Parametric study of patient-specific femoral locking plates based on a combined musculoskeletal multibody dynamics and finite element modeling

A combined musculoskeletal multibody dynamics and finite element modeling was performed to investigate the effects of design parameters on the fracture-healing efficiency and the mechanical property of a patient-specific anatomically adjusted femoral locking plate. Specifically, the screw type, the...

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Published inProceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine Vol. 232; no. 2; p. 114
Main Authors Fan, Xunjian, Chen, Zhenxian, Jin, Zhongmin, Zhang, Qida, Zhang, Xuan, Peng, Yinghu
Format Journal Article
LanguageEnglish
Published England 01.02.2018
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Abstract A combined musculoskeletal multibody dynamics and finite element modeling was performed to investigate the effects of design parameters on the fracture-healing efficiency and the mechanical property of a patient-specific anatomically adjusted femoral locking plate. Specifically, the screw type, the thickness and material of the locking plate, the gap between two femoral fragments (fracture gap) and the distance between bone and plate (interface gap) were evaluated during a human walking. We found that the patient-specific locking plate possessed greater mechanical strength and more efficient fracture healing than the corresponding traditional plate. An optimal patient-specific femoral locking plate would consist of bicortical locking screws, Ti-6Al-4V material and 4.75-mm plate thickness with a fracture gap of 2 mm and an interface gap of 1 mm. The developed patient-specific femoral locking plate based on the patient-specific musculoskeletal mechanical environment was more beneficial to fracture rehabilitation and healing. The patient-specific design method provides an effective research platform for designing and optimizing the patient-specific femoral locking plate under realistic in vivo walking conditions, which can be extended to the design of other implants as well as to other physiological loading conditions related to various daily activities.
AbstractList A combined musculoskeletal multibody dynamics and finite element modeling was performed to investigate the effects of design parameters on the fracture-healing efficiency and the mechanical property of a patient-specific anatomically adjusted femoral locking plate. Specifically, the screw type, the thickness and material of the locking plate, the gap between two femoral fragments (fracture gap) and the distance between bone and plate (interface gap) were evaluated during a human walking. We found that the patient-specific locking plate possessed greater mechanical strength and more efficient fracture healing than the corresponding traditional plate. An optimal patient-specific femoral locking plate would consist of bicortical locking screws, Ti-6Al-4V material and 4.75-mm plate thickness with a fracture gap of 2 mm and an interface gap of 1 mm. The developed patient-specific femoral locking plate based on the patient-specific musculoskeletal mechanical environment was more beneficial to fracture rehabilitation and healing. The patient-specific design method provides an effective research platform for designing and optimizing the patient-specific femoral locking plate under realistic in vivo walking conditions, which can be extended to the design of other implants as well as to other physiological loading conditions related to various daily activities.
Author Zhang, Qida
Jin, Zhongmin
Peng, Yinghu
Fan, Xunjian
Zhang, Xuan
Chen, Zhenxian
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Keywords musculoskeletal multibody dynamics
parametric analysis
Patient-specific femoral locking plate
fracture healing and fixation
finite element
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PublicationTitle Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine
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Title Parametric study of patient-specific femoral locking plates based on a combined musculoskeletal multibody dynamics and finite element modeling
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