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In Situ Deformation of First Tarsometatarsal Arthrodesis Implants with Digital Image Correlation: A Cadaveric Study

  • Interactions between Biomaterials and Biological Tissues and Cells
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Abstract

Hallux valgus can be addressed through realignment and arthrodesis of the first tarsometatarsal joint. This study aimed to characterize the biomechanical performance of two implant constructs in a matched-pair cadaveric model. Simulated first tarsometatarsal arthrodesis utilized either a lag screw plus locking plate or nitinol staple construct placed in 90-degree configuration. In situ digital image correlation was performed on fresh-frozen cadaveric specimens to characterize 1st tarsometatarsal gapping during cyclic loading. Interfacial characteristics were analyzed with gap displacement allowed by the implant following cyclical loading. The locking plate and nitinol staple constructs gapped 1.367 ± 0.917 mm and 2.116 ± 0.8934 mm, respectively, under 50 N. Removing load, the locking plate and nitinol staple constructs measured 0.3898 ± 0.3787 mm and 0.673 ± 0.5467 mm of residual gapping, respectively. In our cadaver model, both constructs maintained compression and residual stability of the first tarsometatarsal joint gap under 3 mm. Contrary to our synthetic bone study, the locking plate constructs provided statistically superior performance during loading compared to nitinol staples.

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References

  1. M.J. Coughlin, C.P. Jones, R. Viladot, P. Glanó, B.R. Grebing, M.J. Kennedy, and F. Alvarez, Foot Ankle Int. 25, 537. https://doi.org/10.1177/107110070402500805 (2004).

    Article  Google Scholar 

  2. J.K. Ellington, M.S. Myerson, J.C. Coetzee, and R.M. Stone, Foot Ankle Int. 32, 674. https://doi.org/10.3113/FAI.2011.0674 (2011).

    Article  Google Scholar 

  3. J.S. Kim, H.K. Cho, K.W. Young, J. Kim, and K.T. Lee, Clin. Orthop. Surg. 9, 514. https://doi.org/10.4055/cios.2017.9.4.514 (2017).

    Article  Google Scholar 

  4. E. So, B. Van Dyke, M.R. McGann, R. Brandao, D. Larson, and C.F. Hyer, Foot Ankle Surg. 58, 62. https://doi.org/10.1053/j.jfas.2018.08.010 (2019).

    Article  Google Scholar 

  5. S. Nix, M. Smith, and B. Vicenzino, Foot Ankle Res. 3, 1. https://doi.org/10.1186/1757-1146-3-21 (2010).

    Article  Google Scholar 

  6. P.E. Scranton, J.C. Coetzee, and D. Carreira, Foot Ankle Int. 30, 341. https://doi.org/10.3113/fai.2009.0341 (2009).

    Article  Google Scholar 

  7. P. Sztefek, M. Vanleene, R. Olsson, R. Collinson, A.A. Pitsillides, and S. Shefelbine, J. Biomech. 43, 599. https://doi.org/10.1016/j.jbiomech.2009.10.042 (2010).

    Article  Google Scholar 

  8. M.A. Sutton, J.J. Orteu, and H.W. Schreier, Image Correlation for Shape Motion and Deformation Measurements (Springer, Boston, 2009), pp 1–37.

    Google Scholar 

  9. R. Ghorbani, F. Matta, and M. Sutton, Exp Mech. 55, 227. https://doi.org/10.1007/s11340-014-9906-y (2014).

    Article  Google Scholar 

  10. M.A. Sutton, J. Yan, X. Deng, C.S. Cheng, and P.D. Zavattieri, Opt. Eng. 46, 1. https://doi.org/10.1117/1.2741279 (2007).

    Article  Google Scholar 

  11. J.D. Helm, S.R. McNeil, and M.A. Sutton, Opt. Eng. 35, 1911. https://doi.org/10.1117/1.600624 (1996).

    Article  Google Scholar 

  12. M.N. Rossol, J.H. Shaw, H. Bale, R.O. Ritchie, D.B. Marshall, and F.W. Zok, J. Am. Ceram. Soc. 96, 2362. https://doi.org/10.1111/jace.12468 (2013).

    Article  Google Scholar 

  13. V.C. Shen, C.H. Bumgardner, L. Actis, J. Ritz, J. Park, and X. Li, Clin. Biomech. 71, 29. https://doi.org/10.1016/j.clinbiomech.2019.10.011 (2020).

    Article  Google Scholar 

  14. J.M. Cottom, and J.S. Baker, Foot Ankle Spec. 10, 227. https://doi.org/10.1177/1938640016676341 (2017).

    Article  Google Scholar 

  15. E.A. Friis, Mechanical Testing of Orthopaedic Implants (Woodhead Publishing, Cambridge, 2016), pp 231–253.

    Google Scholar 

  16. K. Klos, B. Gueorguiev, T. Mückley, R. Frober, G.O. Hofmann, K. Schwieger, and M. Windolf, Foot Ankle Int. 31, 158. https://doi.org/10.3113/fai.2010.0158 (2010).

