SavedAdd your journal

Journals / Turkish Journal of Medical Sciences / 2013 / Cilt: 43 - Sayı: 1

Amount of lateral cortex loss in the femur while inserting a DHS-plate

Mahmut Nedim AYTEKİN
Ali Fırat ESMER
Necdet SAĞLAM
Fuat AKPINAR
Fatih KÜÇÜKDURMAZ
Pages
18–21
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

New mechanical studies may be needed to show the amount of lateral cortex loss that leads to the fracture.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Although many anatomic, morphologic, and radiologic studies have been carried out for the femur as for all other bones of the skeletal system, we could not find any morphometric study to guide orthopedic surgeons on dynamic hip screw-plate (DHS-plate) applications of the proximal femur.
📊
Key Findings & Data:Materials and methods: The lateral cortex width of 125 adult, dry, and grossly intact right and left cadaver femora was measured for the region of the femur in which the DHS-plate was applied, and the results were analyzed statistically.
💡
Conclusion & Impact:New mechanical studies may be needed to show the amount of lateral cortex loss that leads to the fracture.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Key words: DHS-plate · lateral cortex · proximal femur

Abstract

Although many anatomic, morphologic, and radiologic studies have been carried out for the femur as for all other bones of the skeletal system, we could not find any morphometric study to guide orthopedic surgeons on dynamic hip screw-plate (DHS-plate) applications of the proximal femur. Materials and methods: The lateral cortex width of 125 adult, dry, and grossly intact right and left cadaver femora was measured for the region of the femur in which the DHS-plate was applied, and the results were analyzed statistically. Results: The mean value of the proximal lateral cortex width of the femora was 27.63 mm. While inserting the DHS-plate, 45.24% of the mean width of the lateral cortex was lost. Conclusion: In this study we demonstrated the amount of lateral cortex loss in the femur while inserting a DHS-plate. New mechanical studies may be needed to show the amount of lateral cortex loss that leads to the fracture.

Özet

Although many anatomic, morphologic, and radiologic studies have been carried out for the femur as for all other bones of the skeletal system, we could not find any morphometric study to guide orthopedic surgeons on dynamic hip screw-plate (DHS-plate) applications of the proximal femur. Materials and methods: The lateral cortex width of 125 adult, dry, and grossly intact right and left cadaver femora was measured for the region of the femur in which the DHS-plate was applied, and the results were analyzed statistically. Results: The mean value of the proximal lateral cortex width of the femora was 27.63 mm. While inserting the DHS-plate, 45.24% of the mean width of the lateral cortex was lost. Conclusion: In this study we demonstrated the amount of lateral cortex loss in the femur while inserting a DHS-plate. New mechanical studies may be needed to show the amount of lateral cortex loss that leads to the fracture.

🔖

Cite This Article

AYTEKİN, M. N., ESMER, A. F., SAĞLAM, N., AKPINAR, F., KÜÇÜKDURMAZ, F. (2022). Amount of lateral cortex loss in the femur while inserting a DHS-plate. Turkish Journal of Medical Sciences, Cilt: 43 - Sayı: 1, 18–21. https://ajindex.com/articles/611020

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Alobaid A, Harvey EJ, Elder GM, Lander P, Guy P, Reindl R. Minimally invasive dynamic hip screw: prospective randomized trial of two techniques of insertion of a standard dynamic fixation device. J Orthop Trauma 2004; 18: 207–12.
  2. Yih-Shiunn L, Chien-Rae H, Wen-Yun L. Surgical treatment of undisplaced femoral neck fractures in the elderly. Int Orthop 2007; 31: 677–82. Verhofstad MH, van der Werken C. DHS osteosynthesis for stable pertrochanteric femur fractures with a two-hole side plate. Injury 2004; 35: 999–1002.
  3. Said GZ, Farouk O, El-Sayed A, Said HG. Salvage of failed dynamic hip screw fixation of intertrochanteric fractures. Injury 2006; 37: 194–202.
  4. Atalar H, Aytekin MN, Gunay C, Yavuz OY. Stress fracture of the femoral neck as a complication of revision arthroplasty of the knee: a case report, Acta Orthop Belg 2008; 74: 418–20.
  5. Stiehl JB, Jacobson D, Carrera G. Morphological analysis of the proximal femur using quantitative computed tomography. Int Orthop 2007; 31: 287–92.
  6. Irdesel J, Ar I. The relationship between the proximal femur morphometry and bone mineral density in Turkish women. Minerva Med 2006; 97: 153–9.
  7. Laine HJ, Lehto MU, Moilanen T. Diversity of proximal femoral medullary canal. J Arthroplasty 2000; 15: 86–92.
  8. Uğurlu M, Yılmaz S, Deveci A, Ünlü S, Tunç B, Üstü Y et al. The epidemiologic characteristics of patients that underwent surgery for hip fracture. Turk J Med Sci 2012; 42: 299–305.
  9. Bağıs S, Adam M, Leblebici ÜB, Karataş M, Güven AZ, Çeliker AR. Sciatic nerve injury due to intramuscular injection: electrophysiological findings and one-year follow-up. Turk J Med Sci 2012; 42: 913–7.