Comparison of a new minimum contact locking plate and the limited contact dynamic compression plate in an osteoporotic fracture modelComparaison entre une nouvelle minimum plaque de verrouillage de contact et une plaque dynamique de compression de contact limité dans un modèle de fracture d’ostéoporose

被引:0
作者
Yan Xiong
Yufeng Zhao
Ziming Wang
Quanyin Du
Weijun Chen
Aimin Wang
机构
[1] The Third Military Medical University,Department of Orthopedics, Daping Hospital
[2] The Third Military Medical University,State Key Laboratory of Biomechanics, Department of Anatomy
关键词
Bone Mineral Density; Compression Plate; Comminute Fracture; Screw Hole; Minimum Contact;
D O I
10.1007/s00264-008-0713-x
中图分类号
学科分类号
摘要
The purpose of this study was to investigate the biomechanical properties of a new minimum contact locking plate (MC-LP) compared with the limited contact dynamic compression plate (LC-DCP). Eighteen pairs of fresh human osteoporotic cadaver radii were equally divided into three groups. Each specimen was tested in each of the following force applications: anteroposterior (AP) four point bending, mediolateral (ML) four point bending, and torsion. A 10-mm gap osteotomy model was used to simulate a comminuted diaphyseal radial fracture. For each pair, one radius received a limited contact dynamic compression plate (LC-DCP) and the contralateral radius was fixed with a minimum contact locking plate (MC-LP). Specimens were tested in nondestructive four point bending and torsion on an electronic universal material testing system. The results indicate that the MC-LP system is significantly more stable than the LC-DCP system when tested in four point bending and torsion in an osteoporotic comminuted radial diaphyseal fracture model.
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[1]  
Perren SM(1988)Early temporary porosis of bone induced by internal fixation implants. A reaction to necrosis, not to stress protection? Clin Orthop Relat Res 232 139-151
[2]  
Cordey J(1991)The concept of biological plating using the limited contact dynamic compression plate (LC-DCP). Scientific background, design and application Injury 22 1-41
[3]  
Rahn BA(1992)Comparison of bone screw holding strength in healthy bovine and osteoporotic human cancellous bone Clin Mater 9 105-107
[4]  
Perren SM(2002)Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology J Bone Joint Surg Br 84 1093-1110
[5]  
Turner IG(2007)Locking plate technology: current concepts J Knee Surg 20 50-55
[6]  
Rice GN(2004)Biomechanics of locked plates and screws J Orthop Trauma 18 488-493
[7]  
Perren SM(2001)Locking compression plate (LCP). An osteosynthesis plate based on the dynamic compression plate and the point contact fixator (PC-Fix) Injury 32 63-66
[8]  
Greiwe RM(2005)The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model J Orthop Trauma 19 597-603
[9]  
Archdeacon MT(2000)Mechanical analysis of the bone to plate interface of the LC-DCP and of the PC-FIX on human femora Injury 31 29-36
[10]  
Egol KA(2007)Factors affecting the stability of screws in human cortical osteoporotic bone: a cadaver study J Bone Joint Surg Br 89 701-705