A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis

Fixation plates and screws are commonly used to promote stability and stiffness to fractures through the compression of bone fragments. However, the difference between the rigidity of an implant and the bone causes stress shielding, and can lead to excessive resorption in the vicinity of implants, t...

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Main Authors: Kristina HAASE, Gholamreza ROUHI
Format: Article
Language:English
Published: The Japan Society of Mechanical Engineers 2010-03-01
Series:Journal of Biomechanical Science and Engineering
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jbse/5/2/5_2_129/_pdf/-char/en
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author Kristina HAASE
Gholamreza ROUHI
author_facet Kristina HAASE
Gholamreza ROUHI
author_sort Kristina HAASE
collection DOAJ
description Fixation plates and screws are commonly used to promote stability and stiffness to fractures through the compression of bone fragments. However, the difference between the rigidity of an implant and the bone causes stress shielding, and can lead to excessive resorption in the vicinity of implants, thereby causing subsequent implant loosening and failure of fixation. In this study, finite element analysis (FEA) software is employed to generate a simplified three-dimensional model of a transverse femoral fracture affixed with a plate. The first model discussed in this paper is a validation study, proving the qualitative accuracy of using FEA, while the second model is one of increased fidelity and is used in a parametric study to delve into the effects of plate and screw parameters on the level of resultant stress shielding in bone underlying the plate. The models discussed reveal insight into the nature of applied fixation plates. Direct compression plating, although inherently stable, will cause stress shielding in bone and can result in bone loss, screw avulsion, and fixation failure. However, as seen in the parametric study, which is in agreement with previous works, a decrease in implant flexural rigidity, through a decrease in plate thickness and angle, will decrease the level of stress shielding present in a bone-implant system. As well, the importance of screw placement, implant materials, and the future use of FEA as a prospective tool is discussed.
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spelling doaj.art-e0265d64b3694190849b80a9e32ffc262022-12-22T00:56:38ZengThe Japan Society of Mechanical EngineersJournal of Biomechanical Science and Engineering1880-98632010-03-015212914110.1299/jbse.5.129jbseA Discussion on Plating Factors that Affect Stress Shielding Using Finite Element AnalysisKristina HAASE0Gholamreza ROUHI1Department of Mechanical Engineering, University of OttawaDepartment of Mechanical Engineering, University of OttawaFixation plates and screws are commonly used to promote stability and stiffness to fractures through the compression of bone fragments. However, the difference between the rigidity of an implant and the bone causes stress shielding, and can lead to excessive resorption in the vicinity of implants, thereby causing subsequent implant loosening and failure of fixation. In this study, finite element analysis (FEA) software is employed to generate a simplified three-dimensional model of a transverse femoral fracture affixed with a plate. The first model discussed in this paper is a validation study, proving the qualitative accuracy of using FEA, while the second model is one of increased fidelity and is used in a parametric study to delve into the effects of plate and screw parameters on the level of resultant stress shielding in bone underlying the plate. The models discussed reveal insight into the nature of applied fixation plates. Direct compression plating, although inherently stable, will cause stress shielding in bone and can result in bone loss, screw avulsion, and fixation failure. However, as seen in the parametric study, which is in agreement with previous works, a decrease in implant flexural rigidity, through a decrease in plate thickness and angle, will decrease the level of stress shielding present in a bone-implant system. As well, the importance of screw placement, implant materials, and the future use of FEA as a prospective tool is discussed.https://www.jstage.jst.go.jp/article/jbse/5/2/5_2_129/_pdf/-char/enfinite element analysisbone fractureremodelingfixationstress shielding
spellingShingle Kristina HAASE
Gholamreza ROUHI
A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
Journal of Biomechanical Science and Engineering
finite element analysis
bone fracture
remodeling
fixation
stress shielding
title A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
title_full A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
title_fullStr A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
title_full_unstemmed A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
title_short A Discussion on Plating Factors that Affect Stress Shielding Using Finite Element Analysis
title_sort discussion on plating factors that affect stress shielding using finite element analysis
topic finite element analysis
bone fracture
remodeling
fixation
stress shielding
url https://www.jstage.jst.go.jp/article/jbse/5/2/5_2_129/_pdf/-char/en
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