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Article Open Access

A new perspective towards failure of gamma nail systems

  • Authors:
    • Şerban Dragosloveanu
    • Christiana D.M. Dragosloveanu
    • Horia T. Stanca
    • Dragoş C. Cotor
    • Călin I. Dragosloveanu
    • Cristian I. Stoica
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Ophthalmology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania, Department of Ophthalmology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest , Romania
    Copyright: © Dragosloveanu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 216
    |
    Published online on: October 15, 2020
       https://doi.org/10.3892/etm.2020.9346
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Abstract

Uncommon causes of nail failures and surgical reinterventions were determined. The study included 23 osteoporotic patients, 13 of whom followed a fast recovery program with early walking (FWB group). The other 10 patients were not allowed full weight bearing until 6 weeks (NFWB group). The T‑score was determined before surgery for all cases. A case with a nail breakage after a failed DCS implant fixed in another clinic was also analyzed. The nail was revised and the broken implant underwent a metallurgic and microscopic examination. The average T‑score was 2.5 for the patients that followed the fast recovery program and 2.7 for the patients from non‑full weight bearing. Four patients, 1 from the NFWB group and 3 from FWB group, presented a screw cut‑out. It was found that the errors of the guiding instruments may create dents, scratches or micro‑fractures on the titanium coating that lead to an early implant failure. Imperfect reduction leads to incorrect implant placement and a high incidence of failure. Damaging the titanium protective coating, in a low force, high cycles scenario can cause structural failure. Delays in fracture healing and material fatigue are the most common causes of nail failure and can lead to catastrophic complications.
Introduction
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1 

White SM and Griffiths R: Projected incidence of proximal femoral fracture in England: A report from the NHS hip fracture anaesthesia network (HIPFAN). Injury. 42:1230–1233. 2011.PubMed/NCBI View Article : Google Scholar

2 

Gillespie WJ, Gillespie LD and Parker MJ: Hip protectors for preventing hip fracures in older people. Cochrane Database Syst Rev. 6(CD001255)2010.PubMed/NCBI View Article : Google Scholar

3 

Cameron ID, Kurrle SE, Quine S, Sambrook PN, March L, Chan DK, Locwood K, Cook B and Schaafsma FF: Improving adherence with the use of hip protectors among older people living in nursing care facilities: A cluster randomized trial. J Am Med Dir Assoc. 12:50–57. 2011.PubMed/NCBI View Article : Google Scholar

4 

Bjorgul K, Novicoff WM and Saleh KJ: Learning curves in hip fracture surgery. Int Orthop. 35:113–119. 2011.PubMed/NCBI View Article : Google Scholar

5 

Biber R, Gruninger S, Singler K, Sieber CC and Bail HJ: Is proximal femoral nailing a good procedure for teaching in orthogeriatrics? Arch Orthop Trauma Surg. 132:997–1002. 2012.PubMed/NCBI View Article : Google Scholar

6 

Loizou CL, McNamara I, Ahmed K, Pryor GA and Parker MJ: Classification of subtrochanteric femoral fractures. Injury. 41:739–745. 2010.PubMed/NCBI View Article : Google Scholar

7 

Ramadier J, Duparc J, Rougemont D and De Ferrari G: Surgical treatment of trochanteric and juxta-trochanteric fractures. Rev Chir Orthop Reparatrice Appar Mot. 42:759–786. 1956.(In French). PubMed/NCBI

8 

Decoulx P and Lavarde G: Fractures of the trochanteric region. A statistical study of 2,612 cases. J Chir (Paris). 98:75–100. 1969.(In French). PubMed/NCBI

9 

Evans EM: The treatment of trochanteric fractures of the femur. J Bone Joint Surg Br. 31B:190–203. 1949.PubMed/NCBI

10 

Grigorie D, Sucaliuc A, Ciutan M and Vladescu C: Incidence and time trend of hip fractures in Romania: A nationwide study from 2008 to 2018. Acta Endocrinol (Buchar). 15:505–512. 2019.PubMed/NCBI View Article : Google Scholar

11 

Mizrahi E, Fleissig Y, Arad M, Blumstein T and Adunsky A: Rehabilitation outcome of hip fracture patients: The importance of a positive albumin gain. Arch Gerontol Geriatr. 47:318–326. 2008.PubMed/NCBI View Article : Google Scholar

12 

Kuzyk PR, Zdero R, Shah S, Olsen M, Waddell JP and Schemitsch EH: Femoral head lag screw position for cephalomedullary nails: A biomechanical analysis. J Orthop Trauma. 26:414–421. 2012.PubMed/NCBI View Article : Google Scholar

13 

Niinomi MJ: Mechanical biocompatibilities of titanium alloys for biomedical applications. J Mech Behav Biomed Mater. 1:30–42. 2008.PubMed/NCBI View Article : Google Scholar

14 

Elias CN, Lima JHC, Valiev R and Meyers MA: Biomedical applications of titanium and its alloys. JOM. 60:46–49. 2008.

