The influence of the characteristics of plastic materials used in the performance of the thoraco-lumbar orthoses

Abstract

The aim of the paper is to identify the of optimal plastic type used in obtaining thoraco-lumbar orthoses - used in the treatments of comminutive fracture, of burst fracture type of the vertebrae in the lumbar area. For this purpose, with the help of Finite Element Analysis (FEA), a theoretical study was carried out on the influence of elastic properties of plastics, used in the achieving of lumbar orthoses, on the state of tension and on the local displacements of the bone fragments from the traumatized area under the condition of the movement from the base of extension and flexion. In the study the force of flexion, the force of extension and the elastic modulus of plastic material varied on three levels. The theoretical results obtained were completed with clinical trials carried out on a total of 26 patients who suffer thoraco-lumbar comminutive fracture, burst fractures type, at vertebra T11 and were immobilized in Boston-type plastic orthoses made of: polypropylene (PP), rigid vinyl polychloride (PVC-D) and polytetrafluoroethylene (PTFE). As a result of observations, it was found that the use of an orthesis made from rigid plastic material, although it appears higher stresses in the traumatized zone, the displacements of bone fragments are smaller, the pains is higher in the fractured zone, the angle of kyphosis (LKA) close to the normal value and a better mobility of the spine (ODI indicator).