Title
Design considerations for patient-specific bone fixation plates: a literature review
Author
Brouwer de Koning, S. G. (Onze Lieve Vrouwe Gasthuis)
de Winter, N. (Onze Lieve Vrouwe Gasthuis)
Moosabeiki, Vahid (TU Delft Biomaterials & Tissue Biomechanics) 
Mirzaali, Mohammad J. (TU Delft Biomaterials & Tissue Biomechanics)
Berenschot, A. (Onze Lieve Vrouwe Gasthuis)
Witbreuk, M. M.E.H. (Onze Lieve Vrouwe Gasthuis)
Lagerburg, V. (Onze Lieve Vrouwe Gasthuis)
Date
2023
Abstract
In orthopedic surgery, patient-specific bone plates are used for fixation when conventional bone plates do not fit the specific anatomy of a patient. However, plate failure can occur due to a lack of properly established design parameters that support optimal biomechanical properties of the plate. This review provides an overview of design parameters and biomechanical properties of patient-specific bone plates, which can assist in the design of the optimal plate. A literature search was conducted through PubMed and Embase, resulting in the inclusion of 78 studies, comprising clinical studies using patient-specific bone plates for fracture fixation or experimental studies that evaluated biomechanical properties or design parameters of bone plates. Biomechanical properties of the plates, including elastic stiffness, yield strength, tensile strength, and Poisson’s ratio are influenced by various factors, such as material properties, geometry, interface distance, fixation mechanism, screw pattern, working length and manufacturing techniques. Although variations within studies challenge direct translation of experimental results into clinical practice, this review serves as a useful reference guide to determine which parameters must be carefully considered during the design and manufacturing process to achieve the desired biomechanical properties of a plate for fixation of a specific type of fracture. Graphical Abstract: [Figure not available: see fulltext.]
Subject
Biomechanical properties
Bone plate
Fracture fixation
Orthopedics
Patient-specific
To reference this document use:
http://resolver.tudelft.nl/uuid:67d728c5-52a4-4672-8885-8356dfdad42b
DOI
https://doi.org/10.1007/s11517-023-02900-4
Embargo date
2024-03-11
ISSN
0140-0118
Source
Medical & Biological Engineering & Computing
Bibliographical note
Green Open Access added to TU Delft Institutional Repository 'You share, we take care!' - Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public.
Part of collection
Institutional Repository
Document type
review
Rights
© 2023 S. G. Brouwer de Koning, N. de Winter, Vahid Moosabeiki, Mohammad J. Mirzaali, A. Berenschot, M. M.E.H. Witbreuk, V. Lagerburg