Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures

Abstract The clavicle has various anatomic shapes unique to each individual. Additionally, with the increase in high-energy traumas such as sports injuries and traffic accidents, the patterns of fractures become complex and complicated. Thus, there is a need for a variety of shapes of locking compre...

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Main Authors: Soo Min Kim, Seong-tak Kim, Dong-woon Han, Dae-Geun Kim
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-56588-z
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author Soo Min Kim
Seong-tak Kim
Dong-woon Han
Dae-Geun Kim
author_facet Soo Min Kim
Seong-tak Kim
Dong-woon Han
Dae-Geun Kim
author_sort Soo Min Kim
collection DOAJ
description Abstract The clavicle has various anatomic shapes unique to each individual. Additionally, with the increase in high-energy traumas such as sports injuries and traffic accidents, the patterns of fractures become complex and complicated. Thus, there is a need for a variety of shapes of locking compression plates (LCP) to accommodate different types of fractures and facilitate quicker rehabilitation. The aim of this study is to present different types of LCP that secure fracture fragments and distribute stress evenly, in comparison to typical anatomical LCPs, for reinforcing clavicle fractures. Three models were compared in this study: the typical shape, the center hole removed shape, and the double-curved wing shape. The DICOM (Digital Imaging and Communications in Medicine) file obtained from the computed tomography scan of the patient’s clavicle was used to extract the three-dimensional (3D) clavicle structure. Finite element analysis (FEA) simulation was employed to analyze the structural changes of the LCP under external forces. A reinforced jig was used to apply the same type of external force to each LCP, and an experiment was conducted to analyze the mechanical impact of the LCP’s structural characteristics. When comparing the stress values at the fracture zone point, resulting from the FEA simulation with applied bending forces, it was calculated that the stress dispersion effect was approximately ten times greater when transitioning from a typical LCP shape to a double-curved partial wing structure. Moreover, the ultimate stress increased 3.33 times, from 241.322 to 804.057 N, as the LCP design changed under cantilever bending conditions. This double-curved wing LCP design reduces stress concentration at the fracture site and minimizes stress in the fracture area when subjected to cantilever bending forces. Consequently, this newly designed LCP has the potential to decrease complications related to the plate and accelerate rehabilitation protocols.
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spelling doaj.art-80434ae10cdc413396986803234347bf2024-03-17T12:22:52ZengNature PortfolioScientific Reports2045-23222024-03-0114111710.1038/s41598-024-56588-zStudy on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fracturesSoo Min Kim0Seong-tak Kim1Dong-woon Han2Dae-Geun Kim3ICT Convergence Research Division, Realistic Media Research Center, Gumi Electronics and Information Technology Research Institute (GERI)Functional Materials and Components R &D Group, Korea Institute of Industrial Technology (KITECH)Functional Materials and Components R &D Group, Korea Institute of Industrial Technology (KITECH)Department of Orthopedic Surgery, College of Medicine, Soonchunhyang University Gumi HospitalAbstract The clavicle has various anatomic shapes unique to each individual. Additionally, with the increase in high-energy traumas such as sports injuries and traffic accidents, the patterns of fractures become complex and complicated. Thus, there is a need for a variety of shapes of locking compression plates (LCP) to accommodate different types of fractures and facilitate quicker rehabilitation. The aim of this study is to present different types of LCP that secure fracture fragments and distribute stress evenly, in comparison to typical anatomical LCPs, for reinforcing clavicle fractures. Three models were compared in this study: the typical shape, the center hole removed shape, and the double-curved wing shape. The DICOM (Digital Imaging and Communications in Medicine) file obtained from the computed tomography scan of the patient’s clavicle was used to extract the three-dimensional (3D) clavicle structure. Finite element analysis (FEA) simulation was employed to analyze the structural changes of the LCP under external forces. A reinforced jig was used to apply the same type of external force to each LCP, and an experiment was conducted to analyze the mechanical impact of the LCP’s structural characteristics. When comparing the stress values at the fracture zone point, resulting from the FEA simulation with applied bending forces, it was calculated that the stress dispersion effect was approximately ten times greater when transitioning from a typical LCP shape to a double-curved partial wing structure. Moreover, the ultimate stress increased 3.33 times, from 241.322 to 804.057 N, as the LCP design changed under cantilever bending conditions. This double-curved wing LCP design reduces stress concentration at the fracture site and minimizes stress in the fracture area when subjected to cantilever bending forces. Consequently, this newly designed LCP has the potential to decrease complications related to the plate and accelerate rehabilitation protocols.https://doi.org/10.1038/s41598-024-56588-zClavicleLocking screw plateDouble-shaped partial wing structure
spellingShingle Soo Min Kim
Seong-tak Kim
Dong-woon Han
Dae-Geun Kim
Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
Scientific Reports
Clavicle
Locking screw plate
Double-shaped partial wing structure
title Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
title_full Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
title_fullStr Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
title_full_unstemmed Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
title_short Study on the characteristics of increased mechanical stiffness according to changes in LCP shape to reinforce clavicle fractures
title_sort study on the characteristics of increased mechanical stiffness according to changes in lcp shape to reinforce clavicle fractures
topic Clavicle
Locking screw plate
Double-shaped partial wing structure
url https://doi.org/10.1038/s41598-024-56588-z
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