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The aim of the research was to analyse the possibilities of a model description of the type of bone fracture, the state of stress and strain, the method of fix and load, and the physical properties of bone tissue in relation to the method of loading the hip joint in individual phases of physical activity. Design/methodology/approach Analysis of the phenomenon of bone fracture with the use of the finite element method (FEM), which allows to observe the phenomenon of bone fracture affected by osteoporosis, taking into consideration bone disease foci. Modelling of femoral fracture propagation at different periosteal densities was performed. Findings Differences in the method of fracture of the femoral neck are presented, showing different boundaries of bone discontinuity depending on the point of fracture initiation and the force required for its propagation. Research limitations/implications Reproduction of the diseased bone may be limited by the accuracy of its digital model and the physically limited density of the FEM mesh. Using model tests allows us to understand the phenomenon of osteoporotic bone fracture and predict the effects of fracture, which will allow for faster implementation of an effective treatment method. Practical implications The use of the FEM method for analysis allows obtaining knowledge about the formation of bone discontinuities after fracture. It also allows for predicting the place of its occurrence and selecting the appropriate treatment method. Originality/value There was a significant difference in the shape of the femoral neck fracture depending on the place of its initiation. The effectiveness of the FEM analysis in predicting the location, shape and type of fracture is presented.
Wydawca
Rocznik
Tom
Strony
320--326
Opis fizyczny
Bibliogr. 19 poz., rys., tab.
Twórcy
autor
- Faculty of Mechanical Engineering, University of Zielona Góra, ul. Licealna 9, 65-516 Zielona Góra, Poland
autor
- University Hospital Karol Marcinkowski in Zielona Gora, Limited Liability Company, ul. Zyty 26, 65-046 Zielona Góra, Poland
autor
- Department of Traumatology, Orthopedics and Hand Surgery. Medical University of Poznań, ul. Fredry 10, 61-701 Poznań, Poland
autor
- Orthopaedic Department, ALDEMED M.C., Al. Niepodległości 1, 65-048 Zielona Góra, Poland
Bibliografia
- [1] K.N. Tu, J.D. Lie, C.K.V. Wan, M. Cameron, A.G. Austel, J.K. Nguyen, K. Van, D. Hyun, Osteoporosis: A Review of Treatment Options, P&T a Peer-Reviewed Journal for Formulary Management 43/2 (2018) 92-104.
- [2] E. Marcinowska-Suchowierska, Current state of knowledge about the diagnosis of osteoporosis and risk factors for fractures in the course of osteoporosis, Borgis – Advances in Medical Sciences 4 (2002) 159-164 (in Polish).
- [3] A. Ganczarski J. Skrzypek, Mechanics of modern materials, Kraków University of Technology Publishing House, Kraków, 2013 (in Polish).
- [4] B.L. Riggs, L.J. Melton III (eds), Osteoporosis. Etiology, Diagnosis and Management, Raven Press, New York, 1988.
- [5] E. Czerwiński, R.T. Kukiełka, The value of bone mineral density measurement in the forearm in diagnosing osteoporosis in women, Osteoporosis International 8/S3 (1998) 72.
- [6] World Health Organization, Assessment of fracture risk and its application to screening for postmenopausal osteoporosis, Technical Report Series 843, WHO, Geneva, 1994.
- [7] D.M. Black, C.J. Rosen, Postmenopausal osteoporosis, New England Journal of Medicine 374/3 (2016) 254-262. DOI: https://doi.org/10.1056/NEJMcp1513724
- [8] K. Zaborowska, P. Kuryło, P. Pruszyński, M. Trebunova, J. Cyganiuk, P. Frankovsky, Impact Analysis of and Reasons for Osteoporotic Bone Fractures, PARIPEX ‒ Indian Journal of Research 8/9 (2019) 59-62. DOI: https://doi.org/10.36106/paripex
- [9] S. Cummings, J.L. Melton III, Epidemiology and outcomes of osteoporotic fractures, The Lancet 359/9319 (2002) 1761-1767. DOI: https://doi.org/10.1016/S0140-6736(02)08657-9
- [10] B. Drozdowska, Osteoporotic fractures, Polish Journal of Endocrinology 60/6 (2009) 498-502 (in Polish).
- [11] P. Grala, Operative treatment of neglected fractures of the distal end of the radius and articular fractures of the calcaneus - proposals of own modification of the operative technique, Scientific Publishing House of the Medical University of Karol Marcinkowski in Poznan, Poznań, 2008 (in Polish).
- [12] T. Nocuń, R. Aitken, J. Willigis, Better health for every woman: your hormonal balance achieved naturally: what your doctor won't tell you about: premenopause, menopause, premenstrual syndrome, cancer, osteoporosis, hysterectomy, stress, etc.: a practical guide for women and men who they love, Vegan Publishing House, Lublin, 2000 (in Polish).
- [13] A. Lorczyński, K. Blok, J. Kozdryk, M. Bieniecki, Assessment of functional value of the hip after pertrochanteric screw (DHS) fractures treated with dynamic hip, Annales Academiae Medicae Gedanensis 36 (2006) 123-131 (in Polish).
- [14] J. Osieleniec, E. Czerwiński, S. Zemankiewicz, Vertebroplasty and kyphoplasty in the treatment of osteoporotic spine fractures: expectations and concerns, Progress in Osteoarthrology 14/2 (2003) S24 (in Polish).
- [15] J. Zanker, G. Duque, Osteoporosis in older persons: old and new players, Journal of the American Geriatrics Society 67/4 (2019) 831-840. DOI: https://doi.org/10.1111/jgs.15716
- [16] M. Pawlikowski, K. Skalski, J. Bańczerowski, A. Makuch, K. Jankowski, Stress-strain characteristic of human trabecular bone based on depth sensing indentation measurements, Biocybernetics and Biomedical Engineering 37/2 (2017) 272-280. DOI: https://doi.org/10.1016/j.bbe.2017.01.002
- [17] ANSYS LS-DYNA, User’s Guide, 2011.
- [18] ANSYS, Theory Reference 11.0., Ansys Inc., 2007.
- [19] L. Śnieżek, J. Mierzyński, J. Torzewski, Analysis of semi-elliptic cracks propagation in austenitic steel using EPD method, Bulletin of the Military University of Technology 56/1 (2007) 259-272 (in Polish).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-944a1c76-239a-468f-9fb6-2bc087157ecd
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