A Theoretical and Experimental Investigation of Lateral Deformations in a Unilateral External Fixator

2006 ◽  
Vol 1 (2) ◽  
pp. 165-172 ◽  
Author(s):  
Kerem Ün ◽  
İbrahim D. Akçalı ◽  
Mahir Gülşen
Keyword(s):  
External Fixator ◽  
Lateral Displacement ◽  
Clinical Effectiveness ◽  
Experimental Models ◽  
Fracture Site ◽  
External Fixators ◽  
Deformation Characteristics ◽  
Lateral Deformation ◽  
Clinical Implementation ◽  
Lateral Deformations

The objective of this work is to set up, validate, and analyze a theoretical model of an external fixator for its deformation characteristics in order to draw reliable conclusions relevant to the design and effective clinical implementation of such medical devices. External fixators are mechanical devices widely used in the treatment of fractured bones and correction of limb deformities. Lateral deformation at the fracture site is known to delay bone healing, and investigation of lateral deformation characteristics of such devices experiencing forces acting perpendicular to the bone axis is important from the standpoint of their design as well as their clinical effectiveness. A mathematical model of a three-dimensional (3D) unilateral fixator with multipin fragment attachments has been developed using Castigliano’s method. The relative lateral deformations of the fragment ends at the fracture site induced by loads applied perpendicular to bone axes are calculated with the model. The model has been subjected to experimental verification for a uniplanar unilateral external fixator under comparable conditions with the theory. It has been found out that the effects of fixator size, shape, and geometry on the level of relative lateral displacement of the fracture site are similar in both the theoretical and experimental models. Stiffness is a maximum if the force is applied in the same plane as the proximal pin plane. Placing the distal pin group at a 90deg position relative to the proximal pin plane has been observed to increase the stiffness about 10%. In loading directions perpendicular to proximal the pin plane, stiffness is minimum. The angle difference between the load direction and the resulting displacement direction follows a sinusoidal pattern with an amplitude of 10deg for loading angles in the 0–180deg range. Selecting the distance of proximal pins to the fracture site smaller than the distance of distal pins to the fracture site has been found to decrease relative lateral deformation. The model and the experiment have simultaneously demonstrated that lower values of effective pin lengths and higher values of pin connector lengths lead to higher stiffness. Increasing the number of pins also contributes to the higher values of fixator stiffness.

scholarly journals Lateral Deformation Characteristics and Control Methods of Foundation Pits Subjected to Asymmetric Loads

Symmetry ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 476
Author(s):  
Kangyu Wang ◽  
Weijie Li ◽  
Honglei Sun ◽  
Xiaodong Pan ◽  
Hongguo Diao ◽  
...  
Keyword(s):  
Lateral Displacement ◽  
Diaphragm Wall ◽  
Control Methods ◽  
Deformation Characteristics ◽  
Lateral Deformation ◽  
Foundation Pit ◽  
Pressure Zone ◽  
Asymmetric Load ◽  
Loaded Side ◽  
Maximum Lateral Displacement

Using the foundation pit at the Jianye Road Station of Hangzhou Metro Line 6 as a case study, the deformation characteristics of a foundation pit subjected to asymmetric loads is investigated in this paper using PLAXIS 3D numerical simulation software. The influence of active pressure zone reinforcement, passive pressure zone reinforcement, and increased thickness of the diaphragm wall at the loaded side on the maximum lateral displacement of diaphragm wall retaining structure of foundation pit is also systematically analyzed. The results show that the deformation of the diaphragm walls on both sides of the foundation pit is strongly inconsistent when subjected to asymmetric loads and is affected by the asymmetric load value and its distance to the foundation pit. In order to reduce the lateral deformations of foundation pit subjected to asymmetric load, two displacement control methods are adopted in the numerical simulations. It is shown that reinforcing the active pressure zone can reduce the maximum lateral displacement of the diaphragm wall on the loaded side to a certain extent but the reinforcement should have a certain depth, resulting in poor efficiency. On the other hand, reinforcing the passive pressure zone can effectively reduce the difference in lateral deformation between the two sides of the foundation pit by increasing the depth and width of the reinforcement zones. It is also observed that the increase in the thickness of the diaphragm wall can reduce the adverse effect of asymmetric loads on the foundation pit. The research results can provide reference for using measures to reduce the influence of asymmetric loads.

