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Erschienen in: Acta Mechanica Sinica 4/2019

22.05.2019 | Research Paper

Single-leg weight limit of fixation model of simple supracondylar fracture of femur

verfasst von: Guo-Yu Bai, Xiang-Hong Xu, Jin-Hui Wang, Ning Sun

Erschienen in: Acta Mechanica Sinica | Ausgabe 4/2019

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Abstract

Early postoperative rehabilitation training for supracondylar fracture of femur aids in accelerating healing with shorter recovery periods. Presently, clinical studies on early postoperative weight training are still in the nascent stage. The weight-bearing capacity at different healing stages typically depends on clinical experience, and there is a lack of standards to quantify the weight that is conducive to healing of fractures. In this paper, a three-dimensional (3D) geometric model of the femur is obtained using imaging data, a locking plate fixation model of a simple supracondylar fracture of the femur, considering the angle and spatial direction of the fracture surface, is established, the stress distribution and load transmission mechanism of the fracture fixation model in a single-leg standing posture are studied, and the weight-bearing capacity of a standing single leg at the early stage of fracture is given. This provides the basis for objective quantification of early postoperative weight-bearing capacity.

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Literatur
1.
Zurück zum Zitat Kolmert, L., Wulff, K.: Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop. Scand. 53, 957–962 (1982)CrossRef Kolmert, L., Wulff, K.: Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop. Scand. 53, 957–962 (1982)CrossRef
2.
Zurück zum Zitat Richard, E.B., Christopher, G.M., Theerachai, A.: AO principles of fracture management 2 vols. (3rd edn.) Aotrauma (2017) Richard, E.B., Christopher, G.M., Theerachai, A.: AO principles of fracture management 2 vols. (3rd edn.) Aotrauma (2017)
3.
Zurück zum Zitat Kubiak, E.N., Fulkerson, E., Strauss, E., et al.: The evolution of locked plates. J. Bone Jt. Surg. (Am.) 88, 189–200 (2006) Kubiak, E.N., Fulkerson, E., Strauss, E., et al.: The evolution of locked plates. J. Bone Jt. Surg. (Am.) 88, 189–200 (2006)
4.
Zurück zum Zitat Liang, B., Ding, Z., Shen, J., et al.: A distal femoral supra-condylar plate: biomechanical comparison with condylar plate and first clinical application for treatment of supracondylar fracture. Int. Orthop. 36, 1673–1679 (2012)CrossRef Liang, B., Ding, Z., Shen, J., et al.: A distal femoral supra-condylar plate: biomechanical comparison with condylar plate and first clinical application for treatment of supracondylar fracture. Int. Orthop. 36, 1673–1679 (2012)CrossRef
5.
Zurück zum Zitat Macleod, A.R., Pankaj, P.: Pre-operative planning for fracture fixation using locking plates: device configuration and other considerations. Injury 49, 12–18 (2018)CrossRef Macleod, A.R., Pankaj, P.: Pre-operative planning for fracture fixation using locking plates: device configuration and other considerations. Injury 49, 12–18 (2018)CrossRef
6.
Zurück zum Zitat Claes, L.: Biomechanical principles and mechanobiologic aspects of flexible and locked plating. J. Orthop. Trauma 25, 4–7 (2011)CrossRef Claes, L.: Biomechanical principles and mechanobiologic aspects of flexible and locked plating. J. Orthop. Trauma 25, 4–7 (2011)CrossRef
7.
Zurück zum Zitat Perren, S.M.: Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J. Bone Jt. Surg. (Bri.) 84, 1093–1100 (2002)CrossRef Perren, S.M.: Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J. Bone Jt. Surg. (Bri.) 84, 1093–1100 (2002)CrossRef
8.
Zurück zum Zitat Feng, X.Q., Lee, P.V.S., Lim, C.T.: Preface: molecular, cellular, and tissue mechanobiology. Acta. Mech. Sin. 33, 219–221 (2017)MathSciNetCrossRefMATH Feng, X.Q., Lee, P.V.S., Lim, C.T.: Preface: molecular, cellular, and tissue mechanobiology. Acta. Mech. Sin. 33, 219–221 (2017)MathSciNetCrossRefMATH
9.
