Abstract
Intramedullary nailing, which is positioned inside a long bone as a human femur, has been used to fix fractured bones during the healing process, sharing the mechanical loads with bone. To achieve a good fracture consolidation, the available mechanical load has to be sufficient to activate completely the healing process. Thus, the estimation of the level of mechanical load, that is effectively shared between nailing and bone, is an important variable to be accessed. To reach this objective, an analytical model based in mechanics of solids, is presented to describe, at a femur diaphyseal cross section, the load share between bone and nailing. Also, the results of an elastic finite element model is provided as a reference. The results obtained show a good correspondence between models.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bergmann, G., Deuretzbacher, G., Heller, M., Griachen, F., Rohlmann, A., Strauss, J., Duda, G.N.: Hip contact forces and gait patterns from routine activities. J. Biomech. 34, 859–871 (2001)
Duda, G.N., Schneider, E., Chao, E.Y.S.: Internal forces and moments in the femur during walking. J. Biomech. 30(9), 933–941 (1997)
Cristofolini, L., Viceconti, M., Toni, A., Giunti, A.: Influence of thigh muscles on the axial strains in a proximal femur during early stance in gait. Technical note. J. Biomech. 28(5), 617–624 (1995)
Duda, G.N., Heller, M., Albinger, J., Shulz, O., Schneider, O., Claes, L.: Influence of muscle forces on femoral strain distribution. Technical note. J. Biomech. 31, 841–846 (1998)
Duda, G.N., Brand, D., Freitag, S., Lierse, W., Schneider, E.: Variability of femoral muscle attacments. Technical note. J. Biomech. 29(9), 1185–1190 (1996)
Edwards, W.B., Gillette, J.C., Thomas, J.M., Derrick, T.R.: Internal femoral forces and moments during running: implications for stress fracture development. Clin. Biomech. 23, 1269–1278 (2008)
Gdoutos, E.E., Raftopoulos, D.D, Baril, J.D.: A critical review of the biomechanical stress analysis of the human femur. Biomater. 3(1), 2–8 (1982). Rev
Raftopoulos, D.D., Qassem, W.: Three-dimensional curved beam stress analysis of the human femur. J. Biomed. Eng. 9, 356–366 (1987)
Simões, J.A., Vaz, M.A., Blatcher, S., Taylor, M.: Influence of head constraint and muscle forces on the strain distribution within the intact femur. Med. Eng. Phys. 22, 453–459 (2000)
Toridis, T.G.: Stress analysis of the femur. J. Biomech. 2, 163–174 (1969)
Kenedi, P.P., Riagusoff, I.I.T.: Stress development at human femur by muscle forces. J. Braz. Soc. Mech. Sci. Eng. 37(1), 31–43 (2015). https://doi.org/10.1007/s40430-014-0164-9
Kenedi, P.P., Vignoli, L.L.: An osteosynthesis plate analytical model. J. Braz. Soc. Mech. Sci. Eng. 39, 645–659 (2017). https://doi.org/10.1007/s40430-016-0598-3
Taylor, M.E., Tanner, K.E., Freeman, M.A.R., Yettran, A.R.: Stress and strain distribution within the intact femur: compression or bending? Med. Eng. Phis. 18(2), 122–131 (1996)
Crandall, S.H., Dahl, N.C., Lardner, T.J.: An Introduction to the Mechanics of Solids. Mc Graw Hill Int. Editions, 2nd Edition with SI units (1978)
Bitsakos, C., Kerner, J., Fisher, I., Amis, A.A.: The effect of muscle loading on the simulation of bone remodelling in the proximal femur. J. Biomech. 38, 133–139 (2005)
AO Foundation. https://www2.aofoundation.org/ (2013)
Acknowledgements
José R.O.S. Neto is grateful for scholarship granted by CEFET/RJ.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Appendix
Appendix
The geometric expressions for both, hollow cylinders for bone and for nailing are explicitated in Table 2. These expressions are used in Table 3.
Note that the cross section geometric parameters of bone as area, area moment of inertia, polar area moment of inertia can be different for each part of L/2 vertical length. Table 3 presents the stiffness calculations, using Castigliano’s theorem (see Crandall et al. [14]), which in turn were used in Table 1 (Fig. 6).
Note that the bone and nailing stiffnesses for shear were not calculated, because they were considered not significant.
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
Kenedi, P.P., Neto, J.R.O.S., Rodarte, R.R.P. (2019). On the Load Share Between Nailing and Bone. In: Costa-Felix, R., Machado, J., Alvarenga, A. (eds) XXVI Brazilian Congress on Biomedical Engineering. IFMBE Proceedings, vol 70/1. Springer, Singapore. https://doi.org/10.1007/978-981-13-2119-1_21
Download citation
DOI: https://doi.org/10.1007/978-981-13-2119-1_21
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-2118-4
Online ISBN: 978-981-13-2119-1
eBook Packages: EngineeringEngineering (R0)