Design of fracture fixation plate for necessary and sufficient bone stress shielding

JSME International Journal, Series C: Mechanical Systems, Machine Elements and Manufacturing

Volumn 47, Issue 4, 2004, Pages 1086-1094

  Ramakrishna, Kotlanka ^a   Sridhar, Idapalapati ^a   Sivashanker, Sathiamoorthy ^a   Khong, Kok Sun ^b   Ghista, Dhanjoo N ^a  

^a NANYANG TECHNOLOGICAL UNIVERSITY   (Singapore)

^b MOUNT ELIZABETH MEDICAL CENTRE   (Singapore)

Author keywords

Bending moment; Bone; Finite element analysis; Stiffness graded materials; Stress shielding

Indexed keywords

FINITE ELEMENT METHOD; FRACTURE MECHANICS; HEALTH; PLATE METAL; SHIELDING; STAINLESS STEEL; STRESSES;

FIXATION PLATE; FRACTURED BONES; STIFFNESS GRADED (SG) PLATE; STRESS SHIELDING;

BONE;

MEDICAL APPLICATION;

EID: 14844325693     PISSN: 13447653     EISSN: None     Source Type: Journal    
DOI: 10.1299/jsmec.47.1086     Document Type: Article

References (23)

1. Tencer, A.F. and Johnson, K.D., Biomechanics in Orthopeadic Trauma, Bone Fracture and Fixation, 1st Edition, (1994), Martin Dunitz.
2. Muller, M.E., Allgower, M., Schneider, R. and Willengger, H., Manual of Internal Fixation, Techniques Recommended by the AO-ASIF Group, 3rd Edition, (1991), Springer-Verlag, New York.
3. Perren, S.M., Backgrounds of the Technology of Internal Fixators, Injury, Int. J. Care Injured, Vol.34 SB (2003), pp. 1-3.
4. Albright, J.A., Johnson, T.R. and Saha, S., Principles of Internal Fixation, Orthopaedic Mechanics: Procedures and Devices, Edited by Ghista, D.N. and Roaf, R., (1978), pp. 123-229, Academic Press.
5. Mc Kibbin, B., The Biology of Fracture Healing in Long Bones, The Journal of Bone and Joint Surgery, Vol.60B, No.2 (1978), pp. 150-162.
6. Ali, M.S., French, T.A., Hastings, G.W., Rae, T., Rushton, N., Ross, E.R.S. and Wynn-Jones, C.H., Carbon Fiber Composite Bone Plates, Journal of Bone and Joint Surgery, Vol.72-B (1990), pp.586-591.
7. Amnon, F., Alan, J.Y. and Hans, K.U., Improved Fracture Healing with Less Rigid Plates, Clinical Orthopaedics and Related Research, Vol.39, No.3 (1997), pp.232-245.
8. Fujihara, K., Haung, Z., Ramakrishna, S., Satknanantham, K. and Hamada, H., Performance Study of Braided Carbon/PEEK Composite Compression Bone Plates, Journal of Biomaterials, Vol.24 (2003), pp.2661-2667.
9. Miclau, T. and Martin, R.E., The Evolution of Modern Plate Osteosynthesis, Injury, Int. J. Care Injured, Vol.28 A3 (1997), pp.3-6.
10. Tonino, L., Davidson, C.L., Klopper, P.L. and Linclau, L.A., Protection from Stress in Bone and Its Effects, The Journal of Bone and Joints Surgery, Vol.58-B, No.1 (1976), pp.107-113.
11. Cordey, J., Perren, S.M. and Steinemannz, S.G., Stress Protection Due to Plates: Myth or Reality? A Parametric Analysis Made Using the Composite Beam Theory, Injury, Int. J. Care Injured, Vol.31 S-C (2003), pp.1-13.
12. Chao, Y.S. and Hannu, T.A., Biomechanics of Fracture Fixation, Basic Orthopaedic Biomechanics, 2nd Edition, Edited by Van, M.C. and Hayes, W.C., (1997), pp.317-351, Raven Publishers.
13. Laurence, M., Freeman, M.A.R. and Swanson, S.A.V., Engineering Considerations in the Internal Fixation of Fractures of the Tibial Shaft, Journal of Bone and Joint Surgery, Vol.51B, No.4 (1969), pp.754-768.
14. Dennis, R.C. and Vasu, R., Stress Fields in the Unplated and Plated Canine Femur Calculated from in Vivo Strain Measurements, Journal of Biomechanics, Vol. 14 (1981), pp.63-70.
15. Gautier, E., Perren, S.M. and Cordey, J., Effect of Plate Position Relative to Bending Direction on the Rigidity of a Plate Osteosynthesis. A Theoretical Analysis, Injury, Int. J. Care Injured, Vol.31 S-C (2000), pp.14-20.
16. Kesemenli, C., Subasi, M., Necmioglu, S. and Kapukaya, A., Treatment of Multifragmentary Fractures of the Femur by Indirect Reduction (Biological) and Plate Fixation, Injury, Int. J. Care Injured, Vol.33 (2002), pp.691-699.
17. Tayton, K. and Bradley, J., How Stiff Should Semi-Rigid Fixation of the Human Tibia be? A Clue to the Answer, The Journal of Bone and Joint Surgery, Vol.65, No.3 (1993), pp.312-315.
18. Chapman, J.R., Harrington, R.M., Lee, K.M., Anderson, P.A., Tencer, A.F. and Kowalski, D., Factors Affecting the Pullout Strength of Cancellous Bone Screws, Journal of Biomechanical Engineering, Vol. 118 (1996), pp.391-398.
19. Fan, L., Rondal, J. and Cescotto, S., Finite Element Modelling on Single Lap Screw Connection in Steel Sheeting under Static Shear, Thin-Walled Structures, Vol.27, No.2 (1997), pp.165-185.
20. Lawrence, J.K., Mechanics of Hard Tissue, The Biomedical Engineering Handbook, Edited by Joseph, E. and Bronzino, D., (2000), CRC Press.
21. Ferguson, S.J., Wyss, U.P. and Pichora, D.R., Finite Element Stress Analysis of a Hybrid Fracture Fixation Plate, Medical Engineering Physics, Vol.18 (1996), pp.241-250.
22. Ramakrishna, K., Sridhar, I., Sivashanker, S., Ganesh, V.K. and Ghista, D.N., Analysis of Internal Fixation of a Long Bone Fracture, Proceedings of 13th International Conference on Mechanics in Medicine & Biology, National Cheng Kung University, Taiwan.
23. Ramakrishna, K., Development of Micro-Mechanics Models for Bone Fracture Fixation, Ph.D. Interim Report, Nanyang Technological University, Singapore, (2003).