Configuration design and correction ability evaluation of a novel external fixator for foot and ankle deformity treated by U osteotomy.

As a basic osteotomy technique, U osteotomy can be applied for certain complex foot and ankle deformities. Gradual correction cases using Ilizarov apparatus and Taylor Spatial Frame have been reported. This paper proposes a novel parallel distraction apparatus for U osteotomy (PDA-Uos) to supplement...

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Published in:Medical & Biological Engineering & Computing Vol. 58; no. 3; pp. 541 - 559
Main Authors: Zuo, Shiping, Dong, Mingjie, Li, Jianfeng, Tao, Chunjing, Ji, Run
Format: Journal Article
Published: Springer Nature Mar2020
Online Access:View this record in EBSCOhost
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      dt: Mar2020
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        atl: Configuration design and correction ability evaluation of a novel external fixator for foot and ankle deformity treated by U osteotomy.
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          Zuo, Shiping
          Dong, Mingjie
          Li, Jianfeng
          Tao, Chunjing
          Ji, Run
        affil: College of Mechanical Engineering and Applied Electronics Technology, Beijing University of Technology, 100124, Beijing, People's Republic of China
      sug:
        subj:
          Ankle Joint Abnormalities
          Ankle Joint Surgery
          External Fixators
          Foot Deformities, Congenital Surgery
          Osteotomy Equipment and Supplies
          Equipment Design
          Motion
          Computer Simulation
          Kinematics
          Clinical Assessment Tools
      ab: As a basic osteotomy technique, U osteotomy can be applied for certain complex foot and ankle deformities. Gradual correction cases using Ilizarov apparatus and Taylor Spatial Frame have been reported. This paper proposes a novel parallel distraction apparatus for U osteotomy (PDA-Uos) to supplement the correction equipment for surgeon. Designed with an adjustable structure, the PDA-Uos can adopt different assembly shapes (joint connection points). However, the influence of the change in assembly shape on interference-free workspace and self-structural performance of the external fixator have received little attention. To address this issue and enhance the selection of the most suitable assembly shape for patient, an algorithm to obtain the interference-free workspace of different assembly shapes is proposed based on the inverse position solution of the PDA-Uos. Additionally, correction ability indices are defined according to the requirements of accurately controlled motion and high structural stiffness of the external fixator along the correction path. The results of simulation cases indicate that the interference-free workspace and the correction ability vary according to the assembly shape and thus the proposed method can be used to select an assembly shape with sufficient workspace and the best correction ability before performing correction for a given patient. Graphical abstract.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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