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The effect of early weight-bearing on bone fusion after triple arthrodesis

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Listed:
  • Qingwei Yang
  • Chunlong Shan
  • Bo Zhao
  • Wei Liu
  • Jizhe Hai

Abstract

Triple arthrodesis is an effective method for treating stiff horseshoe feet and severe osteoarthritis. However, it is still a challenge to improve postoperative bone fusion by changing early weight-bearing. This study improved the classical bone remodeling algorithm, established a mathematical relationship between density change rate and mechanical stimulation, and combined it with finite element theory. The proposed algorithm can not only predict the effect of early weight-bearing on triple arthrodesis but also visually demonstrate the change of bone mineral density with time. The analysis results indicated that 2.5% of the initial load was a potential factor leading to bone nonunion, and 50% of the initial load would result in bone resorption. Meanwhile, it was found that 25% of the external load was more conducive to postoperative rehabilitation. The study results have theoretical significance for enhancing the effect of postoperative bone fusion and formulating a more scientific rehabilitation program, thereby supporting patients’ postoperative rehabilitation exercise.

Suggested Citation

  • Qingwei Yang & Chunlong Shan & Bo Zhao & Wei Liu & Jizhe Hai, 2025. "The effect of early weight-bearing on bone fusion after triple arthrodesis," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 28(4), pages 419-429, March.
  • Handle: RePEc:taf:gcmbxx:v:28:y:2025:i:4:p:419-429
    DOI: 10.1080/10255842.2023.2293646
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