Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study
Abstract Background Various fixation methods are available for tibiotalocalcaneal arthrodesis: nail, plate, or screws. An intramedullary bone stabilization system within a balloon catheter has not previously been used in tibiotalocalcaneal arthrodesis. The aim of this study was to compare the stabil...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04444-7 |
| _version_ | 1797376847190687744 |
|---|---|
| author | Matthias Trost Suzan Yarkin Matthias Knieps Sönke Frey Wolfram Friedrich Neiss Peer Eysel Sascha Gick Jens Dargel |
| author_facet | Matthias Trost Suzan Yarkin Matthias Knieps Sönke Frey Wolfram Friedrich Neiss Peer Eysel Sascha Gick Jens Dargel |
| author_sort | Matthias Trost |
| collection | DOAJ |
| description | Abstract Background Various fixation methods are available for tibiotalocalcaneal arthrodesis: nail, plate, or screws. An intramedullary bone stabilization system within a balloon catheter has not previously been used in tibiotalocalcaneal arthrodesis. The aim of this study was to compare the stability of these techniques. Methods Twenty-four lower legs from fresh-frozen human cadavers were used. Tibiotalocalcaneal arthrodesis was performed with a retrograde nail, a lateral locking plate, three cancellous screws, or an intramedullary bone stabilization system. The ankles were loaded cyclically in plantarflexion and dorsiflexion. Results For cyclic loading at 125 N, the mean range of motion was 1.7 mm for nail, 2.2 mm for plate, 6.0 mm for screws, and 9.0 mm for the bone stabilization system (P < .01). For cyclic loading at 250 N, the mean range of motion was 4.4 mm for nail, 7.5 mm for plate, 12.1 mm for screws, and 14.6 mm for the bone stabilization system (P < .01). The mean cycle of failure was 4191 for nail, 3553 for plate, 3725 for screws, and 2132 for the bone stabilization system (P = .10). Conclusions The stability of the tibiotalocalcaneal arthrodesis differs depending on the fixation method, with nail or plate showing the greatest stability and the bone stabilization system the least. When three screws are used for tibiotalocalcaneal arthrodesis, the stability is intermediate. As the biomechanical stability of the bone stabilization system is low, it cannot be recommended for tibiotalocalcaneal arthrodesis. |
| first_indexed | 2024-03-08T19:45:28Z |
| format | Article |
| id | doaj.art-8091c1affcfc4a58a5a9125398e8cca9 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-08T19:45:28Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8091c1affcfc4a58a5a9125398e8cca92023-12-24T12:24:31ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-12-011811710.1186/s13018-023-04444-7Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver studyMatthias Trost0Suzan Yarkin1Matthias Knieps2Sönke Frey3Wolfram Friedrich Neiss4Peer Eysel5Sascha Gick6Jens Dargel7Department of Orthopaedics and Traumatology, Saint Josef Hospital, Ruhr University BochumDepartment of Orthopaedics and Traumatology, Protestant Hospital Cologne WeyertalDepartment of Orthopaedics and Traumatology, Cologne University HospitalDepartment of Orthopaedics and Traumatology, Florence Nightingale HospitalDepartment of Anatomy I, University of CologneDepartment of Orthopaedics and Traumatology, Cologne University HospitalDepartment of Traumatology, Orthopaedics and Hand Surgery, Saint Vinzenz HospitalDepartment of Orthopaedics, Saint Josefs HospitalAbstract Background Various fixation methods are available for tibiotalocalcaneal arthrodesis: nail, plate, or screws. An intramedullary bone stabilization system within a balloon catheter has not previously been used in tibiotalocalcaneal arthrodesis. The aim of this study was to compare the stability of these techniques. Methods Twenty-four lower legs from fresh-frozen human cadavers were used. Tibiotalocalcaneal arthrodesis was performed with a retrograde nail, a lateral locking plate, three cancellous screws, or an intramedullary bone stabilization system. The ankles were loaded cyclically in plantarflexion and dorsiflexion. Results For cyclic loading at 125 N, the mean range of motion was 1.7 mm for nail, 2.2 mm for plate, 6.0 mm for screws, and 9.0 mm for the bone stabilization system (P < .01). For cyclic loading at 250 N, the mean range of motion was 4.4 mm for nail, 7.5 mm for plate, 12.1 mm for screws, and 14.6 mm for the bone stabilization system (P < .01). The mean cycle of failure was 4191 for nail, 3553 for plate, 3725 for screws, and 2132 for the bone stabilization system (P = .10). Conclusions The stability of the tibiotalocalcaneal arthrodesis differs depending on the fixation method, with nail or plate showing the greatest stability and the bone stabilization system the least. When three screws are used for tibiotalocalcaneal arthrodesis, the stability is intermediate. As the biomechanical stability of the bone stabilization system is low, it cannot be recommended for tibiotalocalcaneal arthrodesis.https://doi.org/10.1186/s13018-023-04444-7AnkleTibiotalocalcanealArthrodesisNailPlateScrews |
| spellingShingle | Matthias Trost Suzan Yarkin Matthias Knieps Sönke Frey Wolfram Friedrich Neiss Peer Eysel Sascha Gick Jens Dargel Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study Journal of Orthopaedic Surgery and Research Ankle Tibiotalocalcaneal Arthrodesis Nail Plate Screws |
| title | Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study |
| title_full | Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study |
| title_fullStr | Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study |
| title_full_unstemmed | Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study |
| title_short | Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study |
| title_sort | biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis a cadaver study |
| topic | Ankle Tibiotalocalcaneal Arthrodesis Nail Plate Screws |
| url | https://doi.org/10.1186/s13018-023-04444-7 |
| work_keys_str_mv | AT matthiastrost biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT suzanyarkin biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT matthiasknieps biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT sonkefrey biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT wolframfriedrichneiss biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT peereysel biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT saschagick biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy AT jensdargel biomechanicalcomparisonofdifferentfixationmethodsintibiotalocalcanealarthrodesisacadaverstudy |