A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate

Abstract Background Locking plates are commonly used for the fixation of comminuted, periprosthetic and osteoporotic bone fractures. These plates are secured to the bone with screws, creating a stable connection with fixed angle between the plate and the screws. In this biomechanical in vitro study,...

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Main Authors: Fatih Parmaksizoglu, Sinan Kilic, Onur Cetin
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-024-04700-4
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author Fatih Parmaksizoglu
Sinan Kilic
Onur Cetin
author_facet Fatih Parmaksizoglu
Sinan Kilic
Onur Cetin
author_sort Fatih Parmaksizoglu
collection DOAJ
description Abstract Background Locking plates are commonly used for the fixation of comminuted, periprosthetic and osteoporotic bone fractures. These plates are secured to the bone with screws, creating a stable connection with fixed angle between the plate and the screws. In this biomechanical in vitro study, our aim is to evaluate and compare the novel locking plate-locking spongious screw model with FDA approved classical locking plate. Methods Sawbone PCF-15 osteoporotic bone model was utilized to simulate osteoporotic bone conditions. Two screws were used to attach both the classical locking plate and the novel locking plate-locking spongious screw model to these bone models. The attachment strength of the screws to the bone blocks was measured by pull-out tests. Results Novel locking plate-locking spongious screw model exhibited an 84.38% stronger attachment to the osteoporotic bone model compared to the current locking plate model. Conclusions In conclusion, one of the important problems in the locking plates which is the high Pull-out risk of the locking spongious screws can been resolved with our proposed new model and has a chance of having a better purchase especially in osteoporotic bones.
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spelling doaj.art-7d089d720dd542ffbe24331512fd6f722024-04-14T11:23:02ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-04-011911710.1186/s13018-024-04700-4A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plateFatih Parmaksizoglu0Sinan Kilic1Onur Cetin2Departmant of Orthopedics and Traumatology, Academic HospitalDepartmant of Orthopedics and Traumatology, NB Kadikoy HospitalDepartmant of Orthopedics and Traumatology, Istanbul Medipol University, Camlica HospitalAbstract Background Locking plates are commonly used for the fixation of comminuted, periprosthetic and osteoporotic bone fractures. These plates are secured to the bone with screws, creating a stable connection with fixed angle between the plate and the screws. In this biomechanical in vitro study, our aim is to evaluate and compare the novel locking plate-locking spongious screw model with FDA approved classical locking plate. Methods Sawbone PCF-15 osteoporotic bone model was utilized to simulate osteoporotic bone conditions. Two screws were used to attach both the classical locking plate and the novel locking plate-locking spongious screw model to these bone models. The attachment strength of the screws to the bone blocks was measured by pull-out tests. Results Novel locking plate-locking spongious screw model exhibited an 84.38% stronger attachment to the osteoporotic bone model compared to the current locking plate model. Conclusions In conclusion, one of the important problems in the locking plates which is the high Pull-out risk of the locking spongious screws can been resolved with our proposed new model and has a chance of having a better purchase especially in osteoporotic bones.https://doi.org/10.1186/s13018-024-04700-4Locking platesScrew failurePlate fixationPull-out failure
spellingShingle Fatih Parmaksizoglu
Sinan Kilic
Onur Cetin
A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
Journal of Orthopaedic Surgery and Research
Locking plates
Screw failure
Plate fixation
Pull-out failure
title A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
title_full A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
title_fullStr A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
title_full_unstemmed A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
title_short A novel model of locking plate and locking spongious screw: a biomechanical in vitro comparison study with classical locking plate
title_sort novel model of locking plate and locking spongious screw a biomechanical in vitro comparison study with classical locking plate
topic Locking plates
Screw failure
Plate fixation
Pull-out failure
url https://doi.org/10.1186/s13018-024-04700-4
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