Biomedical Engineering and Bioengineering Commons^™

Evaluation Of 135- And 150-Degree Sliding Hip Screws, Kelly Blayne Crittenden

Doctoral Dissertations

Sliding hip screws are routinely used to repair Garden III femoral neck factures. This research seeks to better understand the influence of the hip screw angle on the performance of the fixation. The mechanics of fractured femurs repaired with 135- and 150-degree sliding fixation devices are explored using experimental, finite element, and analytical modeling. The experimental study involves testing of both intact and fixated femurs; the finite element work centers on two-dimensional models of intact and fixated femurs; and the analytical modeling explores the forces, moments and stresses in the fixation. The analytical model predicts that the screw will serve …

Focal Osteolysis At The Junctions Of A Modular Stainless-Steel Femoral Intramedullary Nail, Darron M. Jones, Lawrence Marsh, James V. Nepola, Joshua J. Jacobs, Anastasia K. Skipor, Robert M. Urban, Jeremy L. Gilbert, Josheph A. Buckwater

Biomedical and Chemical Engineering - All Scholarship

Background:

During routine follow-up of patients treated with a three-piece stainless-steel modular femoral nail, osteolysis and periosteal reaction around the modular junctions of some of the nails were noted on radiographs. The purpose of this study was to evaluate the prevalence, etiology, and clinical relevance of these radiographic findings.

Methods:

Forty-four femoral fractures or nonunions in forty-two patients were treated with a modular stainless-steel femoral intramedullary nail. Seventeen nails were excluded, leaving twenty-seven intramedullary nails in twenty-seven patients for this study. All patients had had a femoral diaphyseal fracture; nineteen had had an acute fracture and eight, a nonunion. These …