Functional reliability of means of fixation for complex pelvic fractures. Part 2. Experimental studies under static loads

Authors

DOI:

https://doi.org/10.20535/2521-1943.2024.8.2(101).303063

Keywords:

biomechanics, osteosynthesis, displacement of bone fragments, fracture fixation, fracture fixation stiffness, fracture fixation stability, pelvic fracture, spongy screws, pedicle plate, rod apparatus of external fixation

Abstract

Fracture fixation devices should ensure reliable fixation of bone fragments, preventing their mutual displacement during transportation and treatment of patients. Today, in traumatology and orthopedics, two methods of fixation are used to fix complex fractures of the pelvic bones caused by high-velocity wounding projectiles: parallel insertion of spongy screws (osteosynthesis of the posterior pelvic ring) and stabilization with a rod apparatus of external fixation and fixation by means of reinforced with application of extramedullary reconstructive plate (osteosynthesis of the anterior pelvic ring). The anterior pelvis is stabilized more often because this technique is simpler, does not require much time and high qualification of the surgeon. However, this method of fixation does not provide sufficient stability of the connection of the pelvic ring bone fragments. For further improvement of the configuration of fixation systems, it is necessary to conduct comparative experimental studies of the stiffness and stability of fixation on natural specimens under real types and levels of loads with modeled damage to the anterior and posterior parts of the pelvic ring. This work is devoted to the study of the characteristics of stiffness and reliability of fixation of complex pelvic fractures with pelvic ring damage under static loads. A methodology for determining the deformation characteristics was developed and full-scale studies of fixation devices for complex pelvic fractures were performed. The processes of occurrence and development of mutual displacements of fracture points under tension and bending were studied.

References

  1. M. Dyman, M. Shydlovskyi, M. Bobyr, A. Laksha and O. Fomin, “Functional reliability of means of fixation for complex pelvic fractures. Part 1: Materials and methods,” Mech. Adv. Technol., Vol. 8, No. 1(100), pp. 54–61, 2024, doi: https://doi.org/10.20535/2521-1943.2024.8.1(100).297622.
  2. O. Ye. Loskutov, I. I. Zherdev, A. M. Domanskyi and S. O. Korol, “Khirurhichna taktyka likuvannia vohnepalnykh poranen kintsivok v umovakh bahatoprofilnoi likarni,” Travma, No. 17 (3), pp. 169–172, 2022, doi: https://doi.org/10.22141/1608-1706.3.17.2016.75804.
  3. J. Jorgensen, P. Naess and C. Gaarder, “Injuries caused by fragmenting rifle ammunition,” Injury, No. 47 (9), pp. 1951–1954, 2016, doi: https://doi.org/10.1016/j.injury.2016.03.023.
  4. C. Perkins, B. Scannell, B. Brighton, R. Seymour and K. Vanderhave, “Orthopaedic firearm injuries in children and adolescents: An eight-year experience at a major urban trauma center,” Injury, No. 47 (1), pp. 173–177, 2016, doi: https://doi.org/10.1016/j.injury.2015.07.031.
  5. V. V. Burluka, Khirurhichne likuvannia postrazhdalykh z nestabilnymy poshkodzhenniamy taza pry poli travmi, Dys d.med.n., 2018. 369 p.
  6. U. Culemann et al., “Pelvic fractures”, German medical journal, No. 1, pp. 15–31, 2012. Available: https://www.german-medical-journal.eu/downloads/GMJ_14_ru.pdf.
  7. C. Barrientos-Mendoza et al., “The role of anterior supra-acetabular external fixator as definitive treatment for anterior ring fixation in unstable pelvic fractures,” Eur. J. Trauma Emerg. Surg., No. 48, pp. 3737–3746, 2022, doi: https://doi.org/10.1007/s00068-021-01711-2.
  8. Carlos A. Encinas-Ullán, José M. Martínez-Diez and E. Carlos Rodríguez-Merchán, “The use of external fixation in the emer-gency department: applications, common errors, complications and their treatment,” EFORT Open Rev., No. 5(4), pp. 204–214, 2020, doi: https://doi.org/10.1302/2058-5241.5.190029.
  9. Yong-Cheol Yoon, Dae Sung Ma, Seung Kwan Lee, Jong-Keon Oh and Hyung Keun Song, “Posterior pelvic ring injury of straddle fractures: Incidence, fixation methods, and clinical outcomes,” Asian Journal of Surgery, No. 44(1), pp. 59–65, 2021, doi: https://doi.org/10.1016/j.asjsur.2020.03.021.
  10. O. A. Burianov, A. A. Laksha, N. O. Borzykh and M. S. Shydlovskyi, “Biomekhanichno obgruntovane khirurhichne likuvannia poranenykh z vohnepalnymy perelomamy dovhykh kistok,” Klinichna khirurhiia, No. 85 (1), pp. 67–70, 2018, doi: https://doi.org/10.26779/2522-1396.2018.01.67.
  11. M. S. Shydlovskyi, A. M. Laksha, O. A. Burianov and M. M. Dyman, Eksperymentalni doslidzhennia zasobiv osteosyntezu, Kyiv, “Vydavnytstvo “Lenvit”, 2016.
  12. O. A. Burianov, V. M. Domin and V. P. Kvasha, “Nestabilni poiednani poshkodzhennia taza: suchasni pohliady na likuvannia,” Travma, No. 5(23), pp. 19–24, 2022, doi: https://doi.org/10.22141/1608-1706.5.23.2022.913.
  13. P. V. Nikitin, A. M. Laksha and M. S. Shydlovskyi, “Vyznachennia ta porivniannia zhorstkosti fiksatsii perelomu tarannoi kistky pry vykorystanni riznykh metodyk osteosyntezu (eksperymentalne doslidzhennia),” Visnyk ortopedii, travmatolohii ta protezuvannia, No.4, pp. 44–49, 2004.
  14. P. V. Nikitin, A. M. Laksha and M. S. Shydlovskyi, “Naturne doslidzhennia zhorstkosti riznykh typiv operatyvnoi fiksatsii piatkovoi kistky pry vnutrishnosuhlobovykh perelomakh (eksperymentalne doslidzhennia),” Litopys travmatolohii ta ortopedii, No.1–2, pp. 16–20, 2004.
  15. M. Shidlovskiy, M. Dyman, O. Zakhovayko, T. Omelchenko and A. Turchin, “Deformation of fixation means used in bone fractures of the extremities”, Journal Series on Biomechanics, No. 1 (33), pp. 59–68, 2019. Available: http://jsb.imbm.bas.bg/page/en/details.php?article_id=319.
  16. М. Shidlovskiy, О. Zakhovajko, and М. Dyman, “Application of digital photography in biomechanical studies of osteosynthesis systems,” Mech. Adv. Technol., no. 1(82), pp. 123–130, 2018, doi: https://doi.org/10.20535/2521-1943.2018.82.126215.

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Published

2024-06-10

How to Cite

[1]
M. Dyman, M. Shydlovskyi, A. Laksha, and O. Fomin, “Functional reliability of means of fixation for complex pelvic fractures. Part 2. Experimental studies under static loads”, Mech. Adv. Technol., vol. 8, no. 2(101), pp. 141–149, Jun. 2024.

Issue

Vol. 8 No. 2(101) (2024)

Section

Mechanics

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Copyright (c) 2024 Маріанна Димань, Микола Шидловський, Андрій Лакша, Олександр Фомін

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