scholarly journals A biomechanical analysis of anterior cervical discectomy and fusion alone or combined cervical fixations in treating compression-extension injury with unilateral facet joint fracture: a finite element study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chen Jin ◽  
Zhong Wang ◽  
Peng Liu ◽  
Yaoyao Liu ◽  
Zhanwei Wang ◽  
...  
Keyword(s):  
Finite Element ◽  
Cervical Spine ◽  
Pedicle Screw ◽  
Facet Joint ◽  
Von Mises Stress ◽  
Fixation Technique ◽  
Transarticular Screw ◽  
Joint Fracture ◽  
Fixation Techniques ◽  
Von Mises

Abstract Background Compression-extension injury with unilateral facet joint fracture is one of the most devastating injuries of subaxial cervical spine. However, it is not yet clear which fixation technique represents the optimal choice in surgical management. This study aims to assess the construct stability at the operative level (C4/C5 cervical spine) following anterior cervical discectomy and fusion (ACDF) alone and combined fixation techniques (posterior-anterior fixations). Methods A previously validated three-dimensional C2-T1 finite element model were modified to simulate surgical procedures via the anterior-only approach (ACDF) and combined cervical approach [(transarticular screw, lateral mass screw, unilateral pedicle screw, bilateral pedicle screw) + ACDF, respectively] for treating compression-extension injury with unilateral facet joint fracture at C4/C5 level. Construct stability (range of rotation, axial compression displacement and anterior shear displacement) at the operative level was comparatively analyzed. Results In comparison with combined fixation techniques, a wider range of motion and a higher maximum von Mises stress was found in single ACDF. There was no obvious difference in range of motion among transarticular screw and other posterior fixations in the presence of anterior fixation. In addition, the screws inserted by transarticular screw technique had high stress concentration at the middle part of the screw but much less than 500 MPa under different conditions. Furthermore, the variability of von Mises stress in the transarticular screw fixation device was significantly lower than ACDF but no obvious difference compared with other posterior fixations. Conclusions Of the five fixation techniques, ACDF has proven poor stability and high structural stress. Compared with lateral and pedicle screw, transarticular screw technique was not worse biomechanically and less technically demanding to acquire in clinical practice. Therefore, our study suggested that combined fixation technique (transarticular screw + ACDF) would be a reasonable treatment option to acquire an immediate stabilization in the management of compression-extension injury with unilateral facet joint fracture. However, clinical aspects must also be regarded when choosing a reconstruction method for a specific patient.

Design and development of a novel expanding flexible rod device (FRD) for stability in the lumbar spine: A finite-element study

2020 ◽  
Vol 43 (12) ◽  
pp. 803-810 ◽  
Author(s):  
Masud Rana ◽  
Sandipan Roy ◽  
Palash Biswas ◽  
Shishir Kumar Biswas ◽  
Jayanta Kumar Biswas
Keyword(s):  
Finite Element ◽  
Lumbar Spine ◽  
Range Of Motion ◽  
Pedicle Screw ◽  
Axial Rotation ◽  
Von Mises Stress ◽  
Lateral Bending ◽  
Intact Bone ◽  
Flexion Extension ◽  
Von Mises

The aim of this study is to design a novel expanding flexible rod device, for pedicle screw fixation to provide dynamic stability, based on strength and flexibility. Three-dimensional finite-element models of lumbar spine (L1-S) with flexible rod device on L3-L4-L5 levels are developed. The implant material is taken to be Ti-6Al-4V. The models are simulated under different boundary conditions, and the results are compared with intact model. In natural model, total range of motion under 10 Nm moment were found 66.7°, 24.3° and 13.59°, respectively during flexion–extension, lateral bending and axial rotation. The von Mises stress at intact bone was 4 ± 2 MPa and at bone, adjacent to the screw in the implanted bone, was 6 ± 3 MPa. The von Mises stress of disc of intact bone varied from 0.36 to 2.13 MPa while that of the disc between the fixed vertebra of the fixation model reduced by approximately 10% for flexion and 25% for extension compared to intact model. The von Mises stresses of pedicle screw were 120, 135, 110 and 90 MPa during flexion, extension, lateral bending, and axial rotation, respectively. All the stress values were within the safe limit of the material. Using the flexible rod device, flexibility was significantly increased in flexion/extension but not in axial rotation and lateral bending. The results suggest that dynamic stabilization system with respect to fusion is more effective for homogenizing the range of motion of the spine.

