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Buttressing angle of the double-plating fixation of a distal radius fracture: a finite element study

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Abstract

Treatment of a distal radius fracture should consider principles including stable fixation and early motion. The aim of this study was to investigate the biomechanical interactions of plate-fixation angles in the internal double-plating method coupled with various load conditions using non-linear finite element analysis (FEA). A 3D finite element distal radius fracture model with three separation angles (50, 70, and 90°) between the buttressed L- and straight plates was generated based on computed tomography data. After model verification and validation, frictional (contact) elements were used to simulate the interface condition between the fixation plates and the bony surface. The stress/strain distributions and displacements at the radius end were observed under axial, bending, and torsion load conditions. The simulated results indicated that the bending and torsion increased the stress values more than the axial load. The radius and straight plate stress values decreased significantly with increasing fixation angles for all load conditions. However, the L-plate stress values increased slightly under the bending buckling effect. The displacements at the radius end and strains at the fracture healing interface decreased with increasing fixation angles for axial and torsion conditions but displayed a slight difference for the bending condition. The findings using FEA provide quantitative evidence to identify that much larger plate fixation angles could provide better mechanical strength to establish favorable stress-transmission and prevent distal fragment dislocation.

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References

  1. Adam C, Pearcy M, McCombe P (2003) Stress analysis of interbody fusion-finite element modelling of intervertebral implant and vertebral body. Clin Biomech 18:265–272

    Article  Google Scholar 

  2. Alonso-Vázquez A, Lauge-Pedersen H, Lidgren L, Taylor M (2004) Initial stability of ankle arthrodesis with three-screw fixation. A finite element analysis. Clin Biomech 19:751–759

    Article  Google Scholar 

  3. An KN, Chao EY, Cooney WP, Linscheid RL (1985) Forces in the normal and abnormal hand. J Orthop Res 3:202–211

    Article  Google Scholar 

  4. Brown CJ, Wang CJ, Yettram AL, Procter P (2004) Intramedullary nails with two lag screw. Clin Biomech 19:519–525

    Article  Google Scholar 

  5. Carrozzella J, Stern PJ (1988) Treatment of comminuted distal radius fractures with pins and plaster. Hand Clin 4:391–397

    Google Scholar 

  6. Chao EY, Opgrande JD, Axmear FE (1976) Three-dimensional force analysis of finger joints in selected isometric hand functions. J Biomech 9:387–396

    Article  Google Scholar 

  7. Chen WP, Tai CL, Shih CH, Hsieh PH, Leou MC, Lee MS (2004) Selection of fixation devices in proximal femur rotational osteotomy: clinical complications and finite element analysis. Clin Biomech 19:255–262

    Article  Google Scholar 

  8. Cooney WP, Chao EY (1977) Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg 59:27–36

    Google Scholar 

  9. Couteau B, Mansat P, Estivalèzes É, Darmana R, Mansat M, Egan J (2001) Finite element analysis of the mechanical behavior of a scapula implanted with a glenoid prosthesis. Clin Biomech 16:566–575

    Article  Google Scholar 

  10. Dunning CE, Lindsay CS, Bicknell RT, Patterson SD, Johnson JA, King GJ (1999) Supplemental pinning improves the stability of external fixation in distal radius fractures during simulated finger and forearm motion. J Hand Surg 24:992–1000

    Article  Google Scholar 

  11. Fang YC (1977) A first course in continuum mechanics, 2nd edn. Prentice-Hall Inc., NJ

    Google Scholar 

  12. Graff S, Jupiter J (1994) Fracture of the distal radius: classification of treatment and indications for external fixation. Injury 25(Suppl 4):14–25

    Google Scholar 

  13. Gesensway D, Putnam MD, Mente PL, Lewis JL (1995) Design and biomechanics of a plate for the distal radius. J Hand Surg 20:1021–1027

    Article  Google Scholar 

  14. Greatting M, Bishop A (1993) Intrafocal (Kapandji) pinning of unstable fracture of the distal radius. Orthop Clin North Am 24:301–307

    Google Scholar 

  15. Horii E, Garcia-Elias M, Bishop AT, Cooney WP, Linscheid RL, Chao EY (1990) Effect on force transmission across the carpus in procedures used to treat Kienbock’s disease. J Hand Surg 15:393–400

    Article  Google Scholar 

  16. Jakob M, Rikli DA, Regazzoni P (2000) Fracture of the distal radius treated by internal fixation and early function. J Bone Joint Surg 82:340–344

