Bone plates for osteosynthesis – a systematic review of test methods and parameters for biomechanical testing
-
Hendrik Schorler
,
Felix Capanni
Abstract
Bone plates for osteosynthesis are subject to biomechanical testing for safety and regulatory purposes. International standards applicable for those devices are designed for bone plates used in the surgical fixation of the skeletal system but not necessarily for all device variants available. We intend to summarize the test methods and parameters presented in the literature to evaluate bone plates in a clinical environment, especially for modern anatomically shaped implants. We conducted a systematic review on published biomechanical studies for lower and upper extremities (clavicle, humerus, ulna, radius, metacarpal, femur, tibia, fibula, metatarsal). The search process led to the identification of 159 relevant articles containing 330 individual tests, which were analyzed concerning various test criteria including test methods and parameters per bone segment for static and dynamic loading tests, as well as number of cycles, chosen bone model and outcome variables. The biomechanical literature for bone plates is diverse, inconsistent and heterogeneous. Test methods are not commonly applied per bone plate location and test parameters are not uniformly specified and displayed. They vary in particular for bending and torsion tests as well as for the number of loading cycles for dynamic testing. Outcome variables are not commonly applied nor defined. Consequently this paper is the first in a planned chronological series of three to identify the need (this publication), to develop a systematic procedural approach (2. publication) and to apply the process exemplary on a bone plate sample (3. publication).
References
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Supplemental Material:
The online version of this article (DOI: https://doi.org/10.1515/bmt-2015-0219) offers supplementary material, available to authorized users.
©2017 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Review
- Bone plates for osteosynthesis – a systematic review of test methods and parameters for biomechanical testing
- Research articles
- Computer assisted evaluation of plate osteosynthesis of diaphyseal femur fracture considering interfragmentary movement: a finite element study
- Larger screw diameter may not guarantee greater pullout strength for headless screws – a biomechanical study
- Design considerations for patient-specific surgical templates for total hip arthroplasty with respect to acetabular cartilage
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- Shear stress and von Mises stress distributions in the periphery of an embedded acetabular cup implant during impingement
- Mechanical properties of contemporary orthodontic adhesives used for lingual fixed retention
- Extraordinary biological properties of a new calcium hydroxyapatite/poly(lactide-co-glycolide)-based scaffold confirmed by in vivo investigation
- Feasibility study of using a Microsoft Kinect for virtual coaching of wheelchair transfer techniques
- Accuracy of leg alignment measurements from antero-posterior radiographs
- Holoentropy enabled-decision tree for automatic classification of diabetic retinopathy using retinal fundus images
- Pattern recognition of enrichment levels of SELEX-based candidate aptamers for human C-reactive protein
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Articles in the same Issue
- Frontmatter
- Review
- Bone plates for osteosynthesis – a systematic review of test methods and parameters for biomechanical testing
- Research articles
- Computer assisted evaluation of plate osteosynthesis of diaphyseal femur fracture considering interfragmentary movement: a finite element study
- Larger screw diameter may not guarantee greater pullout strength for headless screws – a biomechanical study
- Design considerations for patient-specific surgical templates for total hip arthroplasty with respect to acetabular cartilage
- Migration measurement of the cemented Lubinus SP II hip stem – a 10-year follow-up using radiostereometric analysis
- Shear stress and von Mises stress distributions in the periphery of an embedded acetabular cup implant during impingement
- Mechanical properties of contemporary orthodontic adhesives used for lingual fixed retention
- Extraordinary biological properties of a new calcium hydroxyapatite/poly(lactide-co-glycolide)-based scaffold confirmed by in vivo investigation
- Feasibility study of using a Microsoft Kinect for virtual coaching of wheelchair transfer techniques
- Accuracy of leg alignment measurements from antero-posterior radiographs
- Holoentropy enabled-decision tree for automatic classification of diabetic retinopathy using retinal fundus images
- Pattern recognition of enrichment levels of SELEX-based candidate aptamers for human C-reactive protein
- Source localization of S-cone and L/M-cone driven signals using silent substitution flash stimulation
