scholarly journals Comparison of Three Different Internal Brace Augmentation Techniques for Scapholunate Dissociation: A Cadaveric Biomechanical Study

2021 ◽  
Vol 10 (7) ◽  
pp. 1482
Author(s):  
Il-Jung Park ◽  
Dohyung Lim ◽  
Mauro Maniglio ◽  
Steven S. Shin ◽  
Seungbum Chae ◽  
...  

Internal bracing (IB) is an augmentation method using high-strength nonabsorbable tape. However, there is no detailed information about the direction, location, or number of IBs required for scapholunate interosseous ligament (SLIL) injury repair. Thus, this study compared the biomechanical characteristics of short-transverse IB, long-oblique IB, and the combination of short-transverse and long-oblique (Combo) IB for SLIL injury in a biomechanical cadaveric model. We prepared nine fresh-frozen full upper extremity cadaveric specimens for this study. The scapholunate distance, scapholunate angle, and radioscaphoid angle were measured using the MicroScribe digitizing system with the SLIL intact, after scapholunate dissociation and the three different reconstructions. Three-dimensional digital records were obtained in six wrist positions in each experimental condition. Short-transverse IB had a similar effect compared with long-oblique IB in addressing the widening of the scapholunate distance. However, both were less effective than Combo IB. For scaphoid flexion deformity, short-transverse IB had minimal effect, while long-oblique IB had a similar effect compared to Combo IB. Combo IB was the most effective for improving distraction intensity and rotational strength. This study provides important information about the biomechanical characteristics of three different IB methods for SLIL injury and may be useful to clinicians in treating scapholunate dissociation.

1997 ◽  
Vol 18 (10) ◽  
pp. 644-648 ◽  
Author(s):  
Harold B. Kitaoka ◽  
Tae-Kun Ahn ◽  
Zong Ping Luo ◽  
Kai-Nan An

We defined the relative contributions of six ligaments in stabilizing the arch of the foot: plantar aponeurosis, long-short plantar ligaments, plantar calcaneonavicular ligament (spring ligament), medial talocalcaneal ligament, talocalcaneal interosseous ligament, and tibionavicular portion of the deltoid ligament. Nineteen fresh-frozen human foot specimens were used. A load of 445 N was applied axially to simulate standing-at-ease posture. Three-dimensional positions of tarsal bones before and after ligament sectioning were determined with the use of a magnetic tracking device. The motions were presented in the form of screw axis displacements, quantitating rotation, and axis of rotation orientation. After sectioning one structure, the arch did not collapse on any specimen and there was no obvious change by visual inspection. There were, however, measurable changes in tarsal bone position. Metatarsal-to-talus total rotation difference was greatest with spring ligament and deltoid ligament sectioning, with an average of 2.1° ± 1.7° and 2.0° ± 0.2° difference, respectively. Calcaneus-to-talus rotation difference was greatest with talocalcaneal interosseous ligament sectioning, with an average of 1.7° ± 1.5°. The spring ligament, deltoid ligament, and talocalcaneal interosseous ligament were most important for arch stability.


2020 ◽  
Vol 45 (10) ◽  
pp. 985.e1-985.e9 ◽  
Author(s):  
Il-Jung Park ◽  
Mauro Maniglio ◽  
Steven S. Shin ◽  
Dohyung Lim ◽  
Michelle H. McGarry ◽  
...  

2018 ◽  
Vol 08 (03) ◽  
pp. 250-254
Author(s):  
Sanjeev Kakar ◽  
Ryan M. Greene ◽  
Janet Denbeigh ◽  
Andre Van Wijnen

Background Twelve paired fresh frozen cadaveric wrists were randomized to a 360-degree tenodesis repair group or the 360-degree tenodesis repair with an internal brace (suture tape) construct. Case Description The specimens were preloaded to 5 N and subsequently biomechanically loaded to failure, at a rate of 0.1 mm/s on a jig that allowed for axial load. The maximum load and mode of failure were recorded. Load to failure in the 360 tenodesis group with internal brace was 283.47 ± 100.25 N, compared with the 360 tenodesis group only, whose yield strength was 143.61 ± 90.54 N. The mode of failure within the internal brace construct was either through knot slippage, graft disruption, or bone separation from strength testing construct. The 360 tenodesis group tended to fail via graft slippage or graft rupture. Literature Review The management of scapholunate instability can be a difficult problem to treat. Traditionally, many of the surgical reconstructions have focused upon dorsal ligament reconstruction with Kirschner (K) wire fixation. This results in prolonged immobilization of the wrist with varied outcomes, in part due to the multiaxial instability that may persist due to concomitant volar ligament disruption. To address this instability, surgical techniques have been devised that address both the volar and dorsal ligament injuries. Clinical Relevance Scapholunate reconstruction with a 360-degree tenodesis and internal brace augmentation (SLITT procedure) provided superior biomechanical stability than tenodesis alone.


