Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features

Proper fixation techniques are crucial in orthopedic surgery for the treatment of various medical conditions. Fractures of the distal humerus can occur due to either high-energy trauma with skin rupture or low-energy trauma in osteoporotic bone. The recommended surgical approach for treating these e...

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Main Authors: Nikola Vitković, Jelena R. Stojković, Nikola Korunović, Emil Teuţan, Alin Pleşa, Alexandru Ianoşi-Andreeva-Dimitrova, Filip Górski, Răzvan Păcurar
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Materials
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Online Access:https://www.mdpi.com/1996-1944/16/15/5409
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author Nikola Vitković
Jelena R. Stojković
Nikola Korunović
Emil Teuţan
Alin Pleşa
Alexandru Ianoşi-Andreeva-Dimitrova
Filip Górski
Răzvan Păcurar
author_facet Nikola Vitković
Jelena R. Stojković
Nikola Korunović
Emil Teuţan
Alin Pleşa
Alexandru Ianoşi-Andreeva-Dimitrova
Filip Górski
Răzvan Păcurar
author_sort Nikola Vitković
collection DOAJ
description Proper fixation techniques are crucial in orthopedic surgery for the treatment of various medical conditions. Fractures of the distal humerus can occur due to either high-energy trauma with skin rupture or low-energy trauma in osteoporotic bone. The recommended surgical approach for treating these extra-articular distal humerus fractures involves performing an open reduction and internal fixation procedure using plate implants. This surgical intervention plays a crucial role in enhancing patient recovery and minimizing soft tissue complications. Dynamic Compression Plates (DCPs) and Locking Compression Plates (LCPs) are commonly used for bone fixation, with LCP extra-articular distal humerus plates being the preferred choice for extra-articular fractures. These fixation systems have anatomically shaped designs that provide angular stability to the bone. However, depending on the shape and position of the bone fracture, additional plate bending may be required during surgery. This can pose challenges such as increased surgery time and the risk of incorrect plate shaping. To enhance the accuracy of plate placement, the study introduces the Method of Anatomical Features (MAF) in conjunction with the Characteristic Product Features methodology (CPF). The utilization of the MAF enables the development of a parametric model for the contact surface between the plate and the humerus. This model is created using specialized Referential Geometrical Entities (RGEs), Constitutive Geometrical Entities (CGEs), and Regions of Interest (ROI) that are specific to the human humerus bone. By utilizing this anatomically tailored contact surface model, the standard plate model can be customized (bent) to precisely conform to the distinct shape of the patient’s humerus bone during the pre-operative planning phase. Alternatively, the newly designed model can be fabricated using a specific manufacturing technology. This approach aims to improve geometrical accuracy of plate fixation, thus optimizing surgical outcomes and patient recovery.
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spelling doaj.art-6ff151ba4798432e80ae4722075f6cb62023-11-18T23:12:56ZengMDPI AGMaterials1996-19442023-08-011615540910.3390/ma16155409Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical FeaturesNikola Vitković0Jelena R. Stojković1Nikola Korunović2Emil Teuţan3Alin Pleşa4Alexandru Ianoşi-Andreeva-Dimitrova5Filip Górski6Răzvan Păcurar7Faculty of Mechanical Engineering, University of Nis, Aleksandra Medvedeva, 18000 Nis, SerbiaFaculty of Mechanical Engineering, University of Nis, Aleksandra Medvedeva, 18000 Nis, SerbiaFaculty of Mechanical Engineering, University of Nis, Aleksandra Medvedeva, 18000 Nis, SerbiaDepartment of Mechatronics and Machine Dynamics, Faculty of Automotive, Mechatronics and Mechanical Engineering, Technical University of Cluj-Napoca, Blv. Muncii, No. 103-105, 400641 Cluj-Napoca, RomaniaDepartment of Mechatronics and Machine Dynamics, Faculty of Automotive, Mechatronics and Mechanical Engineering, Technical University of Cluj-Napoca, Blv. Muncii, No. 103-105, 400641 Cluj-Napoca, RomaniaDepartment of Mechatronics and Machine Dynamics, Faculty of Automotive, Mechatronics and Mechanical Engineering, Technical University of Cluj-Napoca, Blv. Muncii, No. 103-105, 400641 Cluj-Napoca, RomaniaFaculty of Mechanical Engineering, Poznan University of Technology, Piotrowo 3 STR, 61-138 Poznan, PolandDepartment of Manufacturing Engineering, Faculty of Industrial Engineering, Robotics and Production Management, Technical University of Cluj-Napoca, Blv. Muncii, No. 103-105, 400641 Cluj-Napoca, RomaniaProper fixation techniques are crucial in orthopedic surgery for the treatment of various medical conditions. Fractures of the distal humerus can occur due to either high-energy trauma with skin rupture or low-energy trauma in osteoporotic bone. The recommended surgical approach for treating these extra-articular distal humerus fractures involves performing an open reduction and internal fixation procedure using plate implants. This surgical intervention plays a crucial role in enhancing patient recovery and minimizing soft tissue complications. Dynamic Compression Plates (DCPs) and Locking Compression Plates (LCPs) are commonly used for bone fixation, with LCP extra-articular distal humerus plates being the preferred choice for extra-articular fractures. These fixation systems have anatomically shaped designs that provide angular stability to the bone. However, depending on the shape and position of the bone fracture, additional plate bending may be required during surgery. This can pose challenges such as increased surgery time and the risk of incorrect plate shaping. To enhance the accuracy of plate placement, the study introduces the Method of Anatomical Features (MAF) in conjunction with the Characteristic Product Features methodology (CPF). The utilization of the MAF enables the development of a parametric model for the contact surface between the plate and the humerus. This model is created using specialized Referential Geometrical Entities (RGEs), Constitutive Geometrical Entities (CGEs), and Regions of Interest (ROI) that are specific to the human humerus bone. By utilizing this anatomically tailored contact surface model, the standard plate model can be customized (bent) to precisely conform to the distinct shape of the patient’s humerus bone during the pre-operative planning phase. Alternatively, the newly designed model can be fabricated using a specific manufacturing technology. This approach aims to improve geometrical accuracy of plate fixation, thus optimizing surgical outcomes and patient recovery.https://www.mdpi.com/1996-1944/16/15/5409distal humerusLCP plateparametric modelmethod of anatomical features
spellingShingle Nikola Vitković
Jelena R. Stojković
Nikola Korunović
Emil Teuţan
Alin Pleşa
Alexandru Ianoşi-Andreeva-Dimitrova
Filip Górski
Răzvan Păcurar
Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
Materials
distal humerus
LCP plate
parametric model
method of anatomical features
title Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
title_full Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
title_fullStr Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
title_full_unstemmed Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
title_short Extra-Articular Distal Humerus Plate 3D Model Creation by Using the Method of Anatomical Features
title_sort extra articular distal humerus plate 3d model creation by using the method of anatomical features
topic distal humerus
LCP plate
parametric model
method of anatomical features
url https://www.mdpi.com/1996-1944/16/15/5409
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