scholarly journals Identification of Surgical Plan for Syndesmotic Fixation Procedure Based on Finite Element Method

2020 ◽  
Vol 10 (12) ◽  
pp. 4349 ◽  
Author(s):  
Tae Sik Goh ◽  
Beop-Yong Lim ◽  
Jung Sub Lee ◽  
Chi-Seung Lee

Syndesmosis injuries account for approximately 20% of ankle fractures that require surgery. Although multiple surgical options are available, all of them are based on metal screws. Serious complications that arise when applying metal screws include screw loosening or breakage. To prevent such complications, we applied a simulation method using a finite element (FE) analysis. We created a 3D FE model of an ankle joint and conducted an FE analysis focusing on syndesmosis in terms of the level, material, and diameter of the syndesmotic screw and the number of penetrated cortical bones. The magnitude and direction of the force applied to the tibia in the midstance state were considered for simulating the model. The maximum von-Mises stress and syndesmosis widening were analyzed in terms of different biomechanical parameters. We identified the characteristics of the most biomechanically stable syndesmotic screw and its fixation point on the basis of the two parameters. We demonstrated that the ideal syndesmotic screw fixation should be fixed at a level 20 to 25 mm above the ankle using a 4.5 mm titanium screw.

2010 ◽  
Vol 10 (02) ◽  
pp. 291-311 ◽  
Author(s):  
YUAN LI ◽  
GLADIUS LEWIS

Vertebral cement augmentation is rapidly becoming the modality of choice for treating patients who are experiencing severe and persistent pain because of osteoporosis-induced vertebral compression fracture(s). The resulting cement domain (the part of the vertebral body (VB) filled with the cement) has an irregular or complicated shape. In literature reports of finite element analysis (FEA) of models of simulated vertebral cement augmentation, a variety of representations of the shape of the cement domain have been used. In the literature, only very limited attention has been given to the issue of the influence of cement domain shape representation on biomechanical parameters for a given combination of model and loading. This issue is the subject of the present work, with the model being of the L1-L3 motion segments. Augmentation of an unfractured L2 (prophylactic augmentation) was simulated, three cement domain shapes were considered — namely, solid cylinder, with rounded edges; two prolate spheroids; and oblate spheroid — and the applied loading comprised a simultaneous application of a uniform compressive pressure of 0.53 MPa (equivalent to an 800-N compression load) and a counter-clockwise-acting axial rotation moment of 1 Nm to the superior surface of L1. It was found that (1) while the cement domain shape representation has a marked influence on the mean von Mises stress (σAVM), the maximum von Mises stress (σMVM), and the strain energy density (MSED) distribution in the cement domain, its influence on each of these parameters in each of the biological tissues in the model as well as on the total segmental range of motion is minimal and (2) for σAVM and σMVM, the lowest value of each of these parameters was obtained when the oblate spheroid model was used. From both clinical and computational perspectives, these findings are significant. For example, the latter finding suggests that there is scope for researching the combination of key process variables used, such as the cement chemistry, the cement delivery system, and the augmentation technique/approach, that would ensure that the final cement domain shape in cement-augmented VBs of patients be oblate spheroid on a consistent and predictable basis.


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Neelambar Kaipatur ◽  
Yuchin Wu ◽  
Samer Adeeb ◽  
Thomas Stevenson ◽  
Paul Major ◽  
...  

The aim of this animal study was to develop a model of orthodontic tooth movement using a microimplant as a TSAD in rodents. A finite element model of the TSAD in alveolar bone was built usingμCT images of rat maxilla to determine the von Mises stresses and displacement in the alveolar bone surrounding the TSAD. Forin vivovalidation of the FE model, Sprague-Dawley rats (n=25) were used and a Stryker 1.2 × 3 mm microimplant was inserted in the right maxilla and used to protract the right first permanent molar using a NiTi closed coil spring. Tooth movement measurements were taken at baseline, 4 and 8 weeks. At 8 weeks, animals were euthanized and tissues were analyzed by histology and EPMA. FE modeling showed maximum von Mises stress of 45 Mpa near the apex of TSAD but the average von Mises stress was under 25 Mpa. Appreciable tooth movement of 0.62 ± 0.04 mm at 4 weeks and 1.99 ± 0.14 mm at 8 weeks was obtained. Histological and EPMA results demonstrated no active bone remodeling around the TSAD at 8 weeks depicting good secondary stability. This study provided evidence that protracted tooth movement is achieved in small animals using TSADs.


