Vet Comp Orthop Traumatol 2001; 14(02): 64-68
DOI: 10.1055/s-0038-1632677
Original Research
Schattauer GmbH

Bending properties of stainless steel dynamic compression plates and limited contact dynamic compression plates

F. M. Little
1   Department of Veterinary Clinical Sciences, Small Animal Surgery, Iowa State University, Ames, IA, USA
,
C. M. Hill
2   Mobile Veterinary Surgical Associates, Charleston, SC, USA
,
T. Kageyama
3   School of Veterinary Medicine, Azabu University, Sagamihara-shi Kanagawa. Japan
,
M. G. Conzemius
1   Department of Veterinary Clinical Sciences, Small Animal Surgery, Iowa State University, Ames, IA, USA
,
G. K. Smith
4   Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, USA
› Author Affiliations
Further Information

Publication History

Received 04 October 2000

Accepted after resubmission 21 December 2000

Publication Date:
09 February 2018 (online)

Summary

The equivalent bending stiffness and bending strength of the stainless steel DCP and stainless steel LC-DCP were compared. Three plates, of each size, were tested destructively in ‘four point bending’. All of the LC-DCP were significantly less stiff and less strong than the comparable size DCP, with the exception of the 4.5 mm narrow LC-DCP which was significantly stronger and more stiff than the 4.5 mm narrow DCP (p <.01). The design advantages of the LC-DCP are ease and versatility of plate application and improved cortical blood flow which one assumes promotes fracture healing. Also, the lower recorded stiffness of the LC-DCP may be advantageous in that it decreases the stress protection of the plated bone. Since optimal strength and stiffness of bone plates are currently unknown, the clinical relevance of the decreased strength and stiffness of the LC-DCP has yet to be determined.

Stainless steel LC-DCP and DCP of various sizes were tested in four point bending to ascertain equivalent bending stiffness and bending strength of each type of plate. The LC-DCP were consistently less stiff and strong than their DCP counterparts (p <.01) with the exception of the 4.5 mm Narrow LC-DCP which was stronger and more stiff than the 4.5 mm Narrow DCP. In general, as plate size increased. the difference between the two plate designs decreased. If it can be shown that there is not any detrimental effect on fracture healing, the design features of the LC-DCP make it a desirable choice for most fracture applications.

 
  • References

  • 1 Borgeaud M, Cordey J, Leyvraz P-F, Perren SM. Mechanical Analysis of the bone to plate interface of the LC-DCP and of the PC-FIX on human femora. Injury 2000; 31 (Suppl): C29-36.
  • 2 Field JR. Bone Plate Fixation: Its Relationship with Implant Induced Osteoporosis. Vet Comp Orthop Traumatol 1997; 10: 88-94.
  • 3 Field JR, Hearn TC, Caldwell CB. Bone Plate Fixation: An Evaluation of Interface Contact Area and Force of the Dynamic Compression Plate (DCP) and the Limited Contact Dynamic Compression Plate (LC-DCP) Applied to Cadaveric Bone. J Orthop Trauma 1997; II (05) 368-73.
  • 4 Field JR, Hearn TC, Caldwell CB. The influence of screw torque, object of radius curvature, mode of bone plate application and bone plate design on bone-plate interface mechanics. Injury 1998; 29 (03) 233-41.
  • 5 Field JR, Lord P, Maaripuu E, Sumner-Smith G. Semi-quantitative assessment of tibial blood flow and distribution in response to surgical intervention using first pass radionuclide angiography and intravascular vital dye. Injury 1999; 30: 681-8.
  • 6 Field JR, Tornkvist H, Hearn TC, Sumner-Smith G, Woodside TD. The influence of screw omission on construction stiffness and bone surface strain in the application of bone plates to cadaveric bone. Injury 1999