STRESS-DEFORMED STATE OF THE ACROMIOCLAVICULAR JOINT IN CASE OF DAMAGE TO THE UPPER ACROMIOCLAVICULAR LIGAMENT SUPERIOR AND VARIOUS METHODS OF FIXATION

Authors

  • Olexander Buryanov Bogomolets National Medical University, Kyiv. Ukraine, Ukraine
  • Volodymyr Kvasha Bogomolets National Medical University, Kyiv. Ukraine, Ukraine
  • Dmytro Chekushyn Bogomolets National Medical University, Kyiv. Ukraine, Ukraine
  • Mykhailo Zadnychenko Bogomolets National Medical University, Kyiv. Ukraine, Ukraine
  • Mykhailo Karpinsky Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Olexander Yaresko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine

DOI:

https://doi.org/10.15674/0030-59872024233-41

Keywords:

Acromioclavicular joint, ligaments, fixation

Abstract

During the operative stabilization of the acromial end of the clavicle (AEC) for its dislocation, there are two ways: clavicle – beaklike process, clavicle – acromial process. Fixation of the AEC to the acromial process of the scapula is a priority. Competing metal structures are the hook plate and the Weber method. The significant disadvantages of using the Weber method of fixation are the migration of the tips and the violation of their integrity and
the wire. Objective. To conduct a comparative analysis of the fixation of the acromial end of the clavicle according to Weber, hook plate and the proposed construction, by studying the stressed-deformed state of the clavicular-acromial joint in case of damage to the lig. acromioclavicular superior and various methods of fixation. Methods. A finite-element model of the clavicular-acromial joint was constructed. Damage to the ligaments was modeled. claviculo-acoacromiale superior, as well as fixation of AEC in three ways: according to Weber, hook plate and the proposed construction. Results. The best results, from the point of view of reducing the level of stresses in intact ligaments, are provided by fixation of the AEC according to Weber, but its use leads
to an increase in the level of stresses on the AEC and the acromial process of the scapula, which can cause destruction of the latter. The hinge-type fixator provides the best stress distribution, both in the bony elements of the model and in intact ligaments. The hook plate holder occupies an average position,
both in terms of the level of stress and the magnitude of the relative deformations in the ligaments. Conclusions. Weber fixation provides the best results for reducing the level of stresses and relative strains in the intact ligaments, but leads to a several-fold increase in the level of stresses on the AEC and acromial process of the scapula. The hook plate holder occupies an average position, both in terms of the stress level and the magnitude of the relative
deformations in the ligaments. The proposed design provides the best stress distribution, both in the bony elements of the model and in the intact ligaments.

Author Biographies

Olexander Buryanov, Bogomolets National Medical University, Kyiv. Ukraine

MD, Prof. in Orthopaedics and Traumatology

Volodymyr Kvasha, Bogomolets National Medical University, Kyiv. Ukraine

MD, Prof. in Orthopaedics and Traumatology

Dmytro Chekushyn, Bogomolets National Medical University, Kyiv. Ukraine

MD

Mykhailo Zadnychenko, Bogomolets National Medical University, Kyiv. Ukraine

MD, PhD

References

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How to Cite

Buryanov, O., Kvasha, V. ., Chekushyn, D., Zadnychenko, M. ., Karpinsky, M., & Yaresko, O. . (2024). STRESS-DEFORMED STATE OF THE ACROMIOCLAVICULAR JOINT IN CASE OF DAMAGE TO THE UPPER ACROMIOCLAVICULAR LIGAMENT SUPERIOR AND VARIOUS METHODS OF FIXATION. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 33–41. https://doi.org/10.15674/0030-59872024233-41

Issue

No. 2 (2024)

Section

ORIGINAL ARTICLES

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