A COMPLIANT FRACTURE FIXATION PLATE FOR CONTROLLED AXIAL MOTION IN LONG BONE HEALING

Connor Huxman, G. Lewis, Gary F. Updegrove, April D. Armstrong, Jared Butler
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Abstract

In this work, we introduce a novel compliant fracture fixation plate capable of delivering controlled axial micromotion to a diaphyseal fracture. When an appropriate amount of interfragmentary strain is achieved, this micromotion is known to facilitate secondary healing by callus formation. The proposed single-piece designs leverage mechanical compliance to achieve motion, eliminating friction, wear, and detailed assembly inherent to other multi-component concepts. 3-dimensional simulations are carried out under offset axial loading. Initial finite element analysis results suggest that flexure-based compliant plates can achieve increased magnitude and symmetry of axial interfragmentary strain, even when constructed of stainless steel, a surgeon-preferred material that traditionally may be too stiff to promote callus formation.
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一种用于控制长骨轴向运动的柔性骨折固定钢板
在这项工作中,我们介绍了一种新型柔性骨折固定板,能够为骨干骨折提供可控的轴向微运动。当达到适当数量的碎片间应变时,这种微运动被认为可以促进愈伤组织形成的二次愈合。提议的单件设计利用机械顺应性来实现运动,消除摩擦,磨损和其他多组件概念固有的详细组装。在轴向偏置载荷下进行了三维仿真。最初的有限元分析结果表明,基于挠曲的柔性钢板可以增加轴向碎片间应变的大小和对称性,即使是用不锈钢制成的,不锈钢是一种外科医生首选的材料,传统上可能过于僵硬,无法促进骨痂的形成。
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