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The parameters derived during experimental ligament loading are considered to be essential to understanding ligament function and evaluating the appropriateness of different graft materials and fixation techniques commonly used in ACL reconstruction [26, 27, 28].
Revision procedures with the use of stems can place abnormal stresses through even normal bone by their constrained design, type of materials and fixation method and may contribute for bone loss.
To investigate the influence of different materials and fixation methods on maximum principal stress (MPS) and displacement in reconstruction plates using in silico 3-dimensional finite element analysis (3D-FEA).
Materials and fixation mechanisms could behave differently under different loading conditions.
At the same time, other mesh materials and fixation methods were used to compare the different outcomes and try to discern which factors were most directly related to a better host histocompatibility and lower incidence of graft related complications.
In contrast to certain other procedures (such as hip and knee arthroplasty) that are fairly standardized across patients, spine surgery is much more individualized for the specific spinal pathology, combining various graft materials and fixation devices with varying degrees of vertebral decompression and fusion.
Similar(53)
Table 2 Biomechanical data on graft material and fixation devices currently used in ACL reconstruction Fixation technique Ultimate failure load [N] Stiffness [N/mm] Reference Intact ACL 2160±157 242±28 [33] Quadrupled hamstring tendon graft 4140±n.n.n
The performed finite element (FE) numerical analysis showed, that the reason for this may be the presence of an air gap between the impacted material and fixation and also relatively short high stress time duration due to surface inclination during the surface treatment.
Additionally, they attributed the excellent survival rates to the stem's geometrical design rather than the choice of material and fixation surface [ 47, 53].
In previous pilot studies anterior vaginal implantation was evaluated, as well as different synthetic mesh materials, sizes and fixation methods (n = 1 to 3) during three weeks.
Three exploratory experiments were performed previously to the main experiment to compare the combination of PP mesh and Histoacryl with other materials, mesh sizes, and fixation methods.
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