Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis
Abstract Objective The purpose of this study was to compare the biomechanical and clinical results of two surgical methods for the treatment of vertical femoral neck fractures: Femoral neck system (FNS) and traditional three cannulated cancellous screws (CCS). Methods First, we developed three diffe...
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| Format: | Article |
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BMC
2023-03-01
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| Series: | BioMedical Engineering OnLine |
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| Online Access: | https://doi.org/10.1186/s12938-023-01083-1 |
| _version_ | 1797864049731436544 |
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| author | Shaolong Huang Yazhong Zhang Xu Zhang Chengqiang Zhou Wenbo Li Yunqing Wang Bin Wang Ziqiang Zhu |
| author_facet | Shaolong Huang Yazhong Zhang Xu Zhang Chengqiang Zhou Wenbo Li Yunqing Wang Bin Wang Ziqiang Zhu |
| author_sort | Shaolong Huang |
| collection | DOAJ |
| description | Abstract Objective The purpose of this study was to compare the biomechanical and clinical results of two surgical methods for the treatment of vertical femoral neck fractures: Femoral neck system (FNS) and traditional three cannulated cancellous screws (CCS). Methods First, we developed three different vertical femoral neck fracture models for the finite element analysis, with angles of 55°, 65°, and 75°, respectively. Two experimental groups were set up: the FNS group and the CCS group. Each fracture group was tested under axial loads of 2100 N to measure the femur's displacement, Von Mises stress (VMS), and its internal fixation components. Secondly, we retrospectively included the cases of vertical femoral neck fractures with FNS and CCS in our hospital from May 2019 to May 2021. In this study, we compared the duration of intraoperative fluoroscopy, operative time, hospital stay, fracture healing time, Hemoglobin loss, Harris score of hip joint function, and postoperative complications among patients undergoing hip joint replacement. Results In terms of finite element analysis, FNS has better anti-displacement stability than CCS at 55°and 65°, while FNS is greater than CCS in Von Mises stress. Clinically, we followed up on 87 patients for an average of 12 months. FNS was superior to traditional CCS in fracture healing time, operation time, fluoroscopy duration, fracture healing time, and Harris hip function score. Conclusion FNS is superior to traditional CCS in biomechanical and clinical aspects of treating vertical femoral neck fractures. There is potential for FNS to become a new treatment option for vertical femoral neck fractures. |
| first_indexed | 2024-04-09T22:46:24Z |
| format | Article |
| id | doaj.art-e2dfca3f867d487b8b45636cca80cc79 |
| institution | Directory Open Access Journal |
| issn | 1475-925X |
| language | English |
| last_indexed | 2024-04-09T22:46:24Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BioMedical Engineering OnLine |
| spelling | doaj.art-e2dfca3f867d487b8b45636cca80cc792023-03-22T11:53:29ZengBMCBioMedical Engineering OnLine1475-925X2023-03-0122111210.1186/s12938-023-01083-1Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysisShaolong Huang0Yazhong Zhang1Xu Zhang2Chengqiang Zhou3Wenbo Li4Yunqing Wang5Bin Wang6Ziqiang Zhu7Department of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityDepartment of Orthopedics, The Second Affiliated Hospital of Xuzhou Medical UniversityAbstract Objective The purpose of this study was to compare the biomechanical and clinical results of two surgical methods for the treatment of vertical femoral neck fractures: Femoral neck system (FNS) and traditional three cannulated cancellous screws (CCS). Methods First, we developed three different vertical femoral neck fracture models for the finite element analysis, with angles of 55°, 65°, and 75°, respectively. Two experimental groups were set up: the FNS group and the CCS group. Each fracture group was tested under axial loads of 2100 N to measure the femur's displacement, Von Mises stress (VMS), and its internal fixation components. Secondly, we retrospectively included the cases of vertical femoral neck fractures with FNS and CCS in our hospital from May 2019 to May 2021. In this study, we compared the duration of intraoperative fluoroscopy, operative time, hospital stay, fracture healing time, Hemoglobin loss, Harris score of hip joint function, and postoperative complications among patients undergoing hip joint replacement. Results In terms of finite element analysis, FNS has better anti-displacement stability than CCS at 55°and 65°, while FNS is greater than CCS in Von Mises stress. Clinically, we followed up on 87 patients for an average of 12 months. FNS was superior to traditional CCS in fracture healing time, operation time, fluoroscopy duration, fracture healing time, and Harris hip function score. Conclusion FNS is superior to traditional CCS in biomechanical and clinical aspects of treating vertical femoral neck fractures. There is potential for FNS to become a new treatment option for vertical femoral neck fractures.https://doi.org/10.1186/s12938-023-01083-1Femoral neck systemCannulated cancellous screwsVertical femoral neck fractureFinite element analysisSurgical fixation devices |
| spellingShingle | Shaolong Huang Yazhong Zhang Xu Zhang Chengqiang Zhou Wenbo Li Yunqing Wang Bin Wang Ziqiang Zhu Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis BioMedical Engineering OnLine Femoral neck system Cannulated cancellous screws Vertical femoral neck fracture Finite element analysis Surgical fixation devices |
| title | Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis |
| title_full | Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis |
| title_fullStr | Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis |
| title_full_unstemmed | Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis |
| title_short | Comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures: clinical observation and finite element analysis |
| title_sort | comparison of femoral neck system and three cannulated cancellous screws in the treatment of vertical femoral neck fractures clinical observation and finite element analysis |
| topic | Femoral neck system Cannulated cancellous screws Vertical femoral neck fracture Finite element analysis Surgical fixation devices |
| url | https://doi.org/10.1186/s12938-023-01083-1 |
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