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Author:

Liu, Y. (Liu, Y..) | Fu, R. (Fu, R..) | Fu, J. (Fu, J..) | Yang, H. (Yang, H..)

Indexed by:

Scopus

Abstract:

Objective: To systematically explore the change of fixator stiffness (0.05-7.50 kN/mm) on healing effects of seven different types of fractures (A1: simple spiral, A2: simple oblique, A3: simple transverse; B2: wedge spiral, B3: wedge fragmented; C2: complex segment, C3: complex irregular) under the OTA/AO fracture classification. Methods: Taking intramedullary nail fixation of long bone fracture as research objective, based on strain-regulated tissue differentiation theory, and combined with fuzzy logic algorithm and finite element analysis, the process of fracture healing was numerically simulated. Results: Moderate fixator stiffness (1.5-2.5 kN/mm) shortened the healing time while ensuring recovery of biomechanical performance of the fractured bone. However, the appropriate fixator stiffness corresponding to each fracture type was different. The sensitivity of healing effects to change of fixator stiffness was also different. For type A fracture, when fixator stiffness was 1.5 kN/mm, optimal biomechanical recovery of the fractured site could be obtained, while the change in fixator stiffness had a large impact on healing effect. For type B and C fractures, when fixator stiffness was above 1.5 kN/mm, the change in fixator stiffness had no significant effects on recovery of biomechanical performance. Conclusions: Fracture healing is affected by both fixator stiffness and fracture types. For treating fractures in clinic, the selection of fixators should carefully take fracture types into account. Copyright © 2022 by the Editorial Board of Journal of Medical Biomechanics.

Keyword:

Fracture healing Stiffness Numerical simulation Fixator OTA/AO fracture classification

Author Community:

  • [ 1 ] [Liu, Y.]Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing, 100124, China
  • [ 2 ] [Fu, R.]Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing, 100124, China
  • [ 3 ] [Fu, J.]Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing, 100124, China
  • [ 4 ] [Yang, H.]Department of Biomedical Engineering, Faculty of Environment and Life, Beijing University of Technology, Beijing, 100124, China

Reprint Author's Address:

  • [Yang, H.]Department of Biomedical Engineering, China

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Source :

Journal of Medical Biomechanics

ISSN: 1004-7220

Year: 2022

Issue: 4

Volume: 37

Page: 597-603

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 7

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