Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces

ABSTRACT: The ulna, humerus, femur, tibia, and calcaneus fractures repair, which are under constant tension due to exerted forces by the muscle groups adhered thereto, play a key role in the clinical-surgical routine, both in veterinary and human medicine. Therefore, the need for repairing orthopedi...

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Main Authors: Alois Foltran Müller, Silvio Henrique de Freitas, Renata Gebara Sampaio Dória, Julia Belotto Guaraná, Fábio de Souza Mendonça, Atanásio Serafim Vidane, Lázaro Manoel de Camargo, Rachel Santos Bueno Carvalho, Antônio Carlos Shimano, Carlos Eduardo Ambrósio, Bruno Watanabe Minto
Format: Article
Language:English
Published: Universidade Federal de Santa Maria 2025-02-01
Series:Ciência Rural
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782025000500601&lng=en&tlng=en
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author Alois Foltran Müller
Silvio Henrique de Freitas
Renata Gebara Sampaio Dória
Julia Belotto Guaraná
Fábio de Souza Mendonça
Atanásio Serafim Vidane
Lázaro Manoel de Camargo
Rachel Santos Bueno Carvalho
Antônio Carlos Shimano
Carlos Eduardo Ambrósio
Bruno Watanabe Minto
author_facet Alois Foltran Müller
Silvio Henrique de Freitas
Renata Gebara Sampaio Dória
Julia Belotto Guaraná
Fábio de Souza Mendonça
Atanásio Serafim Vidane
Lázaro Manoel de Camargo
Rachel Santos Bueno Carvalho
Antônio Carlos Shimano
Carlos Eduardo Ambrósio
Bruno Watanabe Minto
author_sort Alois Foltran Müller
collection DOAJ
description ABSTRACT: The ulna, humerus, femur, tibia, and calcaneus fractures repair, which are under constant tension due to exerted forces by the muscle groups adhered thereto, play a key role in the clinical-surgical routine, both in veterinary and human medicine. Therefore, the need for repairing orthopedic procedures is clear. Among the treatment options, the interlocking nail confers rigid stabilization on diaphyseal fractures. It has mechanical advantages over other stabilization techniques, such as plates, compression cortical screws (lag effect), or tension band technique. It was proposed in this study to mechanically compare two fixation methods (interlocking micro-nail or tension band) for fractures under muscular tension. The flexion force was assessed in a universal test machine (EMIC, DL 10000N model), comparing the interlocking micro-nail (IMN) to the tension band (TB) fixation system. The IMN and TB test specimens systems (n=6) went into total failure when the mean maximum force reached 511.20N and 279.90N, and the mean relative stiffness reached 31.33N/mm and 20.97 N/mm, respectively. A significant difference between IMN and TB for the variables maximum strength and relative stiffness were reported (P < 0.01). We concluded that, through mechanical flexion tests, the IMN system has superior resistance compared to the TB system. Thus, the IMN system may be a better option for fixing fractures under muscular tension forces.
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publisher Universidade Federal de Santa Maria
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spelling doaj-art-db7f448c3bc74bb0be1e857f1c45ad5e2025-02-11T07:42:39ZengUniversidade Federal de Santa MariaCiência Rural1678-45962025-02-0155510.1590/0103-8478cr20240017Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forcesAlois Foltran Müllerhttps://orcid.org/0000-0002-4053-9161Silvio Henrique de Freitashttps://orcid.org/0000-0001-7595-0367Renata Gebara Sampaio Dóriahttps://orcid.org/0000-0002-4275-0358Julia Belotto Guaranáhttps://orcid.org/0000-0002-6964-0589Fábio de Souza Mendonçahttps://orcid.org/0000-0002-7544-754XAtanásio Serafim Vidanehttps://orcid.org/0000-0001-7634-4975Lázaro Manoel de Camargohttps://orcid.org/0000-0002-6546-0572Rachel Santos Bueno Carvalhohttps://orcid.org/0000-0002-0555-1480Antônio Carlos Shimanohttps://orcid.org/0000-0002-3119-2362Carlos Eduardo Ambrósiohttps://orcid.org/0000-0002-8224-5022Bruno Watanabe Mintohttps://orcid.org/0000-0002-8808-4127ABSTRACT: The ulna, humerus, femur, tibia, and calcaneus fractures repair, which are under constant tension due to exerted forces by the muscle groups adhered thereto, play a key role in the clinical-surgical routine, both in veterinary and human medicine. Therefore, the need for repairing orthopedic procedures is clear. Among the treatment options, the interlocking nail confers rigid stabilization on diaphyseal fractures. It has mechanical advantages over other stabilization techniques, such as plates, compression cortical screws (lag effect), or tension band technique. It was proposed in this study to mechanically compare two fixation methods (interlocking micro-nail or tension band) for fractures under muscular tension. The flexion force was assessed in a universal test machine (EMIC, DL 10000N model), comparing the interlocking micro-nail (IMN) to the tension band (TB) fixation system. The IMN and TB test specimens systems (n=6) went into total failure when the mean maximum force reached 511.20N and 279.90N, and the mean relative stiffness reached 31.33N/mm and 20.97 N/mm, respectively. A significant difference between IMN and TB for the variables maximum strength and relative stiffness were reported (P < 0.01). We concluded that, through mechanical flexion tests, the IMN system has superior resistance compared to the TB system. Thus, the IMN system may be a better option for fixing fractures under muscular tension forces.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782025000500601&lng=en&tlng=enbiomaterialinternal bone fixationbone healingorthopedicssmall animal surgery
spellingShingle Alois Foltran Müller
Silvio Henrique de Freitas
Renata Gebara Sampaio Dória
Julia Belotto Guaraná
Fábio de Souza Mendonça
Atanásio Serafim Vidane
Lázaro Manoel de Camargo
Rachel Santos Bueno Carvalho
Antônio Carlos Shimano
Carlos Eduardo Ambrósio
Bruno Watanabe Minto
Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
Ciência Rural
biomaterial
internal bone fixation
bone healing
orthopedics
small animal surgery
title Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
title_full Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
title_fullStr Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
title_full_unstemmed Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
title_short Mechanical resistance comparison between interlocking micro-nail and tension band for fractures subject to muscular flexion forces
title_sort mechanical resistance comparison between interlocking micro nail and tension band for fractures subject to muscular flexion forces
topic biomaterial
internal bone fixation
bone healing
orthopedics
small animal surgery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782025000500601&lng=en&tlng=en
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