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Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi

Year 2021, Volume: 21 Issue: 4, 996 - 1004, 31.08.2021
https://doi.org/10.35414/akufemubid.892317

Abstract

Omurga sorunlarında sıklıkla pedikül vida ve rod sistemleri kullanılır. Bu sistemlerin en büyük sorunları vida kırılması ve vida gevşemesidir. Vida ve rod malzemesi olarak halihazırda metalik implantlar kullanılmaktadır ve metalik implantların elastik modüllerinin yüksek olması sebebi ile kemiğe yük aktarımında sıkıntılar oluşabilmektedir. Bu çalışmada, metalik implantlara göre elastiklik modülü daha düşük olan ve son zamanlarda kullanımı artan Polilaktik Asit (PLA) malzemesi ve bu malzemeden oluşturulan Polilaktik Asit/Hidroksiapatit (PLA/HA) kompozit malzemesinin pedikül vidalarında kullanılabilirliği mukavemet yönünden değerlendirilmiştir. Bu amaçla sonlu elemanlar yöntemi kullanılmıştır. T9 omurga modeli MIMICS yazılımı ile oluşturulmuş ve vida-rod modelleri ile ameliyat prosedürüne uygun olarak bilgisayar ortamında birleştirilmiştir. Sonlu elemanlar analizi için pedikül vida malzemeleri Ti6Al4V, PLA ve PLA/HA malzemeleri seçilmiştir. Ayrıca, pedikül vida modeli üzerinde tasarım değiştirerek iki farklı model daha analize katılmıştır. Yapılan 5 farklı analiz sonuçları karşılaştırılmış ve en uygun pedikül malzemesi/tasarımı belirlenmiştir. Sonuç olarak, PLA/HA kompozit malzeme kullanımı yeterli mukavemete ve rijitliğe sahip olmuştur. Ayrıca, vida tasarım değişikliği ile PLA malzemesi pedikül vidalar için kullanılabilir.

