Please use this identifier to cite or link to this item:
http://repository.pdmu.edu.ua/handle/123456789/20489
Title: | Biomechanical substantiation of the choice of the method for fixing unstable fractures of the proximal tibia |
Authors: | Chip, Y. Kalashnikov, A. Protsenko, V. Stavinsky, Yu. Kalashnikov, O. Pelypenko, O. Пелипенко, Олександр Васильович |
Issue Date: | 16-Feb-2023 |
Publisher: | European Scientific Society |
Citation: | Biomechanical substantiation of the choice of the method for fixing unstable fractures of the proximal tibia [Електронний ресурс] / Y. Chip, A. Kalashnikov, V. Protsenko, O. Kalashnikov, Yu. Stavinsky, O. Pelypenko // Archiv euromedica. – 2023. – Vol. 13, № 1. – С. 1–7. DOI: 10.35630/2023/13/1.213. |
Abstract: | Aim: To justify the choice of a method for fixing unstable proximal tibial fractures (PTF), to conduct computer simulation of stresses on various metal fixators. Materials and Methods: at the initial stage, a solid 3D model of the lower leg has been created using Solid Works, on the background of anatomical models and CT scans. The model contained the following elements: tibia and fibula, interosseous membrane, ligaments of the proximal and distal tibia syndesmosis, and a modeled proximal tibial fracture. We have subsequently studied 4 models of bone fragments’ fixation with LCP plates and an intramedullary blocking metal rod. Further calculations were performed using the finite element method. Results: computer simulations of stresses on various metal fixators applied to fix a PTF convincingly proved that blocked intramedullary osteosynthesis (BIOS) and LCP plates placed bilaterally are feasible for this category of patients. Conclusions: Deformities and loads observed in the metal fixator, bone tissue and ligamentous apparatus run within normal limits. They are statistically significantly (p ≤ 0.05) lower in models of bone fragments’ fixation with IM nailing and bilaterally placed LCP plates. This evidences the adequate stability of bone fragments’ and these methods of osteosynthesis as a whole, compared to the stains in the same elements of modelled fixation using only one plate – medially or laterally. The results of the study may serve as the background for the development of an algorithm for surgical treatment and rehabilitation of patients with PTF. |
Keywords: | computer modeling proximal tibial fractures tension metal clamps |
UDC: | 616.718.4-007.24-001.5-089.227.84 |
DOI: | 10.35630/2023/13/1.213 |
URI: | http://repository.pdmu.edu.ua/handle/123456789/20489 |
Appears in Collections: | Наукові праці. Кафедра хірургії № 3 |
Files in This Item:
File | Description | Size | Format | |
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Biomechanical.pdf | 1,31 MB | Adobe PDF | View/Open |
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