ArticleMedical & biological engineering & computing2019
Biomechanical considerations in the design of patient-specific fixation plates for the distal radius.
Article in Medical & biological engineering & computing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 35 citations in OpenAlex.
- Delayed Structural Failure Following Medial Femoral Condyle Flap Reconstruction of the Distal Radius: A Report of Two Cases.Journal of hand surgery global online · 2027Article
- Comparative Fatigue Analysis of CF-PLA Metamaterial Bone Plates for Orthopaedic Fixation.Polymers · 2026Article
- Association of Radiological Parameters to Functional Outcomes after Distal Radius Fracture Fixation with Volar Locking Plate: A Prospective Cohort Study.Malaysian orthopaedic journal · 2025Article
- Determination of the internal loads experienced by proximal phalanx fracture fixations during rehabilitation exercises.Frontiers in bioengineering and biotechnology · 2024Article
- Design considerations for patient-specific bone fixation plates: a literature review.Medical & biological engineering & computing · 2023Review
- Biomechanical Variability and Usability of a Novel Customizable Fracture Fixation Technique.Bioengineering (Basel, Switzerland) · 2023Article
- Functional bracing in distal radius fractures: a cadaveric pilot study.Orthopedic reviews · 2022Article
- Mechanical Comparison of a Novel Hybrid and Commercial Dorsal Double Plating for Distal Radius Fracture: In Vitro Fatigue Four-Point Bending and Biomechanical Testing.Materials (Basel, Switzerland) · 2021Article
- Balance Between Mechanical Stability and Mechano-Biology of Fracture Healing Under Volar Locking Plate.Annals of biomedical engineering · 2021Article
- Patient-specific plate for navigation and fixation of the distal radius: a case series.International journal of computer assisted radiology and surgery · 2021Article
- [Research progress in the treatment of distal radius fractures assisted by wrist arthroscopy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Holistic Approach in Designing the Personalized Bone Scaffold: The Case of Reconstruction of Large Missing Piece of Mandible Caused by Congenital Anatomic Anomaly.Journal of healthcare engineering · 2020Article
- Application of 3D-Printed Orthopedic Cast for the Treatment of Forearm Fractures: Finite Element Analysis and Comparative Clinical Assessment.BioMed research international · 2020Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
Use of patient-specific fixation plates is promising in corrective osteotomy of the distal radius. So far, custom plates were mostly shaped to closely fit onto the bone surface and ensure accurate positioning of bone segments, however, without considering the biomechanical needs for bone healing. In this study, we investigated how custom plates can be optimized to stimulate callus formation under daily loading conditions. We calculated implant stress distributions, axial screw forces, and interfragmentary strains via finite element analysis (FEA) and compared these parameters for a corrective distal radius osteotomy model fixated by standard and custom plates. We then evaluated these parameters in a modified custom plate design with alternative screw configuration, plate size, and thickness on 5 radii models. Compared to initial design, in the modified custom plate, the maximum stress was reduced, especially under torsional load (- 31%). Under bending load, implants with 1.9-mm thickness induced an average strain (median = 2.14%, IQR = 0.2) in the recommended range (2-10%) to promote callus formation. Optimizing the plate shape, width, and thickness in order to keep the fixation stable while guaranteeing sufficient strain to enhance callus formation can be considered as a design criteria for future, less invasive, custom distal radius plates. Graphical abstract ᅟ.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.