Biomechanical testing of the LCP - How can stability in locked internal fixators be controlled?

Injury

Volumn 34, Issue SUPPL. 2, 2003, Pages

  Stoffel, Karl ^a,b   Dieter, Ulrich ^c   Stachowiak, Gwidon ^b   Gächter, André ^a   Kuster, Markus S ^d  

^a CANTONAL HOSPITAL ST GALLEN   (Switzerland)

^b UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^c Mathys Medical Ltd   (Switzerland)

^d FREMANTLE HOSPITAL   (Australia)

Author keywords

Biomechanical investigation; Finite element analysis; Fracture fixation; Locking Compression Plate

Indexed keywords

STAINLESS STEEL; TITANIUM;

ARTICLE; BONE PLATE; BONE SCREW; CALLUS; COMMINUTED FRACTURE; COMPRESSION; DIAPHYSIS; FINITE ELEMENT ANALYSIS; FOREARM FRACTURE; FRACTURE; FRACTURE HEALING; HUMAN; HUMERUS FRACTURE; INJURY; LEG FRACTURE; LOADING TEST; LOCKED COMPRESSION PLATE; OSTEOSYNTHESIS; PRIORITY JOURNAL; RIGIDITY; STATISTICAL ANALYSIS; TORSION;

EID: 0142168925     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2003.09.021     Document Type: Article

References (49)

