Biomechanical evaluation of novel intra- and extramedullary assembly fixation for proximal humerus fractures in the elderly

Autor: Zhengguo Zhu, Zuhao Chang, Wei Zhang, Hongzhe Qi, Hao Guo, JiaQi Li, Lin Qi, Shaobo Nie, Peifu Tang, Yonghui Liang, Xing Wei, Hua Chen
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Bioengineering and Biotechnology, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2296-4185
DOI: 10.3389/fbioe.2023.1182422
Popis: Purpose: A novel intra- and extramedullary assembly fixation method was introduced, which achieved good clinical results in complex proximal humeral fractures; however, evidence of its comparability with traditional fixation is lacking. This biomechanical study aimed to compare it with traditional fixation devices in osteoporotic proximal humeral fractures.Methods: Three-part proximal humeral fractures with osteopenia were created on 12 pairs of fresh frozen humerus specimens and allocated to three groups: 1) lateral locking plate, 2) intramedullary nail, and 3) intra- and extramedullary assembly fixation. The specimens were loaded to simulate the force at 25° abduction. Thereafter, an axial stiffness test and a compound cyclic load to failure test were applied. Structural stiffness, number of cycles loaded to failure, and relative displacement values at predetermined measurement points were recorded using a testing machine and a synchronized 3D video tracking system.Results: In terms of initial stiffness and the number of cycles loaded to failure, the intra- and extramedullary assembly fixation group showed notable improvements compared to the other groups (p
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