Author(s):  
Yifan Li ◽  
Huaiyuan Gu ◽  
Martyn Pavier ◽  
Harry Coules

Octet-truss lattice structures can be used for lightweight structural applications due to their high strength-to-density ratio. In this research, octet-truss lattice specimens were fabricated by stereolithography additive manufacturing with a photopolymer resin. The mechanical properties of this structure have been examined in three orthogonal orientations under the compressive load. Detailed comparison and description were carried out on deformation mechanisms and failure modes in different lattice orientations. Finite element models using both beam elements and three-dimensional solid elements were used to simulate the compressive response of this structure. Both the load reaction and collapse modes obtained in simulations were compared with test results. Our results indicate that three-dimensional continuum element models are required to accurately capture the behaviour of real trusses, taking into account the effects of finite-sized beams and joints.


2021 ◽  
Vol 11 (5) ◽  
pp. 2225
Author(s):  
Fu Wang ◽  
Guijun Shi ◽  
Wenbo Zhai ◽  
Bin Li ◽  
Chao Zhang ◽  
...  

The steel assembled support structure of a foundation pit can be assembled easily with high strength and recycling value. Steel’s performance is significantly affected by the surrounding temperature due to its temperature sensitivity. Here, a full-scale experiment was conducted to study the influence of temperature on the internal force and deformation of supporting structures, and a three-dimensional finite element model was established for comparative analysis. The test results showed that under the temperature effect, the deformation of the central retaining pile was composed of rigid rotation and flexural deformation, while the adjacent pile of central retaining pile only experienced flexural deformation. The stress on the retaining pile crown changed little, while more stress accumulated at the bottom. Compared with the crown beam and waist beam 2, the stress on waist beam 1 was significantly affected by the temperature and increased by about 0.70 MPa/°C. Meanwhile, the stress of the rigid panel was greatly affected by the temperature, increasing 78% and 82% when the temperature increased by 15 °C on rigid panel 1 and rigid panel 2, respectively. The comparative simulation results indicated that the bending moment and shear strength of pile 1 were markedly affected by the temperature, but pile 2 and pile 3 were basically stable. Lastly, as the temperature varied, waist beam 2 had the largest change in the deflection, followed by waist beam 1; the crown beam experienced the smallest change in the deflection.


2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0004
Author(s):  
Brittany Hedrick ◽  
Anthony Riccio ◽  
Danielle M. Thomas ◽  
Claire Shivers ◽  
Matthew Siebert ◽  
...  

Category: Hindfoot; Other Introduction/Purpose: While lengthening of the lateral column through a calcaneal neck osteotomy is an integral component of flatfoot reconstruction in younger patients with flexible planovalgus deformities, concern exists as to the effect of this intra- articular osteotomy on subtalar motion. The purpose of this study is to quantify the alterations in subtalar motion following lateral column lengthening (LCL). Methods: The subtalar motion of 14 fresh frozen cadaveric feet was assessed using a three-dimensional motion capture system and materials testing system (MTS). Following potting of the tibia and calcaneus, optic markers were placed into the tibia, calcaneus and talus. The MTS was used to apply a rotational force across the subtalar joint to a torque of 5Nm. Abduction/adduction, supination/pronation, and plantarflexion/dorsiflexion about the talus was recorded. Specimens then underwent LCL via a calcaneal neck osteotomy which was maintained with a 12mm porous titanium wedge. Repeat subtalar motion analysis was performed and compared to pre-LCL motion using a paired t-test. Results:: No statistically significant differences in subtalar abduction/adduction (10.9O vs. 11.8O degrees, p=.48), supination/pronation (3.5O vs. 2.7O, p=.31), or plantarflexion/dorsiflexion (1.6O vs 1.0O, p=.10) were identified following LCL. Conclusion:: No significant changes in subtalar motion were observed following lateral column lengthening in this biomechanical cadaveric study. While these findings do not obviate concerns of clinical subtalar stiffness following planovalgus deformity correction, they suggest that diminished postoperative subtalar motion may be due to soft tissue scarring rather than alterations of joint anatomy.


