000148921 001__ 148921
000148921 005__ 20250127144950.0
000148921 0247_ $$2doi$$a10.1016/j.injury.2022.12.003
000148921 0248_ $$2sideral$$a132470
000148921 037__ $$aART-2023-132470
000148921 041__ $$aeng
000148921 100__ $$0(orcid)0000-0003-3781-8589$$aRosell-Pradas, J.
000148921 245__ $$aInfluence of plate size and screw distribution on the biomechanical behaviour of osteosynthesis by means of lateral plates in femoral fractures
000148921 260__ $$c2023
000148921 5060_ $$aAccess copy available to the general public$$fUnrestricted
000148921 5203_ $$aDistal femoral fractures are fractures associated with high rates of morbidity and mortality, affecting to three different groups of individuals: younger people suffering high-energy trauma, elderly people with fragile bones and people with periprosthetic fractures around previous total knee arthroplasty. They have been classically treated with conventional plates and intramedullary nails and more recently with locked plates that have increased their indications to more types of fractures. The main objective of the present work is the biomechanical study, by means of finite element simulation, of the stability achieved in the osteosynthesis of femoral fractures in zones 4 and 5 of Wiss, by using locked plates with different plate lengths and different screw configurations, and analysing the effect of screw proximity to the fracture site. A three dimensional (3D) finite element model of the femur from 55-year-old male donor was developed, and then a stability analysis was performed for the fixation provided by Osteosynthesis System LOQTEC® Lateral Distal Femur Plate in two different fracture zones corresponding to the zones 4 and 5 according to the Wiss fracture classification. The study was focused on the immediately post-operative stage, without any biological healing process. The obtained results show that more stable osteosyntheses were obtained by using shorter plates. In the cases of longer plates, it results more convenient disposing screws in a way that the upper ones are closer to fracture site. The obtained results can support surgeons to understand the biomechanics of fracture stability, and then to guide them towards the more appropriate osteosynthesis depending on the fracture type and location.
000148921 536__ $$9info:eu-repo/grantAgreement/ES/MINECO/DPI2016-77745-R
000148921 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000148921 590__ $$a2.2$$b2023
000148921 591__ $$aEMERGENCY MEDICINE$$b14 / 54 = 0.259$$c2023$$dQ2$$eT1
000148921 591__ $$aSURGERY$$b90 / 292 = 0.308$$c2023$$dQ2$$eT1
000148921 591__ $$aORTHOPEDICS$$b42 / 136 = 0.309$$c2023$$dQ2$$eT1
000148921 592__ $$a0.728$$b2023
000148921 591__ $$aCRITICAL CARE MEDICINE$$b28 / 55 = 0.509$$c2023$$dQ3$$eT2
000148921 593__ $$aEmergency Medicine$$c2023$$dQ1
000148921 593__ $$aSurgery$$c2023$$dQ1
000148921 593__ $$aOrthopedics and Sports Medicine$$c2023$$dQ2
000148921 594__ $$a4.0$$b2023
000148921 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000148921 700__ $$aRedondo-Trasobares, B.$$uUniversidad de Zaragoza
000148921 700__ $$aSarasa-Roca, M.
000148921 700__ $$0(orcid)0000-0003-4489-3130$$aAlbareda-Albareda, J.$$uUniversidad de Zaragoza
000148921 700__ $$0(orcid)0000-0002-3613-4209$$aPuértolas-Broto, S.$$uUniversidad de Zaragoza
000148921 700__ $$0(orcid)0000-0002-8643-7558$$aHerrera-Rodríguez, A.$$uUniversidad de Zaragoza
000148921 700__ $$0(orcid)0000-0001-7944-9625$$aGracia-Villa, L.
000148921 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia
000148921 7102_ $$15004$$2605$$aUniversidad de Zaragoza$$bDpto. Ingeniería Mecánica$$cÁrea Mec.Med.Cont. y Teor.Est.
000148921 773__ $$g54, 2 (2023), 395-404$$pInjury$$tInjury$$x0020-1383
000148921 8564_ $$s2114930$$uhttps://zaguan.unizar.es/record/148921/files/texto_completo.pdf$$yPostprint
000148921 8564_ $$s1158809$$uhttps://zaguan.unizar.es/record/148921/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000148921 909CO $$ooai:zaguan.unizar.es:148921$$particulos$$pdriver
000148921 951__ $$a2025-01-27-14:45:32
000148921 980__ $$aARTICLE