Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries
Source abstract
Abstract
The issue of choosing the method for optimal surgical treatment of a broken fibula has been debatable for many years. At the same time, concomitant repair of tibiofibular syndesmosis injuries does not have a unified approach. It has been determined that osteosynthesis of broken shin bones with syndesmosis injury should combine stable fixation of the broken bone and should not limit the elastic properties of the syndesmosis. In case of a broken fibula, it is recommended to use a stable extracortical fixator and an elastic connection of the syndesmosis injury using a tightrope. An analytical model of the broken fibula, which is blocked with an extracortical fixator metal plate and elastically fixed with a tightrope, has been developed. The research object is the stress–strain state of the “broken fibula–extracortical titanium plate” composition under the action of tightrope tightening fixation. The main research result is an analytical dependence, which makes it possible to determine the permissible value of the tightrope tightening force for elastic fixation of the tibiofibular syndesmosis. The research results have been tested numerically, and the influence of the parameters of plate, bone and damage localization on the permissible value of the tightrope tightening force has been analyzed. By using the rational tightrope tightening force with stable–elastic fixation of the broken shin, it is possible to reduce the time before the start of loading on the injured extremity and accelerate the functional recovery of the patient.
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Research context
OpenAlex topics: Medical and Biological Sciences · Engineering Technology and Methodologies · Bone fractures and treatments
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Belt and Road Initiative Institute for Chinese-European Studies (BRIICES), Guangdong University of Petrochemical Technology, Maoming 525000, China
Department of Traumatology and Orthopedics, Ivano-Frankivsk National Medical University, 076018 Ivano-Frankivsk, Ukraine
Department of Construction and Civil Engineering, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, Ukraine
Department of Computerized Engineering, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, Ukraine
Department of Engineering and Computer Graphics, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, Ukraine
Department of Oil and Gas Field Machinery and Equipment, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, Ukraine
Department of Mining Engineering and Education, Dnipro University of Technology, 49005 Dnipro, Ukraine
Funding
“Belt and Road Initiative Institute for Chinese–European studies (BRIICES)” · Guangdong University of Petrochemical Technology · Department of Traumatology and Orthopedics of Ivano-Frankivsk National Medical University
References (74)
Show source-provided references
1. Artificial intelligence in medicine10.1016/j.metabol.2017.01.011 ↗
2. Nerve conduction studies: Clinical challenges and engineering solutions10.1109/MEMB.2009.935714 ↗
3. From Engineering and Technological Process to Post-Cultural Technology
4. Implementing tissue engineering and regenerative medicine solutions in medical implants10.1093/bmb/ldt036 ↗
5. Fracture healing: Mechanisms and interventions10.1038/nrrheum.2014.164 ↗
6. Fracture healing under healthy and inflammatory conditions10.1038/nrrheum.2012.1 ↗
7. Humanization of Virtual Communication: From Digit to Image
8. Intramedullary fixation of fibula fractures: A systematic review10.1016/j.jcot.2021.04.020 ↗
9. Minimally invasive plate osteosynthesis using the oblong hole of a locking plate for comminuted distal fibular fractures10.1186/s13018-021-02441-2 ↗
10. Hollensteiner, M., Sandriesser, S., Hilmar Krauss, H., Greinwald, M., Stuby, F., and Augat, P. Three internal fixation methods for Danis-Weber-B distal fibular fractures: A biomechanical comparison in an osteoporotic fibula model, Foot Ankle Surg., in press.
11. Regauer, M., Mackay, G., Nelson, O., Böcker, W., and Ehrnthaller, C. (2022). Evidence-Based Surgical Treatment Algorithm for Unstable Syndesmotic Injuries. J. Clin. Med., 11.10.3390/jcm11020331 ↗
12. Syndesmosis and Syndesmotic Equivalent Injuries in Tibial Plafond Fractures10.1097/BOT.0000000000001363 ↗
13. Evaluation of the results of surgical treatment of ankle fractures with the tibiofibular syndesmosis injury
14. Revision of Syndesmosis Screw Fixation10.1177/1938640019843328 ↗
15. Better outcome for suture button compared with single syndesmotic screw for syndesmosis injury: Five-year results of a randomized controlled trial10.1302/0301-620X.102B2.BJJ-2019-0692.R2 ↗
16. The influence of biomechanical stability on bone healing and fracture-related infection: The legacy of Stephan Perren10.1016/j.injury.2020.06.044 ↗
17. Cici, H., Ozmanevra, R., Bektas, Y.E., Ciklacandir, S., Demirkiran, N.D., Isler, Y., Erduran, M., and Basci, O. Biomechanical Comparison of a Closed-Loop Double Endobutton to a Lag Screw in Fixation of Posterior Malleolar Fractures, J. Foot Ankle Surg., in press.
