Injury
Volume 41, Issue 3 , Pages 259-265 , March 2010

Investigation on the distal screw of a trochanteric intramedullary implant (Fi-nail) using a simplified finite element model

  • Nicolas Efstathopoulos

      Affiliations

    • 2nd Academic Department of Trauma & Orthopaedics, School of Medicine, Athens University, Greece
  • ,
  • Vassilios S. Nikolaou

      Affiliations

    • Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK
    • Corresponding Author InformationCorresponding author at: Department of Trauma & Orthopaedics, Athens University, Megalou Alexandrou 54, 15124 Maroussi, Greece.
  • ,
  • Fragiskos N. Xypnitos

      Affiliations

    • 2nd Academic Department of Trauma & Orthopaedics, School of Medicine, Athens University, Greece
  • ,
  • Demitrios Korres

      Affiliations

    • 2nd Academic Department of Trauma & Orthopaedics, School of Medicine, Athens University, Greece
  • ,
  • Ioannis Lazarettos

      Affiliations

    • 2nd Academic Department of Trauma & Orthopaedics, School of Medicine, Athens University, Greece
  • ,
  • Kostas Panousis

      Affiliations

    • 2nd Academic Department of Trauma & Orthopaedics, School of Medicine, Athens University, Greece
  • ,
  • Evangelos N. Kasselouris

      Affiliations

    • National Technical University of Athens, School of Mechanical Engineering Mechanical Design and Control Systems Section Laboratory of Dynamics and Structures, Athens, Greece
  • ,
  • Demetrios T. Venetsanos

      Affiliations

    • National Technical University of Athens, School of Mechanical Engineering Mechanical Design and Control Systems Section Laboratory of Dynamics and Structures, Athens, Greece
  • ,
  • Christopher G. Provatidis

      Affiliations

    • National Technical University of Athens, School of Mechanical Engineering Mechanical Design and Control Systems Section Laboratory of Dynamics and Structures, Athens, Greece

,Accepted 4 September 2009.

