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doi:10.22028/D291-38575
Titel: | Screw-blade fixation systems for implant anchorage in the femoral head : Horizontal blade orientation provides superior stability |
VerfasserIn: | Schopper, Clemens Keck, Katharina Zderic, Ivan Migliorini, Filippo Link, Björn-Christian Beeres, Frank J. P. Babst, Reto Nebelung, Sven Eschbach, Daphne Knauf, Tom Ganse, Bergita Schoeneberg, Carsten Hildebrand, Frank Gueorguiev, Boyko Knobe, Matthias |
Sprache: | Englisch |
Titel: | Injury |
Bandnummer: | 52 |
Heft: | 7 |
Seiten: | 1861-1867 |
Verlag/Plattform: | Elsevier |
Erscheinungsjahr: | 2021 |
Freie Schlagwörter: | Rotationally Stable Screw-Anchor U-Blade Gamma3 Rotation Control Lag Screw biomechanical testing proximal femoral fracture screw-blade fixation systems |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Objectives: Despite continual improvement in the methods and devices used for treatment of proximal femoral fractures, unacceptably high failure rates remain. Novel screw-blade implant systems, combining a lag screw with a blade – the latter adding rotational stability to the femoral head – offer improvement of osseous purchase, especially in osteoporotic bone. The aim of this study was to compare biomechanically the head element (HE) anchorage of two screw-blade implant systems differing in blade orientation in the femoral head – vertical versus horizontal. Methods: Twenty paired human cadaveric femoral heads were assigned to four groups (n = 10), implanted with either Rotationally Stable Screw-Anchor HE (RoSA-HE, vertical blade orientation) or Gamma3 Rotation Control Lag Screw (Gamma-RC, horizontal blade orientation) in center or off-center position, and biomechanically tested until failure under progressively increasing cyclic loading at 2 Hz. Results: Cycles to failure and failure load were significantly higher for Gamma-RC versus RoSA-HE in center position and not significantly different between them in off-center position, p = 0.03 and p = 0.22, respectively. In center position, the progression of both rotation around implant axis and varus deformation over time demonstrated superiority of the implant with horizontal versus vertical blade orientation. Compared with center positioning, off-center implant placement led to a significant decrease in stiffness, cycles to failure and failure load for Gamma-RC, but not for RoSA-HE, p < 0.01 and p = 0.99, respectively. Conclusion: Horizontal blade orientation of screw-blade implant systems demonstrates better anchorage in the femoral head versus vertical blade orientation in center position. As the stability of the implant system with horizontal blade orientation drops sharply in off-center position, central insertion is its placement of choice. |
DOI der Erstveröffentlichung: | 10.1016/j.injury.2021.04.058 |
URL der Erstveröffentlichung: | https://doi.org/10.1016/j.injury.2021.04.058 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-385756 hdl:20.500.11880/34764 http://dx.doi.org/10.22028/D291-38575 |
ISSN: | 0020-1383 |
Datum des Eintrags: | 14-Dez-2022 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Chirurgie |
Professur: | M - Prof. Dr. med. Bergita Ganse |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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1-s2.0-S0020138321004009-main.pdf | 1,59 MB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons