一种新型骶髂关节后路融合的尸体生物力学评价:瞬时旋转轴的固定和中心分析。

IF 1.3 Q4 ENGINEERING, BIOMEDICAL
Medical Devices-Evidence and Research Pub Date : 2021-12-17 eCollection Date: 2021-01-01 DOI:10.2147/MDER.S347763
Dawood Sayed, Kasra Amirdelfan, Ramana K Naidu, Oluwatodimu R Raji, Steven Falowski
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引用次数: 8

摘要

目的:本研究的目的是评估在单侧和双侧固定装置中使用一种新型皮质同种异体植入物的后路关节固定技术的稳定效果。我们假设固定会减少关节在屈伸、轴向旋转和侧向弯曲载荷下的活动范围。我们还假设,在主要的屈伸运动中,固定会使瞬时旋转轴的中心向植入物的位置移动,并且这种移动与屈伸运动范围的减少有关。材料与方法:在完整、单侧固定和双侧固定条件下对6个尸体骶髂关节标本进行测试。在多方向柔韧性纯力矩模型下,在±7.5 Nm的施加力矩载荷下,通过光学跟踪系统评估骶髂关节屈伸、侧向弯曲和轴向旋转的总运动范围(ROM)。在屈伸载荷过程中评估骶髂关节的瞬时旋转轴(cIAR)中心。对植入屈伸时的ROM复位与cIAR向植入部位移位之间的相关性进行了分析。结果:单侧和双侧固定导致骶髂关节屈伸、侧屈和轴向旋转运动的ROM降低。固定将cIAR移至移植物植入部位。总活动范围的缩小与cIAR的移位有中度相关性。结论:我们的新型后路入路提供了稳定关节的多方面机制:首先,通过减少所有运动平面的总活动范围;第二,通过将瞬时旋转轴的中心移向种植体在主要运动平面的位置,确保种植部位很少或不运动,从而促进该区域的融合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Cadaver-Based Biomechanical Evaluation of a Novel Posterior Approach to Sacroiliac Joint Fusion: Analysis of the Fixation and Center of the Instantaneous Axis of Rotation.

A Cadaver-Based Biomechanical Evaluation of a Novel Posterior Approach to Sacroiliac Joint Fusion: Analysis of the Fixation and Center of the Instantaneous Axis of Rotation.

A Cadaver-Based Biomechanical Evaluation of a Novel Posterior Approach to Sacroiliac Joint Fusion: Analysis of the Fixation and Center of the Instantaneous Axis of Rotation.

A Cadaver-Based Biomechanical Evaluation of a Novel Posterior Approach to Sacroiliac Joint Fusion: Analysis of the Fixation and Center of the Instantaneous Axis of Rotation.

Purpose: The purpose of this study was to assess the stabilizing effect of a posterior joint fixation technique using a novel cortical allograft implant in unilateral and bilateral fixation constructs. We hypothesize that fixation would reduce the joint's range of motion during flexion-extension, axial rotation, and lateral bending loads. We also hypothesize that fixation would shift the center of the instantaneous axis of rotation during the predominant flexion-extension motions towards the implant's location, and that this shift would be correlated with the reduction in flexion-extension range of motion.

Materials and methods: Six cadaveric sacroiliac joint specimens were tested under intact, unilateral fixation, and bilateral fixation conditions. The total range of motion (ROM) of the sacroiliac joint in flexion-extension, lateral bending, and axial rotation were evaluated by an optical tracking system, in a multidirectional flexibility pure moment model, between ± 7.5 Nm applied moment loads. The centers of the instantaneous axis of rotation (cIAR) of the sacroiliac joint were evaluated during flexion-extension loading. A correlation analysis was performed between the ROM reduction in flexion-extension upon implantation and shift of the cIAR to the graft implantation site.

Results: Unilateral and bilateral fixations generated sacroiliac joint ROM reductions in flexion-extension, lateral bending, and axial rotation motions. Fixation shifted the cIAR to the graft implantation site. Reduction in the total range of motion had a moderate correlation with the shift of the cIAR.

Conclusion: Our novel posterior approach presents a multifaceted mechanism for stabilizing the joint: first, by the reduction of the total range of motion in all planes of motion; second, by shifting the centers of the instantaneous axis of rotation towards the implant's location in the predominant plane of motion, ensuring little to no motion at the implantation site, thus promoting fusion in this region.

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来源期刊
Medical Devices-Evidence and Research
Medical Devices-Evidence and Research ENGINEERING, BIOMEDICAL-
CiteScore
2.80
自引率
0.00%
发文量
41
审稿时长
16 weeks
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