Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis

Abstract Background This study investigated the biomechanical properties of a new plate used for the treatment of posterolateral tibial plateau fractures using finite element analysis. Methods The study groups were as follows: group PM, model of the new plate with posteromedial tibial plateau fractu...

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Main Authors: Zhaokui Yan, Chang Zou, Guy Romeo Kenmegne, Xuelin Pan, Nawin Ghimire, Kuruwitage Manthi Nihara Silva, Yue Fang
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-024-04686-z
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author Zhaokui Yan
Chang Zou
Guy Romeo Kenmegne
Xuelin Pan
Nawin Ghimire
Kuruwitage Manthi Nihara Silva
Yue Fang
author_facet Zhaokui Yan
Chang Zou
Guy Romeo Kenmegne
Xuelin Pan
Nawin Ghimire
Kuruwitage Manthi Nihara Silva
Yue Fang
author_sort Zhaokui Yan
collection DOAJ
description Abstract Background This study investigated the biomechanical properties of a new plate used for the treatment of posterolateral tibial plateau fractures using finite element analysis. Methods The study groups were as follows: group PM, model of the new plate with posteromedial tibial plateau fracture; group PL, model of the new plate with posterolateral tibial plateau fracture; and group PC, model of the new plate with posterior tibial plateau fracture. We used two loading modes: uniform loading on the entire plateau, and loading on the posterior plateau. Data such as the displacement of the fracture and distribution of stress on the new plate and screws were recorded and analyzed. Results When the whole plateau was loaded, the displacement of fractures in groups PM, PL, and PC were 0.273, 0.114, and 0.265 mm, respectively. The maximum stresses on the plates in groups PM, PL, and PC were 118.131 MPa, 44.191 MPa, and 115.433 MPa. The maximum stresses on the screws in Groups PM, PL, and PC were 166.731, 80.330, and 164.439 MPa, respectively. When the posterior tibial plateau was loaded, the displacement of the fractures in groups PM, PL, and PC was 0.410, 0.213, and 0.390 mm, respectively. The maximum stresses on the plates in groups PM, PL, and PC were 194.012 MPa, 72.806 MPa, and 185.535 MPa. The maximum stresses on the screws in Groups PM, PL, and PC were 278.265, 114.839, and 266.396 MPa, respectively. Conclusion The results of this study revealed that titanium plates have good fixation effects in all groups; therefore, the use of the new plate for posterolateral tibial plateau fractures appears to be safe and valid.
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spelling doaj.art-89a2d3e02ee44788b269f88146abed5e2024-03-31T11:26:50ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-03-011911910.1186/s13018-024-04686-zNewly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysisZhaokui Yan0Chang Zou1Guy Romeo Kenmegne2Xuelin Pan3Nawin Ghimire4Kuruwitage Manthi Nihara Silva5Yue Fang6Department of Orthopedics, West China Hospital of Sichuan UniversityDepartment of Orthopedics, West China Hospital of Sichuan UniversityDepartment of Orthopedics, West China Hospital of Sichuan UniversityDepartment of Radiology, West China Hospital of Sichuan UniversityDepartment of Orthopedics, West China Hospital of Sichuan UniversityDepartment of Orthopedics, West China Hospital of Sichuan UniversityDepartment of Orthopedics, West China Hospital of Sichuan UniversityAbstract Background This study investigated the biomechanical properties of a new plate used for the treatment of posterolateral tibial plateau fractures using finite element analysis. Methods The study groups were as follows: group PM, model of the new plate with posteromedial tibial plateau fracture; group PL, model of the new plate with posterolateral tibial plateau fracture; and group PC, model of the new plate with posterior tibial plateau fracture. We used two loading modes: uniform loading on the entire plateau, and loading on the posterior plateau. Data such as the displacement of the fracture and distribution of stress on the new plate and screws were recorded and analyzed. Results When the whole plateau was loaded, the displacement of fractures in groups PM, PL, and PC were 0.273, 0.114, and 0.265 mm, respectively. The maximum stresses on the plates in groups PM, PL, and PC were 118.131 MPa, 44.191 MPa, and 115.433 MPa. The maximum stresses on the screws in Groups PM, PL, and PC were 166.731, 80.330, and 164.439 MPa, respectively. When the posterior tibial plateau was loaded, the displacement of the fractures in groups PM, PL, and PC was 0.410, 0.213, and 0.390 mm, respectively. The maximum stresses on the plates in groups PM, PL, and PC were 194.012 MPa, 72.806 MPa, and 185.535 MPa. The maximum stresses on the screws in Groups PM, PL, and PC were 278.265, 114.839, and 266.396 MPa, respectively. Conclusion The results of this study revealed that titanium plates have good fixation effects in all groups; therefore, the use of the new plate for posterolateral tibial plateau fractures appears to be safe and valid.https://doi.org/10.1186/s13018-024-04686-zPosterolateralTibial plateau fractureNew plateInternal fixationFinite-element analysisOsteosynthesis
spellingShingle Zhaokui Yan
Chang Zou
Guy Romeo Kenmegne
Xuelin Pan
Nawin Ghimire
Kuruwitage Manthi Nihara Silva
Yue Fang
Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
Journal of Orthopaedic Surgery and Research
Posterolateral
Tibial plateau fracture
New plate
Internal fixation
Finite-element analysis
Osteosynthesis
title Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
title_full Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
title_fullStr Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
title_full_unstemmed Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
title_short Newly designed plate for the treatment of posterolateral tibial plateau fractures: a finite element analysis
title_sort newly designed plate for the treatment of posterolateral tibial plateau fractures a finite element analysis
topic Posterolateral
Tibial plateau fracture
New plate
Internal fixation
Finite-element analysis
Osteosynthesis
url https://doi.org/10.1186/s13018-024-04686-z
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