Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths
Objective: The role of plate configuration was found inconclusive on the biomechanical effects of the plate size and hole number for dual plate constructions in humeral shaft fractures. The purpose of this study was to test the biomechanical stability of various dual plate constructions. Methods: Tw...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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AVES
2016-08-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16300153 |
| _version_ | 1797920506109755392 |
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| author | Ahmet Karakasli Onur Basci Fatih Ertem Eyad Sekik Hasan Havitcioglu |
| author_facet | Ahmet Karakasli Onur Basci Fatih Ertem Eyad Sekik Hasan Havitcioglu |
| author_sort | Ahmet Karakasli |
| collection | DOAJ |
| description | Objective: The role of plate configuration was found inconclusive on the biomechanical effects of the plate size and hole number for dual plate constructions in humeral shaft fractures. The purpose of this study was to test the biomechanical stability of various dual plate constructions. Methods: Twenty-four left humeri (4th Generation Composite Humerus, Sawbones, Malmö, Sweden) with comminuted midshaft humeral fracture were used. Four groups of plate constructs were tested: laterally fixed 8-hole locking plate and screws were combined with anteriorly locking plates containing 0, 4, 6, or 8 holes in groups I, II, III, and IV, respectively. The alterations in axial, bending, and torsional angles were recorded. Results: There were no fixation failures during axial, bending, or torsional stiffness testing within the elastic behavior limits. Axial stiffness was highest in Group IV. Torsional stiffness, posterior-to-anterior bending stiffness, lateral-to-medial bending stiffness, and medial-to-lateral bending stiffness were lowest in Group I. Conclusion: The similar stiffness values for the 8-to-4 hole and 8-to-6 hole plate constructions indicate that the 8-to-4 hole construction is an option in young adults, while the stiffest 8-to-8 hole combination may be an option for osteoporotic patients. Keywords: Humeral shaft fractures, Dual plate, Fixation |
| first_indexed | 2024-04-10T14:02:07Z |
| format | Article |
| id | doaj.art-67c980b5111e4c97bb6d40a0e9905f46 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T14:02:07Z |
| publishDate | 2016-08-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-67c980b5111e4c97bb6d40a0e9905f462023-02-15T16:10:13ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2016-08-01504432436Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengthsAhmet Karakasli0Onur Basci1Fatih Ertem2Eyad Sekik3Hasan Havitcioglu4Dokuz Eylul University, Faculty of Medicine, Dept. Orthopaedics and Traumatology, Izmir, Turkey; Corresponding author.Dokuz Eylul University, Faculty of Medicine, Dept. Orthopaedics and Traumatology, Izmir, TurkeyDokuz Eylul University, Institute of Health Sciences, Dept. Biomechanics, Izmir, TurkeyKaratas Hospital, Izmir, TurkeyDokuz Eylul University, Faculty of Medicine, Dept. Orthopaedics and Traumatology, Izmir, TurkeyObjective: The role of plate configuration was found inconclusive on the biomechanical effects of the plate size and hole number for dual plate constructions in humeral shaft fractures. The purpose of this study was to test the biomechanical stability of various dual plate constructions. Methods: Twenty-four left humeri (4th Generation Composite Humerus, Sawbones, Malmö, Sweden) with comminuted midshaft humeral fracture were used. Four groups of plate constructs were tested: laterally fixed 8-hole locking plate and screws were combined with anteriorly locking plates containing 0, 4, 6, or 8 holes in groups I, II, III, and IV, respectively. The alterations in axial, bending, and torsional angles were recorded. Results: There were no fixation failures during axial, bending, or torsional stiffness testing within the elastic behavior limits. Axial stiffness was highest in Group IV. Torsional stiffness, posterior-to-anterior bending stiffness, lateral-to-medial bending stiffness, and medial-to-lateral bending stiffness were lowest in Group I. Conclusion: The similar stiffness values for the 8-to-4 hole and 8-to-6 hole plate constructions indicate that the 8-to-4 hole construction is an option in young adults, while the stiffest 8-to-8 hole combination may be an option for osteoporotic patients. Keywords: Humeral shaft fractures, Dual plate, Fixationhttp://www.sciencedirect.com/science/article/pii/S1017995X16300153 |
| spellingShingle | Ahmet Karakasli Onur Basci Fatih Ertem Eyad Sekik Hasan Havitcioglu Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths Acta Orthopaedica et Traumatologica Turcica |
| title | Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths |
| title_full | Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths |
| title_fullStr | Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths |
| title_full_unstemmed | Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths |
| title_short | Dual plating for fixation of humeral shaft fractures: A mechanical comparison of various combinations of plate lengths |
| title_sort | dual plating for fixation of humeral shaft fractures a mechanical comparison of various combinations of plate lengths |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16300153 |
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