Comparison of the Effect of Diameters and Numbers of Cannulated Screws and Headless Compression Screws on the Reduction Stability in Transverse Patellar Fractures: A Finite Element Model Study

Basit Öğe Kaydı
dc.authorid0000-0002-0729-633Xen_US
dc.contributor.authorUgur, Levent
dc.contributor.authorKaradeniz, Selami
dc.contributor.authorYıldız, Aytaç
dc.date.accessioned2021-03-20T20:13:40Z
dc.date.available2021-03-20T20:13:40Z
dc.date.issued2017
dc.departmentBTÜ, Mühendislik ve Doğa Bilimleri Fakültesi, Endüstri Mühendisliği Bölümüen_US
dc.description.abstractBackground: Patella fractures constitute 1% of skeletal trauma. Transverse patella fractures are the most common types of patellar fractures. A fracture gap more than 2-3 mm or irregularities in cartilage require surgical treatment. There are various surgical options available, and one of these options is the screw fixation. This study aims to investigate the effect of the diameter and number of cannulated screws and headless compression screws on the reduction stability of transverse patellar fractures. Methods: In this study, the knee joint with normal anatomy and the knee joint with transverse patellar fracture were modeled using longitudinal lower extremity computerized tomography (CT) images taken in DICOM format. In the knee model with transverse patellar fracture, two circle divide 3.5 mm cannulated screws and one circle divide 4.5 mm cannulated screw, two circle divide 3.5 mm and one circle divide 4.5 mm headless compression screws were inserted respectively; and the maximum equivalent stresses (MES) occurred in the screws and the stability of the patella were examined in a total of 16 models at 30 degrees, 45 degrees and 60 degrees flexion angles and in the normal position (0 degrees) of the knee. The analysis was performed non-linearly and dynamically using ANSYS (version 17) and the same boundary conditions were applied in all models. Results: As a result of the analysis, the maximum stresses on the screws in the models with cannulated screws and headless compression screws were compared. When the maximum stresses in the screws were examined, it was observed that the maximum stress was lesser in the model with two circle divide 3.5 mm headless compression screws, and the maximum stress was found to increase in the single circle divide 4.5 screws. Sixteen different models were analyzed with the help of the Taguchi method and the most suitable model and parameters were determined according to the maximum equivalent von Mises stress value. Conclusions: The use of a single screw in the treatment of transverse patella fractures can lead to loss of reduction. If screw treatment is preferred, it was observed that the 2-screw application was more stable and the fixation with the headless compression screw was found to be more stable compared to the cannulated screw at various degrees of flexion.en_US
dc.identifier.doi10.1166/jbt.2017.1651en_US
dc.identifier.endpage925en_US
dc.identifier.issn2157-9083
dc.identifier.issn2157-9091
dc.identifier.issue10en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage919en_US
dc.identifier.urihttp://doi.org/10.1166/jbt.2017.1651
dc.identifier.urihttps://hdl.handle.net/20.500.12885/915
dc.identifier.volume7en_US
dc.identifier.wosWOS:000418448300002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorYıldız, Aytaç
dc.language.isoenen_US
dc.publisherAmer Scientific Publishersen_US
dc.relation.ispartofJournal Of Biomaterials And Tissue Engineeringen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBiomechanicsen_US
dc.subjectCannulated Screwen_US
dc.subjectFinal Element Analysisen_US
dc.subjectPatellaen_US
dc.titleComparison of the Effect of Diameters and Numbers of Cannulated Screws and Headless Compression Screws on the Reduction Stability in Transverse Patellar Fractures: A Finite Element Model Studyen_US
dc.typeArticleen_US

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WoS İndeksli Yayınlar Koleksiyonu
Endüstri Mühendisliği Bölümü Yayın Koleksiyonu
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