The impact of configuration of the Ilizarov fixator on its stiffness and the degree of loading of distraction rods.


Journal

Clinical biomechanics (Bristol, Avon)
ISSN: 1879-1271
Titre abrégé: Clin Biomech (Bristol, Avon)
Pays: England
ID NLM: 8611877

Informations de publication

Date de publication:
03 2019
Historique:
received: 09 10 2018
revised: 19 01 2019
accepted: 26 02 2019
pubmed: 9 3 2019
medline: 24 3 2020
entrez: 9 3 2019
Statut: ppublish

Résumé

The mechanical parameters of the Ilizarov fixator are influenced by many factors related to its spatial configuration. The aim of this study was to experimentally evaluate the impact of the type of implant and the number of distraction rods on the uniformity of loading of distraction rods and stiffness coefficients of the Ilizarov fixator. The tests were carried out on a physical model. The model was mounted in a universal loading station MTS 858 Mini Bionix. Forces in distraction rods are measured with the use of strain gauge force transducers. Displacements of bone fragments were measured by means of digital image correction. In the case of a fixator with 3 distraction rods, configuration of implants has no statistically significant effect on the forces occurring in distraction rods. In the case of a fixator with 4 distraction rods, there are statistically significant differences in the forces in distraction rods. The highest transverse stiffness coefficients occurs in the system with 4 distraction rods and the configuration of 1K1S implants, while the smallest transverse stiffness coefficients occurs in the fixator with 4 distraction rods and the configuration of 0K1S implants. Based on the results of experiments on the physical model, we observed an asymmetry in the distribution of forces transmitted through distraction rods. The configuration with 3 distraction rods provides more uniform distribution of forces in distraction rods and reduces the impact of the implant configuration on transverse stiffness coefficients. The use of a configurations with 4 rods may be advantageous when we want to obtain greater transverse stiffness coefficients of a system consisting of the fixator and fragments of the lengthened bone.

Sections du résumé

BACKGROUND
The mechanical parameters of the Ilizarov fixator are influenced by many factors related to its spatial configuration. The aim of this study was to experimentally evaluate the impact of the type of implant and the number of distraction rods on the uniformity of loading of distraction rods and stiffness coefficients of the Ilizarov fixator.
METHODS
The tests were carried out on a physical model. The model was mounted in a universal loading station MTS 858 Mini Bionix. Forces in distraction rods are measured with the use of strain gauge force transducers. Displacements of bone fragments were measured by means of digital image correction.
FINDINGS
In the case of a fixator with 3 distraction rods, configuration of implants has no statistically significant effect on the forces occurring in distraction rods. In the case of a fixator with 4 distraction rods, there are statistically significant differences in the forces in distraction rods. The highest transverse stiffness coefficients occurs in the system with 4 distraction rods and the configuration of 1K1S implants, while the smallest transverse stiffness coefficients occurs in the fixator with 4 distraction rods and the configuration of 0K1S implants.
INTERPRETATION
Based on the results of experiments on the physical model, we observed an asymmetry in the distribution of forces transmitted through distraction rods. The configuration with 3 distraction rods provides more uniform distribution of forces in distraction rods and reduces the impact of the implant configuration on transverse stiffness coefficients. The use of a configurations with 4 rods may be advantageous when we want to obtain greater transverse stiffness coefficients of a system consisting of the fixator and fragments of the lengthened bone.

Identifiants

pubmed: 30849649
pii: S0268-0033(18)30838-6
doi: 10.1016/j.clinbiomech.2019.02.020
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

79-84

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Bartosz Martyniuk (B)

Wrocław University of Science and Technology, Department of Biomedical Engineering, Mechatronics and Theory of Mechanisms, Łukasiewicza 7/9, 50-371 Wrocław, Poland.

Piotr Morasiewicz (P)

Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Borowska 213, 50-556 Wrocław, Poland. Electronic address: morasp@poczta.onet.pl.

Sławomir Wudarczyk (S)

Wrocław University of Science and Technology, Department of Biomedical Engineering, Mechatronics and Theory of Mechanisms, Łukasiewicza 7/9, 50-371 Wrocław, Poland.

Szymon Feliks Dragan (SF)

Wrocław Medical University, Department and Clinic of Orthopaedic and Traumatologic Surgery, Borowska 213, 50-556 Wrocław, Poland.

Jarosław Filipiak (J)

Wrocław University of Science and Technology, Department of Biomedical Engineering, Mechatronics and Theory of Mechanisms, Łukasiewicza 7/9, 50-371 Wrocław, Poland.

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