journal article·2020-04-01Open access

Laser Welding on Cerclage Wire Joining in Femur Surgery

Nutchanat Thongchuea, Eakkachai Warinsiriruk, Yin-Tien Wang

Applied Sciences· Volume 10· Issue 7

Abstract

Stainless steel wires with fiber-laser welding on lap joints are first proposed in this study to be used as cerclage wire joints for modern femur surgery, because of their potentially larger joint strength and less loosening failure than traditional joint devices. In this feasibility study, an experiment was set up to determine adequate parameters for the laser welding process in order to ensure that the wire joint of cerclage has good weld appearance, free oxidation, and suitable joint strength. A stainless steel wire 316L with a diameter of 1.6 mm, flare-welded on lap joint was used in the experiment as a specimen cerclage wire joint. Two major effective parameters were chosen for controlling a suitable fusion weld, including charge voltage and multiple frequencies of the laser irradiation. The adequate area of the laser parameters was determined from the experiment, including the ranges of charge voltage, multiple frequencies, and pulse width. The suitable welded lengths of specimens were also studied in the mechanical test to validate the joint strength. Suggested welded length has a better tensile strength than traditional cerclage joints. The paper concludes that the stainless wire joints with a fiber laser weld represents a promising alternative to traditional cerclage joint devices for modern femur surgery.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Orthopaedic implants and arthroplasty · Total Knee Arthroplasty Outcomes · Welding Techniques and Residual Stresses

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

Affiliations

Department of Industrial Engineering, Mahidol University, Nakhon Pathom 73170, Bangkok, Thailand

Department of Mechanical and Electro-Mechanical Engineering, Tamkang University, New Taipei City 25137, Taiwan

Funding

The Government Budget Grant of Thailand · Ministry of Science and Technology, Taiwan

References (25)

Show source-provided references
1. A biomechanical study of three wiring techniques for cerclage-plating10.1097/00005131-199505000-00004 ↗
2. Cerclage wiring as an adjunct for the treatment of femur fractures: Series of 11 cases
3. Managing Vancouver B1 fractures by cerclage system compared to locking plate fixation—A biomechanical study10.1016/S0020-1383(16)47009-9 ↗
4. Locking plate fixation of periprosthetic femur fractures with and without cerclage wires10.1111/os.12052 ↗
5. Combination of low-contact cerclage wiring and osteosynthesis in the treatment of femoral fractures10.1007/s00590-016-1761-3 ↗
6. Past and present of the use of cerclage wires in orthopedics10.1007/s00590-014-1520-2 ↗
7. Appleton, A.T., Mantz, G.A., Golden-Appleton, A., Debenham, C.T., Sandoval, T.N., Wang, Q., and Hernandez, C.J. (2019). Manual of wiring techniques for orthopedic surgery. Tech. Orthop.10.1097/BTO.0000000000000327 ↗
8. Cerclage handling for improved fracture treatment. A biomechanical study on the twisting procedure10.55095/achot2011/033 ↗
9. Strength of stainless steel surgical wire in various fixation modes10.1097/00003086-198509000-00045 ↗
10. A new method for cerclage wire fixation to maximal pre-tension with minimal elongation to failure10.1016/S0268-0033(03)00181-5 ↗
11. Biomechanical performance of different cable and wire cerclage configurations10.1007/s00264-012-1702-7 ↗
12. Initial tension loss in cerclage cables10.1016/j.arth.2013.03.014 ↗
13. Zhou, Y., and Breyen, M.D. (2013). Joining and Assembly of Medical Materials and Devices, Elsevier.10.1533/9780857096425 ↗
14. Mechanical and microstructural integrity of nickel—Titanium and stainless steel laser joined wires10.1016/j.actamat.2011.06.031 ↗
15. Laser welding dissimilar materials of aluminum to steel: An overview10.1007/s00170-016-8725-y ↗
16. Clinical experiences with laser-welded titanium frameworks supported by implants in the edentulous mandible: A 10-year follow-up study10.1111/j.1708-8208.2006.00020.x ↗
17. Laser welding and syncristallization techniques comparison: In Vitro study10.1155/2012/720538 ↗
18. Laser welding and syncristallization techniques comparison: “Ex Vivo” study10.5978/islsm.13-OR-23 ↗
19. Laser welded versus resistance spot welded bone implants: Analysis of the thermal increase and strength10.1155/2014/357074 ↗
20. Laser beam welding of dual-phase DP1000 steel10.1016/j.jmatprotec.2017.10.008 ↗
21. A review on laser beam welding of titanium alloys10.1007/s00170-018-2030-x ↗
22. Wei, G., Li, S., Guo, Y., and Dang, Z. (2019). Fiber bragg gratings based cyclic strain measuring of weld toes of cruciform joints. Appl. Sci., 9.10.3390/app9142939 ↗
23. Joining of elements fabricated by a robotized laser/wire directed energy deposition process by using an autogenous laser welding10.1007/s00170-018-2891-z ↗
24. Influence of parameters of laser beam welding on structure of 2205 duplex stainless steel10.2478/adms-2019-0002 ↗
25. Fatigue testing of cerclage stainless steel wire fixation10.1097/00005131-199410000-00009 ↗