Author(s):  
Quan-Chang Tan ◽  
Jin-Feng Huang ◽  
Hao Bai ◽  
Zi-Xuan Liu ◽  
Xin-Yi Huang ◽  
...  

Revision surgery (RS) is a necessary surgical intervention in clinical practice to treat spinal instrumentation–related symptomatic complications. Three constructs with different configurations have been applied in RS. One distinguishing characteristic of these configurations is that the revision rods connecting previous segments and revision segments are placed alongside, outside, or inside the previous rods at the level of facetectomy. Whether the position of the revision rod could generate mechanical disparities in revision constructs is unknown. The objective of this study was to assess the influence of the revision rod position on the construct after RS. A validated spinal finite element (FE) model was developed to simulate RS after previous instrumented fusion using a modified dual-rod construct (DRCm), satellite-rod construct (SRC), and cortical bone trajectory construct (CBTC). Thereafter, maximum von Mises stress (VMS) on the annulus fibrosus and cages and the ligament force of the interspinous ligament, supraspinous ligament, and ligamentum flavum under a pure moment load and a follower load in six directions were applied to assess the influence of the revision rod position on the revision construct. An approximately identical overall reducing tendency of VMS was observed among the three constructs. The changing tendency of the maximum VMS on the cages placed at L4-L5 was nearly equal among the three constructs. However, the changing tendency of the maximum VMS on the cage placed at L2-L3 was notable, especially in the CBTC under right bending and left axial rotation. The overall changing tendency of the ligament force in the DRCm, SRC, and CBTC was also approximately equal, while the ligament force of the CBTC was found to be significantly greater than that of the DRCm and SRC at L1-L2. The results indicated that the stiffness associated with the CBTC might be lower than that associated with the DRCm and SRC in RS. The results of the present study indicated that the DRCm, SRC, and CBTC could provide sufficient stabilization in RS. The CBTC was a less rigid construct. Rather than the revision rod position, the method of constructing spinal instrumentation played a role in influencing the biomechanics of revision.


2012 ◽  
Vol 9 (73) ◽  
pp. 1787-1796 ◽  
Author(s):  
Joris Soons ◽  
Anthony Herrel ◽  
Annelies Genbrugge ◽  
Dominique Adriaens ◽  
Peter Aerts ◽  
...  

Bird beaks are layered structures, which contain a bony core and an outer keratin layer. The elastic moduli of this bone and keratin were obtained in a previous study. However, the mechanical role and interaction of both materials in stress dissipation during seed crushing remain unknown. In this paper, a multi-layered finite-element (FE) model of the Java finch's upper beak ( Padda oryzivora ) is established. Validation measurements are conducted using in vivo bite forces and by comparing the displacements with those obtained by digital speckle pattern interferometry. Next, the Young modulus of bone and keratin in this FE model was optimized in order to obtain the smallest peak von Mises stress in the upper beak. To do so, we created a surrogate model, which also allows us to study the impact of changing material properties of both tissues on the peak stresses. The theoretically best values for both moduli in the Java finch are retrieved and correspond well with previous experimentally obtained values, suggesting that material properties are tuned to the mechanical demands imposed during seed crushing.


2014 ◽  
Vol 2014 ◽  
pp. 1-14 ◽  
Author(s):  
Bin Yang ◽  
Kwong-Ming Tse ◽  
Ning Chen ◽  
Long-Bin Tan ◽  
Qing-Qian Zheng ◽  
...  

