scholarly journals Biomechanical analysis of the annular ligament in Monteggia fractures using finite element models

2015 ◽  
Vol 10 (1) ◽  
pp. 30 ◽  
Author(s):  
Jiangwei Tan ◽  
Mingzhang Mu ◽  
Guangjun Liao ◽  
Yong Zhao ◽  
Jianmin Li
2021 ◽  
Author(s):  
Ye Peng ◽  
Gongzi Zhang ◽  
Shuwei Zhang ◽  
Xinran Ji ◽  
Junwei Li ◽  
...  

Abstract Objective: To compare the biomechanical stability of transsacral-transiliac screw fixation and lumbopelvic fixation for “H”- and “U”-type sacrum fractures with traumatic spondylopelvic dissociation.Methods: Finite element models of “H”- and “U”-type sacrum fractures with traumatic spondylopelvic dissociation were created in this study. The models mimicked the standing position of a human. Fixation with transsacral-transiliac screw fixation, lumbopelvic fixation, and bilateral triangular fixation were simulated. Biomechanical tests of instability were performed, and the fracture gap displacement, anteflexion, rotation, and stress distribution after fixation were assessed.Results: For H-type fractures, the three kinds of fixation ranked by stability were bilateral triangular fixation > lumbopelvic fixation > transsacral-transiliac screw fixation in the vertical and anteflexion directions, bilateral triangular fixation > transsacral-transiliac S1 and S2 screw fixation > lumbopelvic fixation in rotation. The largest displacements in the vertical, anteflexion and rotational directions were 0.57234 mm, 0.37923 mm and 0.13076 mm, respectively. For U-type fractures, these kinds of fixation ranked by stability were bilateral triangular fixation > lumbopelvic fixation > transsacral-transiliac S1 and S2 screw fixation > transsacral-transiliac S1 screw fixation in the vertical, anteflexion and rotational directions. The largest displacements in the vertical, anteflexion and rotational directions were 0.38296 mm, 0.33976 mm and 0.05064 mm, respectively.Conclusion: All these kinds of fixation met the mechanical criteria for clinical applications. The biomechanical analysis showed better bilateral balance with transsacral-transiliac screw fixation. The maximal displacement for these types of fixation was less than 1 mm. Percutaneous transsacral-transiliac screw fixation can be considered the best option among these kinds of fracture fixation.


2020 ◽  
Author(s):  
Beomju Bae ◽  
Dongwook Kim ◽  
Hyejong Oh ◽  
Gonhyung Kim

Abstract Background: Atlantoaxial instability can cause spinal cord compression with clinical signs ranging from cervical pain to tetraplegia and death. Although a variety of dorsal fixation techniques have been described, some of them have been related to the fracture of the dorsal arch of the atlas, leading to surgical failure. We hypothesized that the shape of the dorsal arch of the atlas and types of implants might affect these bone fractures. Thus, the objective of this study was to analyze bone stresses through simulations of the dorsal fixation using finite element models.Results: The width between wires and the length of the bone did not affect the maximum stress on the bone. The maximum bone stress increased as the bone got thinner and the angle of the notch got steeper. The bone with band implant had lower maximum bone stress than that with wire implants. When using wire implants, wires applied beyond the notch of the dorsal arch reduced the maximum bone stress more than wires positioned within it.Conclusions: The fracture of the dorsal arch of the atlas was related to the shape of the bone and types of implant applied. Band implant can effectively reduce the fracture of the dorsal arch compared to wire implant in atlantoaxial dorsal fixation. When considering wire implant, it is recommended to apply wires beyond the notch of the atlas.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ye Peng ◽  
Gongzi Zhang ◽  
Shuwei Zhang ◽  
Xinran Ji ◽  
Junwei Li ◽  
...  

Abstract Objective To compare the biomechanical stability of transsacral-transiliac screw fixation and lumbopelvic fixation for “H”- and “U”-type sacrum fractures with traumatic spondylopelvic dissociation. Methods Finite element models of “H”- and “U”-type sacrum fractures with traumatic spondylopelvic dissociation were created in this study. The models mimicked the standing position of a human. Fixation with transsacral-transiliac screw fixation, lumbopelvic fixation, and bilateral triangular fixation were simulated. Biomechanical tests of instability were performed, and the fracture gap displacement, anteflexion, rotation, and stress distribution after fixation were assessed. Results For H-type fractures, the three kinds of fixation ranked by stability were bilateral triangular fixation > lumbopelvic fixation > transsacral-transiliac screw fixation in the vertical and anteflexion directions, bilateral triangular fixation > transsacral-transiliac S1 and S2 screw fixation > lumbopelvic fixation in rotation. The largest displacements in the vertical, anteflexion, and rotational directions were 0.57234 mm, 0.37923 mm, and 0.13076 mm, respectively. For U-type fractures, these kinds of fixation ranked by stability were bilateral triangular fixation > lumbopelvic fixation > transsacral-transiliac S1 and S2 screw fixation > transsacral-transiliac S1 screw fixation in the vertical, anteflexion, and rotational directions. The largest displacements in the vertical, anteflexion, and rotational directions were 0.38296 mm, 0.33976 mm, and 0.05064 mm, respectively. Conclusion All these kinds of fixation met the mechanical criteria for clinical applications. The biomechanical analysis showed better bilateral balance with transsacral-transiliac screw fixation. The maximal displacement for these types of fixation was less than 1 mm. Percutaneous transsacral-transiliac screw fixation can be considered the best option among these kinds of fracture fixation.


1988 ◽  
Vol 16 (1) ◽  
pp. 18-43 ◽  
Author(s):  
J. T. Oden ◽  
T. L. Lin ◽  
J. M. Bass

Abstract Mathematical models of finite deformation of a rolling viscoelastic cylinder in contact with a rough foundation are developed in preparation for a general model for rolling tires. Variational principles and finite element models are derived. Numerical results are obtained for a variety of cases, including that of a pure elastic rubber cylinder, a viscoelastic cylinder, the development of standing waves, and frictional effects.


1997 ◽  
Author(s):  
Francois Hemez ◽  
Emmanuel Pagnacco ◽  
Francois Hemez ◽  
Emmanuel Pagnacco

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