000098489 001__ 98489
000098489 005__ 20220405150415.0
000098489 0247_ $$2doi$$a10.1016/j.injury.2020.02.010
000098489 0248_ $$2sideral$$a116001
000098489 037__ $$aART-2020-116001
000098489 041__ $$aeng
000098489 100__ $$0(orcid)0000-0002-8643-7558$$aHerrera, A.$$uUniversidad de Zaragoza
000098489 245__ $$aComparative analysis of the biomechanical behavior of anterograde/retrograde nailing in supracondylar femoral fractures
000098489 260__ $$c2020
000098489 5060_ $$aAccess copy available to the general public$$fUnrestricted
000098489 5203_ $$aSupracondylar femoral fractures account for a noticeable percentage of the femoral shaft fractures, affecting two etiological groups: high energy trauma in young men, with good bone quality, and older women with osteoporotic femur. Surgical treatment of those kind of fractures remains controversial, with different surgical options such as plate and sliding barrel locking condylar plate, less invasive stabilization system (LISS) or intramedullary nailing, which has emerged as a new fixation choice in the treatment of that type of fractures.
The present work performs a comparative study about the biomechanical behavior of anterograde and retrograde nailing in supracondylar femoral fractures type A, in order to determine the best choice of nailing and locking configuration. A three-dimensional finite element model of the femur was developed, modeling femoral supracondylar fracture and different nailing configurations, both for anterograde and retrograde nails. The study was focused on the immediately post-operative stage, verifying the appropriate stability of the osteosynthesis.
The obtained results show a better biomechanical behavior for anterograde nails, providing a better stability from the point of view of global movements, lower stresses in screws, and less stress concentration in cortical bone. So, for the analyzed fractures and osteosyntheses types, anterograde nailing has demonstrated to be a better surgical option, being an excellent indication in supracondylar fractures of femur, with clear benefits compared to retrograde nailing, providing a better stabilization which enables for a more satisfactory fracture healing.
000098489 536__ $$9info:eu-repo/grantAgreement/ES/MINECO/DPI2016-77745-R
000098489 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000098489 590__ $$a2.586$$b2020
000098489 591__ $$aEMERGENCY MEDICINE$$b12 / 32 = 0.375$$c2020$$dQ2$$eT2
000098489 591__ $$aORTHOPEDICS$$b38 / 82 = 0.463$$c2020$$dQ2$$eT2
000098489 591__ $$aSURGERY$$b96 / 212 = 0.453$$c2020$$dQ2$$eT2
000098489 591__ $$aCRITICAL CARE MEDICINE$$b25 / 36 = 0.694$$c2020$$dQ3$$eT3
000098489 592__ $$a0.966$$b2020
000098489 593__ $$aEmergency Medicine$$c2020$$dQ1
000098489 593__ $$aSurgery$$c2020$$dQ1
000098489 593__ $$aOrthopedics and Sports Medicine$$c2020$$dQ1
000098489 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000098489 700__ $$0(orcid)0000-0003-4489-3130$$aAlbareda, J.$$uUniversidad de Zaragoza
000098489 700__ $$aGabarre, S.
000098489 700__ $$0(orcid)0000-0003-0785-4132$$aIbarz, E.$$uUniversidad de Zaragoza
000098489 700__ $$0(orcid)0000-0002-3613-4209$$aPuértolas, S.$$uUniversidad de Zaragoza
000098489 700__ $$0(orcid)0000-0001-7516-4737$$aMateo, J.$$uUniversidad de Zaragoza
000098489 700__ $$0(orcid)0000-0001-7944-9625$$aGracia, L.$$uUniversidad de Zaragoza
000098489 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia
000098489 7102_ $$15004$$2605$$aUniversidad de Zaragoza$$bDpto. Ingeniería Mecánica$$cÁrea Mec.Med.Cont. y Teor.Est.
000098489 773__ $$g51, Sp.1 (2020), S80-S88$$pInjury$$tInjury$$x0020-1383
000098489 8564_ $$s1369007$$uhttps://zaguan.unizar.es/record/98489/files/texto_completo.pdf$$yPostprint
000098489 8564_ $$s1204593$$uhttps://zaguan.unizar.es/record/98489/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000098489 909CO $$ooai:zaguan.unizar.es:98489$$particulos$$pdriver
000098489 951__ $$a2022-04-05-14:36:38
000098489 980__ $$aARTICLE