Effects of Screw and Plate Positions in the Dual Plating of Distal Humerus Fixation

  • Authors

    • Luqman Hakim Noordin
    • Shahrul Hisyam Marwan
    • Abdul Halim Abdullah
    2018-11-30
    https://doi.org/10.14419/ijet.v7i4.26.22151
  • Screw and Plate Positions, Dual Plating Fixation, Stress distribution, Displacement, Finite Element Analysis
  • Bone fractures are one of the common effects of road accident. Osteosynthesis is a surgical procedure to treat the fractures of the bones by inserting implant to restore the fracture bones to its original position and immobilizing the restored region to allow proper growth of bone. One of the main problems of an internal fixation surgery is the ability of implants to retain the original position of humerus bone without any other complications during the fractured bone development. Thus, the purposes of the study was to analyze the biomechanical effects of screw and plate positioning at the distal humerus bone. The static analysis is carried out to evaluate the effect of mechanical characteristics and stress distribution in the humerus bone by using computational design and analysis software (CATIA) and Materialise Interactive Medical Image Control System (MIMICS) software. Thus, the analysis resulted to stress/strain distributions and displacement of the humerus bone and dual plate implant respectively. Different positioning of screws shows more significant results compared to positioning of dual locking plate regarding to the stress distribution and displacement of locking plate implant which can lead to disturbance towards the growth of bone.

     

     

  • References

    1. [1] Markus Windolf, Edgardo Ramos Maza, Boyko Gueorguiev & Volker Braunstein (2010), “Treatment of Distal Humeral Fractures Using Conventional Implants. Biomechanical Evaluation Of A New Implant Configurationâ€, BMC Musculoskeletal Disorders, Vol.11, pp. 172.

      [2] Tim Taylor (October 2012), “HUMERUSâ€, innerbody.com, Retrieved from: http://www.innerbody.com/image_skelfov/skel19_new.html#continued.

      [3] Felippa, C. A. (2004), “FEM Modeling: Mesh,Loads and Boundary Conditions†Introduction To Finite Element, https://www.colorado.edu/engineering/CAS/courses.d/IFEM.d/IFEM.Ch07.d/IFEM.Ch07.pdf.

      [4] Richard L. Drake, A Wayne Vogl & Adam W.M.Mitchell (2009), “Anatomy for Students. Churchill Livingstoneâ€, Elsevier.

      [5] Shawn W. O’Driscoll (May 2013), “Distal Humerus Fractures: How to Achieve Successful Fixationâ€, Retrieved from URL: https://www.youtube.com/watch?v=qZUoMYtR-7o

      [6] Elise F.Morgan, George L.Barnes (2008), “Osteoporosis (Third Edition)â€, Vol 1, pp. 3-25

      [7] Steinemann S. (2006), “Metal for craniomaxillofacial internal fixation implants and its physiologic implicationsâ€. In: Greenberg A, Prein J, editor. Craniomaxillofacial Reconstructive and Corrective Bone Surgery. New York, pp. 107–112

      [8] Steinmann S G, Eulenberger J, Mausli P A, & Schroeder A (1986), “Biological and Biomechanical Performance of Biomaterialsâ€. Amsterdam, Elsevier Science.

      [9] Ata C. Atalar, Onur Tunalı, Ali Ers¸ Mehmet Kapıcıo, Yavuz S. & Mehmet S. Demirhan (2017), “Biomechanical comparison of orthogonal versus parallel double plating systems in intraarticular distal humerus fracturesâ€, Acta Orthopaedica et Traumatologica Turcica, Vol.51, pp. 23-28.

      [10] Michael Hackl, Kilian Wegmanna, Soudad Taibah, Klaus Josef Burkhart, Martin Scaal & Lars Peter Mu¨ller (2015), “Peri-implant failure in dual plating of the distal humerus—A biomechanical analysis with regard to screw and plate positioningâ€, Injury, Vol 46, pp. 2142-2145.

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  • How to Cite

    Hakim Noordin, L., Hisyam Marwan, S., & Halim Abdullah, A. (2018). Effects of Screw and Plate Positions in the Dual Plating of Distal Humerus Fixation. International Journal of Engineering & Technology, 7(4.26), 123-127. https://doi.org/10.14419/ijet.v7i4.26.22151