    Article  Google Scholar 

  17. Lin CL, Wang JC, Kuo YC (2006) Numerical biomechanical Investigation of a tooth/implant-supported system with various connector designs and occlusal forces. J Biomech 39:453–463

    Article  Google Scholar 

  18. Peine R, Rikli DA, Duda G, Regazzoni P (2000) Comparison of three different plating techniques for the dorsum of the distal radius: a biomechanical study. J Hand Surg 25:29–33

    Article  Google Scholar 

  19. Périé D, Hobatho MC (1998) In vivo determination of contact areas and pressure of the femorotibial joint using non-linear finite element analysis. Clin Biomech 13:394–402

    Article  Google Scholar 

  20. Pike LM, Wolfe SW (1997) Alternatives to bone graft in the treatment of distal radius fracture. Atlas Hand Clin 2:125–150

    Google Scholar 

  21. Putnam MD, Meyer NJ, Nelson EW, Gesensway D, Lewis JL (2000) Distal radial metaphyseal forces in an extrinsic grip model: implications for postfracture rehabilitation. J Hand Surg 25:469–475

    Article  Google Scholar 

  22. Rashid H, Leung F, Lu W, Fung B, Chow SP (2003) Biomechanical evaluation of plate osteosynthesis for AO type C2 fracture of the distal radius-A cadaver study. Hand Surg 8:151–156

    Article  Google Scholar 

  23. Renee DR, Brian DA, Goel VK (2002) An analysis of bone stresses and fixation stability using a finite element model of simulated distal radius fractures. J Hand Surg 27:86–92

    Google Scholar 

  24. Riis J, Fruensgaard S (1989) Treatment of unstable Colles’ fractures by external fixation. J Hand Surg 14:145–148

    Google Scholar 

  25. Rikli DA, Curtis R, Schilling C, Goldhahn J (2002) The potential of bioresorbable plates and screws in distal radius fracture fixation. Injury 33:77–83

    Article  Google Scholar 

  26. Rogge RD, Adams BD, Goel VK (2002) An analysis of bone stress and fixation stability using a finite element method of simulated distal radius fractures. J Hand Surg 27A:86–92

    Google Scholar 

  27. Scifert CF, Thomas D, Brown TD, Lipman JD (1999) Finite element analysis of a novel design approach to resisting totalhip dislocation. Clin Biomech 14:697–703

    Article  Google Scholar 

  28. Short WH, Palmer AK, Werner FW, Murphy DJ (1987) A biomechanical study of distal radial fracture. J Hand Surg 12A:529–534

    Google Scholar 

  29. Simon U, Augat P, Ignatius A, Claes L (2003) Influence of the stiffness of bone defect implants on the mechanical conditions at the interface—a finite element analysis with contact. J Biomech 36:1079–1086

    Article  Google Scholar 

  30. Waters PM, Mintzer CM, Hipp JA, Snyder BD (1997) Noninvasive measurement of distal radius instability. J Hand Surg 22:572–579

    Article  Google Scholar 

  31. Wolfe SW, Swigart CR, Grauer J, Slade JF, Panjabi MM (1998) Augmented external fixation of distal radius fractures: a biomechanical analysis. J Hand Surg 23:127–134

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Mechanical Engineering, Chang Gung University, 259 Wen-Hua 1st Road, Kwei-Shan, Tao-Yuan, 333, Taiwan

    Chun-Li Lin

  2. Graduate Institute of Medical Mechatronic, Chang Gung University, 259 Wen-Hua 1st Road, Kwei-Shan, Tao-Yuan, 333, Taiwan

    Yu-Hao Lin

  3. Department of Orthopaedic Surgery, Chang Gung Memorial Hospital & Chang Gung University, 5, Fu-Hsing St., Kuei-Shan, Tao-Yuan, Taiwan

    Alvin Chao-Yu Chen

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  1. Chun-Li Lin
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  2. Yu-Hao Lin
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  3. Alvin Chao-Yu Chen
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Correspondence to Alvin Chao-Yu Chen.

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Lin, CL., Lin, YH. & Chen, A.CY. Buttressing angle of the double-plating fixation of a distal radius fracture: a finite element study. Med Bio Eng Comput 44, 665–673 (2006). https://doi.org/10.1007/s11517-006-0082-9

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  • DOI: https://doi.org/10.1007/s11517-006-0082-9

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