Augmenting a dynamic hip screw with a calcium sulfate/hydroxyapatite biomaterial

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Abstract

Internal fixation failure in hip fractures can lead to reoperation. Calcium sulfate/hydroxyapatite (CaS/HA) is a biomaterial that can be used for augmenting fracture fixation. We aimed to determine whether an injection of 2 ml CaS/HA increases the fixation of a dynamic hip screw inserted in synthetic and human trabecular bone. The study consists of two parts: 1) synthetic bone blocks (n = 74), with three subgroups: empty (cannulated screw, no injection), cannulated, and fenestrated; and 2) osteoporotic human femoral heads (n = 29), with the same subgroups. The heads were imaged using µCT. Bone volume fraction, insertion angle, and head diameter were measured. Pullout tests were performed and peak force, stiffness, and work were measured. The fenestrated group showed increases in pullout strength compared to no injection in the synthetic blocks. The cannulated group showed a higher pullout strength in low-density blocks. In the femoral heads, the variation was larger and there were no significant differences between groups. The bone volume fraction correlated with the peak force and work, and the insertion angle correlated with the stiffness. CaS/HA can improve the fixation of a dynamic hip screw. For clinical use, spreading of the material around the threads of the screw must be ensured.

Detaljer

Författare
Enheter & grupper
Externa organisationer
  • Lithuanian University of Health Sciences
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Ortopedi

Nyckelord

Originalspråkengelska
Sidor (från-till)102-109
Antal sidor8
TidskriftMedical Engineering and Physics
Volym92
StatusPublished - 2021 jun
PublikationskategoriForskning
Peer review utfördJa

Relaterad forskningsoutput

Joeri Kok, 2021, Lund: Lunds Universitet/Lunds Tekniska Högskola.

Forskningsoutput: AvhandlingDoktorsavhandling (sammanläggning)

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