References 

  1. Adams CI, Robinson CM, Court-Brown CM, McQueen MM. Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma. 2001;15:394–400
  2. Ahrengart L, Tornkvist H, Fornander P, et al. A randomized study of the compression hip screw and Gamma nail in 426 fractures. Clin Orthop Relat Res. 2002;209–222
  3. Baumgaertner MR, Curtin SL, Lindskog DM. Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin Orthop Relat Res. 1998;87–94
  4. Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am. 1995;77:1058–1064
  5. Bellabarba C, Herscovici D, Ricci WM. Percutaneous treatment of peritrochanteric fractures using the Gamma nail. Clin Orthop Relat Res. 2000;30–42
  6. Bridle SH, Patel AD, Bircher M, Calvert PT. Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the Gamma nail and the dynamic hip screw. J Bone Joint Surg Br. 1991;73:330–334
  7. Butt MS, Krikler SJ, Nafie S, Ali MS. Comparison of dynamic hip screw and Gamma nail: a prospective, randomized, controlled trial. Injury. 1995;26:615–618
  8. Chevalley F, Gamba D. Gamma nailing of pertrochanteric and subtrochanteric fractures: clinical results of a series of 63 consecutive cases. J Orthop Trauma. 1997;11:412–415
  9. Clawson DK. Trochanteric fractures treated by the sliding screw plate fixation method. J Trauma. 1964;4:737–752
  10. David A, von der Heyde D, Pommer A. Therapeutic possibilities in trochanteric fractures. Safe–fast–stable. Orthopade. 2000;29:294–301
  11. Davis TR, Sher JL, Horsman A, et al. Intertrochanteric femoral fractures. Mechanical failure after internal fixation. J Bone Joint Surg Br. 1990;72:26–31
  12. Doppelt SH. The sliding compression screw—today's best answer for stabilization of intertrochanteric hip fractures. Orthop Clin North Am. 1980;11:507–523
  13. Efstathopoulos NE, Nikolaou VS, Lazarettos JT. Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs. Int Orthop. 2007;31:71–76
  14. Fogagnolo F, Kfuri M, Paccola CA. Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail. Arch Orthop Trauma Surg. 2004;124:31–37
  15. Friedl W, Clausen J. Experimental examination for optimized stabilisation of trochanteric femur fractures, intra- or extramedullary implant localisation and influence of femur neck component profile on cut-out risk. Chirurg. 2001;72:1344–1352
  16. Gundle R, Gargan MF, Simpson AH. How to minimize failures of fixation of unstable intertrochanteric fractures. Injury. 1995;26:611–614
  17. Hardy DC, Descamps PY, Krallis P, et al. Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients. J Bone Joint Surg Am. 1998;80:618–630
  18. Jensen JS, Sonne-Holm S, Tondevold E. Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation. Acta Orthop Scand. 1980;51:949–962
  19. Koval KJ, Aharonoff GB, Rokito AS, et al. Patients with femoral neck and intertrochanteric fractures. Are they the same?. Clin Orthop Relat Res. 1996;166–172
  20. Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two intertrochanteric hip fractures. J Bone Joint Surg Am. 1979;61:216–221
  21. Lacroix H, Arwert H, Snijders CJ, Fontijne WP. Prevention of fracture at the distal locking site of the Gamma nail. A biomechanical study. J Bone Joint Surg Br. 1995;77:274–276
  22. Leung KS, So WS, Shen WY, Hui PW. Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients. J Bone Joint Surg Br. 1992;74:345–351
  23. Lyons AR. Clinical outcomes and treatment of hip fractures. Am J Med. 1997;103:51S–63S[discussion S-4S]
  24. Madsen JE, Naess L, Aune AK, et al. Dynamic hip screw with trochanteric stabilizing plate in the treatment of unstable proximal femoral fractures: a comparative study with the Gamma nail and compression hip screw. J Orthop Trauma. 1998;12:241–248
  25. O’Brien PJ, Meek RN, Blachut PA, et al. Fixation of intertrochanteric hip fractures: Gamma nail versus dynamic hip screw. A randomized, prospective study. Can J Surg. 1995;38:516–520
  26. Ostermann PA, Haase N, Ekkernkamp N. Techniques of extramedullary osteosynthesis in proximal femoral fractures. Chirurg. 2001;72:1271–1276
  27. Parker MJ, Pryor GA. Gamma versus DHS nailing for extracapsular femoral fractures. Meta-analysis of ten randomised trials. Int Orthop. 1996;20:163–168
  28. Pneumaticos S, Nikolaou VS, Kalliakmanis A, et al. Intramedullary nailing in the treatment of intertrochanteric hip fractures. A prospective study. Acta Orthopaedica et Traumatologica Hellenica. 2007;58
  29. Poor G, Atkinson EJ, O’Fallon WM, Melton LJ. Determinants of reduced survival following hip fractures in men. Clin Orthop Relat Res. 1995;260–265
  30. Radford PJ, Needoff M, Webb JK. A prospective randomised comparison of the dynamic hip screw and the Gamma locking nail. J Bone Joint Surg Br. 1993;75:789–793
  31. Rebuzzi E, Pannone A, Schiavetti S, et al. IMHS clinical experience in the treatment of peritrochanteric fractures. The results of a multicentric Italian study of 981 cases. Injury. 2002;33:407–412
  32. Reynders PA, Stuyck J, Rogers RK, Broos PL. Subtrochanteric fractures of the femur treated with the Zickel nail. Injury. 1993;24:93–96
  33. Rosenblum SF, Zuckerman JD, Kummer FJ, Tam BS. A biomechanical evaluation of the Gamma nail. J Bone Joint Surg Br. 1992;74:352–357
  34. Saudan M, Lubbeke A, Sadowski C, et al. Pertrochanteric fractures: is there an advantage to an intramedullary nail? A randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. J Orthop Trauma. 2002;16:386–393
  35. Schipper IB, Steyerberg EW, Castelein RM, et al. Treatment of unstable trochanteric fractures. Randomised comparison of the Gamma nail and the proximal femoral nail. J Bone Joint Surg Br. 2004;86:86–94
  36. Schumpelick W, Jantzen PM. A new principle in the operative treatment of trochanteric fractures of the femur. J Bone Joint Surg Am. 1955;37-A:693–698
  37. Shaw JA, Wilson S. Internal fixation of proximal femur fractures: a biomechanical comparison of the Gamma Locking Nail and the Omega Compression Hip Screw. Orthop Rev. 1993;22:61–68
  38. Simmermacher RK, Bosch AM, Van der Werken C. The AO/ASIF-proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Injury. 1999;30:327–332
  39. Simpson AH, Varty K, Dodd CA. Sliding hip screws: modes of failure. Injury. 1989;20:227–231
  40. Walter LC, Lui LY, Eng C, Covinsky KE. Risk of hip fracture in disabled community-living older adults. J Am Geriatr Soc. 2003;51:50–55
  41. Wolfgang GL, Bryant MH, O’Neill JP. Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin Orthop Relat Res. 1982;148–158
  42. Zain Elabdien BS, Olerud S, Karlstrom G. The influence of age on the morphology of trochanteric fracture. Arch Orthop Trauma Surg. 1984;103:156–161

PII: S0020-1383(09)00475-6

doi: 10.1016/j.injury.2009.09.006

Injury
Volume 41, Issue 3 , Pages 259-265 , March 2010