Residual Stresses in Surgical Growing Rods

Author:

Croonenborghs Maïté1ORCID,Ismail Karim1,Mousny Maryline2,Delannay Laurent1ORCID,Everaerts Joris3,Korsunsky Alexander M.4,Jacques Pascal J.1,Pardoen Thomas56ORCID

Affiliation:

1. Institute of Mechanics, Materials and Civil Engineering, Université catholique de Louvain , Place Sainte Barbe 2 L5.02.02, Louvain-la-Neuve 1348, Belgium

2. Centre Plurisanté , 11 avenue de l'Andalousie, Bruxelles 1140, Belgium

3. Department of Materials Engineering, KU Leuven , Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium

4. Department of Engineering Science, University of Oxford , Parks Road, Oxford OX1 3PJ, UK

5. , Place Sainte Barbe 2 L5.02.02, Louvain-la-Neuve 1348, Belgium; Wel Research Institute, Avenue Pasteur, 6, Wavre 1300, Belgique

6. Institute of Mechanics, Materials and Civil Engineering, Université catholique de Louvain , Place Sainte Barbe 2 L5.02.02, Louvain-la-Neuve 1348, Belgium; Wel Research Institute, Avenue Pasteur, 6, Wavre 1300, Belgique

Abstract

Abstract The treatment of early onset scoliosis using surgical growing rods suffers from high failure rate. Fatigue resistance can be improved by inducing compressive residual stresses within the near surface region. An in-depth investigation of the residual stresses profile evolution is performed through the sequence of material processing steps followed by surgeons handling operations, in connection to material properties. The final goal is to guide further improvements of growing rod lifetime. Residual stress evaluation was carried out on Ti-6Al-4V rods using digital image correlation applied to microbeam ring-core milling by focused ion beam. This provided experimental stress profiles in shot-peened rods before and after bending and demonstrated that compressive residual stresses are maintained at both concave and convex rod sides. A finite element model using different core and skin conditions was validated by comparison to experiments. The combination of an initial shot peening profile associated with a significant level of backstress was found to primarily control the generation of compressive stresses at the rod surface after bending. Guidelines to promote larger compressive stresses at the surface were formulated based on a parametric analysis. The analysis revealed the first order impact of the initial yield strength, kinematic hardening parameters and intensity of the shot peening operation, while the bending angle and the depth of shot peening stresses were found to be of minor importance. Materials exhibiting large kinematic hardening and low yield strength should be selected in order to induce compressive residual stresses at key fatigue initiation site.

Publisher

ASME International

Subject

Physiology (medical),Biomedical Engineering

Reference29 articles.

1. Early-Onset Scoliosis-Current Treatment;Orthop. Traumatol. Surg. Res.,2015

2. Early Onset Scoliosis: Current Concepts and Controversies;Curr. Rev. Musculoskelet. Med.,2012

3. Growing Rod Concepts: State of the Art;Eur. Spine J.,2013

4. A Novel Technique for Treatment of Progressive Scoliosis in Young Children Using a 3-Hook and 2-Screw Construct (H3S2) on a Single Sub-Muscular Growing Rod: Surgical Technique;Eur. Spine J.,2014

5. Growing Rod Fractures: Risk Factors and Opportunities for Prevention;Spine (Phila. Pa. 1976),2011

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