scholarly journals Biomechanical Evaluation of Subaxial Lateral Mass Prothesis: A Finite Element Analysis Study

2021 ◽  
Author(s):  
Qiang Jian ◽  
Zhenlei Liu ◽  
Wanru Duan ◽  
Fengzeng Jian ◽  
Xuefeng Bo ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Cervical Spine ◽  
Von Mises Stress ◽  
Mechanical Transmission ◽  
Lateral Mass ◽  
Element Analysis ◽  
Prosthesis Implantation ◽  
Bone Fusion ◽  
Von Mises

Abstract Background: Pathologies of a lateral masses due to trauma, tumors, and surgery, could lead to bone destruction and biomechanical changes of the cervical spine. Their treatment includes lesion resection and internal fixation. However, the resulting bone defect of a lateral mass is often neglected, resulting in difficulty in bone fusion. Therefore, we designed a subaxial lateral mass prosthesis to achieve lateral mass joint fusion by implanting the prosthesis along with granular bone.Objective: To evaluate the role of a new subaxial lateral mass prosthesis in load sharing using finite element analysis.Methods: Cervical computed tomography was performed on a healthy volunteer. Five finite element models (intact, lateral mass resection, screw-rod fixation, prosthesis implantation, and prosthesis fusion groups) were compared in terms of the range of motion (ROM), prosthesis von Mises stress, and screw-rod von Mises stress during flexion, extension, lateral bending, and rotation. Results: After lateral mass resection, the ROM of the model increased significantly. The ROM was significantly reduced after fixation with screws and rods. Screw-rod fixation combined with prosthesis implantation further reduced the ROM, especially during left and right bending. After bone fusion in the prosthesis, the ROM can also be reduced slightly. The von Mises stress of the bilateral screws and rods was significantly decreased after prosthesis implantation. The von Mises stress of the prosthesis was further decreased during the right bending after bone fusion was achieved.Conclusion: Subaxial lateral mass prosthesis can help to restore the stability of the cervical spine after lateral mass resection and can reduce the stress on the bilateral screws and rods. Reconstruction of a lateral mass is more consistent with the mechanical transmission of the three-column spine and contributes to interbody fusion of the lateral mass joint.

scholarly journals A Hybrid Uniplanar Pedicle Screw System with a New Intermediate Screw for Minimally Invasive Spinal Fixation: A Finite Element Analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Jia Li ◽  
Li-Cheng Zhang ◽  
Jiantao Li ◽  
Hao Zhang ◽  
Jing-Xin Zhao ◽  
...  
Keyword(s):  
Finite Element ◽  
Minimally Invasive ◽  
Range Of Motion ◽  
Pedicle Screw ◽  
Axial Rotation ◽  
Von Mises Stress ◽  
Spinal Fixation ◽  
Lateral Bending ◽  
Maximum Displacement ◽  
Von Mises

Purpose. A hybrid pedicle screw system for minimally invasive spinal fixation was developed based on the uniplanar pedicle screw construct and a new intermediate screw. Its biomechanical performance was evaluated using finite element (FE) analysis. Methods. A T12-L2 FE model was established to simulate the L1 vertebral compression fracture with Magerl classification A1.2. Six fixation models were developed to simulate the posterior pedicle screw fracture fixation, which were divided into two subgroups with different construct configurations: (1) six-monoaxial/uniplanar/polyaxial pedicle screw constructs and (2) four-monoaxial/uniplanar/polyaxial pedicle screw constructs with the new intermediate screw. After model validation, flexion, extension, lateral bending, and axial rotation with 7.5 Nm moments and preloading of 500 N vertical compression were applied to the FE models to compare the biomechanical performances of the six fixation models with maximum von Mises stress, range of motion, and maximum displacement of the vertebra. Results. Under four loading scenarios, the maximum von Mises stresses were found to be at the roots of the upper or lower pedicle screws. In the cases of flexion, lateral bending, and axial rotation, the maximum von Mises stress of the uniplanar screw construct lay in between the monoaxial and polyaxial screw constructs in each subgroup. Considering lateral bending, the uniplanar screw construct enabled to lower the maximum von Mises stress than monoaxial and polyaxial pedicle screw constructs in each subgroup. Two subgroups showed comparable results of the maximum von Mises stress on the endplates, range of motion of T12-L1, and maximum displacement of T12 between the corresponding constructs with the new intermediate screw or not. Conclusions. The observations shown in this study verified that the hybrid uniplanar pedicle screw system exhibited comparable biomechanical performance as compared with other posterior short-segment constructs. The potential advantage of this new fixation system may provide researchers and clinical practitioners an alternative for minimally invasive spinal fixation with vertebral augmentation.

