Nickel-titanium Shape-memory Sawtooth-arm Embracing Fixator for Periprosthetic Femoral Fractures

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2011 Aug 2

PMID 21805070

Citations 10

Authors

Xin Zhao

Zhen-An Zhu

Yue-Hua Sun

You Wang

Jie Zhao

Yi-Jun Zhang

Ke-Rong Dai

Affiliations

Soon will be listed here.

Abstract

Purpose: We reviewed data to determine outcomes for 21 consecutive Vancouver type B1 or type C periprosthetic fractures that we treated between 2001 and 2008 using a nickel-titanium shape-memory sawtooth-arm embracing fixator.

Methods: The study participants were 12 men and 9 women (mean age, 70.8 years; range, 42-85 years). The average duration of follow-up monitoring was 39.7 months (range, 1-78 months). In five cases, cables and screws were used for further stabilisation. No bone grafting was performed for any of the patients.

Results: Results were satisfactory, except for one patient who died one month after surgery from a cause unrelated to arthroplasty. Bone union was achieved in the remaining 20 cases within an average of 5.25 months. No implant failures or malunions occurred in any of the patients. The average Harris hip score at the final follow-up examination was 79.3 points.

Conclusions: Our results show that the embracing fixator is a valid alternative treatment for Vancouver type B1 or type C periprosthetic femoral fractures.

Citing Articles

Pilot study on the feasibility of shape memory alloy implantation for Vancouver type B1 periprosthetic femoral fractures in a canine model: a step toward advancing treatment modalities.

Kim H, Kang K, Chekalkin T, Park J, Chung H, Kang B J Orthop Surg Res. 2024; 19(1):510.

PMID: 39192290 PMC: 11348569. DOI: 10.1186/s13018-024-05011-4.

Unstable Vancouver B1 periprosthetic femoral fracture fixation: A biomechanical comparison between a novel C-shaped memory alloy implant and cerclage wiring.

Oh S, Suh Y, Eghan-Acquah E, Yurevich K, Won S, Baek M J Int Med Res. 2024; 52(3):3000605241240946.

PMID: 38534086 PMC: 10981230. DOI: 10.1177/03000605241240946.

Multifunctional coatings of nickel-titanium implant toward promote osseointegration after operation of bone tumor and clinical application: a review.

Du T, Liu J, Dong J, Xie H, Wang X, Yang X Front Bioeng Biotechnol. 2024; 12:1325707.

PMID: 38444648 PMC: 10912669. DOI: 10.3389/fbioe.2024.1325707.

Shape-memory sawtooth-arm embracing clamp used in complex femoral revision hip arthroplasty for stem stability: average 9-year follow-up study.

Hu Y, Xu Z, Qiao H, Kong K, Li H, Zhang J BMC Musculoskelet Disord. 2023; 24(1):970.

PMID: 38102625 PMC: 10722768. DOI: 10.1186/s12891-023-07080-8.

[Effectiveness of shape memory alloy embracing device in treatment of Vancouver B2 periprosthetic femoral fracture].

Li Y, Chen Y, Kong N, Tian R, Wang K, Yang P Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022; 36(10):1244-1248.

PMID: 36310461 PMC: 9626263. DOI: 10.7507/1002-1892.202204128.

References

Dai K, Chu Y . Studies and applications of NiTi shape memory alloys in the medical field in China. Biomed Mater Eng. 1996; 6(4):233-40. View

Sandhu R, Avramidis K, Johnson-Nurse C . Dall-Miles cable and plate fixation system in the treatment of periprosthetic femoral fractures: a review of 20 cases. J Orthop Surg (Hong Kong). 2005; 13(3):259-66. DOI: 10.1177/230949900501300308. View

Kaab M, Stockle U, Schutz M, Stefansky J, Perka C, Haas N . Stabilisation of periprosthetic fractures with angular stable internal fixation: a report of 13 cases. Arch Orthop Trauma Surg. 2005; 126(2):105-10. DOI: 10.1007/s00402-005-0075-4. View