scholarly journals Deformation Characteristics of Raising, Widening of Old Roadway on Soft Soil Foundation

Symmetry ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2117
Author(s):  
Keke Li ◽  
Wenyuan Xu ◽  
Liang Yang
Keyword(s):  
Lateral Displacement ◽  
Soft Soil ◽  
Ground Surface ◽  
Surface Settlement ◽  
Deformation Characteristics ◽  
Construction Methods ◽  
Ground Surface Settlement ◽  
Total Settlement ◽  
Soil Foundation ◽  
Soft Soil Foundation

The deformation characteristics of a raised and widened old Chinese roadway on a soft soil foundation are investigated in this study via finite element numerical simulation. The rules of ground surface settlement, slope foot lateral displacement, and ground surface settlement evolution of the roadbed under three modes (one-time construction of an eight-lane expressway, widened four-lane expressway, and raised/widened four-lane expressway) are compared. The ground surface settlement process of the eight-lane road foundation, which is formed by first widening and then raising the road, is highly complex. The ground surface settlement curve under the old road foundation increases and then decreases. The lateral displacement of the slope foot also interacts with the widening and raising of the eight-lane roadbed foundation. The range of lateral displacement is 70.05, 42.58, 124.81, 104.54 mm. Fifteen years after construction, the total settlement of the raised and widened roadbed is much larger than that of the one built directly. The total settlement values at the center of the two roadbeds are 297.05 and 234.85 mm, respectively. This manuscript provides data support for the reconstruction and expansion of roads on soft soil foundations, for choosing appropriate construction methods to build roads, and for avoiding major road damage, which is of great significance to the construction of road infrastructure in the future.

scholarly journals A COMPARATIVE STUDY OF IN VIVO EFFECT OF PERCUTANEOUS BONE MARROW INJECTION VS WITHOUT INJECTION ON UNION OF OPEN TIBIAL SHAFT FRACTURES WITH EXTERNAL FIXATOR

2020 ◽  
pp. 1-2
Author(s):  
Hrishikesh Desai ◽  
Kirtiraj G ◽  
Abhay P
Keyword(s):  
Bone Marrow ◽  
External Fixator ◽  
Autologous Bone Marrow ◽  
Tibial Fractures ◽  
External Fixators ◽  
Open Tibial Fractures ◽  
Autologous Bone ◽  
Group 2 ◽  
Radiological Union

Background : Open tibial fractures are notorious fractures because the open wound leaves us with limited options and means multiple operations with long intervals for the patient. The usual method of treatment of contaminated, late presenting and complicated fractures is a temporary external fixator followed by conversion into a costly definitive procedure once the wound has healed. The secondary definitive procedure also means extra cost in an already economically stressed patient.In our set up we have to often let patients leave with a plaster cast after removing the external fixator for economic constrains. Per cetaceous autologous bone marrow injection while the patient is on external fixator is one alternative that we have tried to deal with this problem hoping for a primary union without any costly intervention. Materials and methods : We had 42 cases of open tibial fractures which were treated with external fixator and per cutaneous bone marrow injection while 38 other cases which were used as control with only the external fixator and no injections. We included open fractures of only Gustilo Anderson type II,IIIA and B for our study. Study was conducted between period of June 2012 and December 2013 at SBKS medical college . Results : In group one, 34 of the 42 patients had a radiological union before 12 weeks while another 2 in 16 weeks. For group 2 , only 16 of the 38patients had radiological union at 12 weeks and no more at 16 weeks. The average time of union for group 1 was 10 weeks while of group 2 was 12 weeks .Function of the union cases of both the groups was similar in all aspects including distance of walking and ability to carry out daily activities. Conclusion : Per cutaneous autologous bone marrow injections are cheap , easily available and successful alternative to a secondary procedure for open tibial fractures on external fixators.

