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Abstrakty
The 11 holes locking compression plate (LCP) is a type of fixator which is currently used in orthopedic surgeries for fixing fractures of long bones. 8 styles of screw positioning on this plate are possible so each orthopedist may use one of them during operations. The aim of the current study was the analysis of diversified screw arrangement on the mentioned LCP for fixation of medial transverse fracture of tibia considering time- varying properties of bone callus in 16-weeks curing duration. Stress shielding effects were also considered. Finite element method using Mimics 10.01, Solid works 2012 and Abaqus 6.11-1 software have been applied. Modeling of bone was done based on computer tomography (CT) scan of human right tibia and four types of forces have been loaded on intact bone and the same was loaded on fixated fractured ones in 8 treatments of fixation. Stresses in bone, plate and screws, also gap or callus strains and stiffnesses in 5 terms of curing duration in all of the treatments have been investigated and compared together using new defined parameters. Finally the preferred treatment was concluded. Results of this study may be used by orthopedists in applying such a fixator for fixation of tibia and other fractured long bones.
Wydawca
Czasopismo
Rocznik
Tom
Strony
220--229
Opis fizyczny
Bibliogr. 18 poz., rys., tab., wykr.
Twórcy
autor
- Department of Mechanical Engineering, Mashhad Branch, Islamic Azad University, Mashhad, Iran
autor
- Iranian National Standards Organization (INSO), Bojnurd, Northern Khorasan, Iran
autor
- Department of Orthopedic Surgery, North Khorasan University of Medical Sciences, Bojnurd, Iran
Bibliografia
- [1] Rockwood CA, Green DP, Bucholz RW. Rockwood and Green's fractures in adults, vol. 2. 6th ed., Philadelphia: Lippincott Williams & Wilkins; 2006.
- [2] Peter G, Trafton MD. Tibial Shaft Fractures. Elsevier Science; 2003 [chapter 57].
- [3] Miller DL, Goswami T. A review of locking compression plate biomechanics and their advantages as internal fixators in fracture healing. Clin Biomech 2007;22(December (10)):1049–62.
- [4] Frigg R. Locking compression plate (LCP). An osteosynthesis plate based on the dynamic compression plate and the point contact fixator (PC-FIX). Injury 2001;32:63–6.
- [5] Williams THD, Schenk W. Bridging-minimally invasive locking plate osteosynthesis (Bridging-MILPO): technique description with prospective series of 20 tibial fractures. Injury 2008;39:1198–203.
- [6] Mushtaq A. Distal tibial fracture fixation with locking compression plate (LCP) using the minimally invasivepercutaneous osteosynthesis (MIPO) technique. Eur J Trauma Emerg Surg 2009;35:159–64.
- [7] Haghighi B, Tahani M, Rouhi GR. Effect of number of thread and depth of influence of orthopedic screw on stress shielding of osteoporosis infected and health bone. 19th yearly Congress of Mechanical Engineering of Iran; 2011.
- [8] Duda GN, Mandruzzato F, Heller M, Goldhahn J, Moser R, Hehli M, et al. Mechanical boundary conditions of fracture healing: borderline indications in the treatment of unreamed tibial nailing. J Biomech 2001;34(5): 639–50.
- [9] Duda GN, Mandruzzato F, Heller M, Kassi JP, Khodadadyan C, Haas NP. Mechanical conditions in the internal stabilization of proximal tibial defects. Clin Biomech 2002;17(1):64–72.
- [10] Perillo-Marcone A, Barrett DS, Taylor M. The importance of tibial alignment: finite element analysis of tibial malalignment. J Arthroplasty 2000;15(8):1020–7.
- [11] Perillo-Marcone A, Alonso-Vazquez A, Taylor M. Assessment of the effect of mesh density on the material property discretisation within QCT based FE models: a practical example using the implanted proximal tibia. Comput Methods Biomech Biomed Eng 2003;6(1):17–26.
- [12] Sepehri B, Ashofteh-Yazdi AR, Rouhi GA, Bahari-Kashani M. Analysis of the effect of mechanical properties on stress induced in tibia. IFMBE Proc vol. 35, BIOMED; 2011.
- [13] Kim S-H, Chang S-H. The finite element analysis of a fractured tibia applied by composite bone plates considering contact conditions and time-varying properties of curing tissues. Composite Struct 2010;92:2109–18.
- [14] Keaveny TM, Morgan EF, Yeh OC. ‘‘Bone mechanics’’ standard handbook of biomechanical engineering and design; 2004.
- [15] Wieding J, Souffrant R, Fritsche A, Mittelmeier W, Bader R. Finite element analysis of osteosynthesis screw fixation in the bone stock: an appropriate method for automatic screw modelling. PLoS ONE 2012;7(3):e33776. http://dx.doi.org/10.1371/journal.pone.0033776.
- [16] Luca C, Marco V. Mechanical validation of whole bone composite tibia models. J Biomech 2000;33:279–88.
- [17] Field JR, Èrnkvist HT, Hearn TC, Sumner-Smith G, Woodside TD. The influence of screw omission on construction stiffness and bone surface strain in the application of bone plates to cadaveric bone. Injury Int J Care Injured 1999;30:591–8.
- [18] Kim H-J, Kim S-H, Chang S-H. Bio-mechanical analysis of a fractured tibia with composite bone plates according to the diaphyseal oblique fracture angle. Composites Part B: Eng 2011;42(June (4)):666–74.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-b39b8491-87c9-4a13-b6fc-ebca96475a9b