journal article·2022-05-23Open access

Numerical Analysis of the Calcaneal Nail C-NAIL

František Sejda, Karel Frydrýšek, Leopold Pleva, Martin Pompach, Josef Hlinka, Marek Sadílek, Zuzana Murčinková, Pavel Krpec, Miroslav Havlíček, Roman Madeja, Jana Pometlová, Oldřich Učeň, Kamila Dostálová

Applied Sciences· Volume 12· Issue 10

Abstract

The presented article investigates the biomechanics of the calcaneal nail C-NAILTM by numerical calculations and, partially, experimentally. This nail is widely used in trauma and orthopaedics. A numerical model of implants directly interacting with the bone tissue model obtained from CT scans was calculated. The material properties of the bone tissue can be described by several models; in this work, a non-homogeneous material model with isotropic elements and prescribed elastic modulus was used to provide a more accurate model of the applied force distribution on the individual parts of the implants. The critical areas of the nail and its fixtures were investigated using finite element strength calculations to verify their strength and reliability, contributing to the safety and faster and easier treatment of patients. These analyses suggest that the strength of the calcaneal nail C-NAIL, as well as the stabilization of bone fragments resulting from its use, are sufficient for clinical practice.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Bone fractures and treatments · Spinal Fractures and Fixation Techniques · Vascular Procedures and Complications

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Institute of Emergency Medicine, Faculty of Medicine, University of Ostrava, Syllabova 19, Vítkovice, 703 00 Ostrava, Czech Republic

Department of Applied Mechanics, Faculty of Mechanical Engineering, VSB-Technical University of Ostrava, 17. listopadu 2172/15, 708 00 Ostrava, Czech Republic

Trauma Center, University Hospital Ostrava, 17. listopadu 1790, Poruba, 708 52 Ostrava, Czech Republic

Nemocnice Pardubického Kraje, Kyjevská 44, 53 203 Pardubice, Czech Republic

Department of Material Engineering, VSB-Technical University of Ostrava, 17. listopadu 15/2172, Poruba, 708 00 Ostrava, Czech Republic

Department of Material Technology, Faculty of Mechanical Engineering, VSB-Technical University of Ostrava, 17. listopadu 2172/15, 708 00 Ostrava, Czech Republic

Faculty of Manufacturing, Technical University of Košice, 080 01 Prešov, Slovakia

V-NASS, a.s., Halasova 2938/1a, Vítkovice, 703 00 Ostrava, Czech Republic

Medin, a.s, Vlachovicka 619, 592 31 Nové Město na Moravě, Czech Republic

Department of Machine and Industrial Design, Faculty of Mechanical Engineering, VSB-Technical University of Ostrava, 17. listopadu 2172/15, 708 00 Ostrava, Czech Republic

Centre of Advanced Innovation Technologies, VSB-Technical University of Ostrava, 17. listopadu 2172/15, 708 00 Ostrava, Czech Republic

Funding

Innovative Therapeutic Methods of Musculoskeletal System in Accident Surgery · Innovative and additive manufacturing technology-new technological solutions for 3D printing of metals and composite materials

References (33)