Methyl methacrylate in external fixation of supracondylar humerus fractures: An experimental study

2018 ◽  
Vol 232 (10) ◽  
pp. 1025-1029
Author(s):  
Ali Güleç ◽  
Mehmet Ali Acar ◽  
Bahattin Kerem Aydin ◽  
Teyfik Demir ◽  
Mustafa Özkaya
Keyword(s):  
Methyl Methacrylate ◽  
External Fixation ◽  
External Fixator ◽  
External Fixators ◽  
Three Point Bending ◽  
Fixation Methods ◽  
Supracondylar Humerus Fractures ◽  
Methacrylate Group ◽  
Humerus Fractures ◽  
K Wires

Supracondylar humerus fractures are common fractures around the elbow. Open fractures, comminuted metaphyseal fractures and also fractures with bone loss may need to be treated with external fixators. The aim of this study is to compare two different external fixators, tubular external fixators and polymethyl methacrylate with K wires external fixators, with regard to stiffness and stability for metaphyseal-diaphyseal osteotomies of distal humerus close to the joint. Six matched pairs (24 specimens) of second-generation sawbone humerus were prepared in a standard fashion to create a metaphyseal fracture, 5 cm proximal to the distal joint line of humerus and were randomly divided into two groups of 12 specimens each. Each sawbone humerus was osteotomized transversely at the mid-olecranon fossa with a 2-mm oscillating saw to simulate a Gartland type III fracture. The osteotomy was then reduced and stabilized using two different external fixation methods: carbon tubular external fixator with Schanz screws and methyl methacrylate with multiple K wires. Three-point bending and torsion tests were performed on the specimens. Bending and torsional stiffness of specimens were obtained for the fixation methods. According to the results of the study, the methyl methacrylate group has provided higher stiffness than classical tubular fixator with Schanz screws in three-point bending test (7.79 ± 2.33 N/mm vs 3.78 ± 1.18 N/mm, p = 0.006). The methyl methacrylate group also showed better stiffness in torsion test (0.12 ± 0.042 N m/° vs 0.067 ± 0.013 N m/°, p = 0.02). We determined for the first time in literature that external fixation with methyl methacrylate was significantly superior to the classical tubular external fixator with Schanz screws with regard to stiffness and stability under three-point bending and torsional loads. Moreover, methyl methacrylate is inexpensive and easily applied.

Numerical simulation of structural growth in the Lebanese restraining bends, Dead Sea fault system

2021 ◽  
Author(s):  
Jakub Fedorik ◽  
Francesco E. Maesano ◽  
Abdulkader M. Alafifi
Keyword(s):  
Numerical Simulation ◽  
Lateral Displacement ◽  
Dead Sea ◽  
Geometrical Model ◽  
Experimental Models ◽  
Strike Slip ◽  
Boundary Element Methods ◽  
Fault System ◽  
Arabian Plate ◽  
Restraining Bend

<p>Strike-slip structures are rarely validated because commonly used 2D restoration techniques are not applicable. Here we present the results of 3D numerical simulation of the restraining bends in Lebanon using boundary element methods of fault deformation implemented in MOVE™. The Lebanon restraining bend is the largest transpressional feature along the Dead Sea Transform (DST), and consists of two mountain ranges: Mount Lebanon on the west, dominated by the active Yammouneh fault, and the Anti-Lebanon Range to the east, influenced by the Serghaya and other faults. We built a new 3D geometrical model of the fault surfaces based on previous mapping of faults onshore and offshore Lebanon, complemented by interpretation of satellite images and DEM, and analogy with experimental models of restraining bend or transpressional structures. The model was simulated in response to the regional stress produced by the left-lateral displacement of the Arabian plate. The simulation accurately predicted the shape and magnitude of positive and negative topographic changes and faults slip directions throughout Lebanon. Furthermore, this simulation supports the hypothesis that the formation of the Anti-Lebanon Range was influenced by the intersection of the DST with the older Palmyrides belt, resulting in failed restraining bend. In contrast, the structure of Mt. Lebanon is similar to laboratory experiments of a restraining bend without inheritance. In addition, our simulation presents an approach of how strike-slip structural models may be validated in areas where subsurface data are limited.</p>

