Top

Rare Metals

Published in:

08-11-2023 | original Article

Tautening effect mechanism of titanium-alloy InterTAN nail

Authors: Xiang-Sheng Gao, Sheng-Kai Ma, Wang-Ao-Ran Chen, Min Wang, Qi Pan, Zi-Yu Liu

Published in: Rare Metals | Issue 12/2023

Activate our intelligent search to find suitable subject content or patents.

search-config

AI-assisted search

Off

Abstract

Although InterTAN (IT) nails are widely employed to treat femoral intertrochanteric fractures, the mechanism behind the tautening effect of titanium-alloy IT nails is not well understood. This study aimed to reveal the mechanism of this effect. A torque test experiment was conducted, with the torque value recorded and transformed to obtain the tautening effect. Then, theoretical and finite element analyses were performed to further understand the mechanism. The influence of age and pitch-difference on the tautening effect was also examined in the study, the results attributed to the pitch-varying integrated interlocking lag screw. The torque and the corresponding tautening effect drastically increase as the screw is inserted deeper during the second stage, while the torque measured in the first stage is always zero. Additionally, the tautening force increases with increasing age, this relationship helps evaluate the effect at different ages. The tautening effect also increases nearly linearly with the pitch difference, which can be adjusted during the IT design stage to select or design IT in engineering practice.

Graphical abstract

previous article Bioabsorbable fabrication of molybdenum nitride/carbon nanocomposites for supercapacitors and metal ion batteries with robust stability

next article Additive manufacturing of Cu-Al-Mn shape memory alloy with enhanced superelasticity

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

über 102.000 Bücher
über 537 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Finance + Banking
Management + Führung
Marketing + Vertrieb
Maschinenbau + Werkstoffe
Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

inform now

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

über 67.000 Bücher
über 390 Zeitschriften

aus folgenden Fachgebieten:

Automobil + Motoren
Bauwesen + Immobilien
Business IT + Informatik
Elektrotechnik + Elektronik
Energie + Nachhaltigkeit
Maschinenbau + Werkstoffe

Jetzt Wissensvorsprung sichern!

inform now

[1]

Nherera L, Trueman P, Horner A, Watson T, Johnstone AJ. In reply to the letter to the editor regarding “Comparison of a twin interlocking derotation and compression screw cephalomedullary nail (InterTAN) with a single screw derotation cephalomedullary nail (proximal femoral nail antirotation): a systematic review and meta-analysis for intertrochanteric fractures.” J Orthop Surg Res. 2022;17:354. https://doi.org/10.1186/s13018-022-03244-9.CrossRef

[2]

Sivakumar A, Thewlis D, Ladurner A, Edwards S, Rickman M. Proximal femoral nail unlocked versus locked (ProFNUL): a protocol for a multicentre, parallel- armed randomised controlled trial for the effect of femoral nail mode of lag screw locking and screw configuration in the treatment of intertrochanteric femur fractures. BMJ Open. 2020;10: e032640. https://doi.org/10.1136/bmjopen-2019-032640.CrossRef

[3]

Li YH, Zhu D, Li YY, Zhao TH, Cao ZB, Tan L. Comparison of internal fixation with Gamma3 long nails and InterTAN nails in the treatment of seinsheimer type V subtrochanteric femoral fractures in elderly patients. Medicine. 2019;98:25. https://doi.org/10.1097/md.0000000000016140.CrossRef

[4]

Wang Z, Yang Y, Feng GN, Guo HH, Chen ZR, Chen YG, Jin QH. Biomechanical comparison of the femoral neck system versus InterTAN nail and three cannulated screws for unstable Pauwels type III femoral neck fracture. Biomed Eng. 2022;21:34. https://doi.org/10.1186/s12938-022-01006-6.CrossRef

[5]

Wang YH, Chen W, Zhang LJ, Xiong C, Zhang XM, Yu K, Ju JB, Chen XF, Zhang DY, Zhang YZ. Finite element analysis of proximal femur bionic nail (PFBN) compared with proximal femoral nail antirotation and InterTan in treatment of intertrochanteric fractures. Orthop Surg. 2022;14:2245. https://doi.org/10.1111/os.13247.CrossRef

[6]

Tanrıkulu B, Yurtdaş S, Toparli MB, Kılıçaslan C, İnce U. Loosening behavior of ripped nuts based on the fastener tightening strategy and plate hardness. Procedia Struct Integr. 2020;28:1267. https://doi.org/10.1016/j.prostr.2020.11.108.CrossRef

[7]

Luo WT, Feng PF, Zhang JF, Ren Y, Yu DW, Wu ZJ. Research on a radiation model for bolt-tightening force attenuation of wheel-type parts. IEEE Access. 2019;7:157459. https://doi.org/10.1109/access.2019.2949650.CrossRef

[8]

Du SC, Wang XH, Chang SM. The pre-loaded set-screw in InterTAN nail: should it be tightened or not tightened in per- trochanteric hip fractures. Geriatr Orthop Surg Rehabil. 2021; 12:1. https://doi.org/10.1177/2151459321990640.CrossRef

