scholarly journals Finite element analysis of double‐plate fixation using reversed locking compression‐distal femoral plates for Vancouver B1 periprosthetic femoral fractures

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daisuke Takahashi ◽  
Yoshihiro Noyama ◽  
Tsuyoshi Asano ◽  
Tomohiro Shimizu ◽  
Tohru Irie ◽  
...  

Abstract Background Internal fixation is recommended for treating Vancouver B1 periprosthetic femoral fractures. Although several fixation procedures have been developed with high fixation stability and union rates, long-term weight-bearing constructs are still lacking. Therefore, the aim of the present study was to evaluate the stability of a double-plate procedure using reversed contralateral locking compression-distal femoral plates for fixation of Vancouver B1 periprosthetic femoral fractures under full weight-bearing. Methods Single- and double-plate fixation procedures for locking compression-distal femoral plates were analysed under an axial load of 1,500 N by finite element analysis and biomechanical loading tests. A vertical loading test was performed to the prosthetic head, and the displacements and strains were calculated based on load-displacement and load-strain curves generated by the static compression tests. Results The finite element analysis revealed that double-plate fixation significantly reduced stress concentration at the lateral plate place on the fracture site. Under full weight-bearing, the maximum von Mises stress in the lateral plate was 268 MPa. On the other hand, the maximum stress in the single-plating method occurred at the defect level of the femur with a maximum stress value of 1,303 MPa. The principal strains of single- and double-plate fixation were 0.63 % and 0.058 %, respectively. Consistently, in the axial loading test, the strain values at a 1,500 N loading of the single- and double-plate fixation methods were 1,274.60 ± 11.53 and 317.33 ± 8.03 (× 10− 6), respectively. Conclusions The present study suggests that dual-plate fixation with reversed locking compression-distal femoral plates may be an excellent treatment procedure for patients with Vancouver B1 fractures, allowing for full weight-bearing in the early postoperative period.

2020 ◽  
Author(s):  
Daisuke Takahashi ◽  
Yoshihiro Noyama ◽  
Tsuyoshi Asano ◽  
Tomohiro Shimizu ◽  
Tohru Irie ◽  
...  

Abstract Background: Internal fixation is recommended for treating Vancouver B1 periprosthetic femoral fractures. Although several fixation procedures have been developed with high fixation stability and union rates, long-term weight-bearing constructs are still desired. Therefore, the aim of the present study was to evaluate the stability of a double-plate procedure using reversed contralateral locking compression-distal femoral plates for fixation of Vancouver B1 periprosthetic femoral fractures under full weight-bearing conditions.Methods: Single and double fixation procedures for locking compression-distal femoral plates were analysed under an axial load of 1,500 N by finite element analysis and biomechanical loading tests. A vertical loading test was performed to the prosthetic head in biomechanical testing, and the displacements and strains were calculated based on load-displacement and load-strain curves generated by the static compression tests.Results: Double-plate fixation significantly reduced stress concentration at the fracture site of the lateral plate by finite element analysis. Under full weight-bearing conditions, the maximum von Mises stress in the lateral plate was 268 MPa. On the other hand, maximum stress in the single-plating method occurred at the defect level of the femur with a maximum stress value of 1,303 MPa. The principal strains of single- and double-plate fixation were0.63% and 0.058%, respectively. Consistently, in the axial loading test, the strain values at 1,500 N loading of the single- and double-plate fixation methods were 1,274.60 ± 11.53 and 317.33 ± 8.03 (X 10-6), respectively.Conclusions: The present study suggests that dual-plate fixation with reversed locking compression-distal femoral plates may be an excellent treatment procedure for patients with Vancouver B1 fractures, providing full weight-bearing in the early postoperative period.


2021 ◽  
Author(s):  
Daisuke Takahashi ◽  
Yoshihiro Noyama ◽  
Tsuyoshi Asano ◽  
Tomohiro Shimizu ◽  
Tohru Irie ◽  
...  

Abstract Background: Internal fixation is recommended for treating Vancouver B1 periprosthetic femoral fractures. Although several fixation procedures have been developed with high fixation stability and union rates, long-term weight-bearing constructs are still lacking. Therefore, the aim of the present study was to evaluate the stability of a double-plate procedure using reversed contralateral locking compression-distal femoral plates for fixation of Vancouver B1 periprosthetic femoral fractures under full weight-bearing.Methods: Single- and double-plate fixation procedures for locking compression-distal femoral plates were analysed under an axial load of 1,500 N by finite element analysis and biomechanical loading tests. A vertical loading test was performed to the prosthetic head, and the displacements and strains were calculated based on load-displacement and load-strain curves generated by the static compression tests.Results: The finite element analysis revealed that double-plate fixation significantly reduced stress concentration at the lateral plate place on the fracture site. Under full weight-bearing, the maximum von Mises stress in the lateral plate was 268 MPa. On the other hand, the maximum stress in the single-plating method occurred at the defect level of the femur with a maximum stress value of 1,303 MPa. The principal strains of single- and double-plate fixation were 0.63% and 0.058%, respectively. Consistently, in the axial loading test, the strain values at a 1,500 N loading of the single- and double-plate fixation methods were 1,274.60 ± 11.53 and 317.33 ± 8.03 (× 10-6), respectively.Conclusions: The present study suggests that dual-plate fixation with reversed locking compression-distal femoral plates may be an excellent treatment procedure for patients with Vancouver B1 fractures, allowing for full weight-bearing in the early postoperative period.


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Hao Zhang ◽  
Jiantao Li ◽  
Jianfeng Zhou ◽  
Lianting Li ◽  
Ming Hao ◽  
...  

