Pimpri Chinchwad College of Engineering, Pune, 411044, India.
Biomed Phys Eng Express. 2024 Oct 15;10(6). doi: 10.1088/2057-1976/ad8095.
Tibial fractures account for approximately 15% of all fractures, typically resulting from high-energy trauma. A critical surgical approach to treat these fractures involves the fixation of the tibia using a plate with minimally invasive osteosynthesis. The selection and fixation of the implant plate are vital for stabilizing the fracture. This selection is highly dependent on the plate's stability, which is influenced by factors like the stresses generated in the plate due to the load on the bone, as well as the plate's length, thickness, and number of screw holes. Minimizing these stresses is essential to reduce the risk of implant failure, ensuring optimal stress distribution and promoting faster, more effective bone healing. In the present work, the finite element and statistical approach was used to optimize the geometrical parameters of the implant plate made of SS 316L steel and Ti6Al4V alloy. A 3D finite element model was developed for analyzing the stresses and deformation, and implant plates were manufactured to validate the results with the help of an experiment conducted on the universal testing machine. A strong correlation was observed between the experimental and predicted results, with an average error of 8.6% and 8.55% for SS316L and Ti6Al4V alloy, respectively. Further, using the signal-to-noise ratio for the minimum stress condition was applied to identify the optimum parameters of the plate. Finally, regression models were developed to predict the stresses generated in SS316L and Ti6Al4V alloy plates with different input conditions. The statistical model helps us to develop the relation between different geometrical parameters of the Tibia implant plate. As determined by the present work, the parameter most influencing is implant plate length. This outcome will be used to select the implant for a specific patient, resulting in a reduction in implant failure post-surgery.
胫骨骨折约占所有骨折的 15%,通常由高能创伤引起。治疗这些骨折的关键手术方法是使用微创接骨术的钢板固定胫骨。植入物钢板的选择和固定对于稳定骨折至关重要。这种选择高度依赖于钢板的稳定性,而钢板的稳定性受多种因素影响,如骨上的负荷引起的钢板内的应力,以及钢板的长度、厚度和螺孔数量。最大限度地减少这些应力对于降低植入物失效的风险至关重要,这可以确保最佳的应力分布,并促进更快、更有效的骨骼愈合。在本工作中,使用有限元和统计方法优化了 SS316L 钢和 Ti6Al4V 合金制成的植入物钢板的几何参数。建立了 3D 有限元模型来分析应力和变形,并制造了植入物钢板,借助万能试验机进行实验来验证结果。观察到实验结果和预测结果之间存在很强的相关性,SS316L 和 Ti6Al4V 合金的平均误差分别为 8.6%和 8.55%。此外,使用最小应力条件下的信噪比来确定板的最佳参数。最后,开发了回归模型来预测不同输入条件下 SS316L 和 Ti6Al4V 合金板产生的应力。统计模型有助于我们建立胫骨植入物钢板不同几何参数之间的关系。根据本工作的结果,影响最大的参数是植入物钢板的长度。这一结果将用于为特定患者选择植入物,从而减少手术后植入物失效的风险。