Far cortical locking can improve healing of fractures stabilized with locking plates

Journal of Bone and Joint Surgery

Volumn 92, Issue 7, 2010, Pages 1652-1660

  Bottlang, Michael ^a   Lesser, Maren ^b   Koerber, Julia ^c   Doornink, Josef ^a   Von Rechenberg, Brigitte ^b   Augat, Peter ^c   Fitzpatrick, Daniel C ^a   Madey, Steven M ^a   Marsh, J Lawrence ^d  

^a Legacy Biomechanics Laboratory   (United States)

^b UNIVERSITY OF ZURICH   (Switzerland)

^c Institute of Biomechanics   (Germany)

^d UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; BODY MOVEMENT; BONE MINERAL; BONE PLATE; CALLUS; CONTROLLED STUDY; CORTICAL LOCKING CONSTRUCT; FRACTURE HEALING; MECHANICAL TORSION; NONHUMAN; OUTCOME ASSESSMENT; PRIORITY JOURNAL; SHEEP; STANDARD LOCKED PLATING CONSTRUCT; TIBIA OSTEOTOMY; ANIMAL; BIOMECHANICS; CHEMISTRY; COMPARATIVE STUDY; FEMALE; FRACTURE FIXATION; METHODOLOGY; OSTEOSYNTHESIS; PHYSIOLOGY; RADIOGRAPHY;

MINERAL;

ANIMALS; BIOMECHANICS; BONE PLATES; BONY CALLUS; FEMALE; FRACTURE FIXATION; FRACTURE FIXATION, INTERNAL; FRACTURE HEALING; MINERALS; SHEEP;

EID: 77955076197     PISSN: 00219355     EISSN: 15351386     Source Type: Journal    
DOI: 10.2106/JBJS.I.01111     Document Type: Article

References (35)

