Less rigid stable fracture fixation in osteoporotic bone using locked plates with near cortical slots

Injury

Volumn 41, Issue 6, 2010, Pages 652-656

  Gardner, Michael J ^a   Nork, Sean E ^b   Huber, Phillipe ^b   Krieg, James C ^b  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Locking plates; Modulus mismatch; Near cortical slots; Osteoporosis; Stiffness

Indexed keywords

ARTICLE; BIOMECHANICS; BONE PLATE; BONE PROSTHESIS; BONE SCREW; CORTICAL BONE; DIAPHYSIS; DYNAMICS; FRACTURE FIXATION; LOADING TEST; OSTEOPOROSIS; PRIORITY JOURNAL; RIGIDITY; TRABECULAR BONE;

BIOMECHANICS; BONE PLATES; BONE SUBSTITUTES; ELASTIC MODULUS; EQUIPMENT FAILURE ANALYSIS; FRACTURES, BONE; HUMANS; MATERIALS TESTING; OSTEOPOROSIS; PROSTHESIS DESIGN; WEIGHT-BEARING;

EID: 77952105266     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2010.02.022     Document Type: Article

References (44)

1. Akeson W.H., Woo S.L., Coutts R.D., et al. Quantitative histological evaluation of early fracture healing of cortical bones immobilized by stainless steel and composite plates. Calcif Tissue Res 19 (1975) 27-37
2. Ali M.S., French T.A., Hastings G.W., et al. Carbon fibre composite bone plates. Development, evaluation and early clinical experience. J Bone Joint Surg Br 72 (1990) 586-591
3. Augat P., Rapp S., and Claes L. A modified hip screw incorporating injected cement for the fixation of osteoporotic trochanteric fractures. J Orthop Trauma 16 (2002) 311-316
4. Bartucci E.J., Gonzalez M.H., Cooperman D.R., et al. The effect of adjunctive methylmethacrylate on failures of fixation and function in patients with intertrochanteric fractures and osteoporosis. J Bone Joint Surg Am 67 (1985) 1094-1107
5. Bottlang M., Doornink J., Byrd G.D., et al. A nonlocking end screw can decrease fracture risk caused by locked plating in the osteoporotic diaphysis. J Bone Joint Surg Am 91 (2009) 620-627
6. Burstein A.H., Reilly D.T., and Martens M. Aging of bone tissue: mechanical properties. J Bone Joint Surg Am 58 (1976) 82-86
7. Chao E.Y., Inoue N., Koo T.K., and Kim Y.H. Biomechanical considerations of fracture treatment and bone quality maintenance in elderly patients and patients with osteoporosis. Clin Orthop Relat Res (2004) 12-25
8. Claes L., Eckert-Hubner K., and Augat P. The effect of mechanical stability on local vascularization and tissue differentiation in callus healing. J Orthop Res 20 (2002) 1099-1105
9. Claes L.E., and Heigele C.A. Magnitudes of local stress and strain along bony surfaces predict the course and type of fracture healing. J Biomech 32 (1999) 255-266
10. Cordey J., Perren S.M., and Steinemann S.G. Stress protection due to plates: myth or reality? A parametric analysis made using the composite beam theory. Injury 31 Suppl. 3 (2000) C1-C13
11. Cornell C.N. Internal fracture fixation in patients with osteoporosis. J Am Acad Orthop Surg 11 (2003) 109-119
12. Curtis R., Goldhahn J., Schwyn R., et al. Fixation principles in metaphyseal bone-a patent based review. Osteoporos Int 16 Suppl. 2 (2005) S54-S64
13. Ding M. Age variations in the properties of human tibial trabecular bone and cartilage. Acta Orthop Scand Suppl 292 (2000) 1-45
14. Duda G.N., Mandruzzato F., Heller M., et al. Mechanical conditions in the internal stabilization of proximal tibial defects. Clin Biomech (Bristol, Avon) 17 (2002) 64-72
15. Ellis T., Bourgeault C.A., and Kyle R.F. Screw position affects dynamic compression plate strain in an in vitro fracture model. J Orthop Trauma 15 (2001) 333-337
16. ElMaraghy A.W., ElMaraghy M.W., Nousiainen M., et al. Influence of the number of cortices on the stiffness of plate fixation of diaphyseal fractures. J Orthop Trauma 15 (2001) 186-191
17. Epari D.R., Kassi J.P., Schell H., and Duda G.N. Timely fracture-healing requires optimization of axial fixation stability. J Bone Joint Surg Am 89 (2007) 1575-1585
18. Epari D.R., Schell H., Bail H.J., and Duda G.N. Instability prolongs the chondral phase during bone healing in sheep. Bone 38 (2006) 864-870
