In an attempt to reduce pin loosening, a flanged external fixator pin has been designed and its bending stiffness has been compared with that of a standard pin. The pins were inserted into pilot holes previously drilled into a piece of teak hardwood. Loads of different magnitudes were applied at a fixed moment arm and force-deflection curves were obtained. Thereafter, percentage stiffness increase was calculated for each pilot hole size. The results show that the addition of a collar to the external fixator pin increases its stiffness and its ability to resist bending forces. In a parallel study, the stresses generated at the pin-bone interface by this pin and a standard pin were compared using finite element analysis techniques. The results show that the flange significantly reduced the stresses generated at the pin-bone interface. In addition, stresses were dissipated over a wider area.
Biomechanical Phenomena Bone Nails