To date, there is no evidence that internal anti-rotation configurations are better than external ones. As part of a study to clarify the features and advantages of internal anti-rotation configurations, the objective of the present investigation was to compare and evaluate the marginal fit and size of microgap at the implant-abutment interface for several external and internal anti-rotation configurations. To this end, three internal connection and two external hex connection implant-abutment assemblies were examined in this study. The implant-abutment interface (I-A interface) was evaluated using three geometrical factors: vertical and horizontal discrepancies and size of microgap. Marginal fit and microgap size were measured by a scanning laser microscope. The I-A interface was also observed using a scanning electron microscope. Mean vertical discrepancy ranged from 22.6 to 62.2 microm, while horizontal discrepancy ranged from -27.1 to 16.0 microm. The microgap values of all I-A interfaces assessed in this study ranged from 2.3 to 5.6 microm. In conclusion, SEM images of I-A interface suggested no relationship between the geometrical factors and the type of anti-rotation configuration.
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http://dx.doi.org/10.4012/dmj.27.29 | DOI Listing |
Medicine (Baltimore)
November 2024
Department of Orthopedics, The First People's Hospital of Longquanyi District, Chengdu, Sichuan, China.
The aim was to study the independent risk factors of internal fixation failure in proximal femoral anti-rotation intramedullary nailing for intertrochanteric femur fracture, and to build a nomogram prediction model accordingly. Clinical data of patients with intertrochanteric femoral rotor fractures admitted to the First People's Hospital of Longquanyi District from January 2018 to January 2023 were retrospectively collected. The occurrence of spiral blade cut out, internal fixation breakage, peri-internal fixation fracture, hip internal rotation deformity, and fracture nonunion within 1 year after surgery were included in the internal fixation failure group, and the rest were included in the internal fixation success group.
View Article and Find Full Text PDFInt J Surg Case Rep
January 2025
Resident of Orthopaedics and Traumatology Department, Faculty of Medicine, Universitas Brawijaya - Saiful Anwar General Hospital, Malang, East Java, Indonesia.
Introduction: Hip fractures are common in elderly patients, often accompanied by comorbidities. These fractures can be combined with other injuries, such as a femoral head, neck, or shaft dislocation. The cause of this complex injury is not well-established, but factors like high-energy trauma or falls from a certain height may contribute.
View Article and Find Full Text PDFAm J Transl Res
October 2024
Laboratory, The First Affiliated Hospital of Jinzhou Medical University Jinzhou 121000, Liaoning, China.
Objective: To examine the association of proximal femoral nail anti-rotation (PFNA) and dynamic hip screw (DHS) with bone mineral density T-value (BMDT) in middle-aged and elderly patients suffering from hip fractures.
Methods: Clinical data were collected from 110 patients with hip fractures who underwent internal fixation surgery between October 2020 and June 2021. Patients treated with DHS were included in the control group, and those treated with PFNA were classified into the observation group.
Am J Transl Res
October 2024
Department of Trauma Orthopaedics, Shengli Oilfield Central Hospital Dongying 257034, Shandong, China.
Objective: Intertrochanteric femur fractures are prevalent among the elderly, leading to substantial morbidity. Proximal femoral nail anti-rotation (PFNA) is commonly used for internal fixation, but excessive lateral migration of the PFNA blade poses a significant complication. Understanding the risk factors for this complication is crucial for optimizing patient care.
View Article and Find Full Text PDFZhongguo Gu Shang
October 2024
Department of Orthopaedics, Zhejiang Armed Police Corps Hospital, Hangzhou 310012, Zhejiang, China.
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