18. Logic, Reasoning, Decision-Making10.29202/fhi/10/8 ↗
19. Popov, V.L. (2010). Contact Mechanics and Friction: Physical Principles and Applications, Springer. [1st ed.].
20. Improved in vivo osseointegration and degradation behavior of PEO surface-modified WE43 magnesium plates and screws after 6 and 12 months10.1016/j.msec.2021.112380 ↗
21. A method of microelectrochemical investigations10.1007/BF00720884 ↗
22. Effect of stress on the microelectrochemical heterogeneity of steel
23. Analysis of Materials and Modern Technologies for PDC Drill Bit Personufacturing10.15407/ufm.21.02.274 ↗
24. Mathematical modelling of thermal stresses within the borehole walls in terms of plasma action10.33271/mining15.02.063 ↗
25. Bazaluk, O., Dubei, O., Ropyak, L., Shovkoplias, M., Pryhorovska, T., and Lozynskyi, V. (2022). Strategy of Compatible Use of Jet and Plunger Pump with Chrome Parts in Oil Well. Energies, 15.10.3390/en15010083 ↗
26. Functionally graded materials for orthopedic applications–An update on design and personufacturing10.1016/j.biotechadv.2015.12.013 ↗
27. Strength optimization of a two-layer coating for the particular local loading conditions10.1007/s11223-016-9817-5 ↗
28. Zn based hydroxyapatite based coatings deposited on a novel FeMoTaTiZr high entropy alloy used for bone implants10.1016/j.surfin.2021.101591 ↗
29. Study of nano-containing biopolymer films therapeutic and physical-mechanical properties10.18484/2305-0047.2019.1.16 ↗
30. Surface Engineering for Bone Implants: A Trend from Passive to Active Surfaces10.3390/coatings2030095 ↗
31. Stressed state of laminated interference-absorption filter under local loading
32. Antoniac, I. (2016). Bioceramic Coatings for Metallic Implants. Handbook of Bioceramics and Biocomposites 2016, Springer.10.1007/978-3-319-12460-5 ↗
33. Tension of a plate containing a rectilinear cut with hinged rims10.1007/BF00851435 ↗
34. The interaction of collinear cuts with hinged rims in a plate under tension10.1007/BF01097747 ↗
35. A periodic system of parallel slits with contacting edges in a distended plate10.1007/BF02362900 ↗
36. A review on composite patch repairs and the most important parameters affecting its efficiency and durability10.1177/0731684420941602 ↗
37. Equilibrium of cracked shell with flexible coating
38. Influence of a flexible coating on the strength of a shallow cylindrical shell with longitudinal crack10.1007/s10958-019-04226-9 ↗
39. Influence of flexible coating on the limit equilibrium of a spherical shell with meridional crack10.1007/s11003-020-00329-w ↗
40. Dutkiewicz, M., Dalyak, T., Shatskyi, I., Venhrynyuk, T., and Velychkovych, A. (2021). Stress Analysis in Damaged Pipeline with Composite Coating. Appl. Sci., 11.10.3390/app112210676 ↗
41. Analytical Solution of Cracked Shell Resting on Elastic Foundation
42. Contact interaction of the crack edges in the case of bending of a plate with elastic support10.1023/B:MASC.0000010742.15838.44 ↗
43. Material strengthening by crack and cavity healing
44. Strength of plate with the filled crack under multiparameter loading10.1016/j.prostr.2018.12.305 ↗
45. Panasyuk, V.V., Sylovanyuk, V.P., and Marukha, V.I. (2014). Injection Technologies for the Repair of Damaged Concrete Structures, Springer.10.1007/978-94-007-7908-2 ↗
46. Limiting equilibrium of a plate with partially healed crack10.1007/s11003-015-9845-5 ↗
47. On the influence of facing on strength of solids with surface defects10.15407/mfint.42.01.0069 ↗
48. Analytical estimation of tooth strength, restored by direct or indirect restorations10.5267/j.esm.2019.5.004 ↗
49. Analytical model of oil pipeline overground transitions, laid in mountain areas10.2516/ogst/2019039 ↗
50. Research into technology of fastening the mine workings in the conditions of unstable masses10.33271/mining15.03.078 ↗