Objectives. We evaluated the biomechanical outcome of different plate fixation strategies (the single plate construct, 45° double-plate construct, 90° double-plate construct, 135° double-plate construct, and 180° double-plate construct) used for the fixation of the femoral shaft nonunion with no cortical support opposite the primary lateral plate. This may help surgeons choose the optimal therapy to the femoral shaft nonunion. Methods. The femoral shaft nonunion with no medial support and the models of lateral plate and medial plate was constructed in 3-matic software and UG-NX software, respectively. We then assembled the single plate and different double plates to the fracture model separately to form the fixation models. After meshing the models’ elements, we used the ABAQUS software to perform the finite element analysis. Values of the von Mises Stress (VMS) distribution of the implant, peak VMS, and model displacement and deformation were used to capture the mechanical factors in this study. Results. Our results indicated that the peak von Mises Stress (VMS) of the lateral plate was concentrated in middle surface of the lateral plate near the fragment of each group. The peak VMS was 5201.0 MPa (the single-plate construct), 3490.0 MPa (45° double-plate construct), 1754.0 MPa (90° double-plate construct), 1123.0 MPa (135° double-plate construct), and 816.5 MPa (180° double-plate construct). The additional short plate dispersed some stress leading to the decrease in the peak VMS of the lateral plate. As angle formed by the double plates increased, the dispersed function of the additional plate was becoming obvious. The bending angles of the lateral plate were 18° versus 12° versus 3° versus 2° versus 1° (the single-plate construct versus 45° double-plate construct versus 90° double-plate construct versus 135° double-plate construct versus 180° double-plate construct). Conclusions. Our study indicated that increasing the angle between the plates in a double-plate construct improves the stability of the construct over a single lateral plate when there is no cortical support opposite to the lateral plate. The strongest fixation occurred when the angle between the two plates was greater than ninety degrees.


2007 ◽  
Vol 20 (04) ◽  
pp. 285-290 ◽  
Author(s):  
D. P. Comiskey ◽  
B. Mac Donald ◽  
C. B. Garvan ◽  
W. T. Mc Cartney

SummaryFourteen Spaniels that presented with an intercondylar fracture of the distal humerus were managed using a lateral plate and an additional pin in twelve cases. Fixation of the fracture was achieved using a plate applied laterally which incorporated the transcondylar lag screw in the most distal hole. Of the 14 cases, two had poor results, one of which was a bilateral case, whilst the remaining 12 cases had good or very good results with only occasional stiffness or lameness. Finite element (FE) modelling of a distal humerus was generated, and loading of fracture repairs using a lateral plate and caudal plate was completed in a comparative study to determine which fixation method resisted micro-motion most effectively. Finite element analysis revealed that the lateral plate fixation provided significantly more resistance to micro movement at the fracture site that the caudal plate fixation, with 40% more micro-motion in the latter.


2013 ◽  
Vol 7 (1) ◽  
pp. 170-178 ◽  
Author(s):  
Weijun Yang ◽  
Yongda Yang ◽  
Jihua Yin ◽  
Yushuang Ni

In order to study the basic mechanical property of cast-in-place stiffening-ribbed-hollow-pipe reinforced concrete girderless floor, and similarities and differences of the structural performance compared with traditional floor, we carried out the destructive stage loading test on the short-term load test of floor model with four clamped edges supported in large scale, and conducted the long-term static load test. Also, the thesis conducted finite element analysis in virtue of ANSYS software for solid slab floor, stiffening-ribbed-hollow-pipe floor and tubular floor. The experiment indicates that the developing process of cracks, distribution and failure mode in stiffening-ribbed-hollow-pipe floor are similar to that of solid girderless floor, and that this kind of floor has higher bearing capacity and better plastic deformation capacity. The finite element analysis manifests that, compared with solid slab floor, the deadweight of stiffening-ribbed-hollow-pipe floor decreases on greater level while deformation increases little, and that compared with tubular floor, this floor has higher rigidity. So stiffening-ribbed-hollow-pipe reinforced concrete girderless floor is particularly suitable for long-span and large-bay building structure.


Author(s):  
Ruchi D. Chande ◽  
John R. Owen ◽  
Robert S. Adelaar ◽  
Jennifer S. Wayne

The ankle joint, comprised of the distal ends of the tibia and fibula as well as talus, is key in permitting movement of the foot and restricting excessive motion during weight-bearing activities. Medial ankle injury occurs as a result of pronation-abduction or pronation-external rotation loading scenarios in which avulsion of the medial malleolus or rupture of the deltoid ligament can result if the force is sufficient [1]. If left untreated, the joint may experience more severe conditions like osteoarthritis [2]. To avoid such consequences, medial ankle injuries — specifically bony injuries — are treated with open reduction and internal fixation via the use of plates, screws, wires, or some combination thereof [1, 3–4]. In this investigation, the mechanical performance of two such devices was compared by creating a 3-dimensional model of an earlier cadaveric study [5], validating the model against the cadaveric data via finite element analysis (FEA), and comparing regions of high stress to regions of experimental failure.


2012 ◽  
Vol 446-449 ◽  
pp. 203-207
Author(s):  
Tie Mei Zhu ◽  
Yan Hua Ye ◽  
Wei Wei ◽  
Wei Qing Liu ◽  
Zi Jun Wang

A new composite structure system is proposed in this paper to suit the demand of building energy conservation and heat preservation. Based on the low reversed cyclic loading test, the non-linear finite element (FEM) analysis model of composite shear wall is established by ANSYS so as to study crack status, stress variation characteristics and failure process under the action of horizontal loading. The results of ANSYS finite element analysis show good agreement with the test results.


Author(s):  
Aiko NOGUCHI ◽  
Keiko KATHUYAMA ◽  
Keisuke SASAGAWA ◽  
Masafumi ODA ◽  
Naofumi SIOTA ◽  
...  

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