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Biomechanical comparison of a notched head locking t-plate and a straight locking compression plate in a juxta-articular fracture model

Bird, Guy Peter (2022) Biomechanical comparison of a notched head locking t-plate and a straight locking compression plate in a juxta-articular fracture model. Other thesis, Murdoch University.

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Abstract

Objective:
To investigate the biomechanical properties of a 2.0 mm notched head T-plate (NHTP) and 8-hole 2.0 mm straight locking compression plate (LCP), in a simple transverse model with a short distal fragment, applied with various screw configurations that alter the working length of the plate.

Methods:
Two different screw configurations were compared for the NHTP and LCP, modelling short (configuration 1) and long working length (configuration 2) across two different distal fragments lengths (13 mm and 9 mm). Constructs were tested in three planes of non-destructive four point bending and torsion. Construct stiffness and plate strain was compared between screw configurations within and between each plate.

Results:
In the first investigation (13 mm fragment), the LCP was stiffer than the NHTP in all three planes of bending and in torsion (P<0.05). The NHTP had greater strain during compression bending and torsion at all ROI (P<0.0005). In the second investigation (9 mm fragment), the LCP was significantly stiffer than the NHTP in all three planes of bending (P<0.05) for both screw configurations. The NHTP was stiffer than the LCP in torsion (P<0.05) for both screw configurations. The NHTP had greater strain than the LCP during compression bending at three ROI (P<0.0005). The LCP had greater strain than the NHTP during torsion at three ROI (P<0.0005). In both investigations the short working length was stiffer in all three planes of bending and in torsion (P<0.05) than the longer working length for both plates. The long working length produced greater plate strain than the short working length at most ROI.

Conclusions:
The LCP with two screws in a short fragment, was significantly stiffer and had lower plate strain, in most planes of testing, than NHTP with three locking screws in the short fragment. Extending the working length of each construct by omitting locking screws in the long fragment adjacent to the fracture line significantly reduced construct stiffness and increased plate strain.

Item Type: Thesis (Other)
Murdoch Affiliation(s): Veterinary Medicine
Notes: This is a Research Masters with Training (RMT) thesis
Supervisor(s): Hosgood, Giselle and Glyde, Mark
URI: http://researchrepository.murdoch.edu.au/id/eprint/63893
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