Deformation indicators of metacarpal bones fracture fixation

Authors

  • M. S. Shidlovskiy Igor Sikorsky Kyiv Polytechnic Institute, Kyiv, Ukraine
  • M. M. Dyman Igor Sikorsky Kyiv Polytechnic Institute, Kyiv, Ukraine
  • M. A. Tsygankov National Medical University of A.A. Bohomoltsia, Kyiv, Ukraine

DOI:

https://doi.org/10.20535/2521-1943.2019.85.157907

Keywords:

osteosynthesis, fracture of metacarpal bones, displacement of fragments, fixation fractures, the stiffness of fixation of fractures, strength of fixation of fractures, metacarpal bones, screws, needles, miniplates, rod apparatus external fixation

Abstract

Functional reliability of fixative-bone means was studied for various types of metacarpal fractures depending on the type of fixator and its location. The stiffness characteristics of fracture fixation systems with titanium miniplates were studied, an analysis was performed of the surgical treatment of patients with metacarpal fractures, in which osteosynthesis with needles and external fixation rod apparatus was used, with static and cyclic modes of action of external loads. When transferring a compressive force to a fragment, the type of fixing means significantly influences the deformation of the osteosynthesis system at all levels of stress; for the most of the measured characteristics, rod devices with external fixation and titanium miniplates of various designs are preferable.

References

  1. Tannenbaum, E.P., Burns, G.T., Oak, N.R. and Lawton, J.N. (2017), “Comparison of 2-Dimensional and 3-Dimensional Metacarpal Fracture Plating Constructs Under Cyclic Loading”, The Journal of Hand Surgery, vol.42, no.3, pp. 159-165, https://doi.org/10.1016/j.jhsa.2017.01.003
  2. Cotterell, I.H. and Richard, M.J. (2015), “Metacarpal and Phalangeal Fractures in Athletes”, Clinics in Sports Medicine, vol.34, no.1, pp. 69-98, https://doi.org/10.1016/j.csm.2014.09.009
  3. Murison, J.C., Pfister, G., Amar, S., Rigal, S. and Mathieu, L. (2019), “Metacarpal bone reconstruction by a cementless induced membrane technique”, Hand Surgery and Rehabilitation, Available online.
  4. Brotzman, S.B., Kidd, T.M., Hardy, M.A. and Novotny, S.R. (2018), “5 - Fifth Metacarpal Neck Fracture (Boxer's Fracture)”, Clinical Orthopaedic Rehabilitation, pp. 24-28.
  5. Zhang, X., Huang, X. and Shao, X. (2015), “Reduction of Fifth Metacarpal Neck Fractures With a Kirschner Wire”, The Journal of Hand Surgery, vol.40, no.6, pp. 1225-1230, https://doi.org/10.1016/j.jhsa.2015.03.015
  6. Jann, D., Calcagni, M., Giovanoli, P. and Giesen, T. (2018), “Retrograde fixation of metacarpal fractures with intramedullary cannulated headless compression screws”, Hand Surgery and Rehabilitation, 37, no.2, pp. 99-103, https://doi.org/10.1016/j.hansur.2017.12.005
  7. Khan Yaseen, F.M., Guity, M.R., Arfa, A. and Bagheri, N. (2019), “A rare case of floating fifth metacarpal and review of literature”, Trauma Case Reports, vol. 20, 100168.
  8. Duan, W, Zhang, X, Yu, Y., Zhang, Z., Shao, X. and Du, W. (2019), “Treatment of comminuted fractures of the base of the thumb metacarpal using a cemented bone-K-wire frame. Traitement des fractures comminutives de la base du premier métacarpien grâce à un cadre os-broches-ciment”, Hand Surgery and Rehabilitation vol.38, no.1, pp. 44-51.
  9. Amsallem, L., Pierrart, J., Bihel, T., Sekri, J., Lafosse, T., Masmejean, E. and Delgrande, D. (2018), “Simplified internal fixation of fifth metacarpal neck fractures”, Orthopaedics & Traumatology: Surgery & Research, vol.104, no.2, pp. 257-260.
  10. Nemov, M. Zhmaylo, I. Zelinskiy, N. Ermolenko, A. Karandashev, A. Borovkov, V. Khominets, I. Khominets, K. Mamedov, A. Miliaev, A. Grebenyuk (2018), “Simulation of mechanical behaviour of the plate for osteosynthesis: loads and computational approach”, Series on Biomechanics, vol.32, no.1, pp. 30-37.
  11. Shidlovskiy, N.S. (2011), “Metodyi issledovaniya deformatsionnoy nadezhnosti sistem osteosinteza konechnostey cheloveka”, Biomedichna InzhenerIya, no. 1, pp. 24-31.
  12. Shidlovskiy, N.S., Laksha, A.M. and Shpak, D.E. (2011), “Naturnyie ispyitaniya system “bolshebertsovaya kost s perelomom – sterzhnevoy apparat fiksatsii””, Vestnik Nacional'nogo tehnicheskogo universiteta “Kievskij politehnicheskij institute”, Serija mashinostroenie, vol.61, no.2, pp. 134 –140.
  13. Shidlovskiy, N.S., Laksha, A.M. and Dyiman, M.M. (2014), “Osobennosti vyibora rezhimov biomehanicheskih naturnyih ispyitaniy sistem osteosinteza s uchetom tsiklicheskih nagruzok”, Litopis travmatologiyi ta ortopediyi, no. 1-2/(29-30), pp.115-120.

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Published

2019-04-14

How to Cite

[1]
M. S. Shidlovskiy, M. M. Dyman, and M. A. Tsygankov, “Deformation indicators of metacarpal bones fracture fixation”, Mech. Adv. Technol., no. 1(85), pp. 78–84, Apr. 2019.

Issue

No. 1(85) (2019)

Section

Original study

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