Startseite Biomechanical investigation of different surgical strategies for the treatment of rib fractures using a three-dimensional human respiratory model
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Biomechanical investigation of different surgical strategies for the treatment of rib fractures using a three-dimensional human respiratory model

  • Kao-Shang Shih , Thanh An Truong , Ching-Chi Hsu EMAIL logo und Sheng-Mou Hou
Veröffentlicht/Copyright: 2. November 2017
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Abstract

Rib fracture is a common injury and can result in pain during respiration. Conservative treatment of rib fracture is applied via mechanical ventilation. However, ventilator-associated complications frequently occur. Surgical fixation is another approach to treat rib fractures. Unfortunately, this surgical treatment is still not completely defined. Past studies have evaluated the biomechanics of the rib cage during respiration using a finite element method, but only intact conditions were modelled. Thus, the purpose of this study was to develop a realistic numerical model of the human rib cage and to analyse the biomechanical performance of intact, injured and treated rib cages. Three-dimensional finite element models of the human rib cage were developed. Respiratory movement of the human rib cage was simulated to evaluate the strengths and limitations of different scenarios. The results show that a realistic human respiratory movement can be simulated and the predicted results were closely related to previous study (correlation coefficient>0.92). Fixation of two fractured ribs significantly decreased the fixation index (191%) compared to the injured model. This fixation may provide adequate fixation stability as well as reveal lower bone stress and implant stress compared with the fixation of three or more fractured ribs.


Corresponding author: Ching-Chi Hsu, PhD, Graduate Institute of Applied Science and Technology, National Taiwan University of Science and Technology, No. 43, Sec. 4, Keelung Rd., Taipei 106, Taiwan, ROC, Phone: +886-2-27303771, Fax: +886-2-27303733

Acknowledgements

This study was sponsored by the Shin Kong Wu Ho-Su Memorial Hospital Research Program under the Grant no. SKH-8302-105-DR-13.

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Supplementary Material:

The online version of this article offers supplementary material (https://doi.org/10.1515/bmt-2017-0072).


Received: 2017-05-11
Accepted: 2017-10-09
Published Online: 2017-11-02
Published in Print: 2019-02-25

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