Utility of cement injection to stabilize split-depression tibial plateau fracture by minimally invasive methods: A finite element analysis

Belaid, D.; Vendeuvre, Tanguy; Bouchoucha, A.; Brémand, Fabrice; Brèque, Cyril; Rigoard, Philippe; Germaneau, Arnaud

doi:10.1016/j.clinbiomech.2018.05.002

Cited by 30 publications

(30 citation statements)

References 42 publications

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“…As the aging process of the population continues to evolve, the increase in the proportion of elderly people has led to a surge in patients with wrist fractures to a certain extent [15][16][17]. Especially in middle-aged and elderly women due to menopause and estrogen loss, physical function and the ability to deal with emergencies has inevitably declined, which results in a high incidence of wrist fractures [13,[18][19][20]. In addition, wrist fractures are common in young and middle-aged people during daily exercise and work [21,22].…”

Section: Discussionmentioning

confidence: 99%

“…An unsealed cuboid container (stainless steel materials) with dimensions of 80 mm×80 mm×100 mm was designed to display the wrists. PALACOS bone cements with low viscosity and 40 g×20 boxes (Heraus, Germany) were used to implant the wrists vertically into the cuboid containers by means of the filling technology of bone cement [13], and the bone cements were embedded and fixed until the wrists were completely firm without any movement. Furthermore, the wrists were equipped with a stress sensing system device (Taizhou, China), a microelectronic universal testing machine (Jinan, China) and four static strain test units (Jinan, China) that were connected by wires.…”

Section: Methodsmentioning

confidence: 99%

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Biomechanical assessment and finite element analysis of a simulated axial-loading experiment on a wrist protector model

Jy¹,

Zhang²

2020

Preprint

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Objective To evaluate the biomechanical analysis and effect of the wrist protector and provide a theoretical basis for wrist fractures and the optimal design of wrist protectors. Methods 6 cadaveric wrist models were axially loaded 600 N stress, and the stress magnitude and distribution of the experimental group (wearing wrist protectors) and control group were obtained. Furthermore, a three-dimensional finite element analysis was conducted to verify the scientificity and effectiveness of the models. Results The stresses on the radial distal palmar, ulnar distal palmar, radial distal dorsal, ulnar distal dorsal, radial proximal palmar and ulnar proximal palmar units in the experimental group were lower than those in the control group (P < 0.05). However, the stresses on the radial proximal dorsal and ulnar proximal dorsal units were higher than those in the control group (P>0.05). Conclusion The stress on the radioulnar palmar unit was high, while the radioulnar dorsal unit one was relatively low. Within the range of physiological loads, wearing wrist protectors can significantly reduce the stress on the radioulnar distal palmar, radioulnar proximal palmar and radioulnar distal dorsal units.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Biomechanical assessment and finite element analysis of a simulated axial-loading experiment on a wrist protector model

Jy¹,

Zhang²

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…As the aging process of population continues to evolve, the increase in proportion of the elderly has led to a surge in patients with wrist fractures to a certain extent [14][15][16]. Especially in middle-aged and elderly women, due to the menopause and estrogen loss, the physical function and ability to deal with emergencies has declined inevitably, which brings about the high incidence of wrist fractures [13,[17][18][19]. In addition, wrist fractures are also common in young and middle-aged people during daily exercise and work [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…An unsealed cuboid container (stainless steel materials) with the specification of 80 mm×80 mm×100 mm was designed to display the wrists. PALACOS bone cements with low viscosity, 40 g×20 boxes (Heraus, Germany) were used to implant the wrists vertically into the cuboid container according to the filling technology of bone cement [13], and the bone cements were embedded and fixed until the wrists were completely firm without any slight movement. Moreover, the wrists were equipped with a stress sensing system device (Taizhou, Zhejiang, China), a microelectronic universal testing machine (Jinan, Shandong, China) and four static strain test units (Jinan, Shandong, China), which were connected by wires.…”