Evaluation of Stiffness and Stress of External Fixators with Curved Acrylic Connecting Bars

2000 ◽  
Vol 13 (02) ◽  
pp. 65-72 ◽  
Author(s):  
R. Shahar
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Stainless Steel ◽  
Axial Compression ◽  
External Fixator ◽  
External Fixators ◽  
Analysis Method ◽  
Lateral Bending ◽  
Element Analysis ◽  
The Finite Element Analysis

SummaryThe use of acrylic connecting bars in external fixators has become widespread in veterinary orthopaedics. One of the main advantages of an acrylic connecting bar is the ability to contour it into a curved shape. This allows the surgeon to place the transcortical pins according to safety and convenience considerations, without being bound by the requirement of the standard stainless steel connecting bar, that all transcortical pins be in the same plane.The purpose of this study was to evaluate the stiffness of unilateral and bilateral medium-sized external fixator frames with different curvatures of acrylic connecting bars. Finite element analysis was used to model the various frames and obtain their stiffness under four types of load: Axial compression, four-point medio-lateral bending, fourpoint antero-posterior bending and torsion. The analysis also provided the maximal pin stresses occurring in each frame for each loading condition.Based on the results of this study, curvatures of acrylic connecting bars of up to a maximal angular difference between pins of 25° will result in very similar stiffness and maximal pin stresses to those of the equivalent, uniplanar stainless steel system. In both unilateral and bilateral systems the stiffness decreases slightly as angulation increases for axial compression and medio-lateral bending, increases slightly for torsion and increases substantially for antero-posterior bending.External fixator systems with curved acrylic connecting bars are commonly used in veterinary orthopaedics. This paper evaluates the biomechanical performance of such systems by applying the finite element analysis method. It shows that external fixators with curved acrylic connecting bars exhibit stiffness and maximal pin stresses which are similar to those of the standard stainless steel system.

scholarly journals Low cost 3D printed clamps for external fixator for developing countries: a biomechanical study

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Felix J. Landaeta ◽  
Jose Nauaki Shiozawa ◽  
Arthur Erdman ◽  
Cara Piazza
Keyword(s):  
Developing Countries ◽  
External Fixation ◽  
Axial Compression ◽  
External Fixator ◽  
Low Cost ◽  
Biomechanical Properties ◽  
External Fixators ◽  
The Novel ◽  
Astm Standard ◽  
3D Printed

Abstract Background External fixation is a mainstream limb reconstruction technique, most often used after a traumatic injury. Due to the high rates of trauma in developing countries, external fixation devices are often utilized for immediate fracture stabilization and soft tissue repair. Proper external fixation treatment too often still fails to be adopted in these regions due to the high cost and trauma complexity. A novel, inexpensive, unilateral fixator was constructed using 3D printed clamps and other readily available supporting components. ASTM standard F1541 tests were used to assess the biomechanical properties of this novel external fixator. Methods Applicable sections of ASTM standard F1541 were used to determine the biomechanical properties of the novel external fixator. 3D printed clamps modeled using SolidWorks and printed with chopped carbon fibers using a fuse deposition modeling (FDM) based 3D printer by Markforged (Boston, MA) were used. This study included 3 different testing configurations: axial compression, anterior-posterior (AP) bending, and medial-lateral (ML) bending. Using the novel unilateral fixator with 3D printed clamps previously sterilized by autoclave, an input load was applied at a rate of 20 N/s, starting at 0 N via a hydraulic MTS tester Model 359. Force and deformation data were collected at a sampling rate of 30 Hz. There was a load limit of 750 N, or until there was a maximum vertical deformation of 6 mm. Also, 4 key dimensions of the 3D printed clamps were measured pre and post autoclave: diameter, width, height and length. Results The novel external fixator had axial compression, AP and ML bending rigidities of 246.12 N/mm (σ = 8.87 N/mm), 35.98 N/mm (σ = 2.11 N/mm) and 39.60 N/mm (σ =2.60 N/mm), respectively. The 3D printed clamps shrunk unproportionally due to the autoclaving process, with the diameter, width, height and length dimensions shrinking by 2.6%, 0.2%, 1.7% and 0.3%, respectively. Conclusion Overall, the biomechanical properties of the novel fixator with 3D printed clamps assessed in this study were comparable to external fixators that are currently being used in clinical settings. While the biomechanics were comparable, the low cost and readily available components of this design meets the need for low cost external fixators in developing countries that current clinical options could not satisfy. However, further verification and validation routines to determine efficacy and safety must be conducted before this novel fixator can be clinically deployed. Also, the material composition allowed for the clamps to maintain the appropriate shape with minimal dimensional shrinkage that can be accounted for in clamp design.

