Engineering Commons^™

Biomechanical Performance Of Variable And Fixed Angle Locked Volar Plates For The Dorsally Comminuted Distal Radius, Patrick Atkinson, D. Martineau, J. Shorez, C. Beran, A. G. Dass

Mechanical Engineering Publications

Background

The ideal treatment strategy for the dorsally comminuted distal radius fracture continues to evolve. Newer plate designs allow for variable axis screw placement while maintaining the advantages of locked technology. The purpose of this study is to compare the biomechanical properties of one variable axis plate with two traditional locked constructs.

Methods

Simulated fractures were created via a distal 1 cm dorsal wedge osteotomy in radius bone analogs. The analogs were of low stiffness and rigidity to create a worst-case strength condition for the subject radius plates. This fracture-gap model was fixated using one of three different locked volar …

A Method To Modify Angle-Stable Intramedullary Nail Construct Compliance, Patrick Atkinson, B. P. Flanagan, D. Lecronier, M. R. Kubacki, P. Telehowski

Mechanical Engineering Publications

Traditional interlocked intramedullary (IM) nails have recently been modified to provide enhanced angular stability. These so-called ‘angle-stable’ IM nails are designed to eliminate construct toggle and also provide increased axial, bending, and torsional stiffness. While this added stability is needed for small fracture gaps to heal, angle-stable nails may be too stiff for large fracture gaps to unite. Even though relative stability is recommended for large fracture gaps, recent in vivo data indicates that traditional nails may allow for too much motion for healing to occur. The current study evaluated a modified technique for implanting an angle-stable nail which allows …