Buryanov O. A., Kvasha V. P., Chekushyn D. A., Zadnichenko M. O., Karpinsky M. Yu., Yaresko O. V.
ANALYSIS OF STRESS DISTRIBUTION IN THE ACROMIOCLAVICULAR JOINT IN CASE OF TRAPEZOID LIGAMENT INJURY AND DIFFERENT METHODS OF FIXATION
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About the author:
Buryanov O. A., Kvasha V. P., Chekushyn D. A., Zadnichenko M. O., Karpinsky M. Yu., Yaresko O. V.
Heading:
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Scientific article
Annotation:
The stabilisation of the acromial end of the clavicle (AEC) in case of its dislocation is realised by using a hookshaped plate and the Weber method, each of which has its own advantages and disadvantages. There is no solid evidence base for changes in the stress-strain state of the acromioclavicular joint depending on the variant of ligament damage and fixation methods, which leads to a subjective choice of fixation structure. Aim: to conduct a comparative analysis of the stress-strain state of the acromioclavicular joint in case of trapezoid ligament (lig. trapezoideum) injury and fixation of the acromial end of the clavicle by Weber, hook plate and the proposed construction. A finite-element model of the acromioclavicular joint (ACJ) was constructed. We simulated the damage to the lig. trapezoideum and fixation of the AEC in three ways: by Weber, hook plate, and the proposed construction. The best results, in terms of reducing the level of stress in the intact ligaments, are provided by Weber fixation, but this method leads to a significant increase in the level of stress on the AEC and the acromial process of the scapula, which can lead to bone destruction. Another negative factor is an increase in the stress level in the wire to the tensile strength of surgical steel. It can lead to the breakage of the sintered wire and loss of stability of the ACJ. The hinge-type fixator provides the best stress distribution, both in the bone elements of the model and in the intact ligaments. Fixation of the AEC by Weber provides the lowest level of stresses and relative deformations in the intact ligaments but leads to an increase in the level of stresses on the acromial process of the scapula and AEC several times. The level of stress in the sintered wire in the conditions of lig. trapezoideum injury exceeds the tensile strength of surgical steel, which can cause wire rupture and loss of ACJ stability. The hook plate fixator occupies an intermediate position, both in terms of stress level and relative deformations in the ligaments. The fixator of the proposed construction provides the best distribution of stresses in the bone elements of the model, as well as a sufficiently low level of stresses and the magnitude of relative deformations in the intact ligaments.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», 2024 Issue 2, 173, 190-204 pages, index UDC 616.71-007.44:612.015.1