This study is aimed at developing a high quality, validated finite element (FE) human head model for traumatic brain injuries (TBI) prediction and prevention during vehicle collisions. The geometry of the FE model was based on computed tomography (CT) and magnetic resonance imaging (MRI) scans of a volunteer close to the anthropometry of a 50th percentile male. The material and structural properties were selected based on a synthesis of current knowledge of the constitutive models for each tissue. The cerebrospinal fluid (CSF) was simulated explicitly as a hydrostatic fluid by using a surface-based fluid modeling method. The model was validated in the loading condition observed in frontal impact vehicle collision. These validations include the intracranial pressure (ICP), brain motion, impact force and intracranial acceleration response, maximum von Mises stress in the brain, and maximum principal stress in the skull. Overall results obtained in the validation indicated improved biofidelity relative to previous FE models, and the change in the maximum von Mises in the brain is mainly caused by the improvement of the CSF simulation. The model may be used for improving the current injury criteria of the brain and anthropometric test devices.


2021 ◽  
pp. 039139882199549
Author(s):  
Pechimuthu Susai Manickam ◽  
Sandipan Roy

The biomechanical study helps us to understand the mechanics of the human cervical spine. A three dimensional Finite Element (FE) model for C3 to C6 level was developed using computed tomography (CT) scan data to study the mechanical behaviour of the cervical spine. A moment of 1 Nm was applied at the top of C3 vertebral end plate and all degrees of freedom of bottom end plate of C6 were constrained. The physiological motion of the cervical spine was validated using published experimental and FE analysis results. The von Mises stress distribution across the intervertebral disc was calculated along with range of motion. It was observed that the predicted results of functional spine units using FE analysis replicate the real behaviour of the cervical spine.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250009
Author(s):  
Tianyu Zhang ◽  
Yanhua Wang ◽  
Peixun Zhang ◽  
Feng Xue ◽  
Dianying Zhang ◽  
...  

The objective of this study is to establish an ankylosing spondylitis (AS) thoracolumbar fracture finite element (FE) model and provide a proper posterior fixation choice from the biomechanical perspective. The ankylosing spondylitis T9-L5 FE model was built and the range of motion (ROM) was compared to previous studies. The L1 transverse fracture was simulated and was separately fixed by five different patterns. The pull force and yielding force of the screws, the von Mises stress of the internal fixation, and the displacement of fracture site were analyzed to evaluate the proper fixation pattern for thoracolumbar fracture of AS. ROM of AS model was obviously restricted comparing to the normal vertebral experimental data. All the fixation patterns can stabilize the fracture. At least four levels of fixation can reduce the von Mises stress of the internal fixation. Four levels fixation has a higher pull force than the six levels fixation. Skipped level fixation did not reduce the stress, pull force and yielding force. The kyphosis correction did not change the biomechanical load. At least 4 levels fixation was needed for AS thoracolumbar fracture. The cemented screws should be chosen in 4 levels fixation to increase the holding of the screws. The skipped fixation has no advantage. The kyphosis correction can be chosen after weighing the pros and cons.


2021 ◽  
Vol 9 (D) ◽  
pp. 24-28
Author(s):  
Hisham S. ElGabry ◽  
Salah A. Yousief ◽  
Amal H. Moubarak ◽  
Iman A. Eltaftazani ◽  
Mohamed El-Anwar ◽  
...  

BACKGROUND: Incomplete implant osseointegration may affect the choice of the type of attachment to ensure less amount of bone resorption, periods of maintenance, and longer implant/attachment life-time. AIM: The aim of this study was to evaluate, using 3D FE analysis (FEA), the influence of two different types of attachments on the rate of bone resorption, need for maintenance and implant/attachment life time in cases of unpredictable osseointegration in various bone types and using different implant angulations. METHODS: Six finite element models were prepared; three for the locator attachment while the other three for the ball attachment. Each of the three models simulates vertical implant and inclined implants by 10° and 20° degrees. Frictional contact between implant and cortical bone simulated the incomplete osseointegration scenario. RESULTS: Non-linear static analysis results showed that locator attachment and its cap may have longer time life in comparison with the ball attachment and its cap. CONCLUSIONS: Both attachments were safe for cortical and spongy bone, while the cortical bone receives less Von Mises stress by up to 33% with the increased implant angulation.


Author(s):  
Nurullah Türker ◽  
Hümeyra Tercanlı Alkış ◽  
Steven J Sadowsky ◽  
Ulviye Şebnem Büyükkaplan

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.


2020 ◽  
Vol 1 (1) ◽  
pp. 93-102
Author(s):  
Carsten Strzalka ◽  
◽  
Manfred Zehn ◽  

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.


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