FINITE ELEMENT ANALYSIS ON DUAL SMALL PLATE AND SINGLE FIXATION PLATE FOR DISTAL COLLARBONE FRACTURE TREATMENT
DOI:
https://doi.org/10.21776/MECHTA.2023.004.01.9Keywords:
Collarbone Fracture, Finite Element Analysis, BiomechanicalAbstract
Distal fractures on the collarbone are one of the most common fractures. Using internal fixation is one of the most widely used methods for treating fractures in the collarbone. A dual fixation plate for a collarbone fracture is reported to reduce reoperation due to fixation devices. In this study, the element analysis results will be presented using finite element analysis software (FEA software) for the fixation of collarbone fractures using dual plate fixation, superior plate, and anteroinferior plate. A three-dimensional model of a collarbone fracture with a fracture distance of 3 mm is used to obtain the equivalent von Mises stress value. There was no significant difference in the bending and compressive loadings on the double small plate fixation, superior plate fixation, and anteroinferior plate fixation. The von Mises stress equivalent for double small plate fixation has the most significant value compared to superior and anteroinferior plate fixation. This demonstrates that dual small plate fixation has better biomechanical properties than single plate fixation because it has better stress shielding ability and will accelerate bone healing due to the low load on the collarbone if used by an active patient.
References
CHEN XIAOBIN, STEVEN F SHANNON, MICHAEL TORCHIA, BRADLEY SCHOCH, (2017). Radiographic outcomes of single versus dual plate fixation of acute mid-shaft clavicle fractures. Arch Orthop Trauma Surg., 137(6):749–54. https://link.springer.com/article/10.1007/s00402-017-2676-0
NI, M., NIU, W., WONG, D. W.-C., ZENG, W., MEI, J., & ZHANG, M. (2016). Finite element analysis of locking plate and two types of intramedullary nails for treating mid-shaft clavicle fractures. Injury, 47(8), 1618–1623. https://doi.org/10.1016/j.injury.2016.06.004
PRASARN MARK L, KATHELEEN N MEYERS, GEOFFREY WILKIN, DAVID S WELLMAN, DANIEL B CHAN, JAIMO AHN, DEAN G LORICH, DAVID L HELFET, (2015) Dual mini-fragment plating for midshaft clavicle fractures: a clinical and biomechanical investigation. Arch Orthop Trauma Surg, 135(12):1655–62. https://link.springer.com/article/10.1007/s00402-015-2329-0
ROBINSON, C. M., GOUDIE, E. B., MURRAY, I. R., JENKINS, P. J., AHKTAR, M. A., READ, E. O., FOSTER, C. J., CLARK, K., BROOKSBANK, A. J., ARTHUR, A., CROWTHER, M. A., PACKHAM, I., & CHESSER, T. J. (2013). Open Reduction and Plate Fixation Versus Nonoperative Treatment for Displaced Midshaft Clavicular Fractures: A Multicenter, Randomized, Controlled Trial. JBJS, 95(17). https://journals.lww.com/jbjsjournal/Fulltext/2013/09040/Open_Reduction_and_Plate_Fixation_Versus.6.aspx
STEPANSKIY LEONARD, SELIKTAR RAHAMIM RAMI, (2007). Predicting fracture of the femoral neck. J Biomech. 40(8):1813–23. https://doi.org/10.1016/j.jbiomech.2006.07.002
TUPIS TODD M, GREGORY T ALTMAN, DANIEL T ALTMAN, HAROLD A COOK, MARK CARL MILLER, (2012). Femoral bone strains during antegrade nailing: a comparison of two entry points with identical nails using finite element analysis. Clin Biomech (Bristol, Avon), 27(4):354–9. DOI: 10.1016/j.clinbiomech.2011.11.002. https://www.clinbiomech.com/article/S0268-0033(11)00290-7/fulltext
VANBEEK, C., BOSELLI, K. J., CADET, E. R., AHMAD, C. S., & LEVINE, W. N. (2011). Precontoured Plating of Clavicle Fractures: Decreased Hardware-related Complications? Clinical Orthopedics and Related Research®, 469(12). https://journals.lww.com/clinorthop/Fulltext/2011/12000/Precontoured_Plating_of_Clavicle_Fractures_.11.aspx
YUKATA K, TAKAHASHI M, YASUI N. (2009), Bone fracture and the healing mechanisms. The mechanical stress for fracture healing in view of distraction osteogenesis. Clinical Calcium, 19(5):641-646. https://eurekamag.com/research/080/280/080280424.php
ZHANG, F., CHEN, F., QI, Y., QIAN, Z., NI, S., ZHONG, Z., ZHANG, X., LI, D., & YU, B. (2020). Finite element analysis of dual small plate fixation and single plate fixation for treatment of midshaft clavicle fractures. Journal of Orthopedic Surgery and Research, 15(1), 148. https://doi.org/10.1186/s13018-020-01666-x
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