2013 ◽  
Vol 549 ◽  
pp. 172-179 ◽  
Author(s):  
Amir Hassannejadasl ◽  
Daniel E. Green

Hydropiercing is an efficient way of piercing holes in mass produced hydroformed parts with complex geometries. By driving piercing punches radially into a hydroformed and fully pressurized tube, holes will be pierced and extruded into the tube-wall. Recent experimental studies have shown that the formability of advanced high strength steel (AHSS) tubes can be increased with the application of internal pressure. In this study, three-dimensional finite element simulations of a tube hydropiercing process of a dual phase steel (DP600) were performed in LS-DYNA, using phenomenological, micromechanical and combined damage criteria. Damage was included in the numerical analysis by applying constant equivalent plastic strain (CEPS), the Gurson-Tvergaard-Needleman (GTN), and the Extended GTN (GTN+JC) model. In order to calibrate the parameters in each model, a specialized hole-piercing fixture was designed and piercing tests were carried out on non-pressurized tube specimens. Of the various ductile fracture criteria, the results predicted with the GTN+JC model, such as the punch load-displacement, the roll-over depth, and the quality of the clearance zone correlated the best with the experimental data.


2006 ◽  
Vol 5-6 ◽  
pp. 351-358 ◽  
Author(s):  
N. Ahmed ◽  
A.V. Mitrofanov ◽  
Vladimir I. Babitsky ◽  
Vadim V. Silberschmidt

Ultrasonically assisted turning (UAT) is a novel material-processing technology, where high frequency vibration (frequency f ≈ 20kHz, amplitude a ≈15μm) is superimposed on the movement of the cutting tool. Advantages of UAT have been demonstrated for a broad spectrum of applications. Compared to conventional turning (CT), this technique allows significant improvements in processing intractable materials, such as high-strength aerospace alloys, composites and ceramics. Superimposed ultrasonic vibration yields a noticeable decrease in cutting forces, as well as a superior surface finish. A vibro-impact interaction between the tool and workpiece in UAT in the process of continuous chip formation leads to a dynamically changing stress distribution in the process zone as compared to the quasistatic one in CT. The paper presents a three-dimensional, fully thermomechanically coupled computational model of UAT incorporating a non-linear elasto-plastic material model with strain-rate sensitivity and contact interaction with friction at the chip–tool interface. 3D stress distributions in the cutting region are analysed for a representative cycle of ultrasonic vibration. The dependence of various process parameters, such as shear stresses and cutting forces on vibration frequency and amplitude is also studied.


Author(s):  
Zhengkun Feng ◽  
Henri Champliaud ◽  
Louis Mathieu ◽  
Michel Sabourin

Hot pressing process is widely used in automotive, shipbuilding, energy production and civil engineering. However, the trial and error technique that is intensive time and energy consuming is still used. Particularly, the design of Francis turbines of hydropower plants is not standard, but variable from site to site due to hydraulic conditions and cost of energy. As a result, the blade hydraulic profile of each Francis turbine is different. The blades, one of the key components of Francis turbine runners, are produced in small batches and the setup of the dedicated punch and die increases significantly the unit production costs. In this paper, the blade unfolding process for optimal blank design will be firstly presented, and then a hot pressing process for very thick plates is proposed. The pressing process of high strength steel at hot temperature is characterized by thermo-mechanical behaviors, three-dimensional unsteady deformation, high nonlinearity, continuous local forming. The analyses of residual stress distribution and applied forces are carried out.


e-Polymers ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 391-397
Author(s):  
Tao Liu ◽  
Ripeng Zhang ◽  
Jianzhi Liu ◽  
Ling Zhao ◽  
Yueqin Yu

Abstract Highly stretched and conductive hydrogels, especially synthetized from natural polymers, are beneficial for highly stretched electronic equipment which is applied in extreme environment. We designed and prepared robust and tough alginate hydrogels (GMA-SA-PAM) using the ingenious strategy of fully interpenetrating cross-linking, in which the glycidyl methacrylate (GMA) was used to modify sodium alginate (SA) and then copolymerized with acrylamide (AM) and methylenebisacrylamide (BIS) as cross-linkers. The complete cross-linked structures can averagely dissipate energy and the polymer structures can maintain hydrogels that are three-dimensional to greatly improve the mechanical performance of hydrogels. The GMA-SA-PAM hydrogels display ultra-stretchable (strain up to ∼407% of tensile strain) and highly compressible (∼57% of compression strain) properties. In addition, soaking the GMA-SA-PAM hydrogel in 5 wt% NaCl solution also endows the conductivity of the hydrogel (this hydrogel was named as GSP-Na) with excellent conductive properties (5.26 S m−1). The GSP-Na hydrogel with high stability, durability, as well as wide range extent sensor is also demonstrated by researching the electrochemical signals and showing the potential for applications in wearable and quickly responded electronics.


Sign in / Sign up

Export Citation Format

Share Document