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http://dx.doi.org/10.9718/JBER.2022.43.5.308

Evaluation of Biomechanical Properties of Fractured Adjacent Soft Tissue Due to Fracture Site Spacing During Closed Reduction After Forearm Fracture: Finite Element Analysis  

Park, Jun-Sung (Department of Biomedical Engineering, Graduate School, Pusan National University)
Lee, Sang Hyun (Department of Orthopaedic Surgery, School of Medicine, Pusan National University)
Song, Chanhee (Medical Research Institute, Pusan National University)
Ro, Jung Hoon (Department of Biomedical Engineering, School of Medicine, Pusan National University)
Lee, Chiseung (Department of Biomedical Engineering, School of Medicine, Pusan National University)
Publication Information
Journal of Biomedical Engineering Research / v.43, no.5, 2022 , pp. 308-318 More about this Journal
Abstract
The purpose of this study is to evaluate the biomechanical properties of fractured adjacent soft tissue during closed reduction after forearm fracture using the finite element method. To accomplish this, a finite element (FE) model of the forearm including soft tissue was constructed, and the material properties reported in previous studies were implemented. Based on this, nine finite element models with different fracture types and fracture positions, which are the main parameters, were subjected to finite element analysis under the same load and boundary conditions. The load condition simulated the traction of increasing the fracture site spacing from 0.4 mm to 1.6 mm at intervals of 0.4 mm at the distal end of the radioulnar bone. Through the finite element analysis, the fracture type, fracture location, and displacement were compared and analyzed for the fracture site spacing of the fractured portion and the maximum equivalent stress of the soft tissues adjacent to the fracture(interosseous membrane, muscle, fat, and skin). The results of this study are as follows. The effect of the major parameters on the fracture site spacing of the fractured part is negligible. Also, from the displacement of 1.2 mm, the maximum equivalent stress of the interosseous membrane and muscle adjacent to the fractured bone exceeds the ultimate tensile strength of the material. In addition, it was confirmed that the maximum equivalent stresses of soft tissues(fat, skin) were different in size but similar in trend. As a result, this study was able to numerically confirm the damage to the adjacent soft tissue due to the fracture site spacing during closed reduction of forearm fracture.
Keywords
Forearm fracture; Closed reduction; Fracture site spacing; Soft tissue damage; Biomechanics; Finite element method (FEM);
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1 Miguel-Andres I, Alonso-Rasgado T, Walmsley A, Watts AC. Effect of anconeus muscle blocking on elbow kinematics: electromyographic, inertial sensors and finite element study. Ann Biomed Eng. 2017;45(3):775-788.   DOI
2 Ottenio M, Tran D, Annaidh AN, Gilchrist MD, Bruyere K. Strain rate and anisotropy effects on the tensile failure characteristics of human skin. J Mech Behav Biomed Mater. 2015;41:241-250.   DOI
3 Panchal R, Horton L, Poozesh P, Baqersad J, Nasiriavanaki M. Vibration analysis of healthy skin: toward a noninvasive skin diagnosis methodology. J Biomed Opt. 2019;24(1):015001.
4 Chen Y, Lin H, Yu Q, Zhang X, Wang D, Shi L, Huang W, Zhong S. Application of 3D-printed orthopedic cast for the treatment of forearm fractures: finite element analysis and comparative clinical assessment. Biomed Res Int. 2020;2020:No. 9569530.
5 Kallin S, Rashid A, Salomonsson K, Hansbo P. Comparison of mechanical conditions in a lower leg model with 5 or 6 tissue types while exposed to prosthetic sockets applying finite element analysis. arXiv preprint arXiv:190713340. 2019.
6 Wei H, Liu X, Li L, Li C, Chen W, Wang S, Wang Z, Ma J. Visual indentation apparatus and finite element modelling as a method to characterize 3D mechanical properties of facial skin in vivo. Mech. Mater. 2021;157:103852.   DOI
7 Takaza M, Moerman KM, Simms CK. Passive skeletal muscle response to impact loading: Experimental testing and inverse modelling. J Mech Behav Biomed Mater. 2013;27:214- 225.   DOI
8 McBride A, Bargmann S, Pond D, Limbert G. Thermoelastic modelling of the skin at finite deformations. J Therm Biol. 2016;62:201-209.   DOI
9 Joodaki H, Panzer MB. Skin mechanical properties and modeling: A review. Proc Inst Mech Eng H: J Eng Med. 2018;232(4): 323-343.   DOI
10 Khuyagbaatar B, Lee S-J, Bayarjargal U, Cheon M, Batbayar T, Kim YH. Contribution of a distal radioulnar joint stabilizer on forearm stability: A modeling study. Proceedings of the Institution of Mechanical Engineers, Proc. Inst. Mech. Eng. H. 2021;235(7):819-826.
