scholarly journals The influence of mini-fragment plates on the mechanical properties of long-bone plate fixation

2019 ◽  
Vol 2 (3) ◽  
pp. e034 ◽  
Author(s):  
Riley Knox ◽  
Patrick Curran ◽  
Safa Herfat ◽  
Utku Kandemir ◽  
Meir Marmor
2011 ◽  
Vol 11 ◽  
pp. 1692-1698 ◽  
Author(s):  
S. Ochman ◽  
T. Vordemvenne ◽  
J. Paletta ◽  
M. J. Raschke ◽  
R. H. Meffert ◽  
...  

Introduction. Osteotomy or fracture models can be used to evaluate mechanical properties of fixation techniques of the hand skeletonin vitro. Although many studies make use of osteotomy models, fracture models simulate the clinical situation more realistically. This study investigates monocortical and bicortical plate fixation on metacarpal bones considering both aforementioned models to decide which method is best suited to test fixation techniques.Methods. Porcine metacarpal bones () were randomized into 4 groups. In groups I and II bones were fractured with a modified 3-point bending test. The intact bones represented a further control group to which the other groups after fixation were compared. In groups III and IV a standard osteotomy was carried out. Bones were fixated with plates monocortically (group I, III) and bicortically (group II, IV) and tested for failure.Results. Bones fractured at a mean maximum load of 482.8 N  104.8 N with a relative standard deviation (RSD) of 21.7%, mean stiffness was 122.3  35 N/mm. In the fracture model, there was a significant difference () for maximum load of monocortically and bicortically fixed bones in contrast to the osteotomy model ().Discussion. In the fracture model, because one can use the same bone for both measurements in the intact state and the bone-plate construct states, the impact of inter-individual differences is reduced. In contrast to the osteotomy model there are differences between monocortical and bicortical fixations in the fracture model. Thus simulation of thein vivosituation is better and seems to be suitable for the evaluation of mechanical properties of fixation techniques on metacarpals.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yung-Cheng Chiu ◽  
Cheng-En Hsu ◽  
Tsung-Yu Ho ◽  
Yen-Nien Ting ◽  
Ming-Tzu Tsai ◽  
...  

Abstract Background Metacarpal shaft fractures are a common hand trauma. The current surgical fixation options for such fractures include percutaneous Kirschner wire pinning and nonlocking and locking plate fixation. Although bone plate fixation, compared with Kirschner wire pinning, has superior fixation ability, a consensus has not been reached on whether the bone plate is better placed on the dorsal or lateral side. Objective The purpose of this study was to evaluate the fixation of locking and regular bone plates on the dorsal and lateral sides of a metacarpal shaft fracture. Materials and methods Thirty-five artificial metacarpal bones were used in the experiment. Metacarpal shaft fractures were created using a saw blade, which were then treated with four types of fixation as follows: (1) a locking plate with four locking bicortical screws on the dorsal side (LP_D); (2) a locking plate with four locking bicortical screws on the lateral side (LP_L); (3) a regular plate with four regular bicortical screws on the dorsal side (RP_D); (4) a regular plate with four regular bicortical screws on the lateral side (RP_D); and (5) two K-wires (KWs). All specimens were tested through cantilever bending tests on a material testing system. The maximum fracture force and stiffness of the five fixation types were determined based on the force–displacement data. The maximum fracture force and stiffness of the specimens with metacarpal shaft fractures were first analyzed using one-way analysis of variance and Tukey’s test. Results The maximum fracture force results of the five types of metacarpal shaft fracture were as follows: LP_D group (230.1 ± 22.8 N, mean ± SD) ≅ RP_D group (228.2 ± 13.4 N) > KW group (94.0 ± 17.4 N) > LP_L group (59.0 ± 7.9 N) ≅ RP_L group (44.5 ± 3.4 N). In addition, the stiffness results of the five types of metacarpal shaft fracture were as follows: LP_D group (68.7 ± 14.0 N/mm) > RP_D group (54.9 ± 3.2 N/mm) > KW group (20.7 ± 5.8 N/mm) ≅ LP_L group (10.6 ± 1.7 N/mm) ≅ RP_L group (9.4 ± 1.2 N/mm). Conclusion According to our results, the mechanical strength offered by lateral plate fixation of a metacarpal shaft fracture is so low that even KW fixation can offer relatively superior mechanical strength; this is regardless of whether a locking or nonlocking plate is used for lateral plate fixation. Such fixation can reduce the probability of extensor tendon adhesion. Nevertheless, our results indicated that when lateral plate fixation is used for fixating a metacarpal shaft fracture in a clinical setting, whether the mechanical strength offered by such fixation would be strong enough to support bone union remains questionable.


