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A Study on Development of Humeral Intramedullary Fixation Nail based on Korean Cadaver Tests  

Chon, Chang-Soo (Biomedical Engineering Institute, Solco Biomedical Co., Ltd.)
Lee, Jae-Won (BioAlpha Inc.)
Ko, Cheol-Woong (Gerontechnology Center, Korea institute of Industrial Technology)
Oh, Jong-Keon (Department of Orthopedic Surgery, Korea University Guro Hospital)
Woo, Soo-Heon (Department of Biomedical Engineering Inje University)
Lee, Sung-Jae (Department of Biomedical Engineering Inje University)
Publication Information
Journal of the Korean Society for Precision Engineering / v.28, no.8, 2011 , pp. 984-991 More about this Journal
Abstract
The aim of this study is to develop a humeral Intramedullary fixation nail (HIFN) suitable for Korean people. In this study, CT images were obtained from 72 Korean cadaveric humeral bones and 3D Korean humeral bone models were reconstructed based on the CT images to investigate anatomical characteristics. Major design parameters of HIFN were selected using the morphological measurement information of the Korean humeral bone models. Through finite element analysis and mechanical tests, the developed HIFN prototype was compared with the Polarus HIFN ($ACUMED^{(R)}$, USA), and it was found that the HIFN prototype showed similar and/or superior mechanical performance compared to the Polarus HIFN. Also, clinical validation for the HIFN prototype was carried out to check predictable troubles in surgical operations. Finally, optimal design modification was proposed to prevent the possible axillary nerve injury due to the locking screw system of the HIFN prototype.
Keywords
Korean Humerus; Intramedullary Fixation Nail; Finite Element Method; Cadaver Test; Axillary Nerve;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Oh, J. K., Oh, C. W., Park, S. H., Roh, K. J., Jeong, C. W., "Conformity of the LCP-DF (Locking Compression Plate-Distal Femur) in Korean Adult Femur - A Cadaver Study," J. of the Korean Fracture Society, Vol. 18, No. 4, pp. 399-404, 2005.   DOI
2 Yoo, K. J., Jung, T. G., Ha, J. H., Hwang, H. Y., Ko, C. W., Lim, D. S., Lee, J. W., Lee, S. J. and Oh, J. G., "Mechanical Study of Humeral Intramedullary Fixation Nail," The 19th JSME Bioengineering Conference, pp. 177-178, 2007.
3 Yoo, K. J., Lee, J. W., Jung, T. G., Lee, S. J., Ha, J. H., Lim, D. S., Oh, J. G. and Ko, C. W., "A Biomechanical Study on Development of Humeral Intramedullary Fixation Nail based on Korean CT Information," The 20th JSME Bioengineering Conference, pp. 187-188, 2008.
4 Kamineni, S., Ankem, H. and Sanghavi, S., "Anatomical Considerations for Percutaneous Proximal Humeal Fracture Fixation," Injury, Vol. 35, No. 11, pp. 1133-1136, 2004.   DOI   ScienceOn
5 ASTM F 1264 Standards, "Standard Specification and Test Methods for Intramedullary Fixation Device," Annual Book of ASTM Standards, Vol. 13.01, pp. 603-620, 2001.
6 Park, S. R., Lee, T. J., Kim, R. S., Moon, K. H. and You, D. S., "Result of Interlocking Intramedullary Nailing for Humeral Shaft Fracture Evaluation of Post-operative Shoulder Function," J. of the Korean Fracture Society, Vol. 20, No. 2, pp. 166-171, 2007.   DOI
7 Bigliani, L. U., Flatow, E. L. and Pollock, R. G., "Fractures of the Proximal Humerus, 2nd Ed.," The Shoulder, pp. 337-389, 1998.
8 Linn, J., "Treatment of Humeral Shaft Fractures with Humeral Locked Nail and Comparison with Plate Fixation," J. Trauma, Vol. 44, No. 5, pp. 859-864, 1998.   DOI   ScienceOn
9 Blum, J., Janzing, H., Gahr, R., Langendorff, H. S. and Rommens, P. M., "Clinical Performance of a New Medullary Humeral Nail: Antegrade versus Retrograde Insertion," J. Orthop. Trauma, Vol. 15, No. 5, pp. 342-349, 2001.   DOI   ScienceOn
10 Fuchtmeier, B., May, R., Hente, R., Maghsudi, M., Volk, M., Hammer, J., Nerlich, M. and Prantl, L., "Proximal Humerus Fractures: A Comparative Biomechanical Analysis of Intra and Extramedullary Implants," Arch. Orthop. Trauma Surgery, Vol. 127, No. 6, pp. 441-447, 2007.   DOI   ScienceOn
11 Bengner, U., Johnell, O. and Redlund-Johnell, I., "Changes in the incidence of fracture of the upper end of the humerus during a 30-year period," Clin. Orthop. Relat. Res., Vol. 231, pp. 179-182, 1988.