Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability

This study focuses on the development and evaluation of the OrthoNail hybrid intramedullary implant for lower limb lengthening in patients requiring significant skeletal reconstruction. The implant addresses the challenges in load-bearing during rehabilitation, providing a robust solution that is ca...

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Main Authors: Dominika Grygier, Piotr Kowalewski, Mariusz Opałka, Jakub J. Słowiński, Mateusz Dziubek, Dariusz Pyka
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Journal of Functional Biomaterials
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Online Access:https://www.mdpi.com/2079-4983/16/1/27
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author Dominika Grygier
Piotr Kowalewski
Mariusz Opałka
Jakub J. Słowiński
Mateusz Dziubek
Dariusz Pyka
author_facet Dominika Grygier
Piotr Kowalewski
Mariusz Opałka
Jakub J. Słowiński
Mateusz Dziubek
Dariusz Pyka
author_sort Dominika Grygier
collection DOAJ
description This study focuses on the development and evaluation of the OrthoNail hybrid intramedullary implant for lower limb lengthening in patients requiring significant skeletal reconstruction. The implant addresses the challenges in load-bearing during rehabilitation, providing a robust solution that is capable of supporting physiological loads. Mechanical tests, including axial compression, tension, torsion, and 3,4-point bending, determined the implant’s load capacity and fatigue resistance, while finite element analysis assessed stress distributions in bone tissue and around screw holes during single-leg stance, with boundary conditions derived from Orthoload database data. The OrthoNail implant demonstrated excellent mechanical stability, sustaining torsional loads of up to 19.36 Nm at maximum elongation (80 mm) and 17.16 Nm at zero elongation. Under axial compression, it withstood forces of up to 1400 N, maintaining structural integrity. Fatigue testing revealed resilience under dynamic loading conditions for over 1,000,000 cycles at a load of 500 N, with no mechanical failure or material degradation observed. Stress concentrations near screw holes indicate areas for potential optimization. The findings indicate that the OrthoNail implant demonstrates excellent mechanical stability and is well-suited for clinical application, enabling early full weight-bearing during rehabilitation.
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publishDate 2025-01-01
publisher MDPI AG
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series Journal of Functional Biomaterials
spelling doaj-art-f64de7a7226c4c2f8247f572624713392025-01-24T13:36:10ZengMDPI AGJournal of Functional Biomaterials2079-49832025-01-011612710.3390/jfb16010027Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material DurabilityDominika Grygier0Piotr Kowalewski1Mariusz Opałka2Jakub J. Słowiński3Mateusz Dziubek4Dariusz Pyka5Department of Vehicle Engineering, Faculty of Mechanical Engineering, Wroclaw University of Science and Technology, Smoluchowskiego 25 Str., 50-370 Wroclaw, PolandOrthoget Sp. z o.o., Muchoborska 18, 54-424 Wrocław, PolandOrthoget Sp. z o.o., Muchoborska 18, 54-424 Wrocław, PolandOrthoget Sp. z o.o., Muchoborska 18, 54-424 Wrocław, PolandDepartment of Vehicle Engineering, Faculty of Mechanical Engineering, Wroclaw University of Science and Technology, Smoluchowskiego 25 Str., 50-370 Wroclaw, PolandDepartment of Mechanics, Materials and Biomedical Engineering, Faculty of Mechanical Engineering, Wrocław University of Science and Technology, Smoluchowskiego 25, 50-372 Wrocław, PolandThis study focuses on the development and evaluation of the OrthoNail hybrid intramedullary implant for lower limb lengthening in patients requiring significant skeletal reconstruction. The implant addresses the challenges in load-bearing during rehabilitation, providing a robust solution that is capable of supporting physiological loads. Mechanical tests, including axial compression, tension, torsion, and 3,4-point bending, determined the implant’s load capacity and fatigue resistance, while finite element analysis assessed stress distributions in bone tissue and around screw holes during single-leg stance, with boundary conditions derived from Orthoload database data. The OrthoNail implant demonstrated excellent mechanical stability, sustaining torsional loads of up to 19.36 Nm at maximum elongation (80 mm) and 17.16 Nm at zero elongation. Under axial compression, it withstood forces of up to 1400 N, maintaining structural integrity. Fatigue testing revealed resilience under dynamic loading conditions for over 1,000,000 cycles at a load of 500 N, with no mechanical failure or material degradation observed. Stress concentrations near screw holes indicate areas for potential optimization. The findings indicate that the OrthoNail implant demonstrates excellent mechanical stability and is well-suited for clinical application, enabling early full weight-bearing during rehabilitation.https://www.mdpi.com/2079-4983/16/1/27OrthoNailintramedullary implantbone lengtheningmechanical testingmaterial durability
spellingShingle Dominika Grygier
Piotr Kowalewski
Mariusz Opałka
Jakub J. Słowiński
Mateusz Dziubek
Dariusz Pyka
Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
Journal of Functional Biomaterials
OrthoNail
intramedullary implant
bone lengthening
mechanical testing
material durability
title Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
title_full Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
title_fullStr Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
title_full_unstemmed Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
title_short Analysis of the Feasibility of the OrthoNail Hybrid Intramedullary Implant in the Human Body with Respect to Material Durability
title_sort analysis of the feasibility of the orthonail hybrid intramedullary implant in the human body with respect to material durability
topic OrthoNail
intramedullary implant
bone lengthening
mechanical testing
material durability
url https://www.mdpi.com/2079-4983/16/1/27
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AT mariuszopałka analysisofthefeasibilityoftheorthonailhybridintramedullaryimplantinthehumanbodywithrespecttomaterialdurability
AT jakubjsłowinski analysisofthefeasibilityoftheorthonailhybridintramedullaryimplantinthehumanbodywithrespecttomaterialdurability
AT mateuszdziubek analysisofthefeasibilityoftheorthonailhybridintramedullaryimplantinthehumanbodywithrespecttomaterialdurability
AT dariuszpyka analysisofthefeasibilityoftheorthonailhybridintramedullaryimplantinthehumanbodywithrespecttomaterialdurability