History and Evolution of Hip Design to Decrease Failure.
J Orthop Trauma
; 37(10S): S49-S54, 2023 10 01.
Article
em En
| MEDLINE
| ID: mdl-37710375
ABSTRACT
SUMMARY:
The evolution of fracture fixation designs over the past 100 years is coupled with incredible advances in materials and manufacturing technology. Failures are unavoidable and should be evaluated from the perspective of refining our technology and technique to improve patient outcomes. Failure after intramedullary fixation of hip fractures is multifactorial with contributions from an unsuccessful surgery, some preventable, some unavoidable, and rarely, design and manufacturing errors. However, whenever implants are disseminated to large population groups with variable individual anatomy, physiology, and associated comorbidities, unexpected and unpredicted weaknesses in the design and surgical technique will be discovered. Surgeons have multiple choices for nail selection with specific and critical technical requirements. The surgeon should evaluate each patient individually and determine the treatment based on patient anatomy and morphology of the fracture. The surgical approach should be modified over time after deciding how best to improve surgical treatment based on the current scientific studies.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cirurgiões
/
Fraturas do Quadril
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article