×
Home Current Archive Editorial board
News Contact
Review paper

Comparison of biomechanical stability of osteosynthesis materials in long bone fractures

By
Predrag Grubor Orcid logo ,
Predrag Grubor
Contact Predrag Grubor

School of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina

Milorad Mitković ,
Milorad Mitković

School of Medicine, University of Niš, Niš, Serbia

Milan Mitković ,
Milan Mitković

School of Medicine, University of Niš, Niš, Serbia

Milan Grubor
Milan Grubor

School of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina

Abstract

Aim
To calculate stress and deformation under the force of pressure and bending in the dynamic compression plate (DCP), locking compression plate (LCP), selfdynamisable internal fixator (SIF) and locked intramedullary nail (LIN) in the models of juvidur, beef tibia bone (cadaver) and software of bone model simulator.
Methods
Juvidur and bone models were used for the experimental study, static tests were performed with SHIMADZU AGS-X tester. CATIA software was used to create a 3D model for the SCA simulator, while software ANSYS to calculate the tension and deformation for compressive and bending forces. Stress and deformation analysis was performed with the use of Finite Element Analysis (FEA).
Results
Weight coefficients of research methods were different (juvidur=0.3; cadaver=0.5; SCA Simuator=0.2), and weight coefficients of the force of pressure K p =0.5 and bending forces in one plane K 1 =0.25 and K 2 =0.25 in another plane, the overall result on the dilatation of DCP, LCP, LIN and SIF on juvidur and veal cadaver models showed that the first ranking was the LIN with a rank coefficient K U-LIN = 0.0603, followed by the IFM with K U-IFM = 0.0621, DCP with K U-DCP = 0.0826 and LCP with K U-LCP = 0.2264.
Conclusion
Dilatation size did not exceed 0.2264 mm, hence the implants fulfilled biomechanical conditions for the internal stabilization of bone fractures. Prevalence goes to the locked intramedullar nailing and Mitković internal fixator in the treatment of diaphyseal, transversal, comminuted fractures in relation to DCP and LCP.

References

1.
Banerjee M, Bouillon B, Shafizadeh S, Paffrath T, Lefering R. Epidemiology of extremity in multiple trauma patients. Injury. 2013. p. 1015–21.
2.
Pape H, Probst C, Lohse R, Zelle B, Panzica M, Stalp M, et al. Predictors of late clinical outcome following orthopedic injuries after multiple trauma. J Trauma. 2010. p. 1243–51.
3.
Stalp M, Koch C, Ruchholtz S, Regel G, Panzica M, Krettek C, et al. Standardized outcome evaluation after blunt multiple injuries by scoring systems: a clinical follow-up investigation 2 years after injury. J Trauma. 2002. p. 1160–8.
4.
Caba-Doussoux P, Jl LB, Garcia-Fuentes C, Resines-Erasun C. Damage control orthopaedics in severe polytrauma with femur fracture. Injury. 2012. p. 42–6.
5.
Aguila A, Manos J, Orlansky A, Todhunter R, Trotter E, Van Der Meulen, et al. In vitro biomechanical comparison of limited contact dynamic compression plate and locking compression plate. Vet Comp Orthop Traumatol. 2005. p. 220–6.
6.
Grubor P, Mitković M, Grubor M, Mitković M, Meccariello L, Falzarano G. Biomechanical stability of juvidur and bone models on osteosynthesic materials. Acta Inform Med. 2016. p. 261–5.
7.
Grubor P, Tanjga R, Grubor M, Đeri J. Examination of stability of osteosynthetic material by software bone stimulator. Scr Med. 2016. p. 41–6.
8.
Florin M, Arzdorf M, Linke B, Auer J. Assessment of stiffness and strength of 4 different implants available for equine fracture treatment: a study on a 20 degrees oblique long-bone fracture model using a bone substitute. Vet Surg. 2005. p. 231–8.
9.
Zhou JJ, Zhao M, Liu D, Liu HY, Du CF. Biomechanical property of a newly designed assembly locking compression plate: three-dimensional finite element analysis. J Healthc Eng. 2017. p. 8590251.
10.
Gautier E, Perren S, Cordey. Effect of plate position relative to bending direction on the rigidity of a plate osteosynthesis. A theoretical analysis. Injury. 2000. p. 14–20.
11.
Tsutsui S, Kawasaki K, Yamakoshi K, Uchiyama E, Aoki M, Inagaki K. Impact of double-tiered subchondral support procedure with a polyaxial locking plate on the stability of distal radius fractures using fresh cadaveric forearms. Biomechanical and radiographic analyses. J Orthop Sci. 2016. p. 603–8.
12.
Frigg R. An osteosynthesis plate based on the Dynamic Compression Plate and the Point Contact Fixator (PC-Fix). Injury. 2001. p. 63–6.
13.
Mehmood S, Ali M, Ansari U, Mir M, Khan M. Auxetic polymeric bone plate as internal fixator for long bone fractures: Design, fabrication and structural analysis. Technol Health Care. 2015. p. 819–33.
14.
Augat P, Bühren V. Intramedullary nailing of the distal tibia. Does angular stable locking make a difference? Unfallchirurg. 2015. p. 311–7.
15.
Egol K, Kubiak E, Fulkerson E, Kummer F, Koval K. Biomechanics of locked plates and screws. J Orthop Trauma. 2004. p. 488–93.
16.
Hoerdemann M, Gédet P, Ferguson S, Sauter-Louis C, Nuss K. In-vitro comparison of LC-DCP-and LCP-constructs in the femur of newborn calves -a pilot study. BMC Vet Res. 2012. p. 139.
17.
Bellon J, Mulon P. Use of a novel intramedullary nail for femoral fracture repair in calves: 25 cases. J Am Vet Med Assoc. 2008. p. 1490–6.
18.
Uhl J, Seguin B, Kapatkin A, Schulz K, Garcia T, Stover S. Mechanical comparison of 3.5 mm broad dynamic compression plate, broad limitedcontact dynamic compression plate, and narrow locking compression plate systems using interfragmentary gap models. Vet Surg. 2008. p. 663–73.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.