Mechanical performance of Ilizarov circular external fixators in comparison with other external fixators. 1993

A Podolsky, and E Y Chao
Department of Orthopedics, Mayo Clinic/Mayo Foundation, Rochester, Minnesota 55905.

The fundamental difference of the Ilizarov fixator is the type of pins used for bone fixation, i.e., Kirschner wires 1.5 mm and 1.8 mm in diameter, pretensioned from 50 to 130 kg before being affixed to the rings that are connected and fixed by threaded rods. The mechanical characteristics of external fixators may influence the biologic environment at the fracture site and ultimately decide the outcome of a surgical procedure. Thus, knowledge of the mechanical properties of the Ilizarov fixator is essential to a surgeon using it in clinical practice. The main objective of this study was to quantitate the mechanical behavior of the standard Ilizarov fixator under different loading conditions and fixator frame/wire configurations. The fixator was found to have a nonlinear stiffness behavior under axial compression. The nonlinearity in axial stiffness also varied with wire pretension. Such characteristics, however, were not as pronounced under torsion and bending loads within the test range studied. Besides the wire pretension, the most important factor affecting the structural stiffness of the Ilizarov device was the diameter of the wire. Offset bone position provided greater stiffness in loads up to 45 kg in axial compression, in torsion up to 5 degrees of rotation, and in the final loading range under bending. Fixators with wires crossing at 45 degrees had significantly greater stiffness in torsion as compared with 90 degrees crossing wires, but the opposite was true in axial compression. Torsional stiffness increased significantly under coupled axial compression applied through the bone ends. All four-point bending tests demonstrated two distinct stiffness curves that were probably due to slippage of the bone model on the wires. This information should help to understand the mechanical behavior of the Ilizarov device and thereby improve its clinical performance.

UI MeSH Term Description Entries
D008961 Models, Structural A representation, generally small in scale, to show the structure, construction, or appearance of something. (From Random House Unabridged Dictionary, 2d ed) Model, Structural,Structural Model,Structural Models
D001842 Bone and Bones A specialized CONNECTIVE TISSUE that is the main constituent of the SKELETON. The principal cellular component of bone is comprised of OSTEOBLASTS; OSTEOCYTES; and OSTEOCLASTS, while FIBRILLAR COLLAGENS and hydroxyapatite crystals form the BONE MATRIX. Bone Tissue,Bone and Bone,Bone,Bones,Bones and Bone,Bones and Bone Tissue,Bony Apophyses,Bony Apophysis,Condyle,Apophyses, Bony,Apophysis, Bony,Bone Tissues,Condyles,Tissue, Bone,Tissues, Bone
D001852 Bone Lengthening Increase in the longest dimension of a bone to correct anatomical deficiencies, congenital, traumatic, or as a result of disease. The lengthening is not restricted to long bones. The usual surgical methods are internal fixation and distraction. Lengthening, Bone
D001858 Bone Nails Rods of bone, metal, or other material used for fixation of the fragments or ends of fractured bones. Bone Pins,Bone Nail,Bone Pin,Nail, Bone,Nails, Bone,Pin, Bone,Pins, Bone
D001864 Bone Wires Steel wires, often threaded through the skin, soft tissues, and bone, used to fix broken bones. Kirschner wires or apparatus also includes the application of traction to the healing bones through the wires. Kirschner Wire,Kirschner Wires,Bone Wire,Wire, Bone,Wire, Kirschner,Wires, Bone,Wires, Kirschner
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013314 Stress, Mechanical A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area. Mechanical Stress,Mechanical Stresses,Stresses, Mechanical
D014102 Torsion Abnormality An abnormal twisting or rotation of a bodily part or member on its axis. Abnormality, Torsion,Abnormalities, Torsion,Torsion Abnormalities
D016267 External Fixators External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved. Fixation Devices, External,Device, External Fixation,Devices, External Fixation,External Fixation Device,External Fixation Devices,External Fixator,Fixation Device, External,Fixator, External,Fixators, External

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