Izvorni znanstveni članak
Numerical Analysis of Standard and Modified Osteosynthesis in Long Bone Fractures Treatment
Vladimir Šišljagić
; Department of Surgery, School of Medicine, University »J. J. Strossmayer«, Osijek, Croatia
Savo Jovanović
; Department of Orthopedics, School of Medicine, University »J. J. Strossmayer«, Osijek, Croatia
Tomislav Mrčela
; Faculty of Electrical Engineering, University »J. J. Strossmayer«, Osijek, Croatia
Radivoje Radić
; Department of Anatomy and Neurosciences, School of Medicine, University »J. J. Strossmayer«, Osijek, Croatia
Robert Selthofer
; Department of Anatomy and Neurosciences, School of Medicine, University »J. J. Strossmayer«, Osijek, Croatia
Milanka Mrčela
; Department of Pathology, School of Medicine, University »J. J. Strossmayer«, Osijek, Croatia
Sažetak
The fundamental problem in osteoporotic fracture treatment is significant decrease in bone mass and bone tissue density resulting in decreased firmness and elasticity of osteoporotic bone. Application of standard implants and standard surgical techniques in osteoporotic bone fracture treatment makes it almost impossible to achieve stable osteosynthesis sufficient for early mobility, verticalization and load. Taking into account the form and the size of the contact surface as well as distribution of forces between the osteosynthetic materials and the bone tissue numerical analysis showed advantages of modified osteosynthesis with bone cement filling in the screw bed. The applied numerical model consisted of three sub-models: 3D model from solid elements, 3D cross section of the contact between the plate and the bone and the part of 3D cross section of the screw head and body. We have reached the conclusion that modified osteosynthesis with bone cement resulted in weaker strain in the part of the plate above the fracture fissure, more even strain on the screws, plate and bone, more even strain distribution along all the screws’ bodies, significantly greater strain in the part of the screw head opposite to the fracture fissure, firm connection of the screw head and neck and the plate hole with the whole plate and more even bone strain around the screw.
Ključne riječi
modified ostheosynthesis; numerical analysis; osteoporosis
Hrčak ID:
51732
URI
Datum izdavanja:
25.3.2010.
Posjeta: 1.258 *