Nail Length in the Management of Intertrochanteric Fracture of the Femur.

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Abstract

[Indexed for MEDLINE] 9. Acta Ortop Bras. 2023 Jun 9;31(spe2):e260008. doi: 10.1590/1413-785220233102e260008. eCollection 2023. FLEXIBLE INTRAMEDULLARY NAILS IN PEDIATRIC SUBTROCHANTERIC FEMUR FRACTURE: BIOMECHANICAL STUDY. Cruz MAF(1)(2), Battaglion LR(3), Volpon JB(4). Author information: (1). Universidade de São Paulo, Escola de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil. (2). Universidade Tiradentes, Aracaju, SE, Brazil. (3). Universidade de São Paulo, Escola de Medicina de Ribeirão Preto, Bioengineering Laboratory, Ribeirão Preto, SP, Brazil. (4). Universidade de São Paulo, Escola de Medicina de Ribeirão Preto, Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brazil. OBJECTIVE: Evaluate the stability provided by two flexible intramedullary nails (FINs) in a simulation of fractures at the proximal levels in pediatric femur models. METHODS: Two FINs were inserted in 18 synthetic models of pediatric femurs. Fractures were simulated at one of three levels, and the models were divided into the following groups (n=6): diaphysis (control), subtrochanteric and trochanteric. Flex-compression tests were performed with force up to 85 N. Relative stiffness and the average deformation was obtained. Torsion tests were performed by rotating the proximal fragment until 20°, to obtain the average torque. RESULTS: At flex-compression, the set's average relative stiffness and average deformations were: 54.360x103 N/m and 1.645 mm in the control group, respectively. In the subtrochanteric group, the relative stiffness was 31.415x103 N/m (-42.2%) and the deformation was 2.424 mm (+47.3%) (p