Chakravarthy J, Bansal R, Cooper J . Locking plate osteosynthesis for Vancouver Type B1 and Type C periprosthetic fractures of femur: a report on 12 patients. Injury. 2007; 38(6):725-33. DOI: 10.1016/j.injury.2007.02.038. View

Kumar V, Kanabar P, Owen P, Rushton N . Less invasive stabilization system for the management of periprosthetic femoral fractures around hip arthroplasty. J Arthroplasty. 2008; 23(3):446-50. DOI: 10.1016/j.arth.2007.01.028. View

Kobbe P, Klemm R, Reilmann H, Hockertz T . Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up. Injury. 2008; 39(4):472-9. DOI: 10.1016/j.injury.2007.10.034. View

Liu X, Xu S, Zhang C, Su J, Yu B . Application of a shape-memory alloy internal fixator for treatment of acetabular fractures with a follow-up of two to nine years in China. Int Orthop. 2009; 34(7):1033-40. PMC: 2989048. DOI: 10.1007/s00264-009-0867-1. View

Mukundan C, Rayan F, Kheir E, MacDonald D . Management of late periprosthetic femur fractures: a retrospective cohort of 72 patients. Int Orthop. 2009; 34(4):485-9. PMC: 2903154. DOI: 10.1007/s00264-009-0815-0. View

Miura F, Mogi M, Ohura Y, Hamanaka H . The super-elastic property of the Japanese NiTi alloy wire for use in orthodontics. Am J Orthod Dentofacial Orthop. 1986; 90(1):1-10. DOI: 10.1016/0889-5406(86)90021-1. View

10.

Tsiridis E, Haddad F, Gie G . Dall-Miles plates for periprosthetic femoral fractures. A critical review of 16 cases. Injury. 2003; 34(2):107-10. DOI: 10.1016/s0020-1383(02)00161-4. View

11.

Ahuja S, Chatterji S . The Mennen femoral plate for fixation of periprosthetic femoral fractures following hip arthroplasty. Injury. 2002; 33(1):47-50. DOI: 10.1016/s0020-1383(01)00112-7. View

12.

Venu K, Koka R, Garikipati R, Shenava Y, Madhu T . Dall-Miles cable and plate fixation for the treatment of peri-prosthetic femoral fractures-analysis of results in 13 cases. Injury. 2001; 32(5):395-400. DOI: 10.1016/s0020-1383(01)00009-2. View

13.

Dai K, Ni C, Wu X . [An experimental study and preliminary clinical report of shape-memory sawtooth-arm embracing internal fixator]. Zhonghua Wai Ke Za Zhi. 1994; 32(10):629-32. View

14.

Tadross T, Nanu A, BUCHANAN M, Checketts R . Dall-Miles plating for periprosthetic B1 fractures of the femur. J Arthroplasty. 2000; 15(1):47-51. DOI: 10.1016/s0883-5403(00)91129-x. View

15.

Noorda R, Wuisman P . Mennen plate fixation for the treatment of periprosthetic femoral fractures: a multicenter study of thirty-six fractures. J Bone Joint Surg Am. 2002; 84(12):2211-5. DOI: 10.2106/00004623-200212000-00013. View

16.

Ricci W, Bellabarba C, Evanoff B, Herscovici D, Dipasquale T, Sanders R . Retrograde versus antegrade nailing of femoral shaft fractures. J Orthop Trauma. 2001; 15(3):161-9. DOI: 10.1097/00005131-200103000-00003. View

17.

Kujala S, Ryhanen J, Jamsa T, Danilov A, Saaranen J, Pramila A . Bone modeling controlled by a nickel-titanium shape memory alloy intramedullary nail. Biomaterials. 2002; 23(12):2535-43. DOI: 10.1016/s0142-9612(01)00388-x. View

18.

Brady O, Garbuz D, Masri B, Duncan C . The reliability and validity of the Vancouver classification of femoral fractures after hip replacement. J Arthroplasty. 2000; 15(1):59-62. DOI: 10.1016/s0883-5403(00)91181-1. View