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Related Experiment Videos

Pathologic femoral shaft fractures comparing fixation techniques using cement.

J T Anderson, J M Erickson, R C Thompson

    Clinical Orthopaedics and Related Research
    |March 1, 1978
    PubMed
    Summary

    For pathologic femoral shaft fractures, double plating with methylmethacrylate offers superior stability over intramedullary rods. This enhanced fixation allows for immediate pain-free ambulation in patients with extensive bone destruction.

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    Area of Science:

    • Orthopedic Surgery
    • Biomechanical Engineering
    • Materials Science in Medicine

    Background:

    • Pathologic femoral shaft fractures with extensive cortical destruction present significant fixation challenges.
    • Current fixation methods may lack the necessary stability for early weight-bearing.

    Purpose of the Study:

    • To compare the biomechanical stability of two internal fixation techniques for simulated pathologic femoral shaft fractures.
    • To evaluate fixation methods incorporating methylmethacrylate for enhanced stability.

    Main Methods:

    • Simulated pathologic femoral shaft fractures were created via osteotomies in embalmed femora.
    • Fixation was achieved using either intramedullary Schneider rods or 28-hole ASIF plates, both augmented with methylmethacrylate (bone cement).

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  • Specimens were subjected to torsional and bending mechanical testing to failure.
  • Main Results:

    • Plate fixation demonstrated significantly higher torsional strength (71.2 Nm) compared to rod fixation (26.8 Nm).
    • Plate fixation also exhibited superior bending strength (8133.9 N) versus rod fixation (1921.4 N).
    • Double plating with methylmethacrylate provided substantially more stable fixation.

    Conclusions:

    • Double plating with methylmethacrylate is a more stable internal fixation method for pathologic femoral shaft fractures with cortical destruction.
    • This technique facilitates immediate pain-free ambulation, improving patient outcomes.