To investigate the effects of augmentation with bone cement on the biomechanics of the dynamic hip screw (DHS) fixation in the intertrochanteric fracture specimen that has a normal bone density.MethodsTwentyfour matched pairs of the embalmed male upper femora (48sides) were used to make the specimens of the intertrochanteric fracture of Type A2. All the specimens were fixed with DHS. The right femur specimen from each pair was fixed by augmentation with DHS (the augmentation group) and the left femur specimen was fixed with the conventional fixation (the control group). Thebiomechanical tests on the bending stiffness and the torsional stiffness were performed with the servohydraulic testing machine in the two groups.ResultsThe maximum load and the maximum torque were 3 852.160 2±143.603 1 N and 15.5±2.6 Nm in the augmentation group and 3 702.966 7±133.860 1 N and 14.7±3.4 Nm in the control group. There was no significant difference in the biomechanical effects between the two groups (P>0.05). Conclusion The augmenting fixation with bone cement in the intertrochanteric fracture specimen with a normal bone density has no significant effect on the strength of the DHS augmentation or on the overall stability of the fractured bone.
Citation: LI Ning,PENG Aqin,CHAI Yi,et al.. BIOMECHANICAL EVALUATION OF DYNAMIC HIP SCREW WITH BONE CEMENT AUGMEN TATION IN NORMAL BONE. Chinese Journal of Reparative and Reconstructive Surgery, 2007, 21(12): 1299-1301. doi: Copy