Zurück zum Zitat Adachi, T., Kameo, Y.: Computational Biomechanics of Bone Adaptation by Remodeling, vol. 578, pp. 231–259. Springer, Berlin (2018) Adachi, T., Kameo, Y.: Computational Biomechanics of Bone Adaptation by Remodeling, vol. 578, pp. 231–259. Springer, Berlin (2018)
10.
Zurück zum Zitat Qin, Q.H., Wang, Y.N.: A mathematical model of cortical bone remodeling at cellular level under mechanical stimulus. Acta. Mech. Sin. 28, 1678–1692 (2012)MathSciNetCrossRefMATH Qin, Q.H., Wang, Y.N.: A mathematical model of cortical bone remodeling at cellular level under mechanical stimulus. Acta. Mech. Sin. 28, 1678–1692 (2012)MathSciNetCrossRefMATH
11.
Zurück zum Zitat Kenwright, J., Goodship, A., Evans, M., et al.: The influence of intermittent micromovement upon the healing of experimental fractures. Orthopedics 7, 481–484 (1984) Kenwright, J., Goodship, A., Evans, M., et al.: The influence of intermittent micromovement upon the healing of experimental fractures. Orthopedics 7, 481–484 (1984)
12.
Zurück zum Zitat Goodship, A.E., Cunningham, J.L., Kenwright, J., et al.: Strain rate and timing of stimulation in mechanical modulation of fracture healing. Clin. Orthop. Relat. Res. 355, 105–115 (1998)CrossRef Goodship, A.E., Cunningham, J.L., Kenwright, J., et al.: Strain rate and timing of stimulation in mechanical modulation of fracture healing. Clin. Orthop. Relat. Res. 355, 105–115 (1998)CrossRef
13.
Zurück zum Zitat Arazi, M., Oktar, M.N., Memik, R., et al.: Early weight-bearing after statically locked reamed intramedullary nailing of comminuted femoral fractures: is it a safe procedure? J. Trauma 50, 711–716 (2001)CrossRef Arazi, M., Oktar, M.N., Memik, R., et al.: Early weight-bearing after statically locked reamed intramedullary nailing of comminuted femoral fractures: is it a safe procedure? J. Trauma 50, 711–716 (2001)CrossRef
14.
Zurück zum Zitat Adam, P., Bonnomet, F., Ehlinger, M.: Advantage and limitations of a minimally-invasive approach and early weight bearing in the treatment of tibial shaft fractures with locking plates. Orthop. Traumatol. Sur. 98, 564–569 (2012)CrossRef Adam, P., Bonnomet, F., Ehlinger, M.: Advantage and limitations of a minimally-invasive approach and early weight bearing in the treatment of tibial shaft fractures with locking plates. Orthop. Traumatol. Sur. 98, 564–569 (2012)CrossRef
15.
Zurück zum Zitat Kalmet, P., Sanduleanu, S., Horn, Y.V., et al.: Is early weight bearing allowed in surgically treated talar neck fractures? J. Orthop. Case Rep. 6, 73–74 (2016) Kalmet, P., Sanduleanu, S., Horn, Y.V., et al.: Is early weight bearing allowed in surgically treated talar neck fractures? J. Orthop. Case Rep. 6, 73–74 (2016)
16.
Zurück zum Zitat Elkins, J., Lawrence, M.J., Lujan, T., et al.: Motion predicts clinical callus formation: construct-specific finite element analysis of supracondylar femoral fractures. J. Bone Jt. Surg. (Am.) 98, 276–284 (2016)CrossRef Elkins, J., Lawrence, M.J., Lujan, T., et al.: Motion predicts clinical callus formation: construct-specific finite element analysis of supracondylar femoral fractures. J. Bone Jt. Surg. (Am.) 98, 276–284 (2016)CrossRef
17.
