PMID- 31455504
OWN - NLM
STAT- MEDLINE
DCOM- 20200721
LR  - 20200721
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 50
IP  - 11
DP  - 2019 Nov
TI  - Medial anatomical buttress plate in treating displaced femoral neck fracture a 
      finite element analysis.
PG  - 1895-1900
LID - S0020-1383(19)30497-8 [pii]
LID - 10.1016/j.injury.2019.08.024 [doi]
AB  - BACKGROUND: Displaced femoral neck fractures in young adults are most likely to 
      result from high energy trauma that causes a vertically-oriented shearing injury 
      through the femoral neck. The optimal strategy for treatment of displaced femoral 
      neck fractures remains an unsolved challenge in orthopedic surgery. METHODS: our 
      group has previously designed a medial anatomical buttress plate (MABP) based on 
      the analysis of the computed tomography (CT) data of anatomical structures 
      derived from a large sample population. In this study, finite element analyses 
      (FEA) were carried out to compare the outcomes of the combination of our MABP 
      with cannulated screws to those of the combination of tubular plate with 
      cannulated screws, and to those of using cannulated screws alone. RESULTS: MABP 
      resulted in a more stable fixation as compared to the other two approaches, with 
      respect to the femur and the stress distributions, stress peaks, and Z axis 
      displacements. CONCLUSIONS: The FEA encouraged us that addition of a medial 
      buttress plate not only achieved superior medial buttress stability but also 
      achieves superior performance because it perfectly fits with the existing 
      anatomic structure of medial femoral neck. The results from our study may provide 
      references for clinical decision making in dealing with such patients.
CI  - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
FAU - Li, Jia
AU  - Li J
AD  - Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China. 
      Electronic address: leejia301@163.com.
FAU - Yin, Pengbin
AU  - Yin P
AD  - Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China. 
      Electronic address: yinpengbin@gmail.com.
FAU - Zhang, Licheng
AU  - Zhang L
AD  - Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China. 
      Electronic address: zhanglcheng218@126.com.
FAU - Chen, Hua
AU  - Chen H
AD  - Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China. 
      Electronic address: chenhua0270@126.com.
FAU - Tang, Peifu
AU  - Tang P
AD  - Department of Orthopedics, Chinese PLA General Hospital, Beijing 100853, China. 
      Electronic address: pftang301@163.com.
LA  - eng
PT  - Journal Article
DEP - 20190819
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Artificial Organs
MH  - Biomechanical Phenomena
MH  - *Bone Plates
MH  - Bone and Bones
MH  - Femoral Neck Fractures/*surgery
MH  - *Finite Element Analysis
MH  - Fracture Fixation, Internal/instrumentation/*methods
MH  - Humans
MH  - Stress, Mechanical
MH  - Tensile Strength
OTO - NOTNLM
OT  - Displaced femoral neck fractures
OT  - Finite element analysis (FEA)
OT  - Medial anatomical buttress plate (MABP)
OT  - Tubular plate (TP)
EDAT- 2019/08/29 06:00
MHDA- 2020/07/22 06:00
CRDT- 2019/08/29 06:00
PHST- 2019/03/19 00:00 [received]
PHST- 2019/08/17 00:00 [accepted]
PHST- 2019/08/29 06:00 [pubmed]
PHST- 2020/07/22 06:00 [medline]
PHST- 2019/08/29 06:00 [entrez]
AID - S0020-1383(19)30497-8 [pii]
AID - 10.1016/j.injury.2019.08.024 [doi]
PST - ppublish
SO  - Injury. 2019 Nov;50(11):1895-1900. doi: 10.1016/j.injury.2019.08.024. Epub 2019 
      Aug 19.