A Proximally-Adjustable Variable Length Intramedullary Nail: Ex Vivo Quasi-Static and Cyclic Loading Evaluation

2017 ◽  
Vol 11 (4) ◽  
Author(s):  
Mark J. Hedgeland ◽  
Alexander Martin Clark ◽  
Mario J. Ciani ◽  
Arthur J. Michalek ◽  
Laurel Kuxhaus

An adjustable-length intramedullary (IM) nail may reduce both complications secondary to fracture fixation and manufacturing costs. We hypothesized that our novel nail would have suitable mechanical performance. To test this hypothesis, we manufactured three prototypes and evaluated them in quasi-static axial compression and torsion and quasi-static four-point bending. Prototypes were dynamically evaluated in both cyclic axial loading and four-point bending and torsion-to-failure. The prototypes exceeded expectations; they were comparable in both quasi-static axial stiffness (1.41 ± 0.37 N/m in cervine tibiae and 2.30 ± 0.63 in cadaver tibiae) and torsional stiffness (1.05 ± 0.26 N·m/deg in cervine tibiae) to currently used nails. The quasi-static four-point bending stiffness was 80.11 ± 09.360, greater than reported for currently used nails. A length-variance analysis indicates that moderate changes in length do not unacceptably alter bone-implant axial stiffness. After 103,000 cycles of axial loading, the prototype failed at the locking screws, comparable to locking screw failures seen clinically. The prototypes survived 1,000,000 cycles of four-point bend cyclic loading, as indicated by a consistent phase angle throughout cyclic loading. The torsion-to-failure test suggests that the prototype has adequate resistance to applied torques that might occur during the healing process. Together, these results suggest that our novel IM nail performs sufficiently well to merit further development. If brought to market, this adjustable-length IM nail could reduce both patient complications and healthcare costs.

2020 ◽  
Vol 9 (12) ◽  
pp. 840-847
Author(s):  
Shaobo Nie ◽  
Ming Li ◽  
Hui Ji ◽  
Zhirui Li ◽  
Wenwen Li ◽  
...  

Aims Restoration of proximal medial femoral support is the keystone in the treatment of intertrochanteric fractures. None of the available implants are effective in constructing the medial femoral support. Medial sustainable nail (MSN-II) is a novel cephalomedullary nail designed for this. In this study, biomechanical difference between MSN-II and proximal femoral nail anti-rotation (PFNA-II) was compared to determine whether or not MSN-II can effectively reconstruct the medial femoral support. Methods A total of 36 synthetic femur models with simulated intertrochanteric fractures without medial support (AO/OTA 31-A2.3) were assigned to two groups with 18 specimens each for stabilization with MSN-II or PFNA-II. Each group was further divided into three subgroups of six specimens according to different experimental conditions respectively as follows: axial loading test; static torsional test; and cyclic loading test. Results The mean axial stiffness, vertical displacement, and maximum failure load of MSN-II were 258.47 N/mm (SD 42.27), 2.99 mm (SD 0.56), and 4,886 N (SD 525.31), respectively, while those of PFNA-II were 170.28 N/mm (SD 64.63), 4.86 mm (SD 1.66), and 3,870.87 N (SD 552.21), respectively. The mean torsional stiffness and failure torque of MSN-II were 1.72 N m/° (SD 0.61) and 16.54 N m (SD 7.06), respectively, while those of PFNA-II were 0.61 N m/° (SD 0.39) and 6.6 N m (SD 6.65), respectively. The displacement of MSN-II in each cycle point was less than that of PFNA-II in cyclic loading test. Significantly higher stiffness and less displacement were detected in the MSN-II group (p < 0.05). Conclusion The biomechanical performance of MSN-II was better than that of PFNA-II, suggesting that MSN-II may provide more effective mechanical support in the treatment of unstable intertrochanteric fractures. Cite this article: Bone Joint Res 2020;9(12):840–847.


1995 ◽  
Vol 85 (2) ◽  
pp. 73-82 ◽  
Author(s):  
JC Christensen ◽  
DN Gusman ◽  
AF Tencer

The authors investigated various factors that affect stiffness of screw fixation in the oblique first metatarsal osteotomy. One screw versus two screw fixation with intact medial cortical hinge, and two screw fixation without hinge were tested on the same metatarsal specimen. Mechanical properties of the fixation patterns were measured on a materials testing apparatus. Each metatarsal was tested at below failure threshold for stiffness within the elastic range of the specimen. Load versus displacement curves and fixation stiffness values were generated for axial loading, valgus torque, and plantar-to-dorsal cantilever bending. Osteotomies with an intact hinge demonstrated superior stiffness in most parameters as compared to osteotomies without a hinge. Two screw fixation with intact hinge showed significantly increased axial stiffness as compared to one screw fixation. There was no statistical difference between one and two screws in cantilever bending and torsional stiffness with an intact hinge. The major stabilizing factor of the first metatarsal base osteotomy is the medial cortical hinge.


Structures ◽  
2021 ◽  
Vol 31 ◽  
pp. 761-768
Author(s):  
Sulaem Musaddiq Laskar ◽  
Ruhul Amin Mozumder ◽  
Aminul Islam Laskar

1990 ◽  
Vol 22 (7) ◽  
pp. 965-970
Author(s):  
N. S. Kogut ◽  
V. N. Moskvichev ◽  
N. L. Kuklyak ◽  
L. I. Bozhenko ◽  
Yu. A. Suetin

Author(s):  
Peter A. Gustafson ◽  
Mark Omwansa ◽  
Andrew G. Geeslin ◽  
Vani J. Sabesan

Finite element models are used for qualitative comparison of the risk of fracture associated with clavicle tunnels in reconstruction of the coracoclavicular ligaments for treatment of high-grade acromioclavicular joint (ACJ) injury. The two-tunnel reconstruction technique is found likely to have higher fracture risk than the less anatomic single tunnel reconstruction. The models suggest that four point bending is more likely than three point bending, cantilever bending, or axial loading to differentiate the reconstruction techniques in a laboratory experiment. The results must be narrowly interpreted only in a laboratory context due to the limitations of the study.


2014 ◽  
Vol 8 (1) ◽  
pp. 44-48
Author(s):  
Grzegorz Mieczkowski ◽  
Krzysztof Molski

Abstract The increasing application of composite materials in the construction of machines causes strong need for modelling and evaluating their strength. There are many well known hypotheses used for homogeneous materials subjected to monotone and cyclic loading conditions, which have been verified experimentally by various authors. These hypotheses should be verified also for composite materials. This paper provides experimental and theoretical results of such verifications for bimaterial structures with interfacial cracks. Three well known fracture hypotheses of: Griffith, McClintock and Novozhilov were chosen. The theoretical critical load values arising from each hypotheses were compared with the experimental data including uni and multi-axial loading conditions. All tests were carried out with using specially prepared specimens of steel and PMMA.


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