Show source-provided references
1. Logan, B.M., Singh, D., and Hutchings, R.T. (2004). McMinn’s Color Atlas of Foot and Ankle Anatomy, Elsevier Health Sciences.
2. Sejda, F. (2019). Biomechanics–Ostheosynthesis of Calcaneal Fractures. [Ph.D. Thesis, VSB–Technical University of Ostrava].
3. Pompach, M. (2016). Kalkaneální Hřeb C-NAIL, Porovnání Implantátů Pro Osteosyntézu Zlomeniny Patní Kosti. [Doctoral Thesis, Univerzita Palackého v Olomouci].
4. Stehlík, J., and Štulík, J. (2005). Calcaneal Fracture, Galén Publishing House.
5. (2022, March 23). Normmed-Normmedtrauma. Available online: https://www.normmed.com.tr/normmedtrauma.pdf.
6. (2022, March 23). Medartis–Cases Newsletter F&A Nr1 Cases: Medartis. Available online: https://www.medartis.com/en-us/products/detail/trilock-calcaneus-plates-35/.
7. (2022, March 23). GPC Meical Ltd.-Calcaneal Locking Plate 3.5mm Left/Right Manufacturer & Supplier|India. Available online: https://www.gpcmedical.com/1217/902/calcaneal-locking-plate-35mm-left-right.html.
8. (2022, March 23). Medin, a.s.: Instruments and Implants for Traumatology [catalog], MEDIN, a.s., 2018, Pages B.2.1-B.2.2. Available online: https://www.medin.cz/media/cache/file/ce/medin-traumatology-catalogue-2018-10-CS-EN_LQ.pdf.
9. Hlinka, J., Dostalova, K., Dedkova, K.P., Madeja, R., Frydrysek, K., Koutecky, J., Sova, P., and Douglas, T.E.L. (2021). Complex Material and Surface Analysis of Anterolateral Distal Tibial Plate of 1.4441 Steel. Metals, 12.10.3390/met12010060 ↗
10. Comparison of Deformation Behaviour of 316L Stainless Steel and Ti6Al4V Alloy Applied in Traumatology
11. (2022, March 23). ASM, Titanium Ti-6Al 4V. Pompano Beach, 2016. Available online: http://asm.matweb.com/search/SpecificMaterial.asp?bassnum=MTP641.
12. (2022, March 23). Wikipedia. Available online: https://en.wikipedia.org/wiki/CT_scan.
13. (2022, March 23). Materialise, Mimics Student Edition Course Book. Materialise. Ann Arbor, USA, 2014. Available online: https://www.researchgate.net/file.PostFileLoader.html?id=5686aa597dfbf9d5458b458b&assetKey=AS%3A313124089991168%401451666008906.
14. P-Fems In Biomechanics: Bones And Arteries10.1016/j.cma.2012.09.006 ↗
15. The Material Mapping Strategy Influences The Accuracy Of Ct-Based Finite Element Models Of Bones: An Evaluation Against Experimental Measurements10.1016/j.medengphy.2006.10.014 ↗
16. A New Software Tool (Vabatts) To Calculate Bending, Axial, Torsional And Transverse Shear Stresses Within Bone Cross Sections Having Inhomogeneous Material Properties10.1080/10255840801930728 ↗
17. Mathematical Relationships Between Bone Density And Mechanical Properties: A Literature Review10.1016/j.clinbiomech.2007.08.024 ↗
18. Comparison Of An Inhomogeneous Orthotropic And Isotropic Material Models Used For Fe Analyses10.1016/j.medengphy.2007.12.009 ↗
19. Analysis of Hounsfield Unit of Human Bones For Strength Evaluation10.1016/j.mspro.2014.07.065 ↗
20. Polyaxially-Locked Plate Screws Increase Stability of Fracture Fixation in an Experimental Model of Calcaneal Fracture10.1302/0301-620X.88B9.17822 ↗
21. Biomechanical Performance Of Lateral Versus Dual Locking Plates For Calcaneal Fracture10.1053/j.jfas.2015.01.001 ↗
22. Introduction of a New Locking Nail for Treatment of Intraarticular Calcaneal Fractures10.1097/BOT.0000000000000482 ↗
23. Devcon Magic Bond™ Epoxy Putty (2022, March 23). Online Materials Information Resource-Matweb. Available online: http://www.Matweb.Com/Search/Datasheettext.Aspx?Bassnum.
24. Preclinical study analysis of massive magnesium alloy graft for calcaneal fractures10.3892/etm.2021.10163 ↗
25. Sejda, F. (2014). Biomechanics-Structural Analysis of C-NAIL. [Doctoral Thesis, VŠB–Technical University of Ostrava].
26. Dependence of Deformation of a Plate on the Subsoil in Relation to the Parameters of the 3D Model
27. Hrabovský, L., and Fries, J. (2021). Transport Performance of a Steeply Situated Belt Conveyor. Energies, 14.10.3390/en14237984 ↗
28. Investigation of Vibration Mitigation of Flexibly Support Rigid Rotors Equipped with Controlled Elements10.1016/j.proeng.2012.09.496 ↗
29. Frydrýšek, K., Šír, M., Pleva, L., Szeliga, J., Stránský, J., Čepica, D., Kratochvíl, J., Koutecký, J., Madeja, R., and Dědková, K.P. (2022). Stochastic Strength Analyses of Screws for Femoral Neck Fractures. Appl. Sci., 12.10.3390/app12031015 ↗
30. Parallel Computational Models for Composites Reinforced by CNT-Fibres10.1016/j.enganabound.2011.04.009 ↗
31. Kubíček, J., Tomanec, F., Černý, M., Vilímek, D., Kalová, M., and Oczka, D. (2019). Recent Trends, Technical Concepts and Components of Computer-Assisted Orthopedic Surgery Systems: A Comprehensive Review. Sensor, 19.10.3390/s19235199 ↗
32. Probability and Sensitivity Analysis of Plate10.4028/www.scientific.net/AMM.617.193 ↗
33. Šotola, M., Stareczek, D., Rybanský, D., Prokop, J., and Maršalek, P. (2020). New Design Procedure of Transtibial Prosthesis Bed Stump Using Topological Optimization Method. Symmetry, 12.10.3390/sym12111837 ↗