Effects of occlusal scheme on All-on-Four abutments, screws and prostheses: A three-dimensional finite element study

2020 ◽  
Author(s):  
Nurullah Türker ◽  
Hümeyra Tercanlı Alkış ◽  
Steven J Sadowsky ◽  
Ulviye Şebnem Büyükkaplan
Keyword(s):  
Finite Element ◽  
Three Dimensional ◽  
Good Prognosis ◽  
Von Mises Stress ◽  
Element Analysis ◽  
Group Function ◽  
Occlusal Contact ◽  
Maximum Deformation ◽  
Contact Points ◽  
Von Mises

An ideal occlusal scheme plays an important role in a good prognosis of All-on-Four applications, as it does for other implant therapies, due to the potential impact of occlusal loads on implant prosthetic components. The aim of the present three-dimensional (3D) finite element analysis (FEA) study was to investigate the stresses on abutments, screws and prostheses that are generated by occlusal loads via different occlusal schemes in the All-on-Four concept. Three-dimensional models of the maxilla, mandible, implants, implant substructures and prostheses were designed according to the All-on-Four concept. Forces were applied from the occlusal contact points formed in maximum intercuspation and eccentric movements in canine guidance occlusion (CGO), group function occlusion (GFO) and lingualized occlusion (LO). The von Mises stress values for abutment and screws and deformation values for prostheses were obtained and results were evaluated comparatively. It was observed that the stresses on screws and abutments were more evenly distributed in GFO. Maximum deformation values for prosthesis were observed in the CFO model for lateral movement both in the maxilla and mandible. Within the limits of the present study, GFO may be suggested to reduce stresses on screws, abutments and prostheses in the All-on-Four concept.

The Influence of Loading Position in A Priori High Stress Detection using Mode Superposition

2020 ◽  
Vol 1 (1) ◽  
pp. 93-102
Author(s):  
Carsten Strzalka ◽  
◽  
Manfred Zehn ◽  
Keyword(s):  
Finite Element ◽  
Degrees Of Freedom ◽  
Equations Of Motion ◽  
A Priori ◽  
High Stress ◽  
Von Mises Stress ◽  
Detailed Knowledge ◽  
Variable Loading ◽  
Numerical Effort ◽  
Von Mises

For the analysis of structural components, the finite element method (FEM) has become the most widely applied tool for numerical stress- and subsequent durability analyses. In industrial application advanced FE-models result in high numbers of degrees of freedom, making dynamic analyses time-consuming and expensive. As detailed finite element models are necessary for accurate stress results, the resulting data and connected numerical effort from dynamic stress analysis can be high. For the reduction of that effort, sophisticated methods have been developed to limit numerical calculations and processing of data to only small fractions of the global model. Therefore, detailed knowledge of the position of a component’s highly stressed areas is of great advantage for any present or subsequent analysis steps. In this paper an efficient method for the a priori detection of highly stressed areas of force-excited components is presented, based on modal stress superposition. As the component’s dynamic response and corresponding stress is always a function of its excitation, special attention is paid to the influence of the loading position. Based on the frequency domain solution of the modally decoupled equations of motion, a coefficient for a priori weighted superposition of modal von Mises stress fields is developed and validated on a simply supported cantilever beam structure with variable loading positions. The proposed approach is then applied to a simplified industrial model of a twist beam rear axle.

scholarly journals Finite Element Analysis of Composite Repair for Damaged Steel Pipeline

Coatings ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 301
Author(s):  
Jiaqi Chen ◽  
Hao Wang ◽  
Milad Salemi ◽  
Perumalsamy N. Balaguru
Keyword(s):  
Finite Element ◽  
Shear Stress ◽  
Hoop Stress ◽  
Pipe Wall ◽  
Von Mises Stress ◽  
Repair System ◽  
Composite Repair ◽  
Steel Pipeline ◽  
Von Mises ◽  
Infill Material

