Medical Engineering & Physics
Volume 29, Issue 1 , Pages 38-47 , January 2007

Measurement of local strains induced into the femur by trochanteric Gamma nail implants with one or two distal screws

  • Vincenzo Filardi
  • ,
  • Roberto Montanini

      Affiliations

    • Corresponding Author InformationCorresponding author at: Department of Industrial Chemistry and Materials Engineering, University of Messina, Salita Sperone 31, 98166 Sant’Agata (ME), Messina, Italy. Tel.: +39 090 3977248; fax: +39 090 3977464.

Received 31 August 2005 ,Revised 18 January 2006 ,Accepted 20 January 2006.

References 

  1. Eveleigh RJ. A review of biomechanical studies of intramedullary nails. Med Eng Phys. 1995;17:323–331
  2. Guyton JL. Fractures of hip, acetabulum, and pelvis. In:  Canale ST editors. Campbell's operative orthopaedics. 9th ed.. St. Louis: Mosby; 1998;p. 2181–2276
  3. Rosenblum SF, Zuckerman JD, Kummer FJ, Tam BS. A biomechanical evaluation of the Gamma nail. J Bone Joint Surg. 1992;74:352–357
  4. Boriani S, et al. Results of the multicentre Italian experience on the Gamma nail—a report on 648 cases. Orthopaedics. 1991;14:1307–1314
  5. Haynes RC, Poll RG, Miles AW, Weston RB. An experimental study of the failure modes of the Gamma nail and AO dynamic hip screw under static loading: a cadaveric study. Med Eng Phys. 1997;19:446–453
  6. Haynes RC, Poll RG, Miles AW, Weston RB. Failure of femoral head fixation: a cadaveric analysis of lag screw cut-out with the Gamma locking nail and AO dynamic hip screw. Injury. 1997;29:337–341
  7. Kawaguchi S, Sawada K, Nabeta Y. Cutting-out of the lag screw after internal fixation with the Asiatic Gamma nail. Injury. 1998;29:47–53
  8. Vicario C, Marco F, Ortega L, Alcobendas M, Dominguez I, López-Durán L. Necrosis of the femoral head after fixation of trochanteric fractures with Gamma locking nail. A cause of late mechanical failure. Injury. 2003;34:129–134
  9. Butt MS, Krikler SJ, Nafie S, Ali MS. Comparison of dynamic hip screw and Gamma nail: a prospective, randomized, controlled trial. Injury. 1995;26:615–618
  10. Lacroix H, Arwert H, Snijders CJ, Fortune WPJ. Prevention of fracture at the distal locking site of the Gamma nail. J Bone Joint Surg. 1995;77:274–276
  11. Gaebler C, Tschegg SS, Tschegg EK, Kukla C, Menth-Chiari WA, Wozasek GE, et al. Implant failure of the Gamma nail. Injury. 1999;30:91–99
  12. Pervez H, Parker MJ. Results of the long Gamma nail for complex proximal femoral fractures. Injury. 2001;32:704–707
  13. Wang CJ, Brown CJ, Yettram AL, Procter P. Intramedullary femoral nails: one or two lag screws? A preliminary study. Med Eng Phys. 2000;22:613–624
  14. Sitthiseripratip K, Van Oosterwyck H, Vander Sloten J, Mahaisavariya B, Bohez ELJ, Suwanprateeb J, et al. Finite element study of trochanteric Gamma nail for trochanteric fracture. Med Eng Phys. 2003;25:99–106
  15. Hardy DCR, Descamps PY, Krallis P, Fabeck L, Smets P, Bertens CL, et al. Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. J Bone Joint Surg. 1998;80A(5):618–630
  16. Van den Brink WA, Janssen IMC. Failure of the Gamma nail in a highly unstable proximal femur fracture: report of four cases encountered in The Netherlands. J Orthop Trauma. 1995;9:53–56
  17. Kukla C, Pichl W, Prokesch R, Jacyniak W, Heinze G, Gatterer R, et al. Femoral neck fracture after removal of the standard Gamma interlocking nail: a cadaveric study to determine factors influencing the biomechanical properties of the proximal femur. J Biomech. 2001;34:1519–1526
  18. Brown CJ, Wang CJ, Yettram AL, Procter P. Intramedullary nails with two lag screws. Clin Biomech. 2004;19:519–525
  19. Filardi V, Guglielmino E, Montanini R. Experimental and numerical analysis of Gamma nail implants for trochanteric femoral fractures. In:  Pappalettere C editors. Proceedings of the 12th International Conference on Experimental Mechanics. Bari, Italy: McGraw-Hill; 2004;p. 78–79
  20. Wang CJ, Yettram AL, Yao MS, Procter P. Finite element analysis of a Gamma nail within a fractured femur. Med Eng Phys. 1998;20:677–683
  21. Wang CJ, Brown CJ, Yettram AL, Procter P. Intramedullary nails: some design features of the distal end. Med Eng Phys. 2003;25:789–794
  22. Schipper IB, Bresina S, Wahl D, Linke B, van Vugt AB, Schneider E. Biomechanical evaluation of the proximal femoral nail. Clin Orthop. 2002;405:277–286
  23. Bergmann G, Craichen F, Rohlmann A. Hip joint loading during walking and running measured in two patients. J Biomech. 1993;26:969–990
  24. Montanini R, Filardi V, La Rosa F. Mechanical testing of synthetic femora: measurement of the spatial orientation by real-time video tracking. In:  Pappalettere C editors. Proceedings of the 12th International Conference on Experimental Mechanics. Bari, Italy: McGraw-Hill; 2004;p. 56–57
  25. Szivek JA, Benjamin JB, Anderson PL. An experimental method for the application of lateral muscle loading and its effect on femoral strain distributions. Med Eng Phys. 2000;22:109–116
  26. Bergmann G, Deuretzbacher G, Heller M, Graichen F, Rohlmann A, Strauss J, et al. Hip contact forces and gait patterns from routine activities. J Biomech. 2001;34:859–871
  27. Britton JR, Walsh LA, Prendergast PJ. Mechanical simulation of muscle loading on the proximal femur: analysis of cemented femoral component migration with and without muscle loading. Clin Biomech. 2003;18:637–646
  28. Cristofolini L, Viceconti M, Cappello A, Toni A. Mechanical validation of whole bone composite femur models. J Biomech. 1996;29:525–535

PII: S1350-4533(06)00025-7

doi: 10.1016/j.medengphy.2006.01.010

Medical Engineering & Physics
Volume 29, Issue 1 , Pages 38-47 , January 2007