Effect of fracture gap on stability of compression plate fixation: A finite element study
β Scribed by Jong-Keon Oh; Dipit Sahu; Yoon-Ho Ahn; Sung-Jae Lee; Sadami Tsutsumi; Jin-Ho Hwang; Duk-Young Jung; Stephan M. Perren; Chang-Wug Oh
- Publisher
- Elsevier Science
- Year
- 2009
- Tongue
- English
- Weight
- 321 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0736-0266
No coin nor oath required. For personal study only.
β¦ Synopsis
In compression plating, anatomical reduction and compression across the fracture site are the basic principles necessary to achieve primary bone healing. However, varying amounts of gap at the fracture site frequently occur due to technical pitfalls, such as overbending of the plate and inaccurate reduction, and due to the fracture configuration itself. Little is known as to how fracture gap affects stability of the bone-plate construct. We analyzed the effects of fracture gap size (1 and 4 mm) and bone defect (25%, 50%, 75%, 100%) on the biomechanical stability of the compression plate-bone construct through validated finite element analysis. The stiffnesses of eight different models were compared with the stiffness of an ideally compressed model (0 mm/0%). Stress concentration in form of peak von Mises stress (PVMS) was also evaluated. The decrease in stiffness depended mainly on the depth of bone defect. The decrease in stiffness was similar in models with the same defect and different gap size. Considerably more stress was concentrated around the central hole of the plate in gap models with the depth of bone defects of 75% and 100% than with smaller defects. We concluded that even a thin fracture gap (1 mm) with no contact between the fracture after plating decreases stiffness exponentially; contact at the fracture surfaces of 50% was necessary to avoid undue stress concentration in the plate.
π SIMILAR VOLUMES
## Abstract The effect of cyclic loading on the postoperative fixation stability of a biodegradable ankle plate was tested biomechanically during 12 weeks of hydrolytic degradation. Fracture of the lateral malleolus was simulated, and the parameters of cyclic loading were chosen to represent the ph
## Abstract Fractures have different etiology and treatment and may be associated or not to bone losses. Laser light has been shown to improve bone healing. We aimed to assess, through Raman spectroscopy, the level of CHA (βΌ958 cm^β1^) on complete fractures animals treated with IRF treated or not w