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

Aksakal B., Gurger M., Say Y., Yilmaz E.

Acta of Bioengineering and Biomechanics

2014

Vol. 16, no. 4

67--74

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.

An alternative method in fixation of tibial transverse fractures by intramedullar nailing : Biomechanical and histopathologic investigation

Aksakal B., Varis O., Say Y., Kom M., Yilmaz E.

Acta of Bioengineering and Biomechanics

2013

Vol. 15, no. 2

81--90

A new method was used in fixation of tibial bone fractures. Intramadular nailing (IMN) has been used into mid-diaphysis on left tibias of New Zeland rabbits (n = 5) via an in vivo work. To enable fixation of fracture, without causing too much screw damage on bone and avoiding malunion, nano- and micro-scale hydroxyapatite (HA) was coated at two ends (25 mm in length) of intramadular nails before implantation. After six weeks of survival period and sacrifizing, biomechanical tests and histopathologic examinations were executed. Such experiments have revealed that good stabilization and hence better fracture union for both treated IMN groups (NHA and MHA) over the standard IMN’. Pull-out tests showed the tensile strengths obtained to be significantly higher for the nano (NHA) and micro scale-MHA coated IMN compared to the uncoated standard IM nailing.