Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study

Complication rates of anterior cruciate ligament reconstruction (ACL-R) were reported to be around 15% although it is a common arthroscopic procedure with good outcomes. Breakage and migration of fixators are still possible even months after surgery. A fixator with optimum stability can minimise tho...

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Main Authors: Zainal Abidin, N. A., Abdul Wahab, A. H., Abdul Rahim, R. A., Abdul Kadir, M. R., Ramlee, M. H.
Format: Article
Published: Springer Science and Business Media Deutschland GmbH 2021
Subjects:
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author Zainal Abidin, N. A.
Abdul Wahab, A. H.
Abdul Rahim, R. A.
Abdul Kadir, M. R.
Ramlee, M. H.
author_facet Zainal Abidin, N. A.
Abdul Wahab, A. H.
Abdul Rahim, R. A.
Abdul Kadir, M. R.
Ramlee, M. H.
author_sort Zainal Abidin, N. A.
collection ePrints
description Complication rates of anterior cruciate ligament reconstruction (ACL-R) were reported to be around 15% although it is a common arthroscopic procedure with good outcomes. Breakage and migration of fixators are still possible even months after surgery. A fixator with optimum stability can minimise those two complications. Factors that affect the stability of a fixator are its configuration, material, and design. Thus, this paper aims to analyse the biomechanical effects of different types of fixators (cross-pin, interference screw, and cortical button) towards the stability of the knee joint after ACL-R. In this study, finite element modelling and analyses of a knee joint attached with double semitendinosus graft and fixators were carried out. Mimics and 3-Matic softwares were used in the development of the knee joint models. Meanwhile, the graft and fixators were designed by using SolidWorks software. Once the meshes of all models were finished in 3-Matic, simulation of the configurations was done using MSC Marc Mentat software. A 100-N anterior tibial load was applied onto the tibia to simulate the anterior drawer test. Based on the findings, cross-pin was found to have optimum stability in terms of stress and strain at the femoral fixation site for better treatment of ACL-R.
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spelling utm.eprints-953062022-04-29T22:21:34Z http://eprints.utm.my/95306/ Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study Zainal Abidin, N. A. Abdul Wahab, A. H. Abdul Rahim, R. A. Abdul Kadir, M. R. Ramlee, M. H. Q Science (General) Complication rates of anterior cruciate ligament reconstruction (ACL-R) were reported to be around 15% although it is a common arthroscopic procedure with good outcomes. Breakage and migration of fixators are still possible even months after surgery. A fixator with optimum stability can minimise those two complications. Factors that affect the stability of a fixator are its configuration, material, and design. Thus, this paper aims to analyse the biomechanical effects of different types of fixators (cross-pin, interference screw, and cortical button) towards the stability of the knee joint after ACL-R. In this study, finite element modelling and analyses of a knee joint attached with double semitendinosus graft and fixators were carried out. Mimics and 3-Matic softwares were used in the development of the knee joint models. Meanwhile, the graft and fixators were designed by using SolidWorks software. Once the meshes of all models were finished in 3-Matic, simulation of the configurations was done using MSC Marc Mentat software. A 100-N anterior tibial load was applied onto the tibia to simulate the anterior drawer test. Based on the findings, cross-pin was found to have optimum stability in terms of stress and strain at the femoral fixation site for better treatment of ACL-R. Springer Science and Business Media Deutschland GmbH 2021 Article PeerReviewed Zainal Abidin, N. A. and Abdul Wahab, A. H. and Abdul Rahim, R. A. and Abdul Kadir, M. R. and Ramlee, M. H. (2021) Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study. Medical and Biological Engineering and Computin, 59 (9). 1945 -1960. ISSN 0140-0118 http://dx.doi.org/10.1007/s11517-021-02419-6 DOI: 10.1007/s11517-021-02419-6
spellingShingle Q Science (General)
Zainal Abidin, N. A.
Abdul Wahab, A. H.
Abdul Rahim, R. A.
Abdul Kadir, M. R.
Ramlee, M. H.
Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title_full Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title_fullStr Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title_full_unstemmed Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title_short Biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method: a patient-specific study
title_sort biomechanical analysis of three different types of fixators for anterior cruciate ligament reconstruction via finite element method a patient specific study
topic Q Science (General)
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