1. Fitzpatrick DC, Doornink J, Madey SM, Bottlang M. Relative stability of conventional and locked plating fixation in a model of the osteoporotic femoral diaphysis. Clin Biomech (Bristol, Avon). 2009;24:203-9.
2. Kubiak EN, Fulkerson E, Strauss E, Egol KA. The evolution of locked plates. J Bone Joint Surg Am. 2006;88 Suppl 4:189-200.
3. Ring D, Kloen P, Kadzielski J, Helfet D, Jupiter JB. Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin Orthop Relat Res. 2004;425:50-4.
4. Perren SM. 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. 2002;84:1093-110.
5. Tan SL, Balogh ZJ. Indications and limitations of locked plating. Injury. 2009;40:683-91.
6. Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004;18:488-93.
7. Perren SM. Backgrounds of the technology of internal fixators. Injury. 2003;34 Suppl 2:B1-3.
8. Henderson CE, Bottlang M, Marsh JL, Fitzpatrick DC, Madey SM. Does locked plating of periprosthetic supracondylar femur fractures promote bone healing by callus formation? Two cases with opposite outcomes. Iowa Orthop J. 2008;28:73-6.
9. Uhthoff HK, Poitras P, Backman DS. Internal plate fixation of fractures: short history and recent developments. J Orthop Sci. 2006;11:118-26.
10. Augat P, Penzkofer R, Nolte A, Maier M, Panzer S, v Oldenburg G, Pueschl K, Simon U, Bühren V. Interfragmentary movement in diaphyseal tibia fractures fixed with locked intramedullary nails. J Orthop Trauma. 2008;22:30-6.
11. Claes LE, Heigele CA, Neidlinger-Wilke C, Kaspar D, Seidl W, Margevicius KJ, Augat P. Effects of mechanical factors on the fracture healing process. Clin Orthop Relat Res. 1998;355 Suppl:S132-47.
12. Claes LE, Wilke HJ, Augat P, Rübenacker S, Margevicius KJ. Effect of dynamization on gap healing of diaphyseal fractures under external fixation. Clin Biomech (Bristol, Avon). 1995;10:227-34.
13. Hente R, Füchtmeier B, Schlegel U, Ernstberger A, Perren SM. The influence of cyclic compression and distraction on the healing of experimental tibial fractures. J Orthop Res. 2004;22:709-15.
14. Rahn BA, Gallinaro P, Baltensperger A, Perren SM. Primary bone healing. An experimental study in the rabbit. J Bone Joint Surg Am. 1971;53:783-6.
15. Strauss EJ, Schwarzkopf R, Kummer F, Egol KA. The current status of locked plating: the good, the bad, and the ugly. J Orthop Trauma. 2008;22:479-86.
16. Peindl RD, Zura RD, Vincent A, Coley ER, Bosse MJ, Sims SH. Unstable proximal extraarticular tibia fractures: a biomechanical evaluation of four methods of fixation. J Orthop Trauma. 2004;18:540-5.
17. Bottlang M, Doornink J, Fitzpatrick DC, Madey SM. Far cortical locking can reduce stiffness of locked plating constructs while retaining construct strength. J Bone Joint Surg Am. 2009;91:1985-94.
18. Nunamaker DM. Experimental models of fracture repair. Clin Orthop Relat Res. 1998;355 Suppl:S56-65.
19. Auer JA, Goodship A, Arnoczky S, Pearce S, Price J, Claes L, von Rechenberg B, Hofmann-Amtenbrinck M, Schneider E, Müller-Terpitz R, Thiele F, Rippe KP, Grainger DW. Refining animal models in fracture research: seeking consensus in optimising both animal welfare and scientific validity for appropriate biomedical use. BMC Musculoskelet Disord. 2007;8:72.
20. Epari DR, Kassi JP, Schell H, Duda GN. Timely fracture-healing requires optimization of axial fixation stability. J Bone Joint Surg Am. 2007;89:1575-85.
21. Claes L, Augat P, Suger G, Wilke HJ. Influence of size and stability of the osteotomy gap on the success of fracture healing. J Orthop Res. 1997;15:577-84.
22. Bishop NE, van Rhijn M, Tami I, Corveleijn R, Schneider E, Ito K. Shear does not necessarily inhibit bone healing. Clin Orthop Relat Res. 2006;443:307-14.
23. Lill CA, Hesseln J, Schlegel U, Eckhardt C, Goldhahn J, Schneider E. Biomechanical evaluation of healing in a non-critical defect in a large animal model of osteoporosis. J Orthop Res. 2003;21:836-42.
24. Lujan TJ, Madey SM, Fitzpatrick DC, Byrd GD, Sanderson JM, Bottlang M. A computational technique to measure fracture callus in radiographs. J Biomech. 2010;43:792-5.
25. Augat P, Merk J, Genant HK, Claes L. Quantitative assessment of experimental fracture repair by peripheral computed tomography. Calcif Tissue Int. 1997;60:194-9.
26. Cheal EJ, Mansmann KA, DiGioia AM 3rd, Hayes WC, Perren SM. Role of interfragmentary strain in fracture healing: ovine model of a healing osteotomy. J Orthop Res. 1991;9:131-42.
27. Stoffel K, Dieter U, Stachowiak G, Gächter A, Kuster MS. Biomechanical testing of the LCP-how can stability in locked internal fixators be controlled? Injury. 2003;34 Suppl 2:B11-9.
28. Field JR, Törnkvist H, Hearn TC, Sumner-Smith G, Woodside TD. The influence of screw omission on construction stiffness and bone surface strain in the application of bone plates to cadaveric bone. Injury. 1999;30:591-8.
29. Caja V, Kim W, Larsson S, E YC. Comparison of the mechanical performance of three types of external fixators: linear, circular and hybrid. Clin Biomech (Bristol, Avon). 1995;10:401-6.
30. Foux A, Yeadon AJ, Uhthoff HK. Improved fracture healing with less rigid plates. A biomechanical study in dogs. Clin Orthop Relat Res. 1997;339:232-45.
31. Panagiotopoulos E, Fortis AP, Lambiris E, Kostopoulos V. Rigid or sliding plate. A mechanical evaluation of osteotomy fixation in sheep. Clin Orthop Relat Res. 1999;358:244-9.
32. Seligson D, Mehta S, Mishra AK, FitzGerald TJ, Castleman DW, James AH, Voor MJ, Been J, Nawab A. In vivo study of stainless steel and Ti-13Nb-13Zr bone plates in a sheep model. Clin Orthop Relat Res. 1997;343:213-23.
33. Duda GN, Eckert-Hübner K, Sokiranski R, Kreutner A, Miller R, Claes L. Analysis of inter-fragmentary movement as a function of musculoskeletal loading conditions in sheep. J Biomech. 1998;31:201-10.
34. Taylor WR, Ehrig RM, Heller MO, Schell H, Seebeck P, Duda GN. Tibio-femoral joint contact forces in sheep. J Biomech. 2006;39:791-8.
35. Goodship AE, Watkins PE, Rigby HS, Kenwright J. The role of fixator frame stiffness in the control of fracture healing. An experimental study. J Biomech. 1993;26:1027-35.