Nonanatomical reduction of femoral neck fractures in young patients with different Pauwels classifications: a retrospective study and finite element analysis
The biomechanical and clinical dominance of positive buttress correlates with Pauwels type. Specifically, Positive buttress is biomechanically stable in Pauwels types I and II. In Pauwels type III, positive buttress is not advantageous. As the Pauwels angle increases, the biomechanical benefit of the positive buttress is lost. Therefore, regardless of the Pauwels classification, negative buttress should be avoided after reduction of femoral neck fractures in young patients.
Authors
- Weidong Sun
- Xuhan Cao (ORCID: https://orcid.org/0000-0002-2427-1193)
- Zixing Bai (ORCID: https://orcid.org/0000-0003-3116-7287)
- Binglang Xiong
- Cheng Zhang (ORCID: https://orcid.org/0000-0003-1512-2820)
- Qingwen Zhang (ORCID: https://orcid.org/0000-0002-5417-2970)
- Ziyan Guo
- Shaoyu Wang (ORCID: https://orcid.org/0000-0003-1399-0149)
- Xudong Sun (ORCID: https://orcid.org/0009-0004-6912-4949)
Institutions
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital (CN)
- Wangjing Hospital of China Academy of Chinese Medical Sciences (CN)
- The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine (CN)
Publication Details
- Journal
- BMC Musculoskeletal Disorders
- Published
- 2024-08-31
- DOI
- https://doi.org/10.1186/s12891-024-07802-6
- Citations
- 2
- Primary Topic
- Hip and Femur Fractures
- Type
- article
- Field-Weighted Citation Impact
- 1.15
Funders
- National Natural Science Foundation of China