[9]

Cao S, Zhang ZM, Zhang JQ, Wang RX, Wang XY, Yang L, Chen DF, Qin GW, Zhang EL. Improvement in antibacterial ability and cell cytotoxicity of Ti-Cu alloy by anodic oxidation. Rare Met. 2022;41(2):594. https://doi.org/10.1007/s12598-021-01806-0.CrossRef

[10]

Liu YL, Sun YH, Zhao Y, Li CL, Zhao FL, Yao XH, Hang RQ, Chu PK. Selective inhibition effects on cancer cells and bacteria of Ni-Ti-O nanoporous layers grown on biomedical NiTi alloy by anodization. Rare Met. 2022;41(1):78. https://doi.org/10.1007/s12598-021-01707-2.CrossRef

[11]

Jin HRC, Shen WQ, Xu JJ, Cao XJ, Wang QY. Fine grain surface on biomechanics compatibility of Ti3Zr2Sn3Mo25Nb. Chin J Rare Met. 2022;46(9):1190. https://doi.org/10.13373/j.cnki.cjrm.XY22040032.CrossRef

[12]

Shu WB, Zhang XB, Lu HY, Wang HH, Lan GH. Comparison of effects of four treatment methods for unstable intertrochanteric fractures: a network meta-analysis. Int J Surg. 2018;60:173. https://doi.org/10.1016/j.ijsu.2018.11.011.CrossRef

[13]

Nakajima T, Aoki Y, Watanabe A, Inoue M, Yamaguchi S, Nakamura J, Matsuura Y, Hagiwara S, Himeno D, Ohtori S. Mechanical testing of cephalomedullary nail lag screws after the addition of hydroxyapatite substitutes. OTA Int. 2021;4:160. https://doi.org/10.1097/oi9.0000000000000160.CrossRef

[14]

Date A, Panthula M, Bolina A. Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review. Future Sci. 2020;7:FSO668. https://doi.org/10.2144/fsoa-2020-0182.CrossRef

[15]

Mallya S, Kamath SU, Annappa R, Nazareth EN, Kamath K, Tyagi P. The results of unstable intertrochanteric femur fracture treated with proximal femoral nail antirotation-2 with respect to different greater trochanteric entry points. Adv Orthop. 2020;7:2834816. https://doi.org/10.1155/2020/2834816.CrossRef

[16]

Jiang T, Gao H, Liu T, Kang SJ, Bao FL, Huang DS, Hu YM. Observation of the clinical efficacy of percutaneous reduction by leverage combined with intramedullary nail internal fixation in the treatment of irreducible femoral intertrochanteric fracture: a retrospective single-arm cohort study. Ann Transl Med. 2022;10(15):822. https://doi.org/10.21037/atm-22-2846.CrossRef

[17]

Kang SJ, Bao FL, Huang DS, Jiang T, Hu YM, Li JM, Liu T. Percutaneous cerclage wiring combined with cephalomedullary nailing for irreducible subtrochanteric fractures. Orthop Surg. 2021;13:1899. https://doi.org/10.1111/os.13144.CrossRef

[18]

Su ZB, Yang MH, Luo G, Liang LL, Hao Y. Treatment of elderly femoral intertrochanteric fracture by InterTan intramedullary nail and PFNA. Evid Based Complement Altern Med. 2022;7:5020960. https://doi.org/10.1155/2022/5020960.CrossRef

[19]

Xu Q, Lai JJ, Zhang F, Xu YK, Zhu FG, Lin JL, Zhao MD, JX Y, Wen LM. Poor outcomes for osteoporotic patients undergoing conversion total hip arthroplasty following prior failed dynamic hip screw fixation: a nationwide retrospective cohort study. J Int Med Res. 2019;47(4):1544. https://doi.org/10.1177/0300060518823410.CrossRef

[20]

Xu Z, Tian G, Liu C, Xie YJ, Zhang RG. The predictive value of the Singh index for the risk of InterTAN intramedullary fixation failure in elderly patients with intertrochanteric fractures. BMC Musculoskelet Disord. 2022;23:769. https://doi.org/10.1186/s12891-022-05741-8.CrossRef

[21]

Sever GB, Cankuş MC, Karslı B. Comparison of two different proximal femoral nails in instabil intertrochanteric fractures concerning radiological parameters. Ulus Travma ve Acil Cerrahi Derg. 2020;27(3):344. https://doi.org/10.14744/tjtes.2020.41343.CrossRef

[22]

Luo W, Fu X, Ma JX, Huang JM, Wu J, Ma XL. Biomechanical comparison of InterTAN nail and Gamma3 nail for intertrochanteric fractures. Orthop Surg. 2020;12:1990. https://doi.org/10.1111/os.12853.CrossRef

[23]