References

  • Basaran, R., Efendioğlu, M., Kakşi, M., Çelik, T., Mutlu, İ., and Uçar, M., 2019. Finite Element Analysis of Short- Versus Long-Segment Posterior Fixation for Thoracolumbar Burst Fracture. World Neurosurgery, 128, 1109-1117.
  • Chen, S.I., Lin R.M., and Chang C.H., 2003. Biomechanical investigation of pedicle screw–vertebrae complex: a finite element approach using bonded and contact interface conditions. Medical Engineering & Physics, 25(4), 275-282.
  • Chatzistergos, P.E., Magnissalis E.A. and S.K. Kourkoulis, 2010. A parametric study of cylindrical pedicle screw design implications on the pullout performance using an experimentally validated finite-element model. Medical Engineering & Physics, 32(2), 145-154.
  • Çelik, T. and Y. KİŞİOĞLU,2021. New Hip Prosthesis Design and Evaluation with Using Finite Element Analysis. Journal of Polytechnic, 31, 10-20.
  • Çelik, T. and Y. Kişioğlu, Evaluation of new hip prosthesis design with finite element analysis, 2019. Australasian Physical & Engineering Sciences in Medicine, 42(4), 1033-1038.
  • Çelik, T., Mutlu, İ, Ozkan, A., and Kisioglu Y., 2017. The effect of cement on hip stem fixation: a biomechanical study. Australasian Physical & Engineering Sciences in Medicine, 40(2), 349-357.
  • Farah, S., D.G. Anderson, and R. Langer, 2016. Physical and mechanical properties of PLA, and their functions in widespread applications — A comprehensive review. Advanced Drug Delivery Reviews, 107, 367-392.
  • Hicks, J.M., Singla, A., Shen, F.H. and Arlet, V., 2010. Complications of Pedicle Screw Fixation in Scoliosis Surgery. Spine, 35(11), 465-470.
  • Keller, T.S., Predicting the compressive mechanical behavior of bone, 1994. Journal of Biomechanics, 27(9), 1159-1168.
  • Lai, D.M., Shih, Y.T., Chen Y.H., Chien H. and Wang, J.L., 2018. Effect of pedicle screw diameter on screw fixation efficacy in human osteoporotic thoracic vertebrae. Journal of Biomechanics, 70, 196-203.
  • Leksakul, K. and M. Phuendee, 2018. Development of hydroxyapatite-polylactic acid composite bone fixation plate. Science and Engineering of Composite Materials, 25(5), 903-914.
  • Li, S., Wahab, A.A., Demirci E., Silbertschmdit, V., 2014. Penetration of cutting tool into cortical bone: Experimental and numerical investigation of anisotropic mechanical behaviour. Journal of Biomechanics, 47(5), 1117-1126.
  • Mohi Eldin, M.M. and Ali A.M.A., 2014. Lumbar Transpedicular Implant Failure: A Clinical and Surgical Challenge and Its Radiological Assessment. Asian Spine Journal, 8(3), 281-297.
  • Newcomb, A.G.U.S., Seungwon Baek, M.S., Brian P. K. and. Crawford N. R, 2016. Effect of screw position on load transfer in lumbar pedicle screws: a non-idealized finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering, 20(2), 182-192.
  • Puvanesarajah, V., 2014. Techniques and accuracy of thoracolumbar pedicle screw placement. World Journal of Orthopedics, 5(2), 112-123.
  • Santiuste, C., Millan R.M., Giner E., Miguelez H., 2014. The influence of anisotropy in numerical modeling of orthogonal cutting of cortical bone. Composite Structures, 116, 423-431.
  • Shih, K.S., Hsu, C.C., Hou, S.M., Yu, S.C., and Liaw, C.K., 2015. Comparison of the bending performance of solid and cannulated spinal pedicle screws using finite element analyses and biomechanical tests. Medical Engineering & Physics, 37(9), 879-884.
  • Su, Y., Wang, X., Ren D., Liu, Y., Liu S. And Wang P., 2018. A finite element study on posterior short segment fixation combined with unilateral fixation using pedicle screws for stable thoracolumbar fracture. Medicine, 97(34), 1260.
  • Toktaş İ., Özkan M. T. and Çetindağ H.A., 2017. Burkulma Mukavemetine Göre Eşit Miktarda Filament Kullanımı İle 3 Boyutlu Baskısı Yapılacak Ankastre Kirişlerin Kesit Geometri Biçimlerinin Performansı, Gazi University Journal of Science: Part C, 5(4): 169-177.
  • Tsai, W.-C., Chen, P.Q., Lu, T.W., Wu, S.S., Shih, S.H. and Li, S.C., 2009. Comparison and prediction of pullout strength of conical and cylindrical pedicle screws within synthetic bone. BMC Musculoskeletal Disorders, 10(1), 1-10.
  • Wang T., Zhao Y., Cai Z., Wang W., Xia Y., Zheng G., Liang Y. and Wang Y., 2019. Effect of osteoporosis on internal fixation after spinal osteotomy: A finite element analysis, Clinical Biomechanics, 69, 178-183.
  • Weiser L., Huber G., Sellenschloh K., Viezens L., Püschel K., Morlock M.M. and Lehmann W., 2017. Insufficient stability of pedicle screws in osteoporotic vertebrae: biomechanical correlation of bone mineral density and pedicle screw fixation strength, Eur Spine J, 26(11), 2891-2897.

Evaluation of the Use of PLA Material for Pedicle Screws in Terms of Strength

Year 2021, Volume: 21 Issue: 4, 996 - 1004, 31.08.2021
https://doi.org/10.35414/akufemubid.892317

Abstract

Pedicle screw and rod systems are frequently used in spinal diseases. The biggest problems of these systems are screw failure and screw loosening. Metal implants are currently used as screw and rod materials, and problems may occur in load transfer to the bone due to the high elastic modulus of metallic implants. In this study, the use of the Polylactic Acid (PLA) material, which has a lower elasticity module compared to metallic implants and has recently increased, and the Polylactic Acid / Hydroxyapatite (PLA / HA) composite material formed from this material, in pedicle screws were evaluated in terms of strength. For this purpose, the finite element method has been used. The T9 spine model was created with MIMICS software and assembled with screw-rod models in a computer environment in accordance with the surgical procedure. Pedicle screw materials Ti6Al4V, PLA, and PLA / HA materials were selected for finite element analysis. In addition, two different models were included in the analysis by changing the design of the pedicle screw model. The results of 5 different analyzes were compared and the most suitable pedicle material/design was determined. As a result, the use of PLA/HA composite material has had sufficient strength and rigidity. Also, with the screw design change, PLA material can be used for pedicle screws.

