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Biomechanical Research
About
The Phillip Spiegel Orthopaedic Research Laboratory at the Foundation for Orthopaedic Research and Education (FORE) is dedicated to the discovery of new and novel treatments, as well as the improvement of current treatment methodologies in orthopaedics. The Research Lab utilizes collaboration between different subspecialties of biomedical engineers and physicians to perform various biomechanical evaluation including: synthetic bone testing, cadaver testing, computer simulations and finite element modeling. Additionally, using advanced prototyping techniques, we are able to assist surgeons in pre-surgical planning through anatomical bone modeling.
In addition to biomechanics research, the laboratory is equipped to aid surgeons in the development of new ideas through the Center for Biodesign. The Center for Biodesign was established to assist surgeons with the design, prototyping, testing and patenting of new ideas. Through this process of innovation, we are confident that we will be able to discover solutions to orthopaedic problems and improve the overall treatment of patients with musculoskeletal disorders.
Current Studies
Hip
- Biomechanical evaluation of augmentation strategies for impending femoral neck fractures
Shoulder
- Influence of humeral stem component design on torsional stability in shoulder arthroplasty
- Parametric virtual study of range of motion afforded by reverse shoulder arthroplasty components
- Biomechanical comparison of fixation methods for proximal humerus fractures
Spine
- Kinematic comparison of lateral versus posterior instrumentation fusion constructs in the lumbar spine
Trauma
- Biomechanical evaluation of lag screw position in combination with tension band wiring on patella fracture fixation
- Patella fracture micromotion afforded by a novel fixation device
- Dynamic evaluation of fixation constructs for olecranon fractures
Biomechanical Publications and Conference Proceedings
Recent Publications
Cuff D, Levy JC, Gutierrez S, Frankle MA. Torsional stability of modular and non-modular reverse shoulder humeral components in a proximal humeral bone loss model. J Shoulder Elbow Surg. 2011 Jan 11. [Epub ahead of print]PMID: 21232990
Conference Proceedings
Freilich, Rebekah; Gutierrez, Sergio; Pupello, Derek; Lee, William; Frankle, Mark. Analysis of Joint Volume, Humeral Displacement and Deltoid Length Changes after Reverse Shoulder Arthroplasty: Hierarchy of Surgical and Implant-Related Factors. Orthopaedic Research Society Transactions Vol. 35, #1825 New Orleans, LA, 2010.Gutierrez, Sergio; Pupello, Derek; Comiskey, Charles; Frankle, Mark. Stability of Reverse Shoulder Humeral Implants in a Proximal Humerus Bone Loss Model. Orthopaedic Research Society Transactions Vol. 35, #1826 New Orleans, LA, 2010.
Gutierrez, Sergio; Pupello, Derek; Frankle, Mark. Effects of Eccentric Glenospheres and Baseplate Tilts on Shear Stress in Reverse Shoulder Implants. Orthopaedic Research Society Transactions Vol. 35, #1833 New Orleans, LA, 2010.
Palumbo B, Henderson E, Edwards PK, Burris B, Gutierrez S, Ancha A, Raterman SJ. Initial Experience of the Journey-Deuce Bicompartmental Knee Prosthesis. AAOS Annual Meeting (Paper #006), San Diego, CA, February 2011.
Gutierrez S, Frankle MA. Effects of Tilt and Glenosphere Eccentricity on Baseplate Forces in a Reverse Shoulder Model. AAOS Annual Meeting (Paper #368), San Diego, CA, February 2011.
Nayak A, Burris RB, Billys J, Castellvi AE. Multi-planar MIS lateral Lumbar Fusion Construct Stability Using a Combination of Lateral and Spinous Process Plating: Equivalence to Bilateral Pedicle Screw Fixation? ISASS Annual Meeting (Paper #300), Las Vegas, NV April 2011.
Henderson E, Santoni BG, Nayak A, Cabezas A, Cain R, Hale R, Sagi HC. The Effect of Cannulated Lag Screw Placement and Tension Band Wiring on Patellar Fracture Fixation: A Cadaveric Biomechanical Study. OTA Annual Meeting, October 2011. (In Review)
Cabezas A, Marulanda G, Murtaugh R, Nayak A, Santoni BG, Castellvi AE. Lumbar Spinal Canal Volume Changes due to Indirect Decompression with Comparison to Lateral Cage Positions: A Radiographic Analysis. NASS Annual Meeting, November 2011. (In Review)
Nayak A, Cabezas A, Santoni BG, Gutierrez S, Castellvi AE. A Novel Technique to Quantify Cage Translation as a Function of Loading in a Lumbar Spine Instrumented at Two Levels with Lateral-Interbody Cages in a Lateral Plate Fusion Construct. IMAST Annual Meeting, Copenhagen, Denmark, July 2011. (In Review)
Nayak A, Cabezas A, Santoni BG, Gutierrez S, Castellvi AE. Kinematic Comparison of Lateral Plate Versus Pedicle Screw Construct in Lumbar Spine Instrumented with Two-Level XLIF®. SOLAS Meeting, Del Mar, CA, March - April 2011. (In Review)
Center for Biodesign
The process of innovation has been the driving force for advancements in medicine. The Center for Biodesign at FORE was started with this premise in mind so that surgeons and biomedical engineers could work jointly to come up with solutions to current orthopaedic conditions. The Center for Biodesign is equipped to handle all aspects of design, prototyping, proof of concept testing and patenting.
Anatomical Modeling
Current imaging modalities at the disposal of the orthopaedic surgeon (including X-ray, MRI and CT) do not give a complete picture of a patient's diseased bone. Because of their inherent two dimensional nature, these imaging modalities make it difficult for the surgeon to get a three dimensional visual representation of the diseased bone before performing surgery. Through the use of anatomical bone modeling (creating a plastic model of the patient's bone), the surgeon is better able to perform pre-surgical planning and thus improve confidence during the actual surgical procedure.
All Upcoming CME
- 2012 Atlanta Trauma Symposium: Cutting-Edge for the Community Fracture Surgeon
- 2012 Fellows Day
- 2012 Orthopaedics for the Primary Care Practitioner & Rehabilitation Therapist
- 2012 Current Solutions in Orthopaedic Trauma
- 2013 Current Solutions in Shoulder and Elbow Surgery
- 2013 Selby Spine
- 2013 Current Solutions in Spine Surgery
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