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International Orthopaedics
Published in: International Orthopaedics 4/2011

01-04-2011 | Original Paper

Comparison of mechanical rigidity between plate augmentation leaving the nail in situ and interlocking nail using cadaveric fracture model of the femur

Authors: Kyungho Park, Kwanwoo Kim, Y. S. Choi

Published in: International Orthopaedics | Issue 4/2011

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Abstract

Thirteen matched pairs of cadaveric femurs were placed into two groups. In each group, a transverse fracture was created at a point 70% distal between the lesser trochanter and the adductor tubercle. One femur out of each matched pair was then stabilised with an interlocking intramedullary nail (nail only group) and the other femur was stabilised with plate augmentation after interlocking intramedullary nailing (plate augmentation group). The bending load to promote 5-mm displacement showed statistically significant differences between the plate augmentation group (mean 843.36 ± 409.13 N) and the nail only group (mean 315.02 ± 219.80 N) (p = 0.001). Torsional torque at the angle of 15 degrees showed statistically significant differences between the two groups; a mean of 2.09 ± 0.53 N·m for the plate augmentation group and a mean of 0.63 ± 0.46 N·m for the nail only group (p = 0.0001). We found a 2.6-fold increase in bending stiffness and a 3.3-fold increase in torsional stiffness in plate augmentation leaving a nail in situ compared to interlocking nailing only in the distal third fracture of femur.

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Metadata
Title
Comparison of mechanical rigidity between plate augmentation leaving the nail in situ and interlocking nail using cadaveric fracture model of the femur
Authors
Kyungho Park
Kwanwoo Kim
Y. S. Choi
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-010-0983-y

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