A computational evaluation of the effect of intramedullary nail material properties on the stabilization of simulated femoral shaft fractures

Medical Engineering and Physics

Volumn 30, Issue 6, 2008, Pages 755-760

  Perez, Angel ^a   Mahar, Andrew ^b,c   Negus, Charles ^a   Newton, Peter ^b,c   Impelluso, Tom ^a  

^a AGC Paul S Roel Chair in Construction Engineering and Management   (United States)

^b RADY CHILDREN'S HOSPITAL   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Biomechanical stability; Finite element method; Intramedullary nails; Simulated pediatric femur fractures

Indexed keywords

AIRCRAFT PROPULSION; ALLOYS; BIOMECHANICS; CORROSION RESISTANT ALLOYS; FINITE ELEMENT METHOD; FRACTURE; FRACTURE FIXATION; GALLIUM ALLOYS; HEALTH; INERT GAS WELDING; IRON; NAILS; PETROLEUM DEPOSITS; PETROLEUM RESERVOIRS; RISK ASSESSMENT; STABILIZATION; STEEL; STEEL CORROSION; STEEL METALLURGY; SYSTEM STABILITY; TITANIUM; TITANIUM ALLOYS;

BIOMECHANICAL STABILITY; BIOMECHANICAL STUDIES; COMPUTATIONAL EVALUATION; CONTACT AREAS; DIAPHYSEAL FRACTURE; FEMORAL SHAFT; FINITE ELEMENT (FE) MODELING; GAP CLOSURE; INTRAMEDULLARY; INTRAMEDULLARY NAILS; MATE RIAL PROPERTIES; STAINLESS STEEL NAILS; STRESS-SHIELDING; TITANIUM ALLOY NAILS; VON MISES STRESSES;

STAINLESS STEEL;

STAINLESS STEEL; TITANIUM;

ARTICLE; BIOMECHANICS; BONE DEFORMATION; CHILDHOOD INJURY; DIAPHYSIS; EVALUATION; FEMUR SHAFT FRACTURE; FINITE ELEMENT ANALYSIS; FRACTURE FIXATION; INTRAMEDULLARY NAILING; MATERIALS TESTING; MATHEMATICAL COMPUTING; NONHUMAN; PREVALENCE; PRIORITY JOURNAL; WEIGHT BEARING;

ADOLESCENT; ALLOYS; BIOCOMPATIBLE MATERIALS; BIOMECHANICS; BONE NAILS; CHILD; COMPUTER-AIDED DESIGN; ELASTICITY; FEMORAL FRACTURES; FINITE ELEMENT ANALYSIS; FRACTURE FIXATION, INTRAMEDULLARY; HUMANS; MATERIALS TESTING; MODELS, BIOLOGICAL; STAINLESS STEEL; TITANIUM;

EID: 47649097998     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2007.08.004     Document Type: Article

References (22)

1. Greene W.B. Displaced fractures of the femoral shaft in children. Unique features and therapeutic options. Clin Orthop 353 (1998) 86-96
2. McCartney D., Hinton A., and Heinrich S.D. Operative stabilization of pediatric femur fractures. Orthop Clin North America 25 (1994) 635-650
3. Huber R., and Keller H. Flexible intramedullary nailing as fracture treatment in children. J Pediatr Orthop 16 (1996) 602-605
4. Linhart W., and Roposch A. Elastic stable Intramedullary nailing for unstable femoral fractures in children: Preliminary results of a new method. J Trauma 47 (1999) 372-378
5. Eveleigh R.J. A review of biomechanical studies of intramedullary nails. Med Eng Phys 17 5 (1995) 323-331
6. Wang C.J., Brown C.J., Yettram A.L., and Procter P. Intramedullary nails: some design features of the distal end. Med Eng Phys 25 (2003) 789-794
7. 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 Phys 26 (2004) 93-108
8. Lee S., Mahar A., and Newton P. Ender nail fixation of pediatric femur fractures: a biomechanical analysis. J Pediatr Orthop 21 (2001) 442-445
9. Mahar A.T., Lee S.S., Lalonde F.D., Impelluso T., and Newton P.O. Biomechanical comparison of stainless steel and titanium nails for fixation of simulated femoral fractures. J Pediatr Orthop 24 6 (2004) 638-641
10. Fricka K.B., Mahar A.T., Lee S.S., and Newton P.O. Biomechanical analysis of antegrade and retrograde flexible intramedullary nail fixation of pediatric femoral fractures using a synthetic bone model. J Pediatr Orthop 24 March-April (2) (2004) 167-171
11. Boresi A., and Schmidt R. Advanced mechanics of materials (1993), John Wiley & Sons, Inc., New York pp. 85-105
12. Mehlman C.T., Nemeth N.M., and Glos D.L. Antegrade versus retrograde titanium elastic nail fixation of pediatric distal-third femoral-shaft fractures: a mechanical study. J Orthop Trauma 20 October 9 (2006) 608-612
13. Eveleigh R.J., and Miles A.W. Measuring the loads carried by intramedullary nails during simulated fracture healing in vitro. J Biomech 31 Supplement 1 (1998) 41
14. Internet Biblio Reference "Allesandro Chiarini, The Bel Repository. "http://www.tecno.ior.it/VRLAB/".
15. Luhmann S.J., Schootman M., Schoenecker P.L., Dobbs M.B., and Gordon J.E. Complications of titanium elastic nails for pediatric femoral shaft fractures. J Pediatr Orthop 23 (2003) 443-447
16. Shirazi-Adl A., and Dammak M. Experimental determination of friction characteristics at the trabecular bone/porous-coated metal interface in cementless implants. J Biomed Mater Res 27 (1993) 167-175
17. Cheal E., et al. Role of loads prosthesis material properties on the mechanics of the proximal femur after total hip arthroplasty. J Orthop Res 10 (1992) 405-422
18. Kenwright J., and Goodship A.E. Controlled mechanical stimulation in the treatment of tibial fractures. Clin Orthop 241 (1989) 36-47
19. Kalfas I.H. Principles of bone healing. Neurosurg Focus 10 4 (2001) E1
20. Duda G.N., Mandruzzato F., Heller M., Goldhahn J., Moser R., Hehli M., Claes L., and Haas N.P. Mechanical boundary conditions of fracture healing: borderline indications in the treatment of unreamed tibial nailing. J Biomech 34 5 (2001) 639-650
21. Ho C., Skaggs D.L., Tang C.W., and Kay R.M. Use of flexible intramedullary nails in pediatric femur fractures. J Pediatr Orthop 26 4 (2006) 497-504
22. Lascombes P., Haumont T., and Journeau P. Use and abuse of flexible intramedullary nailing in children and adolescents. J Pediatr Orthop 26 6 (2006) 827-834