PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Improved wire stiffness with modified connection bolts in Ilizarov external frames: a biomechanical study

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Frame stability in Ilizarov external fixators is mainly dependent on the tension of the transosseous wires, which are clamped to the ring by connection bolts. It was the purpose of this biomechanical study to investigate the holding capacity of a modified bolt design featuring a ruffled wire-bolt interface (TrueLokTM0 and its influence on wire stiffness in comparison with that of classic bolts featuring a smooth, unruffled wire-bolt interface. Six different ring and bolt configurations were tested using a simplified model consisting of a single ring and wire. The holding capacity at two different tightening torques (10 and 14 Nm) of classic cannulated bolts (CB) and slotted bolts (SB) was determined on Ilizarov and Taylor Spatial Frame (TSFTM) rings, whereas the modified TrueLokTM CBs and SBs were used with the TrueLokTM rings. The wire stiffness was calculated via a regression analysis of the load-displacement graphs. The modified TrueLokTM bolts demonstrated significantly better slippage resistance than the classic bolts in all configurations and wire stiffness was significantly higher in the TrueLokTM frame set-ups. After maximum loading, all of the wires showed plastic deformation, including constant wire deflection and dent marks at the clamped wire ends. In conclusion, the decrease in wire stiffness can be explained mainly as a result of wire slippage, but plastic deformation and material yielding also contribute. The relatively simple modification made by roughening the wire-bolt interface results in improved holding capacity and wire stiffness. A frame that contains these modified TrueLokTM bolts should provide improved mechanical stiffness.
Rocznik
Strony
15--21
Opis fizyczny
Bibliogr. 20 poz., rys., tab.
Twórcy
autor
autor
autor
  • Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Germany, jangessmann@me.com
Bibliografia
  • [1] ARONSON J., HARP J.H. Jr., Mechanical considerations in using tensioned wires in a transosseous external fixation system, Clin. Orthop. Relat. Res., 1992, 23–29.
  • [2] BRONSON D.G., SAMCHUKOV M.L., BIRCH J.G., BROWNE R.H., ASHMAN R.B., Stability of external circular fixation: a multivariable biomechanical analysis, Clin. Biomech., Bristol, Avon, 1998, 13, 441–448.
  • [3] CATAGNI M.A., GUERRESCHI F., LOVISETTI L., Distraction osteogenesis for bone repair in the 21st century: lessons learned, Injury, 2011, 42, 580–586.
  • [4] DAVIDSON A.W., MULLINS M., GOODIER D., BARRY M., Ilizarov wire tensioning and holding methods: a biomechanical study, Injury, 2003, 34, 151–154.
  • [5] MULLINS M.M., DAVIDSON A.W., GOODIER D., BARRY M., The biomechanics of wire fixation in the Ilizarov system, Injury, 2003, 34, 155–157.
  • [6] OSEI N.A., BRADLEY B.M., CULPAN P., MITCHELL J.B., BARRY M., TANNER K.E., Relationship between locking-bolt torque and load pre-tension in the Ilizarov frame, Injury, 2006, 37, 941–945.
  • [7] LA RUSSA V., SKALLERUD B., KLAKSVIK J., FOSS O.A., Reduction in wire tension caused by dynamic loading. An experimental Ilizarov frame study, J. Biomech., 2011, 44, 1454–1458.
  • [8] ILIZAROV G.A., Clinical application of the tension-stress effect for limb lengthening, Clin. Orthop. Relat. Res., 1990, 8–26.
  • [9] AQUARIUS R., VAN KAMPEN A., VERDONSCHOT N., Rapid pre-tension loss in the Ilizarov external fixator: an in vitro study, Acta Orthop., 2007, 78, 654–660.
  • [10] DELPRETE C., GOLA M.M., Mechanical performance of external fixators with wires for the treatment of bone fractures – Part II: Wire tension and slippage, J. Biomech. Eng., 1993, 115, 37–42.
  • [11] LA RUSSA V., SKALLERUD B., KLAKSVIK J., FOSS O.A., Reduction in wire tension caused by wire clamping and wire tensioner removal: an experimental Ilizarov frame study, Proc. Inst. Mech. Eng. H, 2011, 225, 220–227.
  • [12] WATSON M.A., MATHIAS K.J., MAFFULLI N., HUKINS D.W., The effect of clamping a tensioned wire: implications for the Ilizarov external fixation system, Proc. Inst. Mech. Eng. H, 2003, 217, 91–98.
  • [13] HILLARD P.J., HARRISON A.J., ATKINS R.M., The yielding of tensioned fine wires in the Ilizarov frame, Proc. Inst. Mech. Eng. H, 1998, 212, 37–47.
  • [14] RENARD A.J., SCHUTTE B.G., VERDONSCHOT N., VAN KAMPEN A., The Ilizarov external fixator: what remains of the wire pretension after dynamic loading?, Clin. Biomech., Bristol, Avon, 2005, 20, 1126–1130.
  • [15] ARONSON J., HARRISON B., BOYD C.M., CANNON D.J., LUBANSKY H.J., Mechanical induction of osteogenesis: the importance of pin rigidity, J. Pediatr. Orthop., 1988, 8, 396–401.
  • [16] KHURANA A., BYRNE C., EVANS S., TANAKA H., HARAHARAN K., Comparison of transverse wires and half pins in Taylor Spatial Frame: a biomechanical study, J. Orthop. Surg. Res., 2010, 5, 23.
  • [17] ANTOCI V., VOOR M.J., ANTOCI V. Jr., ROBERTS C.S., Biomechanics of olive wire positioning and tensioning characteristics, J. Pediatr. Orthop., 2005, 25, 798–803.
  • [18] WATSON M.A., MATTHIAS K.J., MAFFULLI N., HUKINS D.W., Yielding of the clamped-wire system in the Ilizarov external fixator, Proc. Inst. Mech. Eng. H, 2003, 217, 367–374.
  • [19] PODOLSKY A., CHAO E.Y., Mechanical performance of Ilizarov circular external fixators in comparison with other external fixators, Clin. Orthop. Relat. Res., 1993, 61–70.
  • [20] ZHANG G., Geometric and material nonlinearity in tensioned wires of an external fixator, Clin. Biomech., Bristol, Avon, 2004, 19, 513–518.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBD-0003-0029
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.