Potential of polymethylmethacrylate cement-augmented helical proximal femoral nail antirotation blades to improve implant stability - A biomechanical investigation in human cadaveric femoral heads

Journal of Trauma and Acute Care Surgery

Volumn 72, Issue 2, 2012, Pages

  Sermon, An ^a,c   Boner, Vanessa ^a   Boger, Andreas ^d   Schwieger, Karsten ^a   Boonen, Steven ^c   Broos, Paul L ^c   Richards, Robert G ^b   Windolf, Markus ^a  

^a Biomedical Services   (Switzerland)

^b AO RESEARCH INSTITUTE   (Switzerland)

^c UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^d Synthes GmbH   (Switzerland)

Author keywords

Cadaveric study; Cement augmentation; Cut out; Helical blade; Intertrochanteric hip fracture

Indexed keywords

POLY(METHYL METHACRYLATE); BONE CEMENT;

AGED; ARTICLE; BIOMECHANICS; BONE DENSITY; CADAVER; CALCULATION; CORRELATION ANALYSIS; FEMALE; FEMUR FRACTURE; FEMUR HEAD; HUMAN; HUMAN TISSUE; IN VITRO STUDY; ORTHOPEDIC EQUIPMENT; OSTEOPOROSIS; PATIENT CARE; PRIORITY JOURNAL; PROXIMAL FEMORAL NAIL ANTIROTATION; BONE NAIL; EQUIPMENT DESIGN; HIP FRACTURE; NONPARAMETRIC TEST; RISK FACTOR;

AGED, 80 AND OVER; BONE CEMENTS; BONE DENSITY; BONE NAILS; CADAVER; EQUIPMENT DESIGN; FEMALE; FEMUR HEAD; HIP FRACTURES; HUMANS; POLYMETHYL METHACRYLATE; RISK FACTORS; STATISTICS, NONPARAMETRIC;

EID: 84860554994     PISSN: 21630755     EISSN: 21630763     Source Type: Journal    
DOI: 10.1097/TA.0b013e31821852ed     Document Type: Article

References (25)

1. 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.
2. 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.
3. Davis TR, Sher JL, Horsman A, Simpson M, Porter BB, Checketts RG. Intertrochanteric femoral fractures. Mechanical failure after internal fixation. J Bone Joint Surg Br. 1990;72:26-31.
4. Mereddy P, Kamath S, Ramakrishnan M, Malik H, Donnachie N. The AO/ASIF proximal femoral nail antirotation (PFNA): a new design for the treatment of unstable proximal femoral fractures. Injury. 2009;40: 428-432.
5. Baumgaertner MR, Solberg BD. Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip. J Bone Joint Surg Br. 1997;79:969-971.
6. 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.
7. Windolf J, Hollander DA, Hakimi M, Linhart W. Pitfalls and complications in the use of the proximal femoral nail. Langenbecks Arch Surg. 2005;390:59-65.
8. Barrios C, Brostrom LA, Stark A, Walheim G. Healing complications after internal fixation of trochanteric hip fractures: the prognostic value of osteoporosis. J Orthop Trauma. 1993;7:438-442.
9. Boonen S, Dejaeger E, Vanderschueren D, et al. Osteoporosis and osteoporotic fracture occurrence and prevention in the elderly: a geriatric perspective. Best Pract Res Clin Endocrinol Metab. 2008;22:765-785.
10. Augat P, Rapp S, Claes L. A modified hip screw incorporating injected cement for the fixation of osteoporotic trochanteric fractures. J Orthop Trauma. 2002;16:311-316.
11. von der Linden P, Gisep A, Boner V, Windolf M, Appelt A, Suhm N. Biomechanical evaluation of a new augmentation method for enhanced screw fixation in osteoporotic proximal femoral fractures. J Orthop Res. 2006;24:2230-2237.
12. Singh G, Høiseth A, Eckhardt C, Strømsøe K, Linke B. The utilization of clinical CT scanning as a qualitative tool in preoperative planning of fracture treatment in the future. An Autopsy Study. Høstmøtet Norsk Kirurgisk Forening Oslo. 2005;81.
13. Sommers MB, Roth C, Hall H, et al. A laboratory model to evaluate cutout resistance of implants for pertrochanteric fracture fixation. J Orthop Trauma. 2004;18:361-368.
14. Bergmann G, Deuretzbacher G, Heller M, et al. Hip contact forces and gait patterns from routine activities. J Biomech. 2001;34:859-871.
15. Windolf M, Muths R, Braunstein V, Gueorguiev B, Hanni M, Schwieger K. Quantification of cancellous bone-compaction due to DHS Blade insertion and influence upon cut-out resistance. Clin Biomech (Bristol, Avon). 2009; 24:53-58.
16. Bartucci EJ, Gonzalez MH, Cooperman DR, Freedberg HI, Barmada R, Laros GS. The effect of adjunctive methylmethacrylate on failures of fixation and function in patients with intertrochanteric fractures and osteoporosis. J Bone Joint Surg Am. 1985;67:1094-1107.
17. Windolf M, Braunstein V, Dutoit C, Schwieger K. Is a helical shaped implant a superior alternative to the Dynamic Hip Screw for unstable femoral neck fractures? A biomechanical investigation. Clin Biomech (Bristol, Avon). 2009;24:59-64.
18. Suhm N, Hengg C, Schwyn R, Windolf M, Quarz V, Hanni M. Mechanical torque measurement predicts load to implant cut-out: a biomechanical study investigating DHS anchorage in femoral heads. Arch Orthop Trauma Surg. 2007;127:469-474.
19. Boger A, Wheeler K. A medium viscous acrylic cement enhances uniformity of cement filling and reduce leakage in cancellous bone augmentation. Spine. In press.
20. Cheng CL, Chow SP, Pun WK, Leong JC. Long-term results and complications of cement augmentation in the treatment of unstable trochanteric fractures. Injury. 1989;20:134-138.
21. Harrington KD. The use of methylmethacrylate as an adjunct in the internal fixation of unstable comminuted intertrochanteric fractures in osteoporotic patients. J Bone Joint Surg Am. 1975;57:744-750.
22. Heini PF, Orler R. [Vertebroplasty in severe osteoporosis. Technique and experience with multi-segment injection]. Orthopade. 2004;33: 22-30.
23. Boner V, Kuhn P, Mendel T, Gisep A. Temperature evaluation during PMMA screw augmentation in osteoporotic bone - an in vitro study about the risk of thermal necrosis in human femoral heads. J Biomed Mater Res B Appl Biomater. 2009;90:842-848.
24. Ewald FC, Poss R, Pugh J, Schiller AL, Sledge CB. Hip cartilage supported by methacrylate in canine arthroplasty. Clin Orthop Relat Res. 1982;171:273-279.
25. Goodman SB, Bauer TW, Carter D, et al. Norian SRS cement augmentation in hip fracture treatment. Laboratory and initial clinical results. Clin Orthop Relat Res. 1998;348:42-50.