Journal of Biomechanics
Volume 40, Issue 1 , Pages 20-25 , 2007

Why fine-wire fixators work: An analysis of pressure distribution at the wire–bone interface

  • T.N. Board

      Affiliations

    • Manchester University, Oxford Road, Manchester, M13 9PL, UK
    • Corresponding Author InformationCorresponding author. Tel.: +441706825969; fax: +441706824113.
    • ,
  • L. Yang

      Affiliations

    • Division of Clinical Sciences (North), University of Sheffield, Coleridge House, Northern General Hospital, Sheffield S5 7AU, UK
    • ,
  • M. Saleh

      Affiliations

    • Division of Clinical Sciences (North), University of Sheffield, Coleridge House, Northern General Hospital, Sheffield S5 7AU, UK

,Accepted 2 December 2005.

References 

  1. Accadbled F, Laville JM, Harper L. One-step treatment for evolved Blount's disease: four cases and review of the literature. Journal of Pediatric Orthopedics. 2003;23(6):747–752
  2. Ali AM, Saleh M. Treatment of bicondylar tibial plateau fractures in the elderly using the Sheffield hybrid fixator. Injury. 2000;31:292–293
  3. Ali AM, Burton M, Hashmi M, Saleh M. Treatment of displaced bicondylar tibial plateau fractures (OTA-41C2&3) in patients older than 60 years of age. Journal of Orthopedic Trauma. 2003;17:346–352
  4. Aro HT, Markel MD, Chao EY. Cortical bone reactions at the interface of external fixation half-pins under different loading conditions. Journal of Trauma. 1993;35(5):776–785
  5. Carter DR, Hayes WC. The compressive behaviour of bone as a two-phase porous structure. Journal of Bone Joint Surgery. 1977;59A:954–962
  6. Farrar M, Yang L, Saleh M. The Sheffield hybrid fixator—a clinical and biomechanical review. Injury. 2001;32(Suppl 4):8–13
  7. Fleming B, Paley D, Kristiansen T, Pope M. A Biomechanical Analysis of the Ilizarov external fixator. Clinical Orthopedics. 1989;241:95–105
  8. Gausepohl T, Mohring R, Pennig D, Koebke J. Fine thread versus coarse thread. A comparison of the maximum holding power. Injury. 2001;32(Suppl 4):SD1–SD7
  9. Hillard PJ, Harrison AJ, Atkins RM. The yielding of tensioned fine wires in the Ilizarov frame. Proceedings of the Institute of Mechanical Engineers [H]. 1998;212:37–47
  10. Huiskes R, Chao EY, Crippen TE. Parametric analyses of pin–bone stresses in external fracture fixation devices. Journal of Orthopedic Research. 1985;3(3):341–349
  11. Ilizarov GA, Ledyaev VI. The replacement of long tubular bone defects by lengthening distraction osteotomy of one of the fragments. Clinical Orthopedics and Related Research. 1992;280:7–10
  12. Lawes TJ, Goodship AE. Cortical profile external fixation screws maintain torque in the metaphysis. Journal of Bone Joint Surgery. 1998;79(B suppl):460
  13. Li B, Aspden RM. Composition and mechanical properties of cancellous bone from the femoral head of patients with osteoporosis and osteoarthritis. Journal of Bone Mineral Research. 1997;12(4):641–651
  14. Manley MT, Hurst L, Hindes R, Dee R, Chiang FP. Effects of low-modulus coatings on pin–bone contact stresses in external fixation. Journal of Orthopedic Research. 1984;2(4):385–392
  15. Oostenbroek HJ, van Roermund PM. Arthrodesis of the knee after an infected arthroplasty using the Ilizarov method. Journal Bone Joint Surgery. 2001;83(B):50–54
  16. Orbay GL, Frankel VH, Kummer FJ. The effect of wire configuration on the stability of the Ilizarov external fixator. Clinical Orthopedics and Related Research. 1992;279:299–302
  17. Pettine KA, Chao EY, Kelly PJ. Analysis of the external fixator pin–bone interface. Clinical Orthopedics and Related Research. 1993;293:18–27
  18. Podolsky A, Chao E. Mechanical performance of Ilizarov circular external fixators in comparison with other external fixators. Clinical Orthopedics and Related Research. 1993;293:61–70
  19. Reed M, Yang L, Saleh M, Petrone N. Metaphyseal no mans land—does it really exist?. Journal Bone Joint Surgery. 1998;79(B Suppl):462
  20. Saleh M, Yang L, Sims M. Limb reconstruction after high energy trauma. British Medical Bulletin. 1999;55:870–884
  21. Schroder H, Houshian S, Weeth R. Madelung's deformity treated with Ilizarov-technique, follow-up of 8 cases. Journal of Hand Surgery [Am]. 2003;28(Suppl 1):34
  22. Stoffel K, Stachowiak G, Forster T, Gachter A, Kuster M. Oblique screws at the plate ends increase the fixation strength in synthetic bone test medium. Journal of Orthopedic Trauma. 2004;18(9):611–616
  23. Szivek JA, Thomas M, Benjamin JB. Characterisation of a synthetic foam as a model for human cancellous bone. Journal of Applied Biomaterials. 1993;4:269–273
  24. Thompson JD, Benjamin JB, Szivek JA. Pullout strengths of cannulated and noncannulated cancellous bone screws. Clinical Orthopedics and Related Research. 1997;341:241–249
  25. Thompson MS, McCarthy ID, Lidgren L, Ryd L. Compressive and shear properties of commercially available polyurethane foams. Journal of Biomechanical Engineering. 2003;125(5):732–734
  26. Van Landuyt P, Peter B, Beluze L, Lemaitre J. Reinforcement of osteosynthesis screws with brushite cement. Bone. 1999;2(Suppl):95S–98S
  27. Watson MA, Matthias KJ, Maffulli N, Hukins DW. Yielding of the clamped-wire system in the Ilizarov external fixator. Proceedings Institute Mechanical Engineers [H]. 2003;217(5):367–374
  28. Weber M, Schwer H, Zilkens KW, Siebert CH. Tibio-calcaneo-naviculo-cuboidale arthrodesis: 6 patients followed for 1–8 years. Acta Orthop Scand. 2002;73(1):98–103
  29. Yang L, Nayagam S, Saleh M. Stiffness characteristics and inter-fragmentary displacements with different hybrid external fixators. Clinical Biomechanics (Bristol, Avon). 2003;18:166–172

PII: S0021-9290(05)00538-5

doi: 10.1016/j.jbiomech.2005.12.005

Journal of Biomechanics
Volume 40, Issue 1 , Pages 20-25 , 2007

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