Effects of modifying the plate-bone interface with Silastic@were tested. The experimental plate, i.e.,aconventionalplate with aSilastic@backing wascompared with the standard plate. In vitro four-point bending tests showed similar strain per load behavior in the experimental and standard plate models. In vitro plate-bone contact was greater and interface pressure was lower for the experimental a...

This paper reports on a sensor for monitoring bone plate strain in real time. The detected bone plate strain could be used for judging the healing state of fractures in patients. The sensor consists of a magnetoelastic material, which can be wirelessly connected and passively embedded. In order to verify the effectiveness of the sensor, a tibia-bone plate-screw (TBS) model was established using...

The repair of large distal femoral tumor defects can be challenging for orthopedic surgeons. The combination of a double-barrel free vascularized fibular graft (DFVFG) with a locking plate is a viable option. However, the biomechanical influence of the fibular bone length on the locking plate attachment is unclear. We aimed to evaluate the stability of the distal femoral defect after reconstruc...

A three dimensional (3D) computational simulation of dynamic process of trabecular bone remodeling was developed with all the parameters derived from physiological and clinical data. Contributions of the microstructural bone formation deficits: trabecular plate perforations, trabecular rod breakages, and isolated bone fragments, to the rapid bone loss and disruption of trabecular microarchitect...

Freeze-dried cortical bone can be used as a biological plate, either alone or in combination with other internal fixation devices, to stabilize fractures. In addition to it conferring mechanical stability, freeze-dried cortical bone may enhance fracture-healing and increase the bone stock. This study examined the effect of a freeze-dried allograft cortical bone plate (FACBP) on the biomechanica...

BACKGROUND Proximal humerus fractures are represented as 4-5% of all fractures, with incidence notably growing with age. Since surgical internal fixation in treatment of proximal humeral fractures is used, fractures of osteoporotic bone and choice of plate for their osteosynthesis represent particular problem. The aim of the study was to test two locking plates: Philos plate with locking screws...

The fracture of the proximal humerus is the second most common injury to the upper extremity. In severe fractures, surgery may be necessary which can be in the form of a locking plate holding the bones in place. This study examines the effect of including a bonegraft alongside the locking plate. ScanIP and +ScanCAD (Simpleware Ltd) were used to segment the proximal humerus from a CT scan, and t...

BACKGROUND In the internal fixation of fractured bone by means of bone-plates fastened to the bone on its tensile surface, an on-going concern has been the excessive stress-shielding of the bone by the excessively-stiff stainless-steel plate. The compressive stress-shielding at the fracture-interface immediately after fracture-fixation delays callus formation and bone healing. Likewise, the ten...

Osteoporotic bone with poor mechanical capacity provides limited stability after fixation of ankle fractures. Stabilization with an implant providing increased fixation strength in osteoporotic bone could reduce failure rates of fixation and allow a more functional treatment. The purpose of this study was to evaluate a locking contoured plate for fixation of distal fibular fractures in comparis...

The subchondral bone plate supports the articular cartilage in diarthrodial joints. It has a significant mechanical function in transmitting loads from the cartilage into the underlying cancellous bone and has been implicated in the destruction of cartilage in osteoarthritis (OA) and its sparing in osteoporosis (OP), but little is known of its composition, structure or material properties. This...