Influence of muscular contractions on the stress analysis of distal femoral interlocking nailing

Clinical Biomechanics

Volumn 23, Issue 1, 2008, Pages 38-44

  Shih, Kao Shang ^a,b   Tseng, Ching Shiow ^c   Lee, Chia Ching ^c   Lin, Shang Chih ^c  

^a FAR EASTERN MEMORIAL HOSPITAL   (Taiwan)

^b NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^c NATIONAL CENTRAL UNIVERSITY   (Taiwan)

Author keywords

Femur; Finite element model; Interlocking nail; Muscle force

Indexed keywords

FINITE ELEMENT METHOD; MUSCLE; NAILS; PHYSIOLOGY; SCREWS; STRESS ANALYSIS;

DISTAL FEMORAL HARDWARE; DISTAL FEMORAL INTERLOCKING NAILING; INTERLOCKING NAIL; MUSCLE FORCE;

BIOMECHANICS;

ARTICLE; BONE SCREW; COMPRESSION OSTEOSYNTHESIS; DIAPHYSIS; FEMUR FRACTURE; FEMUR HEAD; HIP DISLOCATION; INTERLOCKING NAIL; MUSCLE CONTRACTION; MUSCLE EXERCISE; MUSCLE FORCE; MUSCLE STRESS; PRIORITY JOURNAL; STRESS FRACTURE; WEIGHT BEARING;

BONE NAILS; EQUIPMENT FAILURE ANALYSIS; FEMORAL FRACTURES; FINITE ELEMENT ANALYSIS; FRACTURE FIXATION, INTRAMEDULLARY; HUMANS; MATERIALS TESTING; MUSCLE CONTRACTION; STRESS, MECHANICAL;

EID: 37349083132     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2007.08.020     Document Type: Article

References (27)

1. Antekeier S.B., Burden Jr. R.L., Voor M.J., and Roberts C.S. Mechanical study of the safe distance between distal femoral fracture site and distal locking screws in antegrade intramedullary nailing. J. Orthop. Trauma. 19 (2005) 693-697
2. Bhat A.K., Rao S.K., and Bhaskaranand K. Mechanical failure in intramedullary interlocking nails. J. Orthop. Surg. (Hong Kong) 14 (2006) 138-141
3. Brand R.A., Pedersen D.R., and Friederich J.A. The sensitivity of muscle force predictions to changes in physiologic cross-sectional area. J. Biomech. 19 (1986) 589-596
4. Brumback R.J., Toal Jr. T.R., Murphy-Zane M.S., Novak V.P., and Belkoff S.M. Immediate weight-bearing after treatment of a comminuted fracture of the femoral shaft with a statically locked intramedullary nail. J. Bone Joint Surg. Am. 81 (1999) 1538-1544
5. Bucholz R.W., Ross S.E., and Lawrence K.L. Fatigue fracture of the interlocking nail in the treatment of fractures of the distal part of the femoral shaft. J. Bone Joint Surg. Am. 69 (1987) 1391-1399
6. Cheung G., Zalzal P., Bhandari M., Spelt J.K., and Papini M. Finite element analysis of a femoral retrograde intramedullary nail subject to gait loading. Med. Eng. Phy. 26 (2004) 93-108
7. Cristofolini L., Viceconti M., Toni A., and Giunti A. Influence of thigh muscles on the axial strains in a proximal femur during early stance in gait. J. Biomech. 28 (1995) 617-624
8. Duda G.N., Brand D., Freitag S., Lierse W., and Schneider E. Variability of femoral muscle attachments. J. Biomech. 29 (1996) 1185-1190
9. Duda G.N., Schneider E., and Chao E.Y. Internal forces and moments in the femur during walking. J. Biomech. 30 (1997) 933-941
10. Duda G.N., Heller M., Albinger J., Schulz O., Schneider E., and Claes L. Influence of muscle forces on femoral strain distribution. J. Biomech. 31 (1998) 841-846
11. George C.J., Lindsey R.W., Noble P.C., Alexander J.W., and Kamaric E. Optimal location of a single distal interlocking screw in intramedullary nailing of distal third femoral shaft fractures. J. Orthop. Trauma. 12 (1998) 267-272
12. Giannoudis P.V., Papakostidis C., and Roberts C. A review of the management of open fractures of the tibia and femur. J. Bone Joint Surg. Br. 88 (2006) 281-289
13. Hajek P.D., Bicknell Jr. H.R., Bronson W.E., Albright J.A., and Saha S. The use of one compared with two distal screws in the treatment of femoral shaft fractures with interlocking intramedullary nailing. A clinical and biomechanical analysis. J. Bone Joint Surg. Am. 75 (1993) 519-525
14. Ito K., Grass R., and Zwipp H. Internal fixation of supracondylar femoral fractures: comparative biomechanical performance of the 95-degree blade plate and two retrograde nails. J. Orthop. Trauma. 12 (1998) 259-266
15. Knothe U., Knothe T.M.L., Klaue K., and Perren S.M. Development and testing of a new self-locking intramedullary nail system: testing of handling aspects and mechanical properties. Injury 31 (2000) 617-626
16. Lin J., Lin S.J., Chen P.Q., and Yang S.H. Stress analysis of the distal locking screws for femoral interlocking nailing. J. Orthop. Res. 19 (2002) 57-63
17. Mittlmeier T., Mattheck C., and Dietrich F. Effects of mechanical loading on the profile of human femoral diaphyseal geometry. Med. Eng. Phys. 16 (1994) 75-81
18. Nowotarski P.J., Turen C.H., Brumback R.J., and Scarboro J.M. Conversion of external fixation to intramedullary nailing for fractures of the shaft of the femur in multiply injured patients. J. Bone Joint Surg. Am. 82 (2000) 781-788
19. Sancineto C.F., Rubel I.F., Seligson D., and Ferro G.V. Technique for removal of broken interlocking screws. J. Orthop. Trauma. 15 (2001) 132-134
20. Simoes J.A., Vaz M.A., Blatcher S., and Taylor M. Influence of head constraint and muscle forces on the strain distribution within the intact femur. Med. Eng. Phy. 22 (2000) 453-459
21. Taylor M.E., Tanner K.E., Freeman M.A., and Yettram A.L. Stress and strain distribution within the intact femur: compression or bending?. Med. Eng. Phy. 18 (1996) 122-131
22. Viceconti, M., 1999. The ISB Finite Element Mesh Repository. Available from: .
23. Voor M.J., Verst D.A., Mladsi S.W., Khalily C., and Seligson D. Fatigue properties of a twelve-hole versus a five-hole intramedullary supracondylar nail. J. Orthop. Trauma. 11 (1997) 98-102
24. Wang C.J., Brown C.J., Yettram A.L., and Procter P. Intramedullary femoral nails: one or two lag screws? A preliminary study. Med. Eng. Phys. 22 (2000) 613-624
25. Whatling G.M., and Nokes L.D. Literature review of current techniques for the insertion of distal screws into intramedullary locking nails. Injury 37 (2006) 109-119
26. Wu C.C., and Lee Z.L. Treatment of femoral shaft aseptic nonunion associated with broken distal locked screws and shortening. J. Trauma. 58 (2005) 837-840
27. Wu C.C., and Shih C.H. Biomechanical analysis of the mechanism of interlocking nail failure. Arch. Orthop. Trauma Surg. 111 (1992) 268-272