51. Bazaluk, O., Slabyi, O., Vekeryk, V., Velychkovych, A., Ropyak, L., and Lozynskyi, V. (2021). A Technology of Hydrocarbon Fluid Production Intensification by Productive Stratum Drainage Zone Reaming. Energies, 14.10.3390/en14123514 ↗
52. Laboratory experimental study of contact interaction between cut shells and resilient bodies10.5267/j.esm.2021.5.003 ↗
53. Development of full-strength elastic element section with open shell10.1007/s11223-021-00286-y ↗
54. Polymer concrete and fibre concrete as efficient materials for manufacture of gear cases and pumps10.1051/e3sconf/202016800018 ↗
55. Justification of rational parameters for manufacturing pump housings made of fibroconcrete10.33271/nvngu/2020-5/068 ↗
56. Nonideal contact in a composite shell structure with a deformable filler10.1007/BF00846842 ↗
57. Contact phenomena modeling in biological structures on the example of the implant-bone10.1590/1679-78254955 ↗
58. Pelekhan, B., Dutkiewicz, M., Shatskyi, I., Velychkovych, A., Rozhko, M., and Pelekhan, L. (2022). Analytical Modeling of the Interaction of a Four Implant-Supported Overdenture with Bone Tissue. Materials, 15.10.3390/ma15072398 ↗
59. Strength Analysis of a Two-Layer PETF-Concrete Column with Allowance for Contact Interaction between Layers10.1155/2021/4517657 ↗
60. Numerical study on heat transfer in multilayered structures of main geometric forms made of different materials10.24874/jsscm.2019.13.02.04 ↗
61. Pasichnyk, V., Kryvenko, M., Burburska, S., and Haluzynskyi, O. (2021). Design and Engineering Assurance for the Customized Implants Production Using Additive Technologies. Design, Simulation, Manufacturing: The Innovation Exchange, Springer.10.1007/978-3-030-77719-7_9 ↗
62. Izonin, I., Tepla, T., Danylyuk, D., Tkachenko, R., Duriagina, Z., and Lemishka, I. (2020, January 8–9). Towards an Intelligent Decision Making of Ti-based Powders Selection for Medical Personufacturing. Proceedings of the 2020 International Conference on Decision Aid Sciences and Application, DASA-2020, Sakheer, Bahrain.10.1109/DASA51403.2020.9316866 ↗
63. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: Choosing a new balance between stability and biology10.1302/0301-620X.84B8.0841093 ↗
64. Fracture healing: Fracture Healing Understood as the Result of a Fascinating Cascade of Physical and Biological Interactions. Part II10.55095/achot2015/002 ↗
65. The influence of gap size on the development of fracture union with a micro external fixator10.1016/j.jmbbm.2019.07.015 ↗
66. Analytical models of contact interaction of casing centralizers with well wall10.5267/j.esm.2019.6.002 ↗
67. Modelling and improvement of the design of hinged centralizer for casing10.1088/1757-899X/564/1/012073 ↗
68. Bone Mechanical Properties in Healthy and Diseased States10.1146/annurev-bioeng-062117-121139 ↗
69. A Modified Technique for Fixation of Chronic Instability of the Distal Tibiofibular Syndesmosis Using a Wire and Button10.1053/j.jfas.2014.05.006 ↗
70. Mathematical Modelling of Destabilization Stress Factors of Stable-Elastic Fixation of Distal Trans- and Suprasyndesmotic Fibular Fractures10.1155/2021/6607364 ↗
71. A mechanical study of personalised Ti6Al4V tibial fracture fixation plates with grooved surface by finite element analysis10.1049/bsb2.12019 ↗
72. Wang, S.P., Lin, K.J., Hsu, C.E., Chen, C.P., Shih, C.M., and Lin, K.P. (2021). Biomechanical Comparison of a Novel Implant and Commercial Fixation Devices for AO/OTA 43-C1 Type Distal Tibial Fracture. Appl. Sci., 11.10.3390/app11104395 ↗
73. The Mechanical Properties and Fatigue Prediction of a New Generation of Osteosynthesis Devices10.2478/scjme-2021-0021 ↗
74. The use of the combined stable-elastic fixation for unstable injuries of the ankle joint in trans-syndesmotic fractures of the tibia