Zurück zum Zitat Bottlang, M., Tsai, S., Bliven, E.K., et al.: Dynamic stabilization with active locking plates delivers faster, stronger, and more symmetric fracture-healing. J. Bone Jt. Surg. 98, 466–474 (2016)CrossRef Bottlang, M., Tsai, S., Bliven, E.K., et al.: Dynamic stabilization with active locking plates delivers faster, stronger, and more symmetric fracture-healing. J. Bone Jt. Surg. 98, 466–474 (2016)CrossRef
18.
Zurück zum Zitat Lotz, J.C., Gerhart, T.N., Hayes, W.C.: Mechanical properties of metaphyseal bone in the proximal femur. J. Biomech. 24, 317–329 (1991)CrossRef Lotz, J.C., Gerhart, T.N., Hayes, W.C.: Mechanical properties of metaphyseal bone in the proximal femur. J. Biomech. 24, 317–329 (1991)CrossRef
19.
Zurück zum Zitat Lotz, J.C., Gerhart, T.N., Hayes, W.C.: Mechanical properties of trabecular bone from the proximal femur: a quantitative CT study. J. Comput. Assist. Tomogr. 14, 107–114 (1990)CrossRef Lotz, J.C., Gerhart, T.N., Hayes, W.C.: Mechanical properties of trabecular bone from the proximal femur: a quantitative CT study. J. Comput. Assist. Tomogr. 14, 107–114 (1990)CrossRef
20.
Zurück zum Zitat Rho, J.Y., Hobatho, M.C., Ashman, R.B.: Relations of mechanical properties to density and CT numbers in human bone. Med. Eng. Phys. 17, 347–355 (1995)CrossRef Rho, J.Y., Hobatho, M.C., Ashman, R.B.: Relations of mechanical properties to density and CT numbers in human bone. Med. Eng. Phys. 17, 347–355 (1995)CrossRef
21.
Zurück zum Zitat Rho, J.Y., Kuhn-Spearing, L., Zioupos, P.: Mechanical properties and the hierarchical structure of bone. Med. Eng. Phys. 20, 92–102 (1998)CrossRef Rho, J.Y., Kuhn-Spearing, L., Zioupos, P.: Mechanical properties and the hierarchical structure of bone. Med. Eng. Phys. 20, 92–102 (1998)CrossRef
22.
Zurück zum Zitat Gong, H., Zhang, M., Fan, Y., et al.: Relationships between femoral strength evaluated by nonlinear finite element analysis and BMD, material distribution and geometric morphology. Ann. Biomed. Eng. 40, 1575–1585 (2012)CrossRef Gong, H., Zhang, M., Fan, Y., et al.: Relationships between femoral strength evaluated by nonlinear finite element analysis and BMD, material distribution and geometric morphology. Ann. Biomed. Eng. 40, 1575–1585 (2012)CrossRef
23.
Zurück zum Zitat Linwei, L., Meng, G., Gong, H., et al.: Tissue level microstructure and mechanical properties of the femoral head in the proximal femur of fracture patients. Acta. Mech. Sin. 31, 259–267 (2015)CrossRef Linwei, L., Meng, G., Gong, H., et al.: Tissue level microstructure and mechanical properties of the femoral head in the proximal femur of fracture patients. Acta. Mech. Sin. 31, 259–267 (2015)CrossRef
24.
Zurück zum Zitat Carter, D.R., Hayes, W.C.: The compressive behavior of bone as a two-phase porous structure. J. Bone Jt. Surg. (Am.) 59, 954–962 (1977)CrossRef Carter, D.R., Hayes, W.C.: The compressive behavior of bone as a two-phase porous structure. J. Bone Jt. Surg. (Am.) 59, 954–962 (1977)CrossRef
25.
Zurück zum Zitat Carter, D.R., Hayes, W.C.: Bone compressive strength: the influence of density and strain rate. Science 194, 1174–1176 (1976)CrossRef Carter, D.R., Hayes, W.C.: Bone compressive strength: the influence of density and strain rate. Science 194, 1174–1176 (1976)CrossRef
26.