2000 ◽  
Vol 13 (2) ◽  
pp. 327
Author(s):  
Jong Seok Park ◽  
Jae Hoon Lee ◽  
Hee Kwon ◽  
Jae Eung Yoo ◽  
Joon Min Song ◽  
...  

Author(s):  
Christopher B. Ruff ◽  
Ryan W. Higgins ◽  
Kristian J. Carlson

Long bone diaphyseal cross-sectional geometries reflect the mechanical properties of the bones, and can be used to aid in inferences of locomotor behavior in extinct hominins. This chapter considers all available long bone diaphyseal and femoral neck cross-sections of specimens from Sterkfontein Member 4, and presents comparisons of these section properties and other cross-sectional dimensions with those of other early hominins as well as modern samples. The cross-sectional geometry of the Sterkfontein Member 4 long bone specimens suggests some similarities to, but also interesting differences in, mechanical loading of these elements relative to modern humans. The less asymmetric cortical bone distribution in the Sterkfontein femoral necks is consistent with other evidence above indicating an altered gait pattern involving lateral displacement of the body center of mass over the stance limb. The relatively very strong upper limb of StW 431 implies that arboreal behavior formed a significant component of its locomotor repertoire. Bipedal gait may have been less efficient and arboreal climbing more prevalent in the Sterkfontein hominins.


2020 ◽  
Vol 142 (12) ◽  
Author(s):  
Yann Zimmermann ◽  
Tanvir Mustafy ◽  
Isabelle Villemure

Abstract Microcomputed tomography (micro-CT) based finite element models (FEM) are efficient tools to assess bone mechanical properties. Although they have been developed for different animal models, there is still a lack of data for growing rat long bone models. This study aimed at developing and calibrating voxel-based FEMs using micro-CT scans and experimental data. Twenty-four tibiae were extracted from rats aged 28, 56, and 84 days old (d.o.) (n = 8/group), and their stiffness values were evaluated using three-point bending tests. Prior to testing, tibiae were scanned, reconstructed, and converted into FEM composed of heterogeneous bone properties based on pixel grayscales. Three element material laws (one per group) were calibrated using back-calculation process based on experimental bending data. Two additional specimens per group were used for model verification. The calibrated rigidity–density (E-ρ) relationships were different for each group: E28 = 10,320·ρash3.45; E56 = 43,620·ρash4.41; E84 = 20,090·ρash2.0. Obtained correlations between experimental and FEM stiffness values were 0.43, 0.10, and 0.66 with root-mean-square error (RMSE) of 14.4%, 17.4%, and 15.2% for 28, 56, and 84 d.o. groups, respectively. Prediction errors were less than 13.5% for 28 and 84 d.o. groups but reached 57.1% for the 56 d.o. group. Relationships between bone physical and mechanical properties were found to change during the growth, similarly to bending stiffness values, which increased with bone development. The reduced correlation observed for the 56 d.o. group may be related to the pubescent transition at that age group. These FE models will be useful for investigation of bone behavior in growing rats.


2019 ◽  
Vol 11 (6) ◽  
pp. 168781401985457
Author(s):  
Xiao-Hua Pan ◽  
Wen-Chuan Chen ◽  
Kun-Jhih Lin ◽  
Kang-Ping Lin ◽  
Cheng-Lung Tsai ◽  
...  

Strong stiffness provided by locking-plate system has resulted in nonunion and delayed union for long bone fracture. Longer bone plate can lengthen the working length to reduce the structural stiffness of the fixation device but will enlarge skin incision. Using the semi-rigid locking screw may be helpful but the efficacy was unclear. In simulated fracture model, four rigid locking screws were continually inserted beneath the fracture gap. The other four rigid/semi-rigid locking screws were equally distributed or concentrated at screw holes superior to the fracture gap. Axial compressive load was exerted to compare the biomechanical performance under various screw configurations and plate working length. Results revealed that using the semi-rigid locking screws, the structural stiffness of the fixation structure were lowered by 29.5%–45.1% comparing to the model with the same screw configuration using rigid locking screws. Semi-rigid screw models with shorter working length represented comparable flexibility of the fixation structure to the rigid locking screw model with longer working length. Compared to rigid locking screw, semi-rigid locking screw may provide similar flexibility with shorter bone plate, which may be beneficial to reduce the required plate length so that the skin incision may be minimized for fracture reduction.


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