References

  • Basaran, R., Efendioğlu, M., Kakşi, M., Çelik, T., Mutlu, İ., and Uçar, M., 2019. Finite Element Analysis of Short- Versus Long-Segment Posterior Fixation for Thoracolumbar Burst Fracture. World Neurosurgery, 128, 1109-1117.
  • Chen, S.I., Lin R.M., and Chang C.H., 2003. Biomechanical investigation of pedicle screw–vertebrae complex: a finite element approach using bonded and contact interface conditions. Medical Engineering & Physics, 25(4), 275-282.
  • Chatzistergos, P.E., Magnissalis E.A. and S.K. Kourkoulis, 2010. A parametric study of cylindrical pedicle screw design implications on the pullout performance using an experimentally validated finite-element model. Medical Engineering & Physics, 32(2), 145-154.
  • Çelik, T. and Y. KİŞİOĞLU,2021. New Hip Prosthesis Design and Evaluation with Using Finite Element Analysis. Journal of Polytechnic, 31, 10-20.
  • Çelik, T. and Y. Kişioğlu, Evaluation of new hip prosthesis design with finite element analysis, 2019. Australasian Physical & Engineering Sciences in Medicine, 42(4), 1033-1038.
  • Çelik, T., Mutlu, İ, Ozkan, A., and Kisioglu Y., 2017. The effect of cement on hip stem fixation: a biomechanical study. Australasian Physical & Engineering Sciences in Medicine, 40(2), 349-357.
  • Farah, S., D.G. Anderson, and R. Langer, 2016. Physical and mechanical properties of PLA, and their functions in widespread applications — A comprehensive review. Advanced Drug Delivery Reviews, 107, 367-392.
  • Hicks, J.M., Singla, A., Shen, F.H. and Arlet, V., 2010. Complications of Pedicle Screw Fixation in Scoliosis Surgery. Spine, 35(11), 465-470.
  • Keller, T.S., Predicting the compressive mechanical behavior of bone, 1994. Journal of Biomechanics, 27(9), 1159-1168.
  • Lai, D.M., Shih, Y.T., Chen Y.H., Chien H. and Wang, J.L., 2018. Effect of pedicle screw diameter on screw fixation efficacy in human osteoporotic thoracic vertebrae. Journal of Biomechanics, 70, 196-203.
  • Leksakul, K. and M. Phuendee, 2018. Development of hydroxyapatite-polylactic acid composite bone fixation plate. Science and Engineering of Composite Materials, 25(5), 903-914.
  • Li, S., Wahab, A.A., Demirci E., Silbertschmdit, V., 2014. Penetration of cutting tool into cortical bone: Experimental and numerical investigation of anisotropic mechanical behaviour. Journal of Biomechanics, 47(5), 1117-1126.
  • Mohi Eldin, M.M. and Ali A.M.A., 2014. Lumbar Transpedicular Implant Failure: A Clinical and Surgical Challenge and Its Radiological Assessment. Asian Spine Journal, 8(3), 281-297.
  • Newcomb, A.G.U.S., Seungwon Baek, M.S., Brian P. K. and. Crawford N. R, 2016. Effect of screw position on load transfer in lumbar pedicle screws: a non-idealized finite element analysis. Computer Methods in Biomechanics and Biomedical Engineering, 20(2), 182-192.
  • Puvanesarajah, V., 2014. Techniques and accuracy of thoracolumbar pedicle screw placement. World Journal of Orthopedics, 5(2), 112-123.
  • Santiuste, C., Millan R.M., Giner E., Miguelez H., 2014. The influence of anisotropy in numerical modeling of orthogonal cutting of cortical bone. Composite Structures, 116, 423-431.
  • Shih, K.S., Hsu, C.C., Hou, S.M., Yu, S.C., and Liaw, C.K., 2015. Comparison of the bending performance of solid and cannulated spinal pedicle screws using finite element analyses and biomechanical tests. Medical Engineering & Physics, 37(9), 879-884.
  • Su, Y., Wang, X., Ren D., Liu, Y., Liu S. And Wang P., 2018. A finite element study on posterior short segment fixation combined with unilateral fixation using pedicle screws for stable thoracolumbar fracture. Medicine, 97(34), 1260.
  • Toktaş İ., Özkan M. T. and Çetindağ H.A., 2017. Burkulma Mukavemetine Göre Eşit Miktarda Filament Kullanımı İle 3 Boyutlu Baskısı Yapılacak Ankastre Kirişlerin Kesit Geometri Biçimlerinin Performansı, Gazi University Journal of Science: Part C, 5(4): 169-177.
  • Tsai, W.-C., Chen, P.Q., Lu, T.W., Wu, S.S., Shih, S.H. and Li, S.C., 2009. Comparison and prediction of pullout strength of conical and cylindrical pedicle screws within synthetic bone. BMC Musculoskeletal Disorders, 10(1), 1-10.
  • Wang T., Zhao Y., Cai Z., Wang W., Xia Y., Zheng G., Liang Y. and Wang Y., 2019. Effect of osteoporosis on internal fixation after spinal osteotomy: A finite element analysis, Clinical Biomechanics, 69, 178-183.
  • Weiser L., Huber G., Sellenschloh K., Viezens L., Püschel K., Morlock M.M. and Lehmann W., 2017. Insufficient stability of pedicle screws in osteoporotic vertebrae: biomechanical correlation of bone mineral density and pedicle screw fixation strength, Eur Spine J, 26(11), 2891-2897.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Engineering
Journal Section Articles
Authors

