The effect of orthopedic screw profiles on the healing time of femoral neck fracture

Comput Methods Biomech Biomed Engin. 2022 Jan;25(1):97-110. doi: 10.1080/10255842.2021.1932840. Epub 2021 Aug 28.

Abstract

One possible treatment for femoral neck fractures, especially in young people, is the use of bone screws or Lug screws. The design of these implants requires taking into account the biocompatibility of materials, mechanical properties plus surface properties, and thread's geometric, as well as chemical properties, etc. Various profiles are designed for fracture fixation. The most famous of these profiles, which are introduced by the ISO standard, are HB, HC, and HD type profiles. This article investigates the performance of these profiles in reducing or increasing the healing time. This study is based on the rule of bone remodeling and using a set of three-dimensional computational (finite element) models. The study revealed that the HB profile outperformed the other two profiles. Meanwhile, HD profile was also better than HC profile.

Keywords: Femoral neck fracture; bone remodeling; bone screws; fracture fixation; healing time.

MeSH terms

  • Adolescent
  • Bone Screws
  • Femoral Neck Fractures* / surgery
  • Finite Element Analysis
  • Fracture Fixation
  • Fracture Fixation, Internal
  • Fracture Healing
  • Humans