Publicação

Effect of two different bone cements in thermal necrosis when associated to titanium versus carbon nailing for bone metastases a numerical study

Ver documento

Detalhes bibliográficos
Resumo:The main objective of the paper is to study the thermal effect induced by different bone cements associated with intramedullary nails, titanium and carbon, in bone metastases treatment. The thermal necrosis effect of each cement polymerisation was verified to understand the role of such procedures. Numerical models with nailing systems, introduced in a cortical and spongy bone metastasis, were developed aiming to predict the temperature produced by different types and amount of cement polymerisation. The results showed that the polymerisation heat release in all models with a cement mantle filling in around the intramedullary nail and the necrosis largest area was predicted with CMW3®. It was verified that CF/PEEK nail and high viscosity Palacos R® reduce the heat transfer and the necrosis affected area. This effect could be an advantage for treatment, which aims to keep long-term stability and local metastatic disease control for functional improvement and pain relief.
Autores principais:Rua, Cláudia C.
Outros Autores:Belinha, Jorge; Piloto, P.A.G.; Jorge, R.M. Natal; Oliveira, Vânia C.; Fonseca, E.M.M.
Assunto:Bone cement Bone metastases Thermal necrosis Titanium nail Carbon nail Numerical model Thermal analysis Computational model Intramedullary nail Metastatic lesion
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
Descrição
Resumo:The main objective of the paper is to study the thermal effect induced by different bone cements associated with intramedullary nails, titanium and carbon, in bone metastases treatment. The thermal necrosis effect of each cement polymerisation was verified to understand the role of such procedures. Numerical models with nailing systems, introduced in a cortical and spongy bone metastasis, were developed aiming to predict the temperature produced by different types and amount of cement polymerisation. The results showed that the polymerisation heat release in all models with a cement mantle filling in around the intramedullary nail and the necrosis largest area was predicted with CMW3®. It was verified that CF/PEEK nail and high viscosity Palacos R® reduce the heat transfer and the necrosis affected area. This effect could be an advantage for treatment, which aims to keep long-term stability and local metastatic disease control for functional improvement and pain relief.