1. Aro HT, Kelly PJ, Lewallen DG, et al. The effects of physiologic dynamic compression on bone healing under external fixation. Clin Orthop. July 1990:260-273.
2. Babst R, Hehli M, Regazzoni P. [LISS tractor. Combination of the "less invasive stabilization system" (LISS) with the AO distractor for distal femur and proximal tibial fractures]. Unfallchirurg. 2001;104:530-535.
3. Blatter G, Weber BG. Wave plate osteosynthesis as a salvage procedure. Arch Orthop Trauma Surg. 1990;109:330-333.
4. Bostman OM. Rotational refracture of the shaft of the adult tibia. Injury. 1983;15:93-98.
5. Boucher M, Leone J, Pierrynowski M, et al. Three-dimensional assessment of tibial malunion after intramedullary nailing: a preliminary study. J Orthop Trauma. 2002;16:473-483.
6. Burnstein AH, Wright TM. Fundamentals of Orthopaedic Biomechanics. Baltimore: Williams & Wilkins; 1994.
7. Chao EY, Pope MH. The mechanical basis of external fixation. In: Seligson D, Pope MH, eds. Concepts in External fixation. New York: Grune & Stratton; 1982:vol chap 2.
8. Cheal EJ, Hayes WC, White AA, 3rd, Perren SM. Three-dimensional finite element analysis of a simplified compression plate fixation system. J Biomech Eng. 1984;106:295-301.
9. Claes L, Heitemeyer U, Krischak G, et al. Fixation technique influences osteogenesis of comminuted fractures. Clin Orthop. August 1999:221-229.
10. Compte P, Straumann F. Influence of unoccupied holes on the fatigue behavior of bone fixation plates. In: Perren SM, Schneider E, eds. Proceedings of the European Society of Biomechanics: Current Interdisciplinary Research. Amsterdam: Martinus Nijhoff; 1985:459-464.
11. Dennis J, Sanders R, Milne T. Minimal vs maximal compression plating of the ulna: a biomechanical study of indirect reduction technique. J Orthop Trauma. 1993;7:152-153.
12. Duda GN, Mandruzzato F, Heller M, et al. Mechanical conditions in the internal stabilization of proximal tibial defects. Clin Biomech (Bristol, Avon). 2002;17:64-72.
13. Edwards CC, Simmons SC, Browner BD, et al. Severe open tibial fractures. Results treating 202 injuries with external fixation. Clin Orthop. May 1988:98-115.
14. Ellis T, Bourgeault CA, Kyle RF. Screw position affects dynamic compression plate strain in an in vitro fracture model. J Orthop Trauma. 2001;15:333-337.
15. ElMaraghy AW, ElMaraghy MW, Nousiainen M, et al. Influence of the number of cortices on the stiffness of plate fixation of diaphyseal fractures. J Orthop Trauma. 2001;15:186-191.
16. Evans FG. Mechanical properties and histology of cortical bone from younger and older men. Anat Rec. 1976;185:1-11.
17. Field JR, Tornkvist H, Hearn TC, et al. The influence of screw omission on construction stiffness and bone surface strain in the application of bone plates to cadaveric bone. Injury. 1999;30:591-598.
18. Finsen V, Benum P. Refracture of the hip rare after removal of fixation device. Acta Orthop Scand. 1986;57:434-435.
19. 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(suppl 2):63-66.
20. Gautier E, Perren SM. [Limited Contact Dynamic Compression Plate (LC-DCP): biomechanical research as basis to new plate design]. Orthopade. 1992;21:11-23.
21. Gerber C, Mast JW, Ganz R. Biological internal fixation of fractures. Arch Orthop Trauma Surg. 1990;109:295-303.
22. Goodship AE, Cunningham JL, Kenwright J. Strain rate and timing of stimulation in mechanical modulation of fracture healing. Clin Orthop. October 1998;(suppl):105-115.
23. Hauke C, Meisser A, Perren SM. Methodology of clinical trials focusing on the PC-Fix clinical trials. Injury. 2001;32(suppl 2):S-B26-37.
24. Hayes WC, Swenson LW, Jr, Schurman DJ. Axisymmetric finite element analysis of the lateral tibial plateau. J Biomech. 1978;11:21-33.
25. Hidaka S, Gustilo RB. Refracture of bones of the forearm after plate removal. J Bone Joint Surg Am. 1984;66:1241-1243.
26. Hofer HP, Wildburger R, Szyszkowitz R. Observations concerning different patterns of bone healing using the Point Contact Fixator (PC-Fix) as a new technique for fracture fixation. Injury. 2001;32(suppl 2):S-B15-25.
27. Johnston SA, Lancaster RL, Hubbard RP, et al. A biomechanical comparison of 7-hole 3.5 mm broad and 5-hole 4.5 mm narrow dynamic compression plates. Vet Surg. 1991;20:235-239.
28. Karnezis IA, Miles AW, Cunningham JL, et al. "Biological" internal fixation of long bone fractures: a biomechanical study of a "noncontact" plate system. Injury. 1998;29:689-695.
29. Kenwright J, Goodship AE. Controlled mechanical stimulation in the treatment of tibial fractures. Clin Orthop. 1989:36-47.
30. Kenwright J, Richardson JB, Cunningham JL, et al. Axial movement and tibial fractures. A controlled randomised trial of treatment. J Bone Joint Surg Br. 1991;73:654-659.
31. Kessler SB, Deiler S, Schiffl-Deiler M, et al. Refractures: a consequence of impaired local bone viability. Arch Orthop Trauma Surg. 1992;111:96-101.
32. Kolodziej P, Lee FS, Patel A, et al. Biomechanical evaluation of the schuhli nut. Clin Orthop. February 1998:79-85.
33. Korvick DL, Monville JD, Pijanowski GJ, et al. The effects of screw removal on bone strain in an idealized plated bone model. Vet Surg. 1988;17:111-116.
34. Kowalski MJ, Schemitsch EH, Harrington RM, et al. A comparative biomechanical evaluation of a noncontacting plate and currently used devices for tibial fixation. J Trauma. 1996;40:5-9.
35. Krettek C, Schandelmaier P, Rudolf J, et al. [Current status of surgical technique for unreamed nailing of tibial shaft fractures with the UTN (unreamed tibia nail)]. Unfallchirurg. 1994;97:575-599.
36. Little RB, Wevers HW, Siu D, et al. A three-dimensional finite element analysis of the upper tibia. J Biomech Eng. 1986;108:111-119.
37. Mast JW, Jakob R, Ganz R. Planning and Reduction Technique in Fracture Surgery. Berlin: Springer Verlag; 1989.
38. Miclau T, Remiger A, Tepic S, et al. A mechanical comparison of the dynamic compression plate, limited contact-dynamic compression plate, and point contact fixator. J Orthop Trauma. 1995;9:17-22.
39. Mulier T, Seligson D, Sioen W, et al. Operative treatment of humeral shaft fractures. Acta Orthop Belg. 1997;63:170-177.
40. Perren SM. The concept of biological plating using the limited contact-dynamic compression plate (LC-DCP). Scientific background, design and application. Injury. 1991;22:1-41.
41. Ramotowski W, Granowski R. Zespol. An original method of stable osteosynthesis. Clin Orthop. 1991:67-75.
42. Riemer BL, Butterfield SL, Burke CJ, 3rd, et al. Immediate plate fixation of highly comminuted femoral diaphyseal fractures in blunt polytrauma patients. Orthopedics. 1992;15:907-916.
43. Sanders R, Haidukewych GJ, Milne T, et al. Minimal versus maximal plate fixation techniques of the ulna: the biomechanical effect of number of screws and plate length. J Orthop Trauma. 2002;16:166-171.
44. Schandelmaier P, Partenheimer A, Koenemann B, et al. Distal femoral fractures and LISS stabilization. Injury. 2001;32(suppl 3):S-C55-63.
45. Schutz M, Muller M, Krettek C, et al. Minimally invasive fracture stabilization of distal femoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases. Injury. 2001;32(suppl 3):S-C48-54.
46. Tornkvist H, Hearn TC, Schatzker J. The strength of plate fixation in relation to the number and spacing of bone screws. J Orthop Trauma. 1996;10:204-208.
47. Wagner M, Frigg R. Locking Compression Plate (LCP): Ein neuer AO-Standard. OP-Journal. 2000;16:238-243.
48. Williams EA, Rand JA, An KN, et al. The early healing of tibial osteotomies stabilized by one-plane or two- plane external fixation. J Bone Joint Surg Am. 1987;69:355-365.
49. Wiss DA, Fleming CH, Matta JM, et al. Comminuted and rotationally unstable fractures of the femur treated with an interlocking nail. Clin Orthop. 1986:35-47.