Carbon fiber reinforced polymer (CFRP) matrix composite overwrap repair systems have been introduced and accepted as an alternative repair system for steel pipeline. This paper aimed to evaluate the mechanical behavior of damaged steel pipeline with CFRP repair using finite element (FE) analysis. Two different repair strategies, namely wrap repair and patch repair, were considered. The mechanical responses of pipeline with the composite repair system under the maximum allowable operating pressure (MAOP) was analyzed using the validated FE models. The design parameters of the CFRP repair system were analyzed, including patch/wrap size and thickness, defect size, interface bonding, and the material properties of the infill material. The results show that both the stress in the pipe wall and CFRP could be reduced by using a thicker CFRP. With the increase in patch size in the hoop direction, the maximum von Mises stress in the pipe wall generally decreased as the maximum hoop stress in the CFRP increased. The reinforcement of the CFRP repair system could be enhanced by using infill material with a higher elastic modulus. The CFRP patch tended to cause higher interface shear stress than CFRP wrap, but the shear stress could be reduced by using a thicker CFRP. Compared with the fully bonded condition, the frictional interface causes a decrease in hoop stress in the CFRP but an increase in von Mises stress in the steel. The study results indicate the feasibility of composite repair for damaged steel pipeline.

scholarly journals 3D Finite Element Analysis of Rotary Instruments in Root Canal Dentine with Different Elastic Moduli

2021 ◽  
Vol 11 (6) ◽  
pp. 2547 ◽  
Author(s):  
Carlo Prati ◽  
João Paulo Mendes Tribst ◽  
Amanda Maria de Oliveira Dal Piva ◽  
Alexandre Luiz Souto Borges ◽  
Maurizio Ventre ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Root Canal ◽  
Elastic Moduli ◽  
Reaction Force ◽  
Von Mises Stress ◽  
Elastic Behavior ◽  
Element Analysis ◽  
Heat Treated ◽  
Von Mises

The aim of the present investigation was to calculate the stress distribution generated in the root dentine canal during mechanical rotation of five different NiTi endodontic instruments by means of a finite element analysis (FEA). Two conventional alloy NiTi instruments F360 25/04 and F6 Skytaper 25/06, in comparison to three heat treated alloys NiTI Hyflex CM 25/04, Protaper Next 25/06 and One Curve 25/06 were considered and analyzed. The instruments’ flexibility (reaction force) and geometrical features (cross section, conicity) were previously investigated. For each instrument, dentine root canals with two different elastic moduli(18 and 42 GPa) were simulated with defined apical ratios. Ten different CAD instrument models were created and their mechanical behaviors were analyzed by a 3D-FEA. Static structural analyses were performed with a non-failure condition, since a linear elastic behavior was assumed for all components. All the instruments generated a stress area concentration in correspondence to the root canal curvature at approx. 7 mm from the apex. The maximum values were found when instruments were analyzed in the highest elastic modulus dentine canal. Strain and von Mises stress patterns showed a higher concentration in the first part of curved radius of all the instruments. Conventional Ni-Ti endodontic instruments demonstrated higher stress magnitudes, regardless of the conicity of 4% and 6%, and they showed the highest von Mises stress values in sound, as well as in mineralized dentine canals. Heat-treated endodontic instruments with higher flexibility values showed a reduced stress concentration map. Hyflex CM 25/04 displayed the lowest von Mises stress values of, respectively, 35.73 and 44.30 GPa for sound and mineralized dentine. The mechanical behavior of all rotary endodontic instruments was influenced by the different elastic moduli and by the dentine canal rigidity.

scholarly journals Evaluation of Bone–Implant Interface Stress and Strain Using Heterogeneous Mandibular Bone Properties Based on Different Empirical Correlations

2021 ◽  
Author(s):  
Mostafa Omran Hussein ◽  
Mohammed Suliman Alruthea
Keyword(s):  
Finite Element ◽  
Group Iv ◽  
Von Mises Stress ◽  
Patient Specific ◽  
Dental Arch ◽  
Stress And Strain ◽  
Bone Implant ◽  
Bone Properties ◽  
Group I ◽  
Von Mises

