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논문 기본 정보

자료유형
학술저널
저자정보
Dae-Hyun Park (Orthopaedic Surgery Inje University Busan Paik Hospital Inje University College of Medicine Busan) Young-Chae Seo (Department of Orthopedic Surgery Inje University Busan Paik Hospital) Yonguk Kwon (Inje University Busan Paik Hospital Busan Korea) Soo-Hwan Jung (Inje University Busan Paik Hospital Inje University College of Medicine) Seung-Jin Yoo (R&D Center IKEY Co. Ltd. Busan Korea)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis 제34권 제1호
발행연도
2022.3
수록면
35 - 44 (10page)

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Purpose: Osteosynthesis has been recommended for treatment of Pauwels type III femoral neck fractures in young patients. However, no implant of choice has been reported so far. This study was conducted in order to compare the fixation stability of two conventional fixation methods with three different novel fixed angle devices in this type of fracture. Materials and Methods: A total of 25 composite femurs (4th Generation Saw bone; Pacific Research Laboratories, USA) corresponding to human bone were used. Pauwels type III fracture type was uniformly reproduced. Specimens were fixed with a cannulated screw, cannulated screw with cable, and Intertan nail, dynamic hip screw, and IKEY nail. Measurement of failure loads and the rotational change of the femoral head fragment was performed for evaluation of fixation stability. Results: All implants were compared with cannulated screw and dynmaic hip screw. No meaningful improve ment was observed for the cannulated screw with cable compared with the cannulated screw and dynamic hip screw. Meaningful improvement in load-to-failure and y-rotation and z-rotation was observed for both the Intertan nail and IKEY nail compared with the cannulated screw. However, compared with the dynamic hip screw, only the IKEY nail showed improvement in the same profile but the Intertan nail did not. Conclusion: Among novel fixed angle devices, meaningful improvement was observed for the IKEY nail com pared with conventional implants. Strengths of this implant include biomechanical stability and simplicity of sur gical technique, indicating that it may be another good option for osteosynthesis of Pauwels type III femoral neck fractures.

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