Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula

Abstract Background Due to the lack of postoperative reporting outcomes and bio-mechanical studies, an optimal management of scapular fractures has not been well-established in clinical treatment, even though there are many options available. This study aimed to compare the stability of the new tita...

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Main Authors: Yanliang Shang, Yunlong Bi, Yang Cao, Yansong Wang
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-03614-x
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author Yanliang Shang
Yunlong Bi
Yang Cao
Yansong Wang
author_facet Yanliang Shang
Yunlong Bi
Yang Cao
Yansong Wang
author_sort Yanliang Shang
collection DOAJ
description Abstract Background Due to the lack of postoperative reporting outcomes and bio-mechanical studies, an optimal management of scapular fractures has not been well-established in clinical treatment, even though there are many options available. This study aimed to compare the stability of the new titanium anatomic and traditional titanium reconstructive plates for extra-articular scapular fractures through finite element analysis. Methods Two models of scapular assembly were constructed, including one anatomic plate (AP model) and one reconstructive plate (RP model). After meshing, material parameter, and boundary condition settings, we applied four loading conditions to simulate forces acting on the scapula and osteosynthesis material. To evaluate the bio-mechanical properties, the equivalent von Mises stress, equivalent elastic strain, and total deformation were investigated. Result The stress and strain distribution of model AP has better performance than model RP, with more uniform and lower values. The maximum stress value of the scapula in model AP is smaller than that of the scapula in model RP (102.83 MPa vs. 166.71 MPa). The maximum stress of the anatomic plate is half that of the reconstructive plate (218.34 MPa vs. 416.01 MPa). The maximum strain of the scapula in model AP is smaller than that of the scapula in model RP (0.0071 vs. 0.0106). The maximum strain of the anatomic plate is half that of the reconstructive plate (0.0019 vs. 0.0037). The maximum displacement of each model is all at the acromion, with a similar value (2.2947 mm vs. 1.8308 mm). Conclusions With sufficient bio-mechanical stability, the anatomic plate to support scapular fracture fragments was superior to that of the reconstructive plate.
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spelling doaj.art-10fe537401cd4d58b8b80545c735531e2023-03-22T11:51:00ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-02-011811910.1186/s13018-023-03614-xFinite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapulaYanliang Shang0Yunlong Bi1Yang Cao2Yansong Wang3Department of Orthopedic Trauma, First Affiliated Hospital of Jinzhou Medical UniversityDepartment of Orthopedic Trauma, First Affiliated Hospital of Jinzhou Medical UniversityDepartment of Orthopedic Trauma, First Affiliated Hospital of Jinzhou Medical UniversityDepartment of Orthopedic Trauma, First Affiliated Hospital of Jinzhou Medical UniversityAbstract Background Due to the lack of postoperative reporting outcomes and bio-mechanical studies, an optimal management of scapular fractures has not been well-established in clinical treatment, even though there are many options available. This study aimed to compare the stability of the new titanium anatomic and traditional titanium reconstructive plates for extra-articular scapular fractures through finite element analysis. Methods Two models of scapular assembly were constructed, including one anatomic plate (AP model) and one reconstructive plate (RP model). After meshing, material parameter, and boundary condition settings, we applied four loading conditions to simulate forces acting on the scapula and osteosynthesis material. To evaluate the bio-mechanical properties, the equivalent von Mises stress, equivalent elastic strain, and total deformation were investigated. Result The stress and strain distribution of model AP has better performance than model RP, with more uniform and lower values. The maximum stress value of the scapula in model AP is smaller than that of the scapula in model RP (102.83 MPa vs. 166.71 MPa). The maximum stress of the anatomic plate is half that of the reconstructive plate (218.34 MPa vs. 416.01 MPa). The maximum strain of the scapula in model AP is smaller than that of the scapula in model RP (0.0071 vs. 0.0106). The maximum strain of the anatomic plate is half that of the reconstructive plate (0.0019 vs. 0.0037). The maximum displacement of each model is all at the acromion, with a similar value (2.2947 mm vs. 1.8308 mm). Conclusions With sufficient bio-mechanical stability, the anatomic plate to support scapular fracture fragments was superior to that of the reconstructive plate.https://doi.org/10.1186/s13018-023-03614-xScapula fractureFinite element analysisAnatomic plateReconstructive plate
spellingShingle Yanliang Shang
Yunlong Bi
Yang Cao
Yansong Wang
Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
Journal of Orthopaedic Surgery and Research
Scapula fracture
Finite element analysis
Anatomic plate
Reconstructive plate
title Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
title_full Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
title_fullStr Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
title_full_unstemmed Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
title_short Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula
title_sort finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra articular fractures of the scapula
topic Scapula fracture
Finite element analysis
Anatomic plate
Reconstructive plate
url https://doi.org/10.1186/s13018-023-03614-x
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AT yangcao finiteelementanalysisoftitaniumanatomicplateandtitaniumreconstructiveplatefortreatmentofextraarticularfracturesofthescapula
AT yansongwang finiteelementanalysisoftitaniumanatomicplateandtitaniumreconstructiveplatefortreatmentofextraarticularfracturesofthescapula