Numerical method in biomechanical analysis of intramedullary osteosynthesis in children

• Autorzy: Krauze A. , Marciniak J.
• Języki publikacji: EN

Abstrakty

EN

Purpose: The paper presents the biomechanical analysis of intramedullary osteosynthesis in 5-7 year old children. Design/methodology/approach: The numerical analysis was performed for two different materials (stainless steel – 316L and titanium alloy – Ti-6Al-4V) and for two different fractures of the femur (1/2 of the bone shaft, and 25 mm above). Furthermore, the stresses between the bone fragments were calculated while loading the femur with forces derived from the trunk mass. In the research the Metaizeau method was applied. This method ensures appropriate fixation without complications. Findings: The numerical analysis shows that stresses in both the steel and the titanium alloy nails didn’t exceed the yield point: for the stainless steel Rp0,2,min= 690 MPa and for the titanium alloy Rp0,2,min = 895 MPa. Research limitations/implications: The obtained results are the basis for the optimization of mechanical properties of the metallic biomaterial. Practical implications: On the basis of the obtained results it can be stated that both stainless steel and titanium alloy nails can be aplied in elastic osteosythesis in femur fractures in children. Originality/value: The obtain results can be used by physicians to ensure elastic osteosythesis that accelerate bone union.

Słowa kluczowe

EN

numerical techniques; biomaterials; intramedullary nails

PL

techniki numeryczne; biomateriały; gwoździe śródszpikowe

• Wydawca: International OCSCO World Press
• Czasopismo: Journal of Achievements in Materials and Manufacturing Engineering
• Rocznik: 2006
• Tom: Vol. 15, nr 1-2
• Strony: 120--126
• Opis fizyczny: Bibliogr. 35 poz., rys., tab., wykr.

Twórcy

autor

Krauze A.

• Division of Biomedical Engineering, Institute of Engineering Materials and Biomaterials, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland

autor

Marciniak J.

• Division of Biomedical Engineering, Institute of Engineering Materials and Biomaterials, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland

