Does The Screw Orientation Effects The Stability of Femoral Neck Fracture?: a Finite Element Analysis

Number: 3 September 1, 2018
  • Okan Özkunt
  • Kerim Sarıyılmaz
  • Turgut Akgül
  • Gökhan Polat
  • Fatih Dikici
EN TR

Does The Screw Orientation Effects The Stability of Femoral Neck Fracture?: a Finite Element Analysis

Abstract

Objectives: The incidence of femoral neck fractures in younger-age people increases due to high-energy trauma. To avoid complications, stable internal fixation is essential. The most commonly used implants for vertically oriented femoral neck fractures are the cannulated and dynamic hip screws. In our study, we compared differently oriented cannulated screw configurations and a standard DHS for fixation of femoral neck fracture.Materials and Methods: A finite element-based collum femoris fracture was created and was fixed using four differently oriented triangular screw configurations and a dynamic hip screw. The loads were applied using a commercially available software package.Results: Centrally oriented cannulated screw configuration had the most compression and compression stress on the fracture side, and it had the highest stress values on the implant.Conclusion: We recommend the use of centrally oriented triangular cannulated screws for femoral neck fracture fixation. With this construct, more compression and compression pressure can be obtained, which can result in the early healing of the fracture. However, it must be kept in mind that this construct exerts more stress on the implant, which could be a reason for implant failure

Keywords

References

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Details

Primary Language

English

Subjects

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Journal Section

-

Authors

Okan Özkunt

Kerim Sarıyılmaz

Turgut Akgül

Gökhan Polat

Fatih Dikici

Publication Date

September 1, 2018

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2018 Number: 3

EndNote
Özkunt O, Sarıyılmaz K, Akgül T, Polat G, Dikici F (September 1, 2018) Does The Screw Orientation Effects The Stability of Femoral Neck Fracture?: a Finite Element Analysis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 243–247.