Antebrachial Angular Deformities Using Computer-Assisted Hexapod External Fixator Systems in Dogs

2020 ◽  
Vol 33 (04) ◽  
pp. 227-234
Author(s):  
Özlem Şengöz Şirin ◽  
Bruno Peirone ◽  
Lisa Adele Piras ◽  
Hasan Bilgili
Keyword(s):  
Prospective Study ◽  
External Fixator ◽  
Postoperative Period ◽  
Computer Assisted ◽  
External Fixators ◽  
Advantages And Disadvantages ◽  
A Prospective Study ◽  
Navigation Software ◽  
Fixation System ◽  
Angular Deformities

Abstract Objective The aim of this study was to investigate the applicability of computer-assisted hexapod fixators in dogs and to consider the advantages and disadvantages during implementation. Materials and Methods This was a prospective study. The study material consisted of 11 deformed extremities of 6 dogs. The correction plans were defined according to multiple extremity radiographs of the dog and the clinical evaluation of deformities. All measurements were uploaded to Click2Correct software program. Latent, correction and consolidation periods of each dog were recorded. The hexapod external fixators were removed after completion of the correction. Results Data were adapted to the radiographic navigation software to be used during operation and postoperative period. The latent period ranged from 3 to 20 days, the correction period ranged from 7 to 20 days and the consolidation period ranged from 39 to 81 days. It was concluded that special fixators can be used in dogs with complex antebrachial deformities. Clinical significance The ability to perform six axes correction at the same time has a considerable advantage, especially in dogs with complex antebrachial deformities. It is practical to use this fixation system in dogs with antebrachial deformities.

Comparative Analysis of the Influence of Different Construction Technology for Excavation on Adjacent Tunnels

2014 ◽  
Vol 638-640 ◽  
pp. 884-887
Author(s):  
Yong Gang Du ◽  
Jing Cao ◽  
Zu De Ding
Keyword(s):  
Lateral Displacement ◽  
Internal Force ◽  
Calculation Model ◽  
Construction Technology ◽  
Tunnel Structure ◽  
Lateral Deformation ◽  
Foundation Pit ◽  
Engineering Construction ◽  
Excavation Process ◽  
Calculation Results

Based on the project of a foundation pit engineering adjacent to existing tunnel of Kunming metro line 1, a 3D calculation model is established in consideration the interaction of foundation pit support structures, tunnel structure and soil. In this paper, the authors have simulated the foundation pit excavation process in three conditions, and analyzed the changing laws of the lateral displacement and internal force of the tunnel induced by adjacent excavation under different conditions. Calculation results show that the distributions and the values of the displacement and internal force of the tunnel are obviously different under three different construction technologies, and the “jump dig” is the optimum excavation scheme due to the restriction in the excavation of foundation pit, and the lateral deformation of tunnel structure is smallest in this condition. The conclusion can provide a theoretical basis for similar excavation engineering construction.

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