Finite element analysis of a novel pin-sleeve system for external fixation of distal limb fractures in horses.
Abstract: The transfixation pin cast (TPC) is an external skeletal fixation technique used to treat horses with distal limb fractures, but its use is often associated with pin-loosening and an increased risk of treatment failure. To address implant loosening, the pin sleeve cast system (PSC) was recently designed and consists of a pin-sleeve unit inserted into the bone. Each pin runs through a sleeve placed in the bone, making contact at two fixed points only within the sleeve. Each pin is attached to a ring embedded in a resin cast. In this report, the mechanical performance of a traditional TPC pin arrangement was compared with that of the PSC using validated finite element models of bone substitutes previously tested in vitro. The PSC resulted in a marked reduction in peak strain magnitude around the pins and a more even distribution of strain across the bone cortex. The two systems resulted in comparable proximal fragment displacement and had a similar stress concentration around bone defects during implant removal. The findings suggest that the PSC load transfer mechanism is effective even in geometrically complex structures like equine bones.
Copyright © 2010 Elsevier Ltd. All rights reserved.
Publication Date: 2010-12-30 PubMed ID: 21195644DOI: 10.1016/j.tvjl.2010.10.026Google Scholar: Lookup
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Summary
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The research article is based on introducing and testing a novel technique, the pin sleeve cast system (PSC), to treat horses with distal limb fractures. It is being compared to a traditional method known as transfixation pin cast (TPC) and the finite element models of bone substitutes were used for evaluating the performance of both techniques.
Objective of the Research
- The research intends to address the problem of implant loosening which is often associated with the traditional transfixation pin cast (TPC). This problem increases the risk of treatment failure when treating distal limb fractures in horses.
- To alleviate this problem, a pin sleeve cast system (PSC) was designed and tested. The performance of this novel technique was compared with that of the TPC using finite element models of bone substitutes.
Master Design of Pin Sleeve Cast System (PSC)
- The PSC system consists of a pin-sleeve unit that is inserted into the bone of the horse. Each pin in the setup runs through a sleeve placed within the bone.
- The design is such that each pin makes contact at two fixed points within the sleeve. Finally, each pin is also attached to a ring that is embedded in a resin cast.
Comparative Analysis
- Using finite element models of bone substitutes, the researchers compared the mechanical performance of the traditional TPC and the novel PSC.
- It was found that the PSC was successful in significantly reducing the peak strain magnitude around the pins, and it also resulted in a more uniform distribution of strain across the bone cortex.
- In terms of proximal fragment displacement, both the TPC and the PSC showed similar results. Similar stress concentration around bone defects was observed during the process of implant removal.
Conclusion
- The findings show that the PSC’s load transfer mechanism is effective even in complex structures such as equine bones, offering promising solutions to the persistent issues with the traditional TPC method.
Cite This Article
APA
Brianza S, Brighenti V, Lansdowne JL, Schwieger K, Bouré L.
(2010).
Finite element analysis of a novel pin-sleeve system for external fixation of distal limb fractures in horses.
Vet J, 190(2), 260-267.
https://doi.org/10.1016/j.tvjl.2010.10.026 Publication
Researcher Affiliations
- AO Foundation Research Institute, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland. Electronic address: stefano.brianza@aofoundation.org.
- AO Foundation Research Institute, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland.
- AO Foundation Research Institute, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland.
- AO Foundation Research Institute, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland.
- AO Foundation Research Institute, Clavadelerstrasse 8, 7270 Davos Platz, Switzerland.
MeSH Terms
- Animals
- Biomechanical Phenomena
- Bone Nails / veterinary
- Diaphyses / injuries
- Diaphyses / surgery
- External Fixators / veterinary
- Finite Element Analysis
- Fracture Fixation / instrumentation
- Fracture Fixation / methods
- Fracture Fixation / veterinary
- Fractures, Bone / surgery
- Fractures, Bone / veterinary
- Horses / injuries
- Metacarpal Bones / injuries
- Metacarpal Bones / surgery
- Models, Anatomic
- Stress, Mechanical
- Weight-Bearing
Citations
This article has been cited 5 times.- Zderic I, Varga P, Styger U, Drenchev L, Gueorguiev B, Asimus E, Saunders WB, Kowaleski M, Boudrieau RJ, Dejardin LM. Mechanical Evaluation of Two Hybrid Locking Plate Designs for Canine Pancarpal Arthrodesis. Biomed Res Int 2021;2021:2526879.
- Ribitsch I, Oreff GL, Jenner F. Regenerative Medicine for Equine Musculoskeletal Diseases. Animals (Basel) 2021 Jan 19;11(1).
- Ramlee MH, Sulong MA, Garcia-Nieto E, Penaranda DA, Felip AR, Kadir MRA. Biomechanical features of six design of the delta external fixator for treating Pilon fracture: a finite element study. Med Biol Eng Comput 2018 Oct;56(10):1925-1938.
- Pegg EC, Walter J, Mellon SJ, Pandit HG, Murray DW, D'Lima DD, Fregly BJ, Gill HS. Evaluation of factors affecting tibial bone strain after unicompartmental knee replacement. J Orthop Res 2013 May;31(5):821-8.
- Turek B, Jankowski K, Pawlikowski M, Jasiński T, Domino M. Innovative approach in the treatment of comminuted proximal phalanx fractures in horses based on biomechanical modelling. Sci Rep 2025 Apr 19;15(1):13562.
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