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A finite element analysis of the supportive effect of a new type of rotary support plate on lateral tibial plateau fractures.

作者信息

Gao Shijie, Yao Quan Cheng, Geng Lindan, Lu Jian, Li Ming, An Kai, Ren Guowei, Canavese Federico, Kim Seok Jung, Gwam Chukwuweike, Wang Pengcheng, Ren Dong

机构信息

Department of Orthopaedic Trauma, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou, China.

Department of Orthopaedic Trauma, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, China.

出版信息

Ann Transl Med. 2022 Sep;10(18):1020. doi: 10.21037/atm-22-4529.


DOI:10.21037/atm-22-4529
PMID:36267738
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9577803/
Abstract

BACKGROUND: Tibial plateau fractures (TPFs) are a challenging type of fracture in orthopedic traumatology. We previously designed a plate (Patent Number: CN201520195596.5) for posterolateral TPF combined with posterior lateral collapse.. In this study, finite element analysis was used to compare the biomechanical characteristics of two internal fixation methods for posterolateral TPF. We investigated the support effect of the new steel plate on lateral TPFs combined with posterior TPFs. METHODS: Two models of complex TPF were established. Model A was fixed with the new type of plate, and model B was fixed without the plate. Three axial loads of 500, 1,000, and 1,500 N were applied using FEA on the two fracture models (A and B) to analyze the data. RESULTS: In model A, the maximum displacement at 500, 1,000, and 1,500 N was 0.085797, 0.17043, and 0.25465 mm, respectively; the maximum stress of the bone block was 11.285, 20.648, and 29.227 MPa, respectively; and the maximum strain of the bone block was 0.0012474, 0.007435, and 0.0035769 mm, respectively. The maximum displacement of the internal fixation was 0.096932, 0.18682, and 0.27655 mm, respectively; the maximum stress was 69.54, 112.1, and 155.71 MPa, respectively; and the maximum strain was 0.00066228, 0.0010676, and 0.0014829 mm, respectively. In model B, the maximum displacement of fractures at 500, 1,000, and 1,500 N was 0.15675, 0.29868, and 0.44017 mm, respectively; the maximum stress of the bone block was 6.5519, 12.575, and 18.842 MPa, respectively; and the maximum strain of the bone block was 0.0032554, 0.0074357, and 0.012146 mm, respectively. The maximum displacement of the screw was 0.14177, 0.27109, and 0.39849 mm, respectively; the maximum stress was 48.916, 92.251, and 135.27 MPa, respectively; and the maximum strain was 0.00046608, 0.00087893, and 0.0012887 mm, respectively. CONCLUSIONS: The fixation method using this type of plates and screws can replace other methods using two plates to fix complex TPF.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/15e679bfee10/atm-10-18-1020-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/6dc4ba3883a1/atm-10-18-1020-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/0d730227acf1/atm-10-18-1020-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/f69556b7f861/atm-10-18-1020-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/ceecf6a1d774/atm-10-18-1020-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/26b2d8803abc/atm-10-18-1020-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/15e679bfee10/atm-10-18-1020-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/6dc4ba3883a1/atm-10-18-1020-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/0d730227acf1/atm-10-18-1020-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/f69556b7f861/atm-10-18-1020-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/ceecf6a1d774/atm-10-18-1020-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/26b2d8803abc/atm-10-18-1020-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/923b/9577803/15e679bfee10/atm-10-18-1020-f6.jpg

相似文献

[1]
A finite element analysis of the supportive effect of a new type of rotary support plate on lateral tibial plateau fractures.

Ann Transl Med. 2022-9

[2]
[Finite element study of three novel internal fixation modes for bicondylar four-quadrant fractures of tibial plateau].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023-3-15

[3]
A Novel Locking Buttress Plate Designed for Simultaneous Medial and Posterolateral Tibial Plateau Fractures: Concept and Comparative Finite Element Analysis.

Orthop Surg. 2023-4

[4]
Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis.

J Orthop Surg Res. 2024-3-26

[5]
Different internal fixation methods for Hoffa-like fractures of the tibial plateau: a finite element analysis.

Front Med (Lausanne). 2023-7-3

[6]
A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Through Traditional Anterolateral Approach.

Sci Rep. 2018-11-6

[7]
The study of biomechanics and finite element analysis on a novel plate for tibial plateau fractures via anterolateral supra-fibular-head approach.

Sci Rep. 2023-8-19

[8]
Biomechanics and finite element analysis of a novel plate designed for posterolateral tibial plateau fractures via the anterolateral approach.

Sci Rep. 2023-11-17

[9]
Newly designed anterolateral and posterolateral locking anatomic plates for lateral tibial plateau fractures: a finite element study.

J Orthop Surg Res. 2017-2-23

[10]
Finite element analysis of a novel anatomical plate in posterolateral plateau fractures.

Front Surg. 2024-7-15

引用本文的文献

[1]
Segmentation and finite element analysis in orthopaedic trauma.

3D Print Med. 2025-7-21

[2]
Regional bone density patterns of the tibial plateau: implications for finite element analysis.

Front Bioeng Biotechnol. 2025-5-22

[3]
How Does the Stress in the Fixation Device Change during Different Stages of Bone Healing in the Treatment of Fractures? A Finite Element Study of External Fixation for Tibial Fractures.

Orthop Surg. 2024-11

[4]
Finite element analysis of a novel anatomical plate in posterolateral plateau fractures.

Front Surg. 2024-7-15

[5]
[Research progress on biomechanics for internal fixation in tibial plateau fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024-1-15

[6]
Biomechanical analysis of internal fixation system stability for tibial plateau fractures.

Front Bioeng Biotechnol. 2023-6-14

本文引用的文献

[1]
Reverse dynamisation: a modern perspective on Stephan Perren's strain theory.

Eur Cell Mater. 2021-6-10

[2]
A proposal of a new algorithm for decision-making approaches in open reduction and internal fixation of complex tibial plateau fractures - SOTA algorithm (Spanish Orthopaedic Trauma Association).

Injury. 2021-7

[3]
Bone fracture healing: perspectives according to molecular basis.

J Bone Miner Metab. 2021-5

[4]
Newer generation of proximal tibia locking plates demonstrate large variability in their ability to capture the posteromedial fragment in bicondylar tibial plateau fractures.

Injury. 2021-6

[5]
From creative thinking to scientific principles in clinical practice.

Injury. 2021-1

[6]
A Novel Method of the Treatment for Posterolateral Tibial Plateau Fractures.

J Knee Surg. 2020-10

[7]
A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Based on Computed Tomography Mapping of the Proximal Tibiofibular Joint.

Med Sci Monit. 2018-12-21

[8]
Revisiting the Schatzker classification of tibial plateau fractures.

Injury. 2018-12

[9]
A Novel Design of a Plate for Posterolateral Tibial Plateau Fractures Through Traditional Anterolateral Approach.

Sci Rep. 2018-11-6

[10]
An innovative Mg/Ti hybrid fixation system developed for fracture fixation and healing enhancement at load-bearing skeletal site.

Biomaterials. 2018-7-17

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