15 

Black J: Biologic performance of tantalum. Clin Mater. 16:167–173. 1994.PubMed/NCBI View Article : Google Scholar

16 

Zuo JH, Wang ZG and Han EH: Effect of microstructure on ultra-high cycle fatigue behaviour of Ti-6Al-4V. Mater Sci Eng A. 473:147–152. 2008.

17 

Wagner L and Lutjering G: Microstructural influences on propagation of short cracks in an (α+β) Ti-alloy. Z Metallkde. 87:369–375. 1987.(In German).

18 

Willeumier JJ, Kaynak M, van der Zwaal P, Meylaerts SAG, Mathijssen NMC, Jutte PC, Tsagozis P, Wedin R, van de Sande MAJ, Fiocco M and Dijkstra PDS: What factors are associated with implant breakage and revision after intramedullary nailing for femoral metastases? Clin Orthop Relat Res. 476:1823–1833. 2018.PubMed/NCBI View Article : Google Scholar

19 

Iwakura T, Niikura T, Lee SY, Sakai Y, Nishida K, Kuroda R and Kurosaka M: Breakage of a third generation gamma nail: A case report and review of the literature. Case Rep Orthop. 2013(172352)2013.PubMed/NCBI View Article : Google Scholar

20 

Johnson NA, Uzoigwe C, Venkatesan M, Burgula V, Kulkarni A, Davison JN and Ashford RU: Risk factors for intramedullary nail breakage in proximal femoral fractures: A 10-year retrospective review. Ann R Coll Surg Engl. 99:145–150. 2017.PubMed/NCBI View Article : Google Scholar

21 

Wright NC, Looker AC, Saag KG, Curtis JR, Delzell ES, Randall S and Dawson-Hughes B: The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. J Bone Miner Res. 29:2520–2526. 2014.PubMed/NCBI View Article : Google Scholar

22 

Sharma V and Babhulkar S and Babhulkar S: Role of gamma nail in management of pertrochanteric fractures of femur. Indian J Orthop. 42:212–216. 2008.PubMed/NCBI View Article : Google Scholar

23 

Halder SC: The gamma nail for peritrochanteric fractures. J Bone Joint Surg Br. 74:340–344. 1992.PubMed/NCBI View Article : Google Scholar

24 

Kempf I, Grosse A, Taglang G and Favreul E: Gamma nail in the treatment of closed trochanteric fractures, results and indications apropos of 121 cases. Rev Chir Orthop Reparatrice Appar Mot. 79:29–40. 1993.(In French). PubMed/NCBI

25 

Busch CA, Charles MN, Haydon CM, Bourne RB, Rorabeck CH, Macdonald SJ and McCalden RW: Fractures of distally-fixed femoral stems after revision arthroplasty. J Bone Joint Surg Br. 87:1333–1336. 2005.PubMed/NCBI View Article : Google Scholar

26 

Dangles CJ and Altstetter CJ: Failure of the modular neck in a total hip arthroplasty. J Arthroplasty. 25:1169.e5–e7. 2010.PubMed/NCBI View Article : Google Scholar

27 

Lakstein D, Eliaz N, Levi O, Backstein D, Kosashvili Y, Safir O and Gross AE: Fracture of cementless femoral stems at the mid-stem junction in modular revision hip arthroplasty systems. J Bone Joint Surg Am. 93:57–65. 2011.PubMed/NCBI View Article : Google Scholar

28 

Magnissalis EA, Zinelis S, Karachalios T and Hartofilakidis G: Failure analysis of two Ti-alloy total hip arthroplasty femoral stems fractured in vivo. J Biomed Mater Res B Appl Biomater. 66:299–305. 2003.PubMed/NCBI View Article : Google Scholar

29 

Patel A, Bliss J, Calfee RP, Froehlich J and Limbird R: Modular femoral stem-sleeve junction failure after primary total hip arthroplasty. J Arthroplasty. 24:1143.e3–e5. 2009.PubMed/NCBI View Article : Google Scholar

