{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:12:26Z","timestamp":1777727546398,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"sung-Woo Choi","award":["National research foundation (2019R1A2B5B01005924)"],"award-info":[{"award-number":["National research foundation (2019R1A2B5B01005924)"]}]},{"name":"sung-Woo Choi","award":["SCH20231007"],"award-info":[{"award-number":["SCH20231007"]}]},{"name":"sung-Woo Choi","award":["research grant from Soonchunhyang University"],"award-info":[{"award-number":["research grant from Soonchunhyang University"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To compare the biomechanical stability of a novel, C-shaped nickel\u2013titanium shape memory alloy (SMA) implant (C-clip) with traditional cerclage wiring in the fixation of a Vancouver B1 (VB1) periprosthetic femoral fracture (PFF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 18 synthetic femoral fracture models were constructed to obtain unstable VB1 fracture with an oblique fracture line 8\u2009cm below the lesser trochanter. For each model, the distal portion was repaired using a 10-hole locking plate and four distal bi-cortical screws. The proximal portion was repaired using either three, threaded cerclage wirings or three, novel C-shaped implants. Specimens underwent biomechanical testing using axial compression, torsional and four-point bending tests. Each test was performed on three specimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The C-clip was statistically significantly stronger (i.e., stiffer) than cerclage wiring in the three biomechanical tests. For axial compression, medians (ranges) were 39 (39\u201341) and 35 (35\u201335) N\/mm, for the C-clip and cerclage wiring, respectively. For torsion, medians (ranges) were, 0.44 (0.44\u20130.45) and 0.30 (0.30\u20130.33) N\/mm for the C-clip and cerclage wiring, respectively. For the four-point bending test, medians (ranges) were 39 (39\u201341) and 28 (28\u201331) N\/mm; for the C-clip and cerclage wiring, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results from this small study show that the novel, C-shaped SMA appears to be biomechanically superior to traditional cerclage wiring in terms of stiffness, axial compression, torsion and four-point bending, and may be a valuable alternative in the repair of VB1 PFF. Further research is necessary to support these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605241240946","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T08:47:16Z","timestamp":1711529236000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Unstable Vancouver B1 periprosthetic femoral fracture fixation: A biomechanical comparison between a novel C-shaped memory alloy implant and cerclage wiring"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0855-3809","authenticated-orcid":false,"given":"Seog-Hyun","family":"Oh","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, Inje University, Gimhae, 50834, 197 Inje-ro, Gimhae-si, Gyeongsangnam-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Sung","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Seoul, 04401, 59 Daesagwan-ro, Yongsan-gu, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Eghan-Acquah","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Inje University, Gimhae, 50834, 197 Inje-ro, Gimhae-si, Gyeongsangnam-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kollerov Mikhail","family":"Yurevich","sequence":"additional","affiliation":[{"name":"Department of Materials Science and Materials Technology, Moscow Aviation Institute, 121552, Kom.1, Dom 5, Orshanskaya Str. Moscow, Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Hun","family":"Won","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Seoul, 04401, 59 Daesagwan-ro, Yongsan-gu, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Jung","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bundang CHA Hospital, Seongnam, 13496, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Inje University, Gimhae, 50834, 197 Inje-ro, Gimhae-si, Gyeongsangnam-do, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6263-6037","authenticated-orcid":false,"given":"Sung-Woo","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Seoul, 04401, 59 Daesagwan-ro, Yongsan-gu, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"bibr1-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-007-9045-4"},{"key":"bibr2-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000365"},{"key":"bibr3-03000605241240946","doi-asserted-by":"publisher","DOI":"10.55095\/achot2011\/031"},{"key":"bibr4-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-014-1520-2"},{"key":"bibr5-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0834-6"},{"key":"bibr6-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-011-1325-4"},{"key":"bibr7-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7618079"},{"key":"bibr8-03000605241240946","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01561"},{"key":"bibr9-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23065"},{"key":"bibr10-03000605241240946","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-5-45"},{"key":"bibr11-03000605241240946","unstructured":"Profile V. 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