Zurück zum Zitat Morgan, E.F., Bayraktar, H.H., Keaveny, T.M.: Trabecular bone modulus-density relationships depend on anatomic site. J. Biomech. 36, 897–904 (2003)CrossRef Morgan, E.F., Bayraktar, H.H., Keaveny, T.M.: Trabecular bone modulus-density relationships depend on anatomic site. J. Biomech. 36, 897–904 (2003)CrossRef
27.
Zurück zum Zitat Wirtz, D.C., Schiffers, N., Pandorf, T., et al.: Critical evaluation of known bone material properties to realize anisotropic FE-simulation of the proximal femur. J. Biomech. 33, 1325–1330 (2000)CrossRef Wirtz, D.C., Schiffers, N., Pandorf, T., et al.: Critical evaluation of known bone material properties to realize anisotropic FE-simulation of the proximal femur. J. Biomech. 33, 1325–1330 (2000)CrossRef
28.
Zurück zum Zitat Kopperdahl, D.L., Aspelund, T., Hoffmann, P.F., et al.: Assessment of incident spine and hip fractures in women and men using finite element analysis of CT scans. J. Bone Miner. Res. 29, 570–580 (2014)CrossRef Kopperdahl, D.L., Aspelund, T., Hoffmann, P.F., et al.: Assessment of incident spine and hip fractures in women and men using finite element analysis of CT scans. J. Bone Miner. Res. 29, 570–580 (2014)CrossRef
29.
Zurück zum Zitat Keyak, J.H., Skinner, H.B.: Three-dimensional finite element modelling of bone: effects of element size. J. Biomed. Eng. 14, 483–489 (1992)CrossRef Keyak, J.H., Skinner, H.B.: Three-dimensional finite element modelling of bone: effects of element size. J. Biomed. Eng. 14, 483–489 (1992)CrossRef
30.
Zurück zum Zitat Bessho, M., Ohnishi, I., Matsuyama, J., et al.: Prediction of strength and strain of the proximal femur by a CT-based finite element method. J. Biomech. 40, 1745–1753 (2007)CrossRef Bessho, M., Ohnishi, I., Matsuyama, J., et al.: Prediction of strength and strain of the proximal femur by a CT-based finite element method. J. Biomech. 40, 1745–1753 (2007)CrossRef
31.
Zurück zum Zitat Garcia, J.M., Doblare, M., Seral, B., et al.: Three-dimensional finite element analysis of several internal and external pelvis fixations. J. Biomech. Eng. 122, 516–522 (2000)CrossRef Garcia, J.M., Doblare, M., Seral, B., et al.: Three-dimensional finite element analysis of several internal and external pelvis fixations. J. Biomech. Eng. 122, 516–522 (2000)CrossRef
32.
Zurück zum Zitat Keyak, J.H., Rossi, S.A., Jones, K.A., et al.: Prediction of femoral fracture load using automated finite element modeling. J. Biomech. 31, 125–133 (1998)CrossRef Keyak, J.H., Rossi, S.A., Jones, K.A., et al.: Prediction of femoral fracture load using automated finite element modeling. J. Biomech. 31, 125–133 (1998)CrossRef
33.
Zurück zum Zitat Dalstra, M., Huiskes, R., Erning, L.V.: Development and validation of a three-dimensional finite element model of the pelvic bone. J. Biomech. Eng. 117, 272–278 (1995)CrossRef Dalstra, M., Huiskes, R., Erning, L.V.: Development and validation of a three-dimensional finite element model of the pelvic bone. J. Biomech. Eng. 117, 272–278 (1995)CrossRef
34.
