Biomechanical analysis of conventional and locking compression plate for treating fibula fracture: A finite element study
DOI:
https://doi.org/10.11113/mjfas.v16n4.1709Keywords:
One Third Tubular Plate, Locking Compression Plate, Finite Element Analysis, FibulaAbstract
1) Background: Due to questionable effectiveness of malleolar fracture fixation, biomechanical study was conducted to compare the stability of One Third Tubular (OTT) Plate and Locking Compression Plate (LCP); 2) Methods: CT image of bone was used to develop 3D bone model while the plate was constructed in Solidwork with varied number of screws. Further, finite element study was conducted for both models where the bone and plate were defined as homogenous and isotropic material properties; 3) Results: For LCP, the highest VMS observed at the plate for 3 screws was 484 MPa, whereas for 5 screws plate was 667 MPa. Meanwhile, for OTT, the highest VMS at plate was observed for 3 screws was 300.5 MPa, whereas for 5 screw plate was 127.5 MPa. 4) Conclusion: Based on the results, it can be noted that the usage of 3 screw causing a lower VMS at plate compared to 5 screws. However, the relation is only valid for LCP. On the other hand, for OTT, 5-screw constructs giving a low VMS than 3-screw constructs. It can be concluded that the optimum stabilities of OTT and LCP were found at 5 screws and 3 screws, respectively.
References
Shibuya, N., M. L. Davis, D. C. Jupiter. Epidemiology of foot and ankle fractures in the United States: An analysis of the National Trauma Data Bank (2007 to 2011). J. Foot Ankle Surg., 2014. 53(5): p. 606-608.
Labronici, P. J., R. E. Pires, M. V. Franco, R. Freitas, G. C. Araujo et al. Medial malleolar fractures: An anatomic survey determining the ideal screw length. Ann. Med. Health Sci. Res., 2016. 6(5): p. 308-310.
Raja Izaham, R. M., M. R. A. Kadir, A. H. A. Rashid, M. G. Hossain, T. Kamarul. Finite element analysis of Puddu and Tomofix plate fixation for open wedge high tibial osteotomy. Injury, 2012. 43(6): p. 898-902.
Chen W. P., Tai, C. L., Chih, C. H., Hsieh, P. H., Leou, M. C., Lee, M. S. Selection of fixation devices in proximal femur rotational osteotomy: clinical complications and finite element analysis. Clin. Biomech., 2004. 19: p.255-262.
MacLeod, A. R., A. H. Simpson, P. Pankaj. Reasons why dynamic compression plates are inferior to locking plates in osteoporotic bone: A finite element explanation. Comput. Methods Biomech. Biomed. Engin., 2015. 18(16): p. 1818-1825.
Miller, D. L., T. Goswami. A review of locking compression plate biomechanics and their advantages as internal fixators in fracture healing. Clin. Biomech (Bristol, Avon), 2007. 22(10): p. 1049-1062.
Varsalona, R., G. T. Liu. Distal tibial metaphyseal fractures: The role of fibular fixation. Strategies in Trauma and Limb Reconstruction, 2006. 1(1): p. 42-50.
P. Niemeyer, N. P., Südkamp. Principles and clinical application of the locking compression plate (LCP), Acta Chirurgiae Orthopaedicae Et
Traumatologiae Čechosl., 73, 2006, p. 221–228.
Zehnder, S., J. G. Bledsoe, A. Puryear. The effects of screw orientation in severely osteoporotic bone: A comparison with locked plating. Clin. Biomech (Bristol, Avon), 2009. 24(7)p. 589-594.
DeCoster et al., Optimizing Bone Screw Pullout Force. Journal of Orthopaedic Trauma, 1990. 4(2): p. 169-174.
K. Stoffel, K. Klaue, S. M. Perren. Functional load of plates in fracture fixation in vivo and its correlate in bone healing. Injury, 31 (2000) S-B37-SB50.
Denis, D., D. M. Boulch, Y. Suchier, T. B. Mamadou, J. D., Metaizeau. Biomechanical and clinical comparative study of the new elastic stable intramedullary nailing “MJ-FLEX Orthofix”, J. Pediatr. Prthop., 2020. 40(3), p. 149-155.
Scheele, C. B., M. F. Pietschmann, C. Schröder, F. Lenze, T. M. Grupp, P. E. Müller. Effect of bone density and cement morphology on biomechanical stability of tibial unicompartmental knee arthroplasty. Knee, 2020. Feb 2, S0968-0160(20)30004-1.
Frehill, B., A. D. Crocombe. Finite element assessment of metaphyseal sleeves in total knee arthroplasty. J. of Ortho, 2019. 18(19), p. 1-8.
Liu X., F. Pang, Y. Li, H. Jia, X. Cui, Y.Yue, X. Yang, Q. Yang. Effects of differrent positions and angles of implants in maxillary edentulous jaw on surrounding bone stress under dynamic loading: A three-dimensional finite element analysis. Comp. and Math. Meth. in Med., 2019. 1-9.
Li, Y. R., Y. H. Gao, C. Yang, L. Ding, X. Zhang, H. Chen, J. Liu, X. Qi. Finite-element analysis of the proximal tibial sclerotic bone and different alignment in total knee arthroplasty. BMC Muscu. Dis., 2019. 20(617), p.1-9.