Mechanical flexural ex vivo study of osteotomized swine femurs stabilized with two types of polyamide 12 rods/Estudo mecanico de flexao, ex-vivo, de femures suinos osteotomizados, estabilizados com dois tipos de haste de poliamida 12

Long bone fractures are commonly in surgery routine and several bone imobilization techniques are currently available. Technological progress has enabled to use low cost materials in surgical procedures. Thus, the aim of this study was to evaluate the applicability of polyamide 12 rods, solid and ho...

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Published in:Ciência rural Vol. 47; no. 8
Main Authors: Almeida, Juliana Scarpa da Silveira, de Oliveira Garcia, Debora, Bortholin, Renato Camargo, Razzino, Carlos Amaral, dos Santos Honsho, Cristiane, Dias, Fernanda Gosuen Goncalves, de Mattos-Junior, Ewaldo, Dias, Luis Gustavo Gosuen Goncalves
Format: Journal Article
Language:Spanish
Published: Universidade Federal de Santa Maria 01-08-2017
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Summary:Long bone fractures are commonly in surgery routine and several bone imobilization techniques are currently available. Technological progress has enabled to use low cost materials in surgical procedures. Thus, the aim of this study was to evaluate the applicability of polyamide 12 rods, solid and hollow in swine femurs, comparing them through flexion strength. This study had as second aim to fix the locking errors, commom place in interlocking nails, once polyamide 12 allows perforation in any direction by orthopaedic screw. Six groups were used: G1--eight whole swine femurs; G2--eight whole swine femurs with drilled medullary canal; G3--two solid polyamide 12 rods; G4 -two hollow polyamide 12 rods; G5--eight osteotomized drilled swine femurs with a solid polyamide 12 rod implanted in the medullary canal and locked by four 316L stainless steel screws; and G6--similar to G5 but using hollow rods instead of solid ones. No significant differences were observed for the modulus of rupture between solid and hollow rods, demonstrating that both rods had similar performances. These results led to the speculation that the addition of other polymers to the hollow rods could increase their strength and thus the bone-implant system. Furthermore, the comparison between GI. G5 and G6 could be analyzed using the finite element method in future. New polymeric materials may be developed based on the data from this study, strengthening the bone-implant system and making possible screws to be placed in any direction, nullifying the detrimental forces on the fracture site. Key words: biomechanical test, implants, interlocking nail, prototyping, laser sintering. Fraturas em ossos longos sao conminente encontradas na rotina cirurgica e varias tecnicas de imobilizacao ossea estao disponiveis. Com o avanco tecnologico, tornou-se viavel utilizar materiais de baixo custo nos procedimentos, portanto esse estudo objetivou avaliar a aplicabilidade de hastes de poliamida 12. solidas e vazadas, implantadas em femures suinos, comparando-as segundo as forcas de flexao e aos erros de bloqueio, corriqueiros nesse implante, uma vez que a poliamida 12 permite sua perfuracao em qualquer direcao por meio de parafusos ortopedicos. Seis grupos foram usados: G1--oito femures suinos integros; G2--oito femures suinos, fresados intramedularmente; G3--duas hastes macicas de poliamida 12; G4--duas hastes vazadas de poliamida 12; G5--oito femures suinos osteotomizados e fresados, com haste de poliamida 12 macica implantada no canal medular e bloqueada com quatro parafusos de aco inoxidavel 316L e G6- diferente de G5 apenas por utilizar hastes vazadas. Nao foram observadas diferencas significativas no modulo de ruptura entre hastes solidas e vazadas, demonstrando que ambas apresentaram o mesmo desempenho. Estes resultados levaram a especulacao de que adicionar outros polimeros as hastes vazadas aumentaria sua forca e. portanto, do sistema osso-implante. Alem disso, a comparacao entre GI. G5 e G6poderia no futuro ser analisada utilizando o metodo dos elementos finitos. Novos polimeros podem ser desenvolvidos baseando-se nos dados deste estudo, reforcando o sistema osso-implante e tambem possibilitando o uso de perfuracoes para o bloqueio no transoperatorio em qualquer direcao, anulando as forcas deleterias atuantes no sitio de fratura. Palavras-chave: ensaio biomecanico, implantes, haste bloqueada, prototipagem. sinterizacao a laser.
ISSN:0103-8478
DOI:10.1590/0103-8478cr20160757