1
|
Abd Aziz AU, Ammarullah MI, Ng BW, Gan HS, Abdul Kadir MR, Ramlee MH. Unilateral external fixator and its biomechanical effects in treating different types of femoral fracture: A finite element study with experimental validated model. Heliyon 2024; 10:e26660. [PMID: 38404809 PMCID: PMC10884926 DOI: 10.1016/j.heliyon.2024.e26660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 02/06/2024] [Accepted: 02/16/2024] [Indexed: 02/27/2024] Open
Abstract
Previous works had successfully demonstrated the clinical effectiveness of unilateral external fixator in treating various types of fracture, ranging from the simple type, such as oblique and transverse fractures, to complex fractures. However, literature that investigated its biomechanical analyses to further justify its efficacy is limited. Therefore, this paper aimed to analyse the stability of unilateral external fixator for treating different types of fracture, including the simple oblique, AO32C3 comminuted, and 20 mm gap transverse fracture. These fractures were reconstructed at the distal diaphysis of the femoral bone and computationally analysed through the finite element method under the stance phase condition. Findings showed a decrease in the fixation stiffness in large gap fracture (645.2 Nmm-1 for oblique and comminuted, while 23.4 Nmm-1 for the gap fracture), which resulted in higher displacement, IFM and stress distribution at the pin bone interface. These unfavourable conditions could consequently increase the risk of delayed union, pin loosening and infection, as well as implant failure. Nevertheless, the stress observed on the fracture surfaces was relatively low and in controlled amount, indicating that bone unity is still allowable in all models. Briefly, the unilateral fixation may provide desirable results in smaller fracture gap, but its usage in larger gap fracture might be alarming. These findings could serve as a guide and insight for surgeons and researchers, especially on the biomechanical stability of fixation in different fracture types and how will it affect bone unity.
Collapse
Affiliation(s)
- Aishah Umairah Abd Aziz
- Bone Biomechanics Laboratory (BBL), Department of Biomedical Engineering and Health Sciences, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, Johor Bahru, 81310, Johor, Malaysia
- Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, Universiti Teknologi Malaysia, Johor Bahru, 81310, Johor, Malaysia
| | - Muhammad Imam Ammarullah
- Department of Mechanics and Aerospace Engineering, College of Engineering, Southern University of Science and Technology, Shenzhen, 518055, Guangdong, China
- Department of Mechanical Engineering, Faculty of Engineering, Universitas Diponegoro, Semarang, 50275, Central Java, Indonesia
- Undip Biomechanics Engineering & Research Centre (UBM-ERC), Universitas Diponegoro, Semarang, 50275, Central Java, Indonesia
| | - Bing Wui Ng
- Department of Orthopaedics and Traumatology, Hospital Universiti Kebangsaan Malaysia (HUKM), Cheras, 56000, Federal Territory of Kuala Lumpur, Malaysia
| | - Hong-Seng Gan
- School of AI and Advanced Computing, XJTLU Entrepreneur College (Taicang), Xi'an Jiaotong-Liverpool University, Suzhou, 215400, Jiangsu, China
| | - Mohammed Rafiq Abdul Kadir
- Department of Biomedical Engineering, Faculty of Engineering, Universiti Malaya, Kuala Lumpur, 50603, Federal Territory of Kuala Lumpur, Malaysia
| | - Muhammad Hanif Ramlee
- Bone Biomechanics Laboratory (BBL), Department of Biomedical Engineering and Health Sciences, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, Johor Bahru, 81310, Johor, Malaysia
- Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, Universiti Teknologi Malaysia, Johor Bahru, 81310, Johor, Malaysia
| |
Collapse
|
2
|
Stress State in an Eccentric Elastic Ring Loaded Symmetrically by Concentrated Forces. MATHEMATICS 2022. [DOI: 10.3390/math10081314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The stress state from an eccentric ring made of an elastic material symmetrically loaded on the outer boundary by concentrated forces is deduced. The analytical results are obtained using the Airy stress function expressed in bipolar coordinates. The elastic potential corresponding to the same loading but for a compact disk is first written in bipolar coordinates, then expanded in Fourier series, and after that, an auxiliary potential of a convenient form is added to it in order to impose boundary conditions. Since the inner boundary is unloaded, boundary conditions may be applied directly to the total potential. A special focus is on the number of terms from Fourier expansion of the potential in bipolar coordinates corresponding to the compact disk as this number influences the sudden increase if the coefficients from the final form of the total potential. Theoretical results are validated both by using finite element software and experimentally through the photoelastic method, for which a device for sample loading was designed and constructed. Isochromatic fields were considered for the photoelastic method. Six loading cases for two different geometries of the ring were studied. For all the analysed cases, an excellent agreement between the analytical, numerical and experimental results was achieved. Finally, for all the situations considered, the stress concentration effect of the inner hole was analytically determined. It should be mentioned that as the eccentricity of the inner hole decreases, the integrals from the relations of the total elastic potential present a diminishing convergence in the vicinity of the inner boundary.
Collapse
|
3
|
An Unconditional Positivity-Preserving Difference Scheme for Models of Cancer Migration and Invasion. MATHEMATICS 2022. [DOI: 10.3390/math10010131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this paper, we consider models of cancer migration and invasion, which consist of two nonlinear parabolic equations (one of the convection–diffusion reaction type and the other of the diffusion–reaction type) and an additional nonlinear ordinary differential equation. The unknowns represent concentrations or densities that cannot be negative. Widely used approximations, such as difference schemes, can produce negative solutions because of truncation errors and can become unstable. We propose a new difference scheme that guarantees the positivity of the numerical solution for arbitrary mesh step sizes. It has explicit and fast performance even for nonlinear reaction terms that consist of sums of positive and negative functions. The numerical examples illustrate the simplicity and efficiency of the method. A numerical simulation of a model of cancer migration is also discussed.
Collapse
|