Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System

Objective Traditional internal fixation of calcaneus fractures, involving lateral L‐shaped incisions and plate fixation, has disadvantages such as increased operative exposure, eccentric plate fixation, and complications. The aim of this study was to design a Spatial Weaving Intra‐calcaneal Fixator...

Full description

Bibliographic Details
Main Authors: Yong Zhang, Qiuyan Weng, Jianming Chen, Yunfeng Yang
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:Orthopaedic Surgery
Subjects:
Online Access:https://doi.org/10.1111/os.14012
_version_ 1797231067668676608
author Yong Zhang
Qiuyan Weng
Jianming Chen
Yunfeng Yang
author_facet Yong Zhang
Qiuyan Weng
Jianming Chen
Yunfeng Yang
author_sort Yong Zhang
collection DOAJ
description Objective Traditional internal fixation of calcaneus fractures, involving lateral L‐shaped incisions and plate fixation, has disadvantages such as increased operative exposure, eccentric plate fixation, and complications. The aim of this study was to design a Spatial Weaving Intra‐calcaneal Fixator System (SWIFS) for the treatment of complex calcaneal fractures and to compare its biomechanical properties with those of traditional calcaneal plates. Methods The computed tomography (CT) data of the normal adult calcaneus was used for modeling, and the largest trapezoidal column structure was cut and separated from the model and related parameters were measured. The SWIFS was designed within the target trapezoid, according to the characteristics of the fracture of the calcaneus. The Sanders model classification type IV calcaneal fracture was established in finite element software, and fixation with calcaneal plate and the SWIFS examined. Overall structural strength distribution and displacement in the two groups were compared. Results The maximum 3D trapezoidal column in the calcaneus was constructed, and the dimensions were measured. The SWIFS and the corresponding guide device were successfully designed. In the one‐legged erect position state, the SWIFS group exhibited a peak von Mises equivalent stress of 96.00 MPa, a maximum displacement of 0.31 mm, and a structural stiffness of 2258.06 N/mm. The conventional calcaneal plate showed a peak von Mises equivalent stress of 228.66 Mpa, a maximum displacement of 1.26 mm, and a structural stiffness of 555.56 N/mm. The SWIFS group exhibited a 75.40% decrease in displacement and a 306.45% increase in stiffness. Conclusion Compared with fixation by conventional calcaneal plate, the SWIFS provides better structural stability and effective stress distribution.
first_indexed 2024-04-24T15:38:29Z
format Article
id doaj.art-11f2038c0555451d8cf44631d0cf1f5d
institution Directory Open Access Journal
issn 1757-7853
1757-7861
language English
last_indexed 2024-04-24T15:38:29Z
publishDate 2024-04-01
publisher Wiley
record_format Article
series Orthopaedic Surgery
spelling doaj.art-11f2038c0555451d8cf44631d0cf1f5d2024-04-02T01:03:25ZengWileyOrthopaedic Surgery1757-78531757-78612024-04-0116497698310.1111/os.14012Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator SystemYong Zhang0Qiuyan Weng1Jianming Chen2Yunfeng Yang3Department of Trauma Orthopedics Surgery The 6th Hospital of Ningbo Ningbo People's Republic of ChinaDepartment of Neurology The Affiliated Hospital of Medical School of Ningbo University Zhejiang People's Republic of ChinaDepartment of Trauma Orthopedics Surgery The 6th Hospital of Ningbo Ningbo People's Republic of ChinaDepartment of Orthopedics, Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai People's Republic of ChinaObjective Traditional internal fixation of calcaneus fractures, involving lateral L‐shaped incisions and plate fixation, has disadvantages such as increased operative exposure, eccentric plate fixation, and complications. The aim of this study was to design a Spatial Weaving Intra‐calcaneal Fixator System (SWIFS) for the treatment of complex calcaneal fractures and to compare its biomechanical properties with those of traditional calcaneal plates. Methods The computed tomography (CT) data of the normal adult calcaneus was used for modeling, and the largest trapezoidal column structure was cut and separated from the model and related parameters were measured. The SWIFS was designed within the target trapezoid, according to the characteristics of the fracture of the calcaneus. The Sanders model classification type IV calcaneal fracture was established in finite element software, and fixation with calcaneal plate and the SWIFS examined. Overall structural strength distribution and displacement in the two groups were compared. Results The maximum 3D trapezoidal column in the calcaneus was constructed, and the dimensions were measured. The SWIFS and the corresponding guide device were successfully designed. In the one‐legged erect position state, the SWIFS group exhibited a peak von Mises equivalent stress of 96.00 MPa, a maximum displacement of 0.31 mm, and a structural stiffness of 2258.06 N/mm. The conventional calcaneal plate showed a peak von Mises equivalent stress of 228.66 Mpa, a maximum displacement of 1.26 mm, and a structural stiffness of 555.56 N/mm. The SWIFS group exhibited a 75.40% decrease in displacement and a 306.45% increase in stiffness. Conclusion Compared with fixation by conventional calcaneal plate, the SWIFS provides better structural stability and effective stress distribution.https://doi.org/10.1111/os.140123D ModelingCalcaneusFinite Element Method (FEM)Internal FixationMinimally Invasive
spellingShingle Yong Zhang
Qiuyan Weng
Jianming Chen
Yunfeng Yang
Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
Orthopaedic Surgery
3D Modeling
Calcaneus
Finite Element Method (FEM)
Internal Fixation
Minimally Invasive
title Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
title_full Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
title_fullStr Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
title_full_unstemmed Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
title_short Design and Biomechanical Finite Element Analysis of Spatial Weaving Infracalcaneal Fixator System
title_sort design and biomechanical finite element analysis of spatial weaving infracalcaneal fixator system
topic 3D Modeling
Calcaneus
Finite Element Method (FEM)
Internal Fixation
Minimally Invasive
url https://doi.org/10.1111/os.14012
work_keys_str_mv AT yongzhang designandbiomechanicalfiniteelementanalysisofspatialweavinginfracalcanealfixatorsystem
AT qiuyanweng designandbiomechanicalfiniteelementanalysisofspatialweavinginfracalcanealfixatorsystem
AT jianmingchen designandbiomechanicalfiniteelementanalysisofspatialweavinginfracalcanealfixatorsystem
AT yunfengyang designandbiomechanicalfiniteelementanalysisofspatialweavinginfracalcanealfixatorsystem