Objective: To evaluate the biomechanical behavior of a metaphyseal stem specifically designed for the fixation of Pauwels type-III femoral neck fractures using finite-element analysis.
Methods: Three different constructions were studied: the dynamic hip screw with a superior anti-rotation screw (DHS + ARS), multiple cannulated screws in an inverted triangle configuration (ASNIS), and the Metaphyseal Nailing System (MNS), a new implant developed by the authors. Vertical and total displacement, localized and total maximum and minimum principal, and the Von Mises peak stresses were evaluated.
Objective: To evaluate, through biomechanical testing, the resistance to and energy required for the occurrence of proximal femoral fracture in synthetic bone after removal of a proximal femoral nail model (PFN), comparing the results obtained with a reinforcement technique using polymethylmethacrylate (PMMA).
Methods: Fifteen synthetic bones were used: five units for the control group (CG), five for the test group without reinforcement (TGNR), and five for the test group with reinforcement (TGR). The biomechanical analysis was performed simulating a fall on the trochanter using a servo-hydraulic machine.
Objective: To analyze statistically results obtained between biomechanical assays on fixation of femoral neck fracture type Pauwels III, on synthetic bone, using 7.5 mm non parallel cannulated screws and control group.
Methods: Ten synthetic bones from a national brand were used.
Objective: To analyze the in vitro mechanical strength of the DHS-AF(®).
Methods: We evaluated the in vitro resistance of a sliding bolt modified by the addition of a connector system, DHS-AF(®).
Results: The changes performed by the authors allow the exchange by the surgeon of the sliding bolt without the need to remove the plate and disassemble the entire device to reposition it properly.