Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries
The issue of choosing the method for optimal surgical treatment of a broken fibula has been debatable for many years. At the same time, concomitant repair of tibiofibular syndesmosis injuries does not have a unified approach. It has been determined that osteosynthesis of broken shin bones with synde...
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MDPI AG
2022-05-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/12/10/4903 |
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| author | Oleg Bazaluk Andriy Chuzhak Vadym Sulyma Andrii Velychkovych Liubomyr Ropyak Vasyl Vytvytskyi Vasyl Mykhailiuk Vasyl Lozynskyi |
| author_facet | Oleg Bazaluk Andriy Chuzhak Vadym Sulyma Andrii Velychkovych Liubomyr Ropyak Vasyl Vytvytskyi Vasyl Mykhailiuk Vasyl Lozynskyi |
| author_sort | Oleg Bazaluk |
| collection | DOAJ |
| description | The issue of choosing the method for optimal surgical treatment of a broken fibula has been debatable for many years. At the same time, concomitant repair of tibiofibular syndesmosis injuries does not have a unified approach. It has been determined that osteosynthesis of broken shin bones with syndesmosis injury should combine stable fixation of the broken bone and should not limit the elastic properties of the syndesmosis. In case of a broken fibula, it is recommended to use a stable extracortical fixator and an elastic connection of the syndesmosis injury using a tightrope. An analytical model of the broken fibula, which is blocked with an extracortical fixator metal plate and elastically fixed with a tightrope, has been developed. The research object is the stress–strain state of the “broken fibula–extracortical titanium plate” composition under the action of tightrope tightening fixation. The main research result is an analytical dependence, which makes it possible to determine the permissible value of the tightrope tightening force for elastic fixation of the tibiofibular syndesmosis. The research results have been tested numerically, and the influence of the parameters of plate, bone and damage localization on the permissible value of the tightrope tightening force has been analyzed. By using the rational tightrope tightening force with stable–elastic fixation of the broken shin, it is possible to reduce the time before the start of loading on the injured extremity and accelerate the functional recovery of the patient. |
| first_indexed | 2024-03-10T03:24:36Z |
| format | Article |
| id | doaj.art-a0093c010c424955968899d9009755cb |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T03:24:36Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-a0093c010c424955968899d9009755cb2023-11-23T09:54:51ZengMDPI AGApplied Sciences2076-34172022-05-011210490310.3390/app12104903Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula InjuriesOleg Bazaluk0Andriy Chuzhak1Vadym Sulyma2Andrii Velychkovych3Liubomyr Ropyak4Vasyl Vytvytskyi5Vasyl Mykhailiuk6Vasyl Lozynskyi7Belt and Road Initiative Institute for Chinese-European Studies (BRIICES), Guangdong University of Petrochemical Technology, Maoming 525000, ChinaDepartment of Traumatology and Orthopedics, Ivano-Frankivsk National Medical University, 076018 Ivano-Frankivsk, UkraineDepartment of Traumatology and Orthopedics, Ivano-Frankivsk National Medical University, 076018 Ivano-Frankivsk, UkraineDepartment of Construction and Civil Engineering, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, UkraineDepartment of Computerized Engineering, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, UkraineDepartment of Engineering and Computer Graphics, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, UkraineDepartment of Oil and Gas Field Machinery and Equipment, Ivano-Frankivsk National Technical University of Oil and Gas, 076019 Ivano-Frankivsk, UkraineDepartment of Mining Engineering and Education, Dnipro University of Technology, 49005 Dnipro, UkraineThe issue of choosing the method for optimal surgical treatment of a broken fibula has been debatable for many years. At the same time, concomitant repair of tibiofibular syndesmosis injuries does not have a unified approach. It has been determined that osteosynthesis of broken shin bones with syndesmosis injury should combine stable fixation of the broken bone and should not limit the elastic properties of the syndesmosis. In case of a broken fibula, it is recommended to use a stable extracortical fixator and an elastic connection of the syndesmosis injury using a tightrope. An analytical model of the broken fibula, which is blocked with an extracortical fixator metal plate and elastically fixed with a tightrope, has been developed. The research object is the stress–strain state of the “broken fibula–extracortical titanium plate” composition under the action of tightrope tightening fixation. The main research result is an analytical dependence, which makes it possible to determine the permissible value of the tightrope tightening force for elastic fixation of the tibiofibular syndesmosis. The research results have been tested numerically, and the influence of the parameters of plate, bone and damage localization on the permissible value of the tightrope tightening force has been analyzed. By using the rational tightrope tightening force with stable–elastic fixation of the broken shin, it is possible to reduce the time before the start of loading on the injured extremity and accelerate the functional recovery of the patient.https://www.mdpi.com/2076-3417/12/10/4903fibulasyndesmosismetal platefunctional coatingpolymer tightropefixation |
| spellingShingle | Oleg Bazaluk Andriy Chuzhak Vadym Sulyma Andrii Velychkovych Liubomyr Ropyak Vasyl Vytvytskyi Vasyl Mykhailiuk Vasyl Lozynskyi Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries Applied Sciences fibula syndesmosis metal plate functional coating polymer tightrope fixation |
| title | Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries |
| title_full | Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries |
| title_fullStr | Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries |
| title_full_unstemmed | Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries |
| title_short | Determining the Tightrope Tightening Force for Effective Fixation of the Tibiofibular Syndesmosis during Osteomeatal Synthesis of Fibula Injuries |
| title_sort | determining the tightrope tightening force for effective fixation of the tibiofibular syndesmosis during osteomeatal synthesis of fibula injuries |
| topic | fibula syndesmosis metal plate functional coating polymer tightrope fixation |
| url | https://www.mdpi.com/2076-3417/12/10/4903 |
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