    Article  Google Scholar 

  17. B. Campbell, P. Schimoler, S. Belagaje, M.C. Miller, and S.F. Conti, J. Orthop Surg. Res. 12, 1. https://doi.org/10.1186/s13018-017-0525-z (2017).

    Article  Google Scholar 

  18. A.T. Scott, J.K. DeOrio, H.E. Montijo, and R.R. Glisson, Clin. Biomech. 25, 271. https://doi.org/10.1016/j.clinbiomech.2009.12.006 (2010).

    Article  Google Scholar 

  19. A. Aiyer, N.A. Russell, M.H. Pelletier, M. Myerson, and W.R. Walsh, Foot Ankle Spec. 9, 232. https://doi.org/10.1177/1938640015620655 (2015).

    Article  Google Scholar 

  20. D. Drummond, T. Motley, V. Kosmopoulos, and J. Ernst, Foot Ankle Surg. 57, 466. https://doi.org/10.1053/j.jfas.2017.10.025 (2018).

    Article  Google Scholar 

  21. O.N. Schipper, S.E. Ford, P.W. Moody, B. Van Doren, and J.K. Ellington, Foot Ankle Int. 39, 172. https://doi.org/10.1177/1071100717737740 (2018).

    Article  Google Scholar 

  22. C.C. Dock, K.L. Freeman, J.C. Coetzee, R.S. Mcgaver, and M.R. Giveans, Foot Ankle Orthop. 5, 1. https://doi.org/10.1177/2473011420944904 (2020).

    Article  Google Scholar 

  23. E.J. Luger, M. Nissan, A. Karpf, E.L. Steinberg, and S. Dekel, J. Bone Jt. Surg. 81, 199. https://doi.org/10.1302/0301-620x.81b2.9353 (1999).

    Article  Google Scholar 

  24. Q.J. Hoon, M.H. Pelletier, C. Christou, K.A. Johnson, and W.R. Walsh, J. Exp. Orthop. 3, 19. https://doi.org/10.1186/s40634-016-0055-3 (2016).

    Article  Google Scholar 

  25. T.L. Bredbenner, and R.H. Haug, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 90, 574. https://doi.org/10.1067/moe.2000.111025 (2000).

    Article  Google Scholar 

  26. F. O’Neill, F. Condon, T. McGloughlin, B. Lenehan, C. Coffey, and M. Walsh, Bone Jt. Res. 1, 50. https://doi.org/10.1302/2046-3758.14.2000044 (2012).

    Article  Google Scholar 

  27. J. Kraus, M.J. Ziegele, M. Wang, and B. Law, Foot Ankle Orthop. 6, 1. https://doi.org/10.1177/24730114211026934 (2021).

    Article  Google Scholar 

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Acknowledgements

We would like to thank BioMedical Enterprises for providing the implant hardware. We would also like to acknowledge MedCure as well as Dr. David Moyer and Kerrie May-Nikstaitis of Surgical Skills Training Center and Gross Anatomy Lab at the University of Virginia for their assistance.

Funding

Funding was provide by DePuy Synthes Spine.

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Authors and Affiliations

  1. Department of Mechanical and Aerospace Engineering, University of Virginia, 122 Engineer’s Way, Charlottesville, VA, 22903, USA

    Victor ChuYu Shen, Clifton Bumgardner & Xiaodong Li

  2. DePuy Synthes, 1301 Goshen Parkway, West Chester, PA, 19380, USA

    Lisa Actis

  3. Department of Orthopaedic Surgery, University of Virginia, 545 Ray C Hunt Dr, Charlottesville, VA, 22903, USA

    Joseph Park

  4. School of Medicine, University of Virginia, 1215 Lee St, Charlottesville, VA, 22908, USA

    David Moyer & Kerrie May-Nikstaitis

Authors
  1. Victor ChuYu Shen
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  7. Xiaodong Li
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Correspondence to Xiaodong Li.

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Conflict of interest

Dr. Park is a paid speaker/consultant for DePuy Synthes and performed the surgical implantation of all arthrodesis constructs. He was not involved in the testing or characterization of the constructs.

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Shen, V.C., Bumgardner, C., Actis, L. et al. In Situ Deformation of First Tarsometatarsal Arthrodesis Implants with Digital Image Correlation: A Cadaveric Study. JOM 74, 3357–3366 (2022). https://doi.org/10.1007/s11837-022-05391-0

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  • DOI: https://doi.org/10.1007/s11837-022-05391-0

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