Cha YH, Yoo JI, Hwang SY, Kim KJ, Kim HY, Choy WS, Hwang SC. Biomechanical evaluation of internal fixation of pauwels type III femoral neck fractures: a systematic review of various fixation methods. Clin Orthop Surg. 2019;11:1. https://doi.org/10.4055/cios.2019.11.1.1.CrossRef

[24]

Park DH, Seo YC, Kwon YU, Jung SH, Yoo SJ. Biomechanical comparative study for steosynthesis of pauwels type III femoral neck fractures: conventional devices versus novel fixed angle devices. Hip Pelvis. 2022;34(1):35. https://doi.org/10.5371/hp.2022.34.1.35.CrossRef

[25]

Wu XJ, Tao ZS, Xu HG, Ding GZ, Yang M. Effect of anteversion angle of InterTAN intramedullary nail on post-operative function in elderly patients with femoral intertrochanteric fractures. J Wannan Med Coll. 2019;38(4):326.

[26]

Chen J, Ma JX, Lu B, Bai HH, Wang Y, Ma XL. Biomechanical properties of reverse obliquity intertrochanteric fracture in the elderly treated with three different intramedullary fixations of ZNN nail, Gamma 3 nail and InterTAN nail. Chin J Tissue Eng Res. 2021;27(25):4271. https://doi.org/10.12307/2021.181.CrossRef

[27]

Braithwaite J, Mehmanparast A. Analysis of tightening sequence effects on preload behaviour of offshore wind turbine M72 bolted connections. Energies. 2019;12:4406. https://doi.org/10.3390/en12234406.CrossRef

[28]

Xu H, He LJ, Li ZN, Ye SP, Wang DX, Li CG. Numerical simulation for metal beryllium used by optics components during process of cold & hot isostatic pressing. Chin J Rare Met. 2022;46(2):185. https://doi.org/10.13373/j.cnki.cjrm.XY20030036.CrossRef

[29]

Zhou J, Huang H, Wang LJ, Tamaddon M, Liu CZ, Liu ZY, Yu TB, Zhang YZ. Stable mechanical fixation in a bionic osteochondral scaffold considering bone growth. Rare Met. 2022;41(8):2711. https://doi.org/10.1007/s12598-022-02000-6.CrossRef

[30]

Feng XR, Qi WC, Wang CY, Frankie L, Chen B. Effect of the screw tightening sequence on the stress distribution of a dynamic compression plate: a pilot finite element study. J Orthop Surg. 2019;27(3):1. https://doi.org/10.1177/2309499019876073.CrossRef

[31]

Gao XS, Wang M, Zhang YD, Zan T. A modeling approach for contact stiffness of spindle-tool holder based on fractal theory. Proc Inst Mech Eng B J Eng Manuf. 2016;230(10):1942. https://doi.org/10.1177/0954405415579009.CrossRef

[32]

Jose ARL, Dragos A, Liao ZR, Andres G. Machining-induced thermal damage in cortical bone: necrosis and micro-mechanical integrity. Mater Des. 2021;197: 109215. https://doi.org/10.1016/j.matdes.2020.109215.CrossRef

[33]

Duan C. Structural optimization of implants based on aging factors. Harbin: Harbin University of Science and Technology; 2020. https://doi.org/10.27063/d.cnki.ghlgu.2020.000143.CrossRef

[34]

Atkinson PJ, Weatherell JA. Variation in the density of the femoral diaphysis with age. J Bone Joint Surg Br. 1967;49(4):781.CrossRef

[35]

Wang HX, Gao XS, Wang BX, Wang M, Liu YN, Zan T, Gao P, Liu CZ. Evaluation of temperature distribution for bone drilling considering aging factor. Med Nov Technol Devices. 2022;16:2590. https://doi.org/10.1016/j.medntd.2022.100174.CrossRef

Title: Tautening effect mechanism of titanium-alloy InterTAN nail
Authors: Xiang-Sheng Gao
Sheng-Kai Ma
Wang-Ao-Ran Chen
Min Wang
Qi Pan
Zi-Yu Liu
Publication date: 08-11-2023
Publisher: Nonferrous Metals Society of China
Published in: Rare Metals / Issue 12/2023
Print ISSN: 1001-0521
Electronic ISSN: 1867-7185
DOI: https://doi.org/10.1007/s12598-023-02487-7

Springer Professional

Abstract

Graphical abstract

Please log in to get access to your license.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Springer Professional "Technik"

Other articles of this Issue 12/2023

2D-MOF/2D-MOF heterojunctions with strong hetero-interface interaction for enhanced photocatalytic hydrogen evolution

Quantifying spectral thermal transport properties in framework of molecular dynamics simulations: a comprehensive review

Microstructure, orientation and magnetostrictive properties of Fe81Ga19 polycrystal grown with Bridgman method

Three-dimensional nanostructured Co2VO4-decorated carbon nanotubes for sodium-ion battery anode materials

Interface engineering of ZnSnO3-based heterojunctions for room-temperature methanol monitoring

Chemical vapor deposition synthesis of V-doped MoS2

Premium Partners