30 

Sotereanos NG, Sauber TJ and Tupis TT: Modular femoral neck fracture after primary total hip arthroplasty. J Arthroplasty. 28:196.e7–e9. 2013.PubMed/NCBI View Article : Google Scholar

31 

Sul YT, Johansson CB, Petronis S, Krozer A, Jeong Y, Wennerberg A and Albrektsson T: Characteristics of the surface oxides on turned and electrochemically oxidized pure titanium implants up to dielectric breakdown: The oxide thickness, micropore configurations, surface roughness, crystal structure and chemical composition. Biomaterials. 23:491–501. 2002.PubMed/NCBI View Article : Google Scholar

32 

Ritchie RO, Davidson DL, Boyce BL, Campbell JP and Roder O: High-cycle fatigue of Ti-6Al-4V. Fatigue Fract Engng Mater Struct. 22:621–631. 1999.

33 

Gilbert JL, Buckley CA and Jacobs JJ: In vivo corrosion of modular hip prosthesis components in mixed and similar metal combinations. The effect of crevice, stress, motion, and alloy coupling. J Biomed Mater Res. 27:1533–1544. 1993.PubMed/NCBI View Article : Google Scholar

34 

Abram SG, Pollard TC and Andrade AJ: Inadequate ‘three-point’ proximal fixation predicts failure of the gamma nail. Bone Joint J. 95-B:825–830. 2013.PubMed/NCBI View Article : Google Scholar

35 

Eberle S, Bauer C, Gerber C, von Oldenburg G and Augat P: The stability of a hip fracture determines the fatigue of an intramedullary nail. Proc Inst Mech Eng H. 224:577–584. 2010.PubMed/NCBI View Article : Google Scholar

36 

Liu M, Yang Z, Pei F, Huang F, Chen S and Xiang Z: A meta-analysis of the gamma nail and dynamic hip screw in treating peritrochanteric fractures. Int Orthop. 34:323–328. 2010.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Dragosloveanu Ş, Dragosloveanu CD, Stanca HT, Cotor DC, Dragosloveanu CI and Stoica CI: A new perspective towards failure of gamma nail systems. Exp Ther Med 20: 216, 2020.
APA
Dragosloveanu, Ş., Dragosloveanu, C.D., Stanca, H.T., Cotor, D.C., Dragosloveanu, C.I., & Stoica, C.I. (2020). A new perspective towards failure of gamma nail systems. Experimental and Therapeutic Medicine, 20, 216. https://doi.org/10.3892/etm.2020.9346
MLA
Dragosloveanu, Ş., Dragosloveanu, C. D., Stanca, H. T., Cotor, D. C., Dragosloveanu, C. I., Stoica, C. I."A new perspective towards failure of gamma nail systems". Experimental and Therapeutic Medicine 20.6 (2020): 216.
Chicago
Dragosloveanu, Ş., Dragosloveanu, C. D., Stanca, H. T., Cotor, D. C., Dragosloveanu, C. I., Stoica, C. I."A new perspective towards failure of gamma nail systems". Experimental and Therapeutic Medicine 20, no. 6 (2020): 216. https://doi.org/10.3892/etm.2020.9346
Copy and paste a formatted citation
x
Spandidos Publications style
Dragosloveanu Ş, Dragosloveanu CD, Stanca HT, Cotor DC, Dragosloveanu CI and Stoica CI: A new perspective towards failure of gamma nail systems. Exp Ther Med 20: 216, 2020.
APA
Dragosloveanu, Ş., Dragosloveanu, C.D., Stanca, H.T., Cotor, D.C., Dragosloveanu, C.I., & Stoica, C.I. (2020). A new perspective towards failure of gamma nail systems. Experimental and Therapeutic Medicine, 20, 216. https://doi.org/10.3892/etm.2020.9346
MLA
Dragosloveanu, Ş., Dragosloveanu, C. D., Stanca, H. T., Cotor, D. C., Dragosloveanu, C. I., Stoica, C. I."A new perspective towards failure of gamma nail systems". Experimental and Therapeutic Medicine 20.6 (2020): 216.
Chicago
Dragosloveanu, Ş., Dragosloveanu, C. D., Stanca, H. T., Cotor, D. C., Dragosloveanu, C. I., Stoica, C. I."A new perspective towards failure of gamma nail systems". Experimental and Therapeutic Medicine 20, no. 6 (2020): 216. https://doi.org/10.3892/etm.2020.9346
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