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Abstrakty
Possible ways of improving the stability of the fragments of the femur under elongation by introducing hybrid implant systems (the Kirschner wires and the Schanz screws) into the Ilizarov fixator structure were explored. Laboratory studies were conducted on physical models with the fixator mounted on a pipe section modelling the femur shaft. Ten modifications of the Ilizarov fixator were developed and tested. The designs differed in the kind and configuration of implants. The effect of the developed Ilizarov fixator designs was examined by comparing the coefficients of axial, transversal and torsional rigidity of the structures. The research results clearly show that the Ilizarov fixator's rigidity (particularly transversal rigidity) coefficients can be considerably increased by replacing the Kirschner wires with the Schanz screws or using hybrid systems of these implants. As a result, the stability of the femur fragments improves and so does the quality of the regenerated bone, which makes it possible to reduce the treatment time to a minimum.
Czasopismo
Rocznik
Tom
Strony
15--24
Opis fizyczny
Bibliogr. 12 poz., rys., tab., wykr.
Twórcy
autor
- Wrocław University of Technology [Politechnika Wrocławska], Wybrzeże Wyspiańskiego 27, 50-370 Wrocław
autor
Bibliografia
- [1] BĘDZIŃSKI R., FILIPIAK J., MORASIEWICZ L., WALL A., Stability of the construction of the elastic external fixation of Ilizarov system used for the lengthening of limbs, XIV Congress of ISB, Paris, 1993, pp. 170-171.
- [2] BĘDZIŃSKI R., FILIPIAK J., Experimelltal analysis of external faators for femoral bone elongation, Acta of Bioengineering and Biomechanics, 1999, Vol.l, No.2, pp. 93-105.
- [3] BRONSON D.G., SAMCHUKOV M.L, BIRCH J.G., BROWNE R.H., ASHMAN R.B., Stability of external circular fixation, a multi-variable biomechallical analysis, Clinical Biomechanics, 1998, 13, pp. 441-448.
- [4] CAIA V.L, KIM W., LARSSON S., CHAO E.Y.S., Comparison of the mechallical perfonnance of three types of external fixators, linear, circular and hybrid, Clinical Biomechanics, 1995, 8, pp. 401-406.
- [5] GASSER B., BOMAN B., WYDER D., SCHNEIDER E., Stiffness characteristics of the circular Ilizarov device as opposed to conventional external fixators, Journal of Biomechanical Engineering, February 1990, Vol. 112, pp. 15-21.
- [6] GOODSHIP A.E., KENWRIGIIT J., Controlled mechanical stimulation in the treatment of tibial fractures, Clinical Biomechanics, 1989,241, pp. 36-47.
- [7] FILIPIAK J., Effect of the external faator's frame construction on limb elongation (in Polish), Doctoral Dissertation, Institute of Machines Design and Operation, Wroclaw University of Technology, Wroclaw, 1995.
- [8] IUZAROV G.A., Transosseus Osteosyllthesis, Springer Verlag, 1992.
- [9] McCOY M.T., CHAO E.Y., KASMA R.A., Comparison of mechanical perfornzance in four types of externalfaators, Clinical Orthopaedics and Related Research, 1983, Vol. 180, 3-32.
- [10] PALEY D., 'Problems, obstacles and complications of limb lengthe11inig by' the Ilizarov technique, Clinical Orthopaedics and Related Resarch, No. 250, January, pp.81-104.
- [11] WALL A., Surgical treatment of limb unequality (in Polish), Chirurgia NafZlld6w Ruchu i Ortopedia Polska, 1994, Vol. LIX, Sup. l.
- [12] WOLFS., JANOUSEK A., PFEIL J., VEITH W., HAAS F., DUDA G., CLAES L., The effects of external mechanical stimulation on the healing of diaphyseal osteotomies faed by flexible external fixation, Clinical Biomechanics, 1998, 13, pp. 359-364.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPB1-0013-0023