19. Eriksson F., Mattsson P., and Larsson S. The effect of augmentation with resorbable or conventional bone cement on the holding strength for femoral neck fracture devices. J Orthop Trauma 16 (2002) 302-310
20. Field J.R., Tornkvist H., Hearn T.C., et al. The influence of screw omission on construction stiffness and bone surface strain in the application of bone plates to cadaveric bone. Injury 30 (1999) 591-598
21. Ganesh V.K., Ramakrishna K., and Ghista D.N. Biomechanics of bone-fracture fixation by stiffness-graded plates in comparison with stainless-steel plates. Biomed Eng Online 4 (2005) 46
22. Gardner M.J., Nork S.E., Huber P., and Krieg J.C. Stiffness modulation of locking plate constructs using near cortical slotted holes: a preliminary study. J Orthop Trauma 23 (2009) 281-287
23. 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 31 Suppl. 3 (2000) C14-C20
24. Jain R., Podworny N., Hearn T., et al. Effect of stainless steel and titanium low-contact dynamic compression plate application on the vascularity and mechanical properties of cortical bone after fracture. J Orthop Trauma 11 (1997) 490-495
25. Kabel J., Odgaard A., van Rietbergen B., and Huiskes R. Connectivity and the elastic properties of cancellous bone. Bone 24 (1999) 115-120
26. Kenwright J., and Gardner T. Mechanical influences on tibial fracture healing. Clin Orthop 355 Suppl. (1998) S179-S190
27. Kenwright J., and Goodship A.E. Controlled mechanical stimulation in the treatment of tibial fractures. Clin Orthop 241 (1989) 36-47
28. Laurence M., Freeman M.A., and Swanson S.A. Engineering considerations in the internal fixation of fractures of the tibial shaft. J Bone Joint Surg Br 51 (1969) 754-768
29. Lill H., Hepp P., Korner J., et al. Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens. Arch Orthop Trauma Surg 123 (2003) 74-81
30. Mark H., Bergholm J., Nilsson A., et al. An external fixation method and device to study fracture healing in rats. Acta Orthop Scand 74 (2003) 476-482
31. Marti A., Fankhauser C., Frenk A., et al. Biomechanical evaluation of the less invasive stabilization system for the internal fixation of distal femur fractures. J Orthop Trauma 15 (2001) 482-487
32. 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 9 (1995) 17-22
33. Miranda M.A. Locking plate technology and its role in osteoporotic fractures. Injury 38 Suppl. 3 (2007) S35-S39
34. Noordeen M.H., Lavy C.B., Shergill N.S., et al. Cyclical micromovement and fracture healing. J Bone Joint Surg Br 77 (1995) 645-648
35. Pemberton D.J., McKibbin B., Savage R., et al. Carbon-fibre reinforced plates for problem fractures. J Bone Joint Surg Br 74 (1992) 88-92
36. Perren S.M. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br 84 (2002) 1093-1110
37. Probst A., Jansen H., Ladas A., and Spiegel H.U. Callus formation and fixation rigidity: a fracture model in rats. J Orthop Res 17 (1999) 256-260
38. Sanders R., Haidukewych G.J., 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 16 (2002) 166-171
39. Sommer C., Gautier E., Muller M., et al. First clinical results of the Locking Compression Plate (LCP). Injury 34 Suppl. 2 (2003) B43-B54
40. Sommers M.B., Fitzpatrick D.C., Madey S.M., et al. A surrogate long-bone model with osteoporotic material properties for biomechanical testing of fracture implants. J Biomech 40 (2007) 3297-3304
41. Stoffel K., Dieter U., Stachowiak G., et al. Biomechanical testing of the LCP-how can stability in locked internal fixators be controlled?. Injury 34 Suppl. 2 (2003) B11-B19
42. Stoffel K., Klaue K., and Perren S.M. Functional load of plates in fracture fixation in vivo and its correlate in bone healing. Injury 31 Suppl. 2 (2000) S-B37-50
43. Tornkvist H., Hearn T.C., and Schatzker J. The strength of plate fixation in relation to the number and spacing of bone screws. J Orthop Trauma 10 (1996) 204-208
44. Uhthoff H.K., and Finnegan M.A. The role of rigidity in fracture fixation. An overview. Arch Orthop Trauma Surg 102 (1984) 163-166