Talip Çelik 0000-0003-0033-2454

Çağatay Taşdemirci 0000-0002-6471-0867

İbrahim Mutlu 0000-0003-3864-3725

Arif Özkan 0000-0002-1288-6166

Publication Date August 31, 2021
Submission Date March 6, 2021
Published in Issue Year 2021 Volume: 21 Issue: 4

Cite

APA Çelik, T., Taşdemirci, Ç., Mutlu, İ., Özkan, A. (2021). Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi, 21(4), 996-1004. https://doi.org/10.35414/akufemubid.892317
AMA Çelik T, Taşdemirci Ç, Mutlu İ, Özkan A. Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi. August 2021;21(4):996-1004. doi:10.35414/akufemubid.892317
Chicago Çelik, Talip, Çağatay Taşdemirci, İbrahim Mutlu, and Arif Özkan. “Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi”. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi 21, no. 4 (August 2021): 996-1004. https://doi.org/10.35414/akufemubid.892317.
EndNote Çelik T, Taşdemirci Ç, Mutlu İ, Özkan A (August 1, 2021) Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi 21 4 996–1004.
IEEE T. Çelik, Ç. Taşdemirci, İ. Mutlu, and A. Özkan, “Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi”, Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi, vol. 21, no. 4, pp. 996–1004, 2021, doi: 10.35414/akufemubid.892317.
ISNAD Çelik, Talip et al. “Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi”. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi 21/4 (August 2021), 996-1004. https://doi.org/10.35414/akufemubid.892317.
JAMA Çelik T, Taşdemirci Ç, Mutlu İ, Özkan A. Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi. 2021;21:996–1004.
MLA Çelik, Talip et al. “Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi”. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi, vol. 21, no. 4, 2021, pp. 996-1004, doi:10.35414/akufemubid.892317.
Vancouver Çelik T, Taşdemirci Ç, Mutlu İ, Özkan A. Pedikül Vidaları İçin PLA Malzeme Kullanımının Mukavemet Açısından Değerlendirilmesi. Afyon Kocatepe Üniversitesi Fen Ve Mühendislik Bilimleri Dergisi. 2021;21(4):996-1004.