Copyright © 2018 Authors. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted
use, distribution, and reproduction in any medium, provided the original work is properly cited.
International Journal of Engineering & Technology, 7 (4.26) (2018) 190-193
International Journal of Engineering & Technology
Website: www.sciencepubco.com/index.php/IJET
Research paper
Effect of Ring Material and Diameter on Orthopedic Implant
Stability: External Fixation in Femur Bone
Nur Fatin Izzati Ibrahim
1
*, Ruslizam Daud
2
, Muhammad Khairul Ali Hassan
3
, Noor Alia Md Zain
4
, Nur Saifullah
Kamaruddin
5
, Asrul Fahmi Azizan
6
, Yazid Bajuri
7
1
Fracture and Damage Mechanics SIG, School of Mechatronic Engineering, Universiti Malaysia Perlis (UniMAP), 02600 Arau, Perlis
2
Institute of Mathematics, Universiti Malaysia Perlis (UniMAP), 02600 Arau, Perlis
3
Department of Orthopedics and Traumatology, Hospital Tuanku Fauziah, 01000 Kangar, Perlis
4
Department of Orthopedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur
*Corresponding author E-mail: nurfatinizzati94@gmail.com
Abstract
Axial stiffness is the most important factor in stability. It is known that any changes in the diameter of any components of the frame will
either increase or decrease the axial stiffness of the fixation. The model of implant and bone will be variety as the variables changes.
Current studies states that ring stability are one of the most important factors in ensuring fractured bones to have a successful re-union. In
circular external fixation, the stability of the pin-bone interaction is influenced by the stability of the fixation frame where the major
component is the rings. The objective is to study the finite element analysis (FEA) of the external fixator assembled in human diaphysis
under compression force with different materials of the exoskeleton which are stainless steel, titanium alloy, magnesium alloy and carbon
fiber. The results obtained show the mechanical strength of each material where it will be used to compare the value of von-Mises stress,
stiffness and total deformation to acquire the best suitable ring diameter and material. Based on the result, as the diameter of the ring
increases, the stiffness of the ring will be decreased.
Keywords: External Fixation, Stiffness, Structural Analysis.
1. Introduction
Human body contains 206 bones that can be divided into two
categories which are axial skeleton and appendicular skeleton.
Femur bone is the most important part of leg for human to walk
but most of bone fracture will occur at femur bone especially for
elder people. Fracture happens when the bone cannot withstand
the external impact or stress exerted upon them [1]. Fracture can
be divided into two types which are open fracture or closed
fracture. Open fractured usually happens when a high-force blow
hits the thigh bone that caused by a collision with an object for
example, a car accident. In order to heal the fractured site, an
external fixator is used because it can create a mechanical
environment to help heal the bone fractures typically by the
secondary bone healing in suitable patients [2]. External fixator is
known as an exoskeleton applied to a broken endoskeleton where
any changes in exoskeleton effects the endoskeleton [3]. It is used
to maximize the stability of a broken bone where pins and screws
are attached to the frame outside the skin. The advantage of using
this kind of fixation are that it makes less interruption of blood
supply to fracture fragments, decrease the length of surgery where
sometimes surgeon left the fixation at patient until fracture is fully
healed and decreasing the blood loss [4]. As a result, stability can
be conceived as the sum of distribution from both endo- and
exoskeleton. However, fixation failure can lead to a few
complications that will be experienced by the patient such as pin
loosening that can directly increase pain. Therefore it will lead to
the usage of excessive pain medication and delayed in the
mobilization. According to Pommer et al, [5] the early occurrence
of pin loosening is due to mechanical reason where the main
reason of the failure of the implant is the stability. Each of the
components of the system is directly influence the stability of
external fixator. Frame is one of the components that directly
influence the stability where the ring properties give a huge impact
towards it [6]. According to Zhang and Oyadiji [7], the stiffness of
circular fixator effect by the properties of the rings. In order to
prevent these circumstances, a newly designed external fixator has
been introduced by Hospital Universiti Kebangsaan Malaysia
(HUKM) and Universiti Malaysia Perlis (UniMAP) as a universal
fixator for bone fracture treatments was used for this study. Inves-
tigation for identifying and measuring strength or weakness of the
performance of fixator is needed before apply to human body.
Therefore, in order to prevent failure of the implant, the under-
standing of the effect of ring diameter on the mechanical perform-
ance of the external fixator is paramount to avoid. Thus, delay the
process of osseointegration and bone remodelling.
2. Materials and Methods
Figure 1(a) shows the fixator that was designed in SolidWork and
all the finite element analysis were conducted by using ANSYS
Workbench. The bone is attached to four half pins and two half
ring to give support to the bone. The rings have the diameter of
150 mm, 180 mm, 200 mm and 240 mm where these diameters are
the standard size of existing rings in clinical use where a constant
standard radial thickness of 12 mm and axial thickness of 5 mm
were applied. The half pins used are also the standard size half
pins where they have the diameter of 4 mm and it is attached 2