LU Hui, et al. Two I.CO.S.s and general cannulated compression screw in femoral neck fracture fixation:a biomechanical comparison of 2 different configurations[J]. Journal of Chongqing Medical University, 2011,36(4):462-465.
LU Hui, et al. Two I.CO.S.s and general cannulated compression screw in femoral neck fracture fixation:a biomechanical comparison of 2 different configurations[J]. Journal of Chongqing Medical University, 2011,36(4):462-465. DOI: 10.13406/j.cnki.cyxb.2011.04.019.
Objective:To explore the biomechanical stability for treatment of femoral neck fracture with ideal compression screw(I.CO.S.)and to provide theoretical basis for choosing appropriate geometric configurations of two I.CO.S.s in clinical application.Methods:20 cadaveric human femurs were selected and divided randomly into two groups:experiment group and control group
10 in each one which was then divided equally into two sub-groups.The model of subcapital femoral neck fracture was made
then given anatomical reduction and fixed with I.CO.S.(experiment group)and general cannulated compression screw(control group)separately with two different configurations:horizontal one(parallel screws in superior as pect of femoral neck)and vertical one(parallel screws in sagittal plane of femoral neck).The different biomechanical performances were evaluated through experimental stress analysis.Results:In biomechanical stability aspect
I.CO.S.was better than general screw in the horizontal displacement and yield load;the horizontal one was better than the vertical one in respect of the straining
horizontal displacement and yield load.Conclusion:There exists good biomechanical stability for treatment of femoral neck fracture with I.CO.S.
and the horizontal I.CO.S.internal fixation with higher stability can be used for treatment of femoral neck fracture.