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Tytuł artykułu

Biomechanical comparison of straight DCP and helical plates for fixation of transverse and oblique bone fractures

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: Biomechanical comparison of straight DCP and helical plates for fixation of transversal and oblique tibial bone fractures were analyzed and compared to each other by axial compression, bending and torsion tests. Method: An in vitro osteosynthesis of transverse (TF) and oblique bone fracture (OF) fixations have been analysed on fresh sheep tibias by using the DCP and helical compression plates (HP). Results: Statistically significant differences were found for both DCP and helical plate fixations under axial compression, bending and torsional loads. The strength of fixation systems were in favor of DC plating with exception of the TF-HP fixation group under compression loads and torsional moments. The transvers fracture (TF) stability was found to be higher than that found in oblique fracture (OF) fixed by helical plates (HP). However, under torsional testing, compared to conventional plating, the helical plate fixations provided a higher torsional resistance and strength. The maximum stiffness at axial compression loading and maximum torsional strength was achieved at torsional testing for the TF-HP fixations. Conclusion: From in vitro biomechanical analysis, fracture type and plate fixation system groups showed different responses under different loadings. Consequently, current biomechanical analyses may encourage the usage of helical HP fixations in near future during clinical practice for transverse bone fractures.
Rocznik
Strony
67--74
Opis fizyczny
Bibliogr. 19 poz., rys., tab., wykr.
Twórcy
autor
  • Department of Metallurgy and Materials Engineering Yildiz Technical University, Istanbul, Turkey
autor
  • Department of Orthopedics, Faculty of Medicine, Firat University, Elazig, Turkey
autor
  • Department Metallurgy and Materials Engineering, Faculty of Technology, Firat University, Elazig, Turkey
autor
  • Department of Orthopedics, Faculty of Medicine, Firat University, Elazig, Turkey
Bibliografia
  • [1] UHTHOFF H.K., POITRAS P., BACKMAN D.S., Internal plate fixation of fractures: short history and recent developments, J. Orthop. Sci., 2006, 11, 118–126.
  • [2] BAGBY G.W., JAMES J.M., The effect of compression on the rate of Fracture healing using a special plate, Am. J. Surg., 1958, 95, 761–771.
  • [3] WOOD G.W., General principles of fracture, 10th ed., Campbell’s Operative Otrhopeadics, Philadelphia 2003, 2699–2725.
  • [4] PEREN S.M., RUSSENBERGER M., STEINEMANN S., A dynamic compression plate, Acta Orthop. Scand., 1969, 125, 31–41.
  • [5] TEPIC S., REMIGER A.R., MORIKAWA K., Strength recovery in fractured sheep tibia treated with a plate or an internal fixator: an experimental study with a two-year follow-up, J. Orthop. Trauma., 1997, 11, 14–23.
  • [6] STOFFEL K., DIETER U., STACHOWIAK G., GÄCHTER A., KUSTER M.S., Biomechanical testing of the LCP – how can stability in locked internal fixators be controlled? Injury, 2003, 34, 11–19.
  • [7] SIWACH R., SINGH R., ROHILLA R.K., Internal fixation of proximal humeral fractures with locking proximal humeral plate (LPHP) in elderly patients osteoporosis, J. Orthop. Traumatol., 2008, 9(3), 149–153.
  • [8] KRISHNA K.R., SIVASHANKER S., SRIDHAR I., Biomechanics of helical plate, IASTED, Benidorm, Spain, 2005, 7–9, 220–223.
  • [9] FERNANDEZ A.A.D., The principle of helical implants: unusual ideas worth considering, Injury, 2002, (33), 1–40.
  • [10] KRISHNA K.R., SRIDHAR I., GHISTA D.N., Analysis of the helical plate for bone fracture fixation, Injury, 2008, 39, 1421–1436.
  • [11] GARDNER M.J., GRIFFITH M.H., LORICH D.G., Helical plating of the proximal humerus, Injury, 2005, 36, 1197–1200.
  • [12] YANG K.H., Helical plate fixation for treatment of comminuted fractures of the proximal and middle one third of the humerus, Injury, 2005, 36, 75–80.
  • [13] ILIZAROV G.A., The Transosseous Osteosynthesis: Theoretical and Clinical aspects of the Regeneration and Growth of Tissue, Heidelberg, Springer-Verlag, Berlin 1992, 3–46.
  • [14] NOORDEEN M.H.H., LAVY C.B.D. et al., Cyclical micro movement and fracture healing, J. Bone Joint. Surg. Br., 1995, 77, 645–648.
  • [15] KENWRIGHT J., RICHARDSON J.B., CUNNINGHAM J.L. et al., Axial movement and tibial fractures. A controlled randomised trial of treatment, J. Bone Joint. Surg. Br., 1991, 73, 654–659.
  • [16] GOODSHIP A.E., KENWRIGHT J., The influence of induced micromovement upon the healing of experimental tibial fractures, J. Bone Joint. Surg. Br., 1985, 67, 650–655.
  • [17] GANESH V.K., RAMAKRISHNA K., GHISTA D.N., Biomechanics of bone-fracture fixation by stiffness – graded plates in comparison with stainless-steel plates, Biomed. Eng. Online, 2005, 4, 46–52.
  • [18] CHAPMAN M.W., Fractures of the tibial and fibular shafts, C.M. Evarts (ed.), Surgery of The Musculoskeletal System, New York, Churchill Livingstone Inc., 1983, 1–62.
  • [19] COURT-BROWN C.M., Fractures of the tibia and fibula, 6th ed., R.W. Bucholz, J.D. Heckman, C.M. Court-Brown (eds.), Fractures in adults, Vol. 2, Philadelphia, Lippincott Williams & Wilkins, 2006, 2080–2143.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-893e31a8-bbd6-4e66-ab8b-bd5bf4e87754
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