Section: Models and Materialsmentioning

confidence: 99%

Biomechanical evaluation and finite element analysis of axial-loading simulated experiment of wrist fracture

Zhang

Xiong²,

Huang

et al. 2020

Preprint

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Objectives This study combined mechanical experiments and finite element analysis (FEA), and verified each other, to assess the biomechanical analysis and effect of wrist fracture, providing theoretical basis for the simulation experiments of wrist fracture and optimal design of wrist protector. Methods and Materials Six cadaveric wrists were included to create experimental specimens. After grouping, the wrist models were axially loaded under physiological load of 600 N, the stress magnitude and distribution of experimental group and control group were obtained. Moreover, a three-dimensional (3D) wrist finite element model (FEM) of a healthy volunteer was developed to verify the rationality and effectiveness of wrist models. Results Within the range of physiological load, the stress of radioulnar palmar unit was high and in shape of pressure, while the stress of radioulnar dorsal unit was relatively lower and in shape of tension. The stresses of radial distal palmar, ulnar distal palmar, radial distal dorsal, ulnar distal dorsal, radial proximal palmar and ulnar proximal palmar units in experimental group were less than those in control group. However, the stresses of radial proximal dorsal and ulnar proximal dorsal units were higher than those in control group. Conclusions Under physiological load, wearing wrist protector can apparently reduce the stress on radioulnar distal palmar, radioulnar proximal palmar and radioulnar distal dorsal units, while has no obvious effect on radioulnar proximal dorsal units. During the process of designing and improving the wrist protector, it is reasonable to place the stress center on radioulnar distal palmar and dorsal units.

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“…Belaid et al 20 presented a finite element analysis on stress distribution in the tibial plateau stabilized by balloon osteoplasty to determine the influence of cement filling. They concluded that the cement injection can increase implant stability, preserve fracture reduction, and produce a uniform load distribution.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

Cuzzocrea

Jannelli

Ivone

et al. 2018

Joints

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Purpose The study aims to present the results at a mean 28-months follow-up of arthroscopic-guided balloon tibioplasty and to spot some technical tricks and some practice using tools and materials. Methods The study relates to six patients with tibial plateau fractures type Schatzker III with tibial plateau depression more than 4 mm at preoperative computed tomography scan (CT-scan). The follow-up period ranged from 22 to 33 months, with a mean of 28 months. No patients were lost to follow-up. The patients were evaluated clinically using the Rasmussen score system and Lysholm score systems at 6 to 12 and 24 months, postoperatively. Radiographic evaluations (standard X-rays) were done preoperatively at 1, 3, and 12 months postoperatively while a CT-scan with 3D reconstruction was performed preoperatively, at the first day and 6 months, postoperatively. Results The mean Rasmussen clinical score at 6 months postoperatively was 26.3 while at 1-year postoperatively the mean Rasmussen clinical score was 28.33. At 2-year postoperatively the mean Rasmussen clinical score was 28.83. Statistically significant difference was found in 6-months and 2-years results ( p < 0.05). CT-scan achieved the first postoperative day showed the recovery of approximately 70% of the area of the interested tibial plateau, restoring of the joint surface without articular bone free fragments. Conclusion The described surgical procedure, if correctly performed with proper indications (Schatzker III), respect the principles mentioned above and the clinical and radiological results confirm our purpose. Level of Evidence This is a therapeutic case series, level IV study.

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Utility of cement injection to stabilize split-depression tibial plateau fracture by minimally invasive methods: A finite element analysis

Cited by 30 publications

References 42 publications

Biomechanical assessment and finite element analysis of a simulated axial-loading experiment on a wrist protector model

Biomechanical assessment and finite element analysis of a simulated axial-loading experiment on a wrist protector model

Biomechanical evaluation and finite element analysis of axial-loading simulated experiment of wrist fracture

Arthroscopic-Guided Balloon Tibioplasty in Schatzker III Tibial Plateau Fracture

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