<p>Bone plates have been widely used for healing bone fractures, traditionally they have been made from metals like stainless steel, but that can cause issues like stress shielding. Flexible composite materials have been used to address these issues; however, they often lack load bearing ability in tibial fractures. To address this challenge hybrid bone plates are evolving combining both composites and metals. The healing of tibial fractures is influenced by the biomechanical environment at the fracture site, which is influenced by implant design, so in this study, different parameters of a composite bone plate were evaluated to assess their mechanical and biological effects on fracture healing. Initially, a parametric study was conducted by varying different parameters, such as the working length, screw configuration, metal part thickness, and screw spacing. The results showed that the working length, metal part thickness, and screw spacing significantly affected the fracture healing performance, whereas differences in screw configurations led to similar performance. Based on these results, 12 different cases were generated to determine a favourable combination of these parameters. The findings showed that the combination of a short working length, small screw spacing, and thick metal part of the composite bone plate offers a biomechanically favourable design for enhanced tibial fracture healing.</p>

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Composite-Metal Hybrid Bone Plate Design for Enhanced Tibial Fracture Healing: Improving Biomechanics and Tissue Regeneration

  • Syed Zargham Abbas,
  • Ali Mehboob,
  • Mahtab Ali,
  • Imad Barsoum,
  • Seung Hwan Chang

摘要

Bone plates have been widely used for healing bone fractures, traditionally they have been made from metals like stainless steel, but that can cause issues like stress shielding. Flexible composite materials have been used to address these issues; however, they often lack load bearing ability in tibial fractures. To address this challenge hybrid bone plates are evolving combining both composites and metals. The healing of tibial fractures is influenced by the biomechanical environment at the fracture site, which is influenced by implant design, so in this study, different parameters of a composite bone plate were evaluated to assess their mechanical and biological effects on fracture healing. Initially, a parametric study was conducted by varying different parameters, such as the working length, screw configuration, metal part thickness, and screw spacing. The results showed that the working length, metal part thickness, and screw spacing significantly affected the fracture healing performance, whereas differences in screw configurations led to similar performance. Based on these results, 12 different cases were generated to determine a favourable combination of these parameters. The findings showed that the combination of a short working length, small screw spacing, and thick metal part of the composite bone plate offers a biomechanically favourable design for enhanced tibial fracture healing.