The Effect of Fixation Technique on the Stiffness of Comminuted Vancouver B1 Periprosthetic Femur Fractures

被引：43

作者：

Choi, Jung Keun ^{[1
]}

Gardner, Thomas R. ^{[1
]}

Yoon, Ed ^{[1
]}

Morrison, Todd A. ^{[1
]}

Macaulay, William B. ^{[1
]}

Geller, Jeffrey A. ^{[1
]}

机构：

[1] Columbia Univ, New York Presbyterian Hosp, CHKR, New York, NY USA

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 06期

关键词：

periprosthetic fracture; total hip arthroplasty; femur fracture; comminuted Vancouver B1 fracture;

D O I：

10.1016/j.arth.2010.04.009

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The purpose of this study was to evaluate the stiffness of 3 different constructs for the fixation of comminuted Vancouver B1 periprosthetic femoral shaft fractures: a single lateral locking plate, a single lateral locking plate plus an anterior strut allograft, and a lateral locking plate plus an anterior locking plate. The axial stiffness, lateral bending stiffness, and torsional stiffness of 10 synthetic periprosthetic femur fracture models were tested. Differences in stiffness between constructs were determined with a 1-way repeated-measures analysis of variance. Fixation technique was found to have a significant effect for all loading modalities (P < .0001). A lateral locked plate plus an anterior locked plate was significantly stiffer than the allograft that in turn was significantly stiffer than the single plate (P < .0001).

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页码：124 / 128

页数：5

相关论文

共 29 条

[1]

The reliability and validity of the Vancouver classification of femoral fractures after hip replacement [J].

Brady, OH ;

Garbuz, DS ;

Masri, BA ;

Duncan, CP .

JOURNAL OF ARTHROPLASTY, 2000, 15 (01) :59-62

[2]

Locking compression plate fixation of Vancouver type-b1 periprosthetic femoral fractures [J].

Buttaro, M. A. ;

Farfalli, G. ;

Nunez, M. Paredes ;

Comba, F. ;

Piccaluga, F. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (09) :1964-1969

[3]

FRACTURES OF THE FEMUR IN RELATION TO CEMENTED HIP PROSTHESES [J].

COOKE, PH ;

NEWMAN, JH .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (03) :386-389

[4]

Mechanical validation of whole bone composite femur models [J].

Cristofolini, L ;

Viceconti, M ;

Cappello, A ;

Toni, A .

JOURNAL OF BIOMECHANICS, 1996, 29 (04) :525-535

[5]

Fixation of periprosthetic femoral shaft fractures: A biomechanical comparison of two techniques [J].

Dennis, MG ;

Simon, JA ;

Kummer, FJ ;

Koval, KJ ;

Di Cesare, PE .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2001, 15 (03) :177-180

[6]

Fixation of periprosthetic femoral shaft fractures occurring at the tip of the stem - A biomechanical study of 5 techniques [J].

Dennis, MG ;

Simon, JA ;

Kummer, FJ ;

Koval, KJ ;

DiCesare, PE .

JOURNAL OF ARTHROPLASTY, 2000, 15 (04) :523-528

[7]

Treatment of periprosthetic femur fractures with the non-contact bridging plate: a new angular stable implant [J].

Erhardt, J. B. ;

Grob, K. ;

Roderer, G. ;

Hoffmann, A. ;

Forster, T. N. ;

Kuster, M. S. .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2008, 128 (04) :409-416

[8]

Fixation of diaphyseal fractures with a segmental defect: A biomechanical comparison of locked and conventional plating techniques [J].

Fulkerson, E ;

Egol, KA ;

Kubiak, EN ;

Liporace, F ;

Kummer, FJ ;

Koval, KJ .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 60 (04) :830-835

[9]

Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems - A biomechanical comparison of locked plating and conventional cable plates [J].

Fulkerson, E ;

Koval, K ;

Preston, CF ;

Iesaka, K ;

Kummer, FJ ;

Egol, KA .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2006, 20 (02) :89-93

[10]

Safety and efficacy of vena cava filters in trauma patients [J].

Giannoudis, Peter V. ;

Pountos, Ippokratis ;

Pape, Hans Christoph ;

Patel, Jai V. .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2007, 38 (01) :7-18