Abstract Objective The purpose of this study was to compare methods used for calculating heterogeneous patient-specific bone properties used in finite element analysis (FEA), in the field of implant dentistry, with the method based on homogenous bone properties. Materials and Methods In this study, three-dimensional (3D) computed tomography data of an edentulous patient were processed to create a finite element model, and five identical 3D implant models were created and distributed throughout the dental arch. Based on the calculation methods used for bone material assignment, four groups—groups I to IV—were defined. Groups I to III relied on heterogeneous bone property assignment based on different equations, whereas group IV relied on homogenous bone properties. Finally, 150 N vertical and 60-degree-inclined forces were applied at the top of the implant abutments to calculate the von Mises stress and strain. Results Groups I and II presented the highest stress and strain values, respectively. Based on the implant location, differences were observed between the stress values of group I, II, and III compared with group IV; however, no clear order was noted. Accordingly, variable von Mises stress and strain reactions at the bone–implant interface were observed among the heterogeneous bone property groups when compared with the homogenous property group results at the same implant positions. Conclusion Although the use of heterogeneous bone properties as material assignments in FEA studies seem promising for patient-specific analysis, the variations between their results raise doubts about their reliability. The results were influenced by implants’ locations leading to misleading clinical simulations.

Investigating the Calibration Curves for a Two Component Cutting Tool Lathe Dynamometer Using Finite Element Analysis

2016 ◽  
Vol 24 ◽  
pp. 71-84
Author(s):  
Osezua Obehi Ibhadode ◽  
Ishaya Musa Dagwa ◽  
Akii Okonigbon Akhaehomen Ibhadode
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Cutting Tool ◽  
Von Mises Stress ◽  
Equation Modeling ◽  
Element Analysis ◽  
Calibration Curves ◽  
Two Component ◽  
Applied Forces ◽  
Von Mises

Calibration curves of a multi-component dynamometer is of essence in machining operations in a lathe machine as they serve to provide values of force and stress components for cutting tool development and optimization. In this study, finite element analysis has been used to obtain the deflection and stress response of a two component cutting tool lathe dynamometer, for turning operation, when the cutting tool is subjected to cutting and thrust forces from 98.1N to 686.7N (10 to 70kg-wts), at intervals of 98.1N(10kg-wt). By obtaining the governing equation, modeling the dynamometer assembly, defining boundary conditions, generating the assembly mesh, and simulating in Inventor Professional; horizontal and vertical components of deflection by the dynamometer were read off for three different loading scenarios. For these three loading scenarios, calibration plots by experiment compared with plots obtained from simulation by finite element analysis gave accuracies of 79%, 95%, 84% and 36%, 57%, 63% for vertical and horizontal deflections respectively. Also, plots of horizontal and vertical components of Von Mises stress against applied forces were obtained.

scholarly journals Biomechanical assessment of different fixation methods in mandibular high sagittal oblique osteotomy using a three-dimensional finite element analysis model

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Charles Savoldelli ◽  
Elodie Ehrmann ◽  
Yannick Tillier
Keyword(s):  
Finite Element ◽  
Stress Distribution ◽  
Three Dimensional ◽  
Von Mises Stress ◽  
Analysis Model ◽  
Element Analysis ◽  
Fixation Methods ◽  
Oblique Osteotomy ◽  
Von Mises

AbstractWith modern-day technical advances, high sagittal oblique osteotomy (HSOO) of the mandible was recently described as an alternative to bilateral sagittal split osteotomy for the correction of mandibular skeletal deformities. However, neither in vitro nor numerical biomechanical assessments have evaluated the performance of fixation methods in HSOO. The aim of this study was to compare the biomechanical characteristics and stress distribution in bone and osteosynthesis fixations when using different designs and placing configurations, in order to determine a favourable plating method. We established two finite element models of HSOO with advancement (T1) and set-back (T2) movements of the mandible. Six different configurations of fixation of the ramus, progressively loaded by a constant force, were assessed for each model. The von Mises stress distribution in fixations and in bone, and bony segment displacement, were analysed. The lowest mechanical stresses and minimal gradient of displacement between the proximal and distal bony segments were detected in the combined one-third anterior- and posterior-positioned double mini-plate T1 and T2 models. This suggests that the appropriate method to correct mandibular deformities in HSOO surgery is with use of double mini-plates positioned in the anterior one-third and posterior one-third between the bony segments of the ramus.

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