Bibliografia

• [1] J. Szewczenko, J. Marciniak, W. Chrzanowski: Corrosion of Cr-Ni-Mo steel implants in conditions of sinusoidal current electrostimulation. Proceedings of the 9th International Scientific Conference „Achievements in Mechanical and Materials Engineering 2000”, Gliwice-Sopot-Gdańsk, 2000, s. 511-514 (in polish).
• [2] Z. Paszenda, J. Tyrlik-Held, J. Marciniak, A. Włodarczyk: Corrosion resistance of Cr-Ni-Mo steel intended for implants used in operative cardiology. Proceedings of the 9th International Scientific Conference „Achievements in Mechanical and Materials Engineering 2000”, Gliwice-Sopot-Gdańsk, 2000, s. 425-428 (in polish).
• [3] Z. Paszenda, J. Tyrlik-Held: Corrosion resistance of coronary stents made of Cr-Ni-Mo steel. Proceedings of the 10th Jubilee International Scientific Conference „Achievements in Mechanical and Materials Engineering 2001”, Gliwice-Kraków-Zakopane, 2001, s. 453-460 (in polish).
• [4] J. Szewczenko, J. Marciniak, W. Chrzanowski: Corrosion damages of Cr-Ni-Mo steel implants in conditions of an alternating current electrostimulation. Proceedings of the 10th Jubilee International Scientific Conference „Achievements in Mechanical and Materials Engineering 2001”, Gliwice-Kraków-Zakopane, 2001, s. 543-548 (in polish).
• [5] A. Krauze, A. Ziębowicz, J. Marciniak: Corrosion resistance of intramedullary nails used in elastic osteosynthesis of children. The 13th International Scientific Conference on "Achievements in Materials and Mechanical Engineering AMME'2005. Gliwice-Wisła, pp. 355÷358.
• [6] K. Okłot, Developmental Age Traumatology, PZWL, Warszawa (1999), pp. 173-292 (in polish).
• [7] A.S. Barczyński, T.S. Gaździk, Internal fixation of pediatric femoral shaft fractures – Metizeau method, Katedra i Oddział Kliniczny Ortopedii Śląskiej Akademii Medycznej (in polish).
• [8] J. Fibak, Progress of the technique of the intramedullary fractures fixation, Polski Przegląd Chirurgiczny 66 (1994), pp. 739-744 (in polish).
• [9] M. Lebiedowska, Femoral shaft fractures in children – review of treatment methods, Medycyna Praktyczna (special edition. 2) (1993) pp. 50-57 (in polish).
• [10] T. Dyk, H. Karoń, W. Waliszewski, Intramedullary fixation of multilevel long bones fractures by closed method, Nowiny Lekarskie supl. I (1999), pp. 109-112 (in polish).
• [11] T. Gaździk, Intramedullary nailing.Wydawnictwo α-media Press, Bielsko-Biała (2000), pp. 9-21, 6476 (in polish).
• [12] J. Fibak, J. Sowiński, B. Ciesielczyk., P. Murawa, K. Miarzyński, 450 fixations of the femoral shaft and tibia fractures without complications, Polski Przegląd Chirurgiczny 66 (1994), pp. 1165-1172 (in polish).
• [13] J. Fibak, Factors influence of the fixations stability (femoral shaft and tibia fractures), Chirurgia Narządu Ruchu Ortopedia Polska LIX,4 (1994), pp. 303-307 (in polish).
• [14] J. Fibak., J. Sowiński, W. Burchadt, K. Słowiński, B. Ciesielczyk, Intramedullary fixation of femoral shaft and tibia fractures by closed method – treatment results, Chirurgia Narządu Ruchu Ortopedia Polska LIX,1 (1994), pp. 19-25 (in polish).
• [15] J. Niedziółka, The present day possibility closed fractures fixation, Chirurgia Narządu Ruchu Ortopedia Polska LIX, 2 (1994), pp. 24-26 (in polish).
• [16] D. Richter, P. Ostermann, A. Ekkernkamp, G. Muhr, M. Hahn, Elastic Intramedullary Nailing: A Minimally Invasive Concept in the Treatment of Unstable Forearm Fractures in Children, Journal of Pediatric Orthopedics, 18 (1998), pp. 457-461.
• [17] V. Soren, O. Soren, D.N. Jesper , A. Anders, T.N. Steen, Internal Fixation of Femoral Shaft Fractures in Chikdren and Adoloscents: A Ten – to Twenty – One –Year Follow – up of 52 Fractures. Journal of Pediatric Orthopeadics 1996, Part B, Vol. 5, No 3, pp. 195-199.
• [18] Osteosynthesis Symposium Intramedullary Interlocking Nails, Polish Association of Orthopaedics and Traumathology – Silesian Division. Sosnowiec – Dąbrowa Górnicza (1999) (in polish) (in polish).
• [19] K. Wójcik, T.S. Gaździk, T. Barańska, M. Nolewajka, Intrame-dullary interlocking nailing – complication of fixations, Ortopedia Traumatologia Rehabilitacja 4, 3 (2000), pp. 49-53 (in polish).
• [20] J.B. Hunter, The titanium elastic nail, Clinical Zone, Dialogue I (1999).
• [21] J. Prevot , P. Metaizeau , J.N. Ligier, P. Lascombes, E. Lesur, G. Dautel, Elastic Stable Intramedullary Nailing (E.S.I.N.), DePuy ACE Medical Company (1999), pp. 1-11.
• [22] J.N. Ligier, J.P. Metaizeau, J. Prevot, P. Lascombes: Elastic stable Intramedullary Nailing of Femoral Shaft Fractures in Children, The British Editorial Society of Bone and Joint Surgery, vol. 70 – B, no. 1, January (1988) pp. 74-77.
• [23] C. Hasler: Management of Diaphyseal Fractures in Children. 7th Intructional course Lectures of EFORT, Prague, Czech Republic June 22-25, 2000, pp. 77-82.
• [24] J. Marciniak: Biomaterials, Wydawnictwo Politechniki Śląskiej, Gliwice (2002), 116, 219-229 (in polish).
• [25] Mazda K., Khairouri A., Pennecot G. F., Bensahel H.: Closed Flexible Intramedullary Nailing of the Femoral Shaft Fractures in Children, Journal of Pediatric Orthopeadics Part B, vol. 6, no. 3, 1997, pp. 198-202.
• [26] J, Marciniak, M. Kaczmarek: Biomechanical usefulness of Polfix stabilizers in multi level fractures. Proceedings of the 10th Jubilee International Scientific Conference „Achievements in Mechanical and Materials Engineering 2001”, Gliwice-Kraków-Zakopane, 2001, s. 347÷350 (in polish).
• [27] W. Walke, W. Kajzer, M. Kaczmarek, J. Marciniak: Stress and displacement analysis in conditions of coronary angioplasty. Proceedings of the 11th International Scientific Conference „Achievements in Mechanical and Materials Engineering 2002”, Gliwice-Zakopane, 2002 s. 595-600 (in polish).
• [28] A. Krauze, W. Kajzer, J. Marciniak: Charakterystyka biomechaniczna układu gwoździe śródszpikowe-kość udowa z wykorzystaniem MES, Proceeding of the 12th International Scientific Conference „Achievements in Mechanical and Materials Engineering 2003”, Gliwice-Zakopane, 2003, s. 533÷538.
• [29] W. Walke, Z. Paszenda, J. Marciniak: Optymalizacja cech geometrycznych stentu wieńcowego z wykorzystaniem metody elementów skończonych. Proceeding of the 12th International Scientific Conference „Achievements in Mechanical and Materials Engineering 2003”, Gliwice-Zakopane, 2003, p. 1011÷1016.
• [30] W. Kajzer, M. Kaczmarek, J. Marciniak: Biomechanical analysis of stent – oesophagus system. The 13th International Scientific Conference on "Achievements in Materials and Mechanical Engineering AMME'2005, Gliwice-Wisła, pp. 283÷286.
• [31] W. Walke, Z. Paszenda, J. Filipiak: Experimental and numerical biomechanical analysis of vascular stent. The 13th International Scientific Conference on "Achievements in Materials and Mechanical Engineering AMME'2005, Gliwice-Wisła, pp. 699÷702.
• [32] A. Krauze, J. Marciniak: Biomechanical analysis of a femur – intamedullary nails system in children. 22nd DANUBIA-ADRIA, Symposium on Experimental Methods in Solid Mechanics, Semptember 28-October 1, 2005, pp. 80-81.
• [33] R. Będziński R.: Engineering biomechanics. Selected problems. Printing House of the Wrocław University of Technology. Wrocław 1997 (in polish).
• [34] ISO 5832-1, Implants for surgery metallic materials, Part I: Wrought stainless steel, (1997).
• [35] PN-ISO 5832-3:1978 (E).Implants for surgery - Metallic materials - Part 3: Wrought titanium 6-aluminium 4-vanadium alloy.