The stability of ankle joint fixation during arthrodesis: a comparative study

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Abstract

The stability of fixation of the tibia and talus during ankle arthrodesis remains a subject of scientific research. Finding the optimal method for fixing the tibiotalar joint is a pressing issue in traumatology and orthopedics. This study compares the stability of ankle joint fixation during arthrodesis using three spongy screws and an anterior plate combined with two spongy screws. Biomechanical characteristics of ankle joint fixation systems were evaluated on polyurethane foam models in two experimental series: the firs model utilized three spongy screws, and the second model employed a developed plate combined with two spongy screws. The stability of fixation of the ankle joint during arthrodesis was compared between these two approaches. Under minimum cyclic load (20 N), the displacement amplitude was 0.012 mm for the first variant and 0.008 mm for the second variant. Under maximum cyclic load (800 N), the displacement amplitude was 0.106 mm for the first variant and 0.03 mm for the second variant. The study revealed that fixation of the ankle joint during arthrodesis with a plate and two spongy screws provides greater stability compared to fixation with three spongy screws. This suggests that the proposed plate and screws create better conditions for the formation of ankle joint ankylosis. Given the positive biomechanical results, it is recommended to further test this method in clinical conditions.

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About the authors

Vladimir V. Khominets

Kirov Military Medical Academy

Email: shumagasiev@mail.ru
ORCID iD: 0000-0001-9391-3316
SPIN-code: 5174-4433

MD, Dr. Sci. (Med.), professor

Russian Federation, Saint Petersburg

Sergey V. Mikhailov

Kirov Military Medical Academy

Email: msv06@mail.ru
ORCID iD: 0000-0002-3738-0639
SPIN-code: 2086-1862

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Sayan E. Zhumagaziev

Kirov Military Medical Academy

Author for correspondence.
Email: shumagasiev@mail.ru
ORCID iD: 0000-0002-5169-2022
SPIN-code: 1226-5639

adjunct

Russian Federation, Saint Petersburg

Nikita S. Kondakov

Kirov Military Medical Academy

Email: shumagasiev@mail.ru
ORCID iD: 0009-0001-0674-2385
SPIN-code: 9236-9260

cadet 6 course

Russian Federation, Saint Petersburg

Andrey V. Benin

Emperor Alexander I Saint Petersburg State Transport University

Email: benin.andrey@mail.ru
ORCID iD: 0000-0001-5646-0354
SPIN-code: 8251-4345

candidate of technical sciences

Russian Federation, Saint Petersburg

Stanislav O. Komichenko

Emperor Alexander I Saint Petersburg State Transport University

Email: komichenko@gmail.com
ORCID iD: 0000-0003-3608-0711
SPIN-code: 8261-3405

engineer

Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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2. Fig. 1. Anterior plate for ankle arthrodesis

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3. Fig. 2. Models of ankle arthrodesis in two projections (frontal and lateral): a —three cancellous screws; b — developed plate and two cancellous screws. 1 — cancellous screw, 2 — cortical screw, 3 — screw with angular stability

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4. Fig. 3. Radiographs of models of ankle arthrodesis in two projections (frontal and lateral): а — with three cancellous screws; b — a developed plate and two cancellous screws

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5. Fig. 4. Installation view of the second model: а — in the Shimadzu EZ Test 5 kN testing machine; b — in the Zwick Amsler 250 HB testing machine

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6. Fig. 5. Tracked points by the Imetrum measuring system on the models of the tibia and talus along the internal surface: а — first model; b — second model

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7. Fig. 6. Variation of the oscillation amplitude of ankle arthrodesis variants depending on dynamic loads

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