in relation to the damaging effects of nails and screws. The Journal of Bone and Joint Surgery 42 b(4):794–801CrossRef

17.

Parker MJ, Gurusamy KS (2001) Internal fixation implants for intracapsular proximal femoral fractures in adults. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001467

18.

Bhandari M, Tornetta P, Hanson B, Swiontkowski M (2009) Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws?Journal of. Orthopaedic Trauma 23(6):403–407. https://doi.org/10.1097/BOT.0b013e318176191f CrossRef

19.

Chen Z, Wang G, Lin J, Yang T, Fang Y, Liu L, Zhang H (2011) Efficacy comparison between dynamic hip screw combined with anti-rotation screw and cannulated screw in treating femoral neck fractures. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 25(1):26–29PubMed

20.

Watson A, Zhang Y, Beattie S, Page RS (2013) Prospective randomized controlled trial comparing dynamic hip screw and screw fixation for undisplaced subcapital hip fractures. ANZ J Surg 83(9):679–683. https://doi.org/10.1111/j.1445-2197.2012.06256.x CrossRefPubMed

21.

Griffin XL, Parsons N, Achten J, Costa ML (2014) The Targon femoral neck hip screw versus cannulated screws for internal fixation of intracapsular fractures of the hip: a randomised controlled trial. Bone Joint J. 96-B(5):652–657. https://doi.org/10.1302/0301-620X.96B5.33391 CrossRefPubMed

22.

Hou WR, Xu MO (2015) Comparison among three cannulated screws and dynamic hip screw combined with antirotation screw for comminuted fractures of femoral neck. Zhongguo Gu Shang 28(9):796–801PubMed

23.

Siavashi B, Aalirezaei A, Moosavi M, Golbakhsh MR, Savadkoohi D, Zehtab MJ (2015) A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults. Int Orthop 39(10):2069–2071. https://doi.org/10.1007/s00264-015-2881-9 CrossRefPubMed

24.

Eschler A, Brandt S, Gierer P, Mittlmeier T, Gradl G (2014) Angular stable multiple screw fixation (Targon FN) versus standard SHS for the fixation of femoral neck fractures. Injury 45(Suppl 1):76–80. https://doi.org/10.1016/j.injury.2013.10.026 CrossRef

25.

Warschawski Y, Sharfman ZT, Berger O, Steinberg EL, Amar E, Snir N (2016) Dynamic locking plate vs. simple cannulated screws for nondisplaced intracapsular hip fracture: a comparative study. Injury 47(2):424–427. https://doi.org/10.1016/j.injury.2015.10.054 CrossRefPubMed

26.

Zhang LL, Zhang Y, Ma X, Liu Y (2017) Multiple cannulated screws vs. dynamic hip screws for femoral neck fractures a meta-analysis. Der Orthopade 46(11):954–962CrossRef

27.

Kaplan T, Akesen B, Demirag B, Bilgen S, Duran K (2012) Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures. Turkish Journal of Trauma & Emergency Surgery 18(1):65–70. https://doi.org/10.5505/tjtes.2012.33427 CrossRef

28.

Levi N (1999) Dynamic hip screw versus 3 parallel screws in the treatment of garden 1 + 2 and garden 3 + 4 cervical hip fractures. Panminerva Med Sep 41(3):233–237

29.

Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) Investigators (2017) Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial. Lancet 389(10078):1519–1527. https://doi.org/10.1016/S0140-6736(17)30066-1 CrossRef

30.

Linke B, Schwieger K, Bursic D, Dutoit C, Ulrich D, Gautier E (2004) Treatment of unstable femoral neck fractures: is the dynamic hip screw a superior alternative to 3 cannulated screws? Poster session presented at: OTA Annual Meeting (Poster 55): 8–10 October 2004. Hollywood: Orthopaedic Trauma Association

31.

Brandt E, Verdonschot N, van Vugt A, van Kampen A (2011) Biomechanical analysis of the sliding hip screw, cannulated screws and Targon FN in intracapsular hip fractures in cadaver femora. Injury 42(2):183–187. https://doi.org/10.1016/j.injury.2010.08.021 CrossRefPubMed

32.

Kemker B, Magone K, Owen J, Atkinson P, Martin S, Atkinson T (2017) A sliding hip screw augmented with 2 screws is biomechanically similar to an inverted triad of cannulated screws in repair of a Pauwels type-III fracture. Injury 48(8):1743–1748. https://doi.org/10.1016/j.injury.2017.05.013 CrossRefPubMed

33.

Ananiev NI, Boykov VP, Merkulova LM, Stolyarov SI, Romanova LP (2003) Some topographic-anatomical and biomechanical features of the structure of the proximal epiphysis of the human femur. Journal of Successes of Modern Science 10:50–51

34.

Hoshino MC, O’Toole RV (2014) Fixed angle devices versus multiple cancellous screws: what does the evidence tell us? Injury 46(3):474–477CrossRef

Titel: Efficiency of an implant: new criterion of objective assessment of implants for osteosynthesis of femoral neck fracture
verfasst von: Chingiz Alizade
Afgan Jafarov
Farhad Alizada
Mahir Gülsen
Emre Togrul
Publikationsdatum: 01.03.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 3/2020
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-019-04439-2

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