11 Yang KH, Park J. Fractures and Soft Tissue Injuries. J Korean Med Assoc. 2007;50(8):716-724.   DOI
12 Meeson R, Moazen M, Sanghani-Kerai A, Osagie-Clouard L, Coathup M, Blunn G. The influence of gap size on the development of fracture union with a micro external fixator. J Mech Behav Biomed Mater. 2019;99:161-168.   DOI
13 Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42(6):551-555.   DOI
14 Tull F, Borrelli Jr J. Soft-tissue injury associated with closed fractures: evaluation and management. J Am Acad Orthop Surg. 2003;11(6):431-438.   DOI
15 Zhang Y, Shao Q, Yang C, Ai C, Zhou D, Yu Y, Sun G. Finite element analysis of different locking plate fixation methods for the treatment of ulnar head fracture. J Orthop Surg Res. 2021;16(1):1-13.   DOI
16 Trehan SK, Gould HP, Meyers KN, Wolfe SW. The effect of distal radius fracture location on distal radioulnar joint stability: a cadaveric study. J Hand Surg. 2019;44(6):473-479.   DOI
17 Goh TS, Lim B-Y, Lee JS, Lee C-S. Identification of surgical plan for syndesmotic fixation procedure based on finite element method. Appl Sci. 2020;10(12):4349.   DOI
18 Song C-H, Park J-S, Choi B-W, Lee JS, Lee C-S. Computational Investigation for Biomechanical Characteristics of Lumbar Spine with Various Porous Ti-6Al-4V Implant Systems. Appl Sci. 2021;11(17):8023.   DOI
19 http://dk.kisti.re.kr, accessed on Jul. 1, 2022.
20 Pfaeffle HJ, Tomaino MM, Grewal R, Xu J, Boardman ND, Woo SLY, Herndon JH. Tensile properties of the interosseous membrane of the human forearm. J Orthop Res. 1996;14(5):842-845.   DOI
21 Cha SM, Shin HD. Distal Radioulnar Joint Arthritis. J Korean Orthop Assoc. 2017;52(2):125-137.   DOI
22 Tcmh M. Closed treatment of displaced fracture of lateral humeral condyle. Chin Med J. 1979;92(04):280-285.
23 Kuthe CD, Uddanwadiker R, Ramteke A. Experimental evaluation of fiber orientation based material properties of skeletal muscle in tension. Mol Cell Biomech. 2014;11(2):113.
24 [1] Shin H-D, Rhee K-J, Yang J-Y, Yun S-H, Lee M-J. Comparison of Clinical Results Between the Plate Fixation and Intramedullary Nailing for the Diaphyseal Both Forearm Bone Fractures. J Korean Fract Soc. 1999;12(1):135-144.   DOI
25 Joo SY, Kim HW. Surgical Treatment of Both Forearm Bone Fracture. J Korean Fract Soc. 2012;25(4):335-341.   DOI
26 Jung D-Y, Kim B-J, Oh J-K. A Finite Element Analysis of Biomechanical Stability of Compression Plate Fixation System in according to Existing of Fracture Gap after Bone Fracture Augmentation. J Korean Fract Soc. 2010;23(1):83-89.   DOI
27 Park S-G, Shon OJ. Impaired bone healing metabolic and mechanical causes. J Korean Soc Fract. 2017;30(1):40-51.   DOI
28 Smith AM, Urbanosky LR, Castle JA, Rushing JT, Ruch DS. Radius pull test: predictor of longitudinal forearm instability. J Bone Joint Surg. 2002;84(11):1970-1976.   DOI
29 Hua Z, Wang J-W, Lu Z-F, Ma J-W, Yin H. The biomechanical analysis of three-dimensional distal radius fracture model with different fixed splints. Technol Health Care. 2018;26(2):329-341.   DOI
30 Conroy C, Schwartz A, Hoyt DB, Eastman AB, Pacyna S, Holbrook TL, Vaughan T, Sise M, Kennedy F, Velky T. Upper extremity fracture patterns following motor vehicle crashes differ for drivers and passengers. Injury. 2007;38(3):350-357.   DOI
31 Choi CU, Rah SK, Choi WS, Song K, Kwon JW. A Clinical Result of the Fracture of the Forearm Bone Shaft in Adult. J Korean Orthop Assoc. 1984;19(2):339-350.   DOI