Zurück zum Zitat Perillo-Marcone, A., Alonso-Vazquez, A., Taylor, M.: Assessment of the effect of mesh density on the material property discretisation within QCT based FE models: a practical example using the implanted proximal tibia. Comput. Methods Biomech. 6, 17–26 (2003)CrossRef Perillo-Marcone, A., Alonso-Vazquez, A., Taylor, M.: Assessment of the effect of mesh density on the material property discretisation within QCT based FE models: a practical example using the implanted proximal tibia. Comput. Methods Biomech. 6, 17–26 (2003)CrossRef
35.
Zurück zum Zitat Isaksson, H., Wilson, W., Donkelaar, C.C., et al.: Comparison of biophysical stimuli for mechano-regulation of tissue differentiation during fracture healing. J. Biomech. 39, 1507–1516 (2006)CrossRef Isaksson, H., Wilson, W., Donkelaar, C.C., et al.: Comparison of biophysical stimuli for mechano-regulation of tissue differentiation during fracture healing. J. Biomech. 39, 1507–1516 (2006)CrossRef
36.
Zurück zum Zitat ASTM F1314-2007.: Standard specification for wrought nitrogen strengthened 22 chromium-13 nickel-5 manganese-2.5 molybdenum stainless steel alloy bar and wire for surgical implants (2007) ASTM F1314-2007.: Standard specification for wrought nitrogen strengthened 22 chromium-13 nickel-5 manganese-2.5 molybdenum stainless steel alloy bar and wire for surgical implants (2007)
37.
Zurück zum Zitat Döbele, S., Horn, C., Eichhorn, S., et al.: The dynamic locking screw (DLS) can increase interfragmentary motion on the near cortex of locked plating constructs by reducing the axial stiffness. Langenbeck. Arch. Surg. 395, 421–428 (2010)CrossRef Döbele, S., Horn, C., Eichhorn, S., et al.: The dynamic locking screw (DLS) can increase interfragmentary motion on the near cortex of locked plating constructs by reducing the axial stiffness. Langenbeck. Arch. Surg. 395, 421–428 (2010)CrossRef
38.
Zurück zum Zitat Chantarapanich, N., Sitthiseripratip, K., Mahaisavariya, B., et al.: Biomechanical performance of retrograde nail for supracondylar fractures stabilization. Med. Biol. Eng. Comput. 54, 939–952 (2016)CrossRef Chantarapanich, N., Sitthiseripratip, K., Mahaisavariya, B., et al.: Biomechanical performance of retrograde nail for supracondylar fractures stabilization. Med. Biol. Eng. Comput. 54, 939–952 (2016)CrossRef
39.
Zurück zum Zitat Mehboob, H., Kim, J., Mehboob, A., et al.: How post-operative rehabilitation exercises influence the healing process of radial bone shaft fractures fixed by a composite bone plate. Compos. Struct. 159, 307–315 (2017)CrossRef Mehboob, H., Kim, J., Mehboob, A., et al.: How post-operative rehabilitation exercises influence the healing process of radial bone shaft fractures fixed by a composite bone plate. Compos. Struct. 159, 307–315 (2017)CrossRef
40.
Zurück zum Zitat Miramini, S., Zhang, L.H., Richardson, M., et al.: The relationship between interfragmentary movement and cell differentiation in early fracture healing under locking plate fixation. Aust. Phys. Eng. S. 39, 123–133 (2016)CrossRef Miramini, S., Zhang, L.H., Richardson, M., et al.: The relationship between interfragmentary movement and cell differentiation in early fracture healing under locking plate fixation. Aust. Phys. Eng. S. 39, 123–133 (2016)CrossRef
Metadaten
Titel
Single-leg weight limit of fixation model of simple supracondylar fracture of femur
verfasst von
Guo-Yu Bai
Xiang-Hong Xu
Jin-Hui Wang
Ning Sun
Publikationsdatum
22.05.2019
Verlag
The Chinese Society of Theoretical and Applied Mechanics; Institute of Mechanics, Chinese Academy of Sciences
Erschienen in
Acta Mechanica Sinica / Ausgabe 4/2019
Print ISSN: 0567-7718
Elektronische ISSN: 1614-3116
DOI
https://doi.org/10.1007/s10409-019-00855-0

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