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Author:

Li, Jianfeng (Li, Jianfeng.) (Scholars:李剑锋) | Li, Guotong (Li, Guotong.) | Dong, Mingjie (Dong, Mingjie.) | Chen, Ying (Chen, Ying.) | Zuo, Shiping (Zuo, Shiping.)

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EI Scopus SCIE PubMed

Abstract:

Based on the principle of distraction osteogenesis, external fixators are widely used in deformity correction of the foot and ankle. In this study, a novel ankle external fixator is proposed to correct complex multiplane deformities, especially for supramalleolar osteotomy to correct distal tibia deformities. The relatively simple structure and fewer struts in the proposed fixator reduce the complexity of adjusting the external fixator. Based on two existing adjustment strategies, a new strategy taking into account the orientation and shortest path of the ankle joint center is proposed, which is named joint adjustment for equal bone distraction. By proposing the inverse kinematic solutions of the novel external fixator, mathematical derivations of the bone trajectory and modelling of the bone shape for the three distraction strategies are performed. The results obtained by comparative analysis indicate that a uniformly spaced path of the ankle joint center can be acquired, and a smooth and uniform correction trajectory of the distal tibia end can be obtained using the new adjustment strategy. It can avoid bone end interference and only generates a maximum deviation 0.66% greater than the currently optimal 1 mm/day. The new strategy can perform multiplane corrections simultaneously, which shortens the correction time and reduces the patient's pain.

Keyword:

bone shape remodeling inverse kinematics solution correction trajectory supramalleolar osteotomy external fixator

Author Community:

  • [ 1 ] [Li, Jianfeng]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 2 ] [Li, Guotong]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 3 ] [Dong, Mingjie]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 4 ] [Chen, Ying]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 5 ] [Zuo, Shiping]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China

Reprint Author's Address:

  • [Li, Guotong]Beijing Univ Technol, 100 Pingleyuan, Beijing 100124, Peoples R China

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Source :

INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING

ISSN: 2040-7939

Year: 2020

Issue: 12

Volume: 36

2 . 1 0 0

JCR@2022

ESI Discipline: COMPUTER SCIENCE;

ESI HC Threshold:132

Cited Count:

WoS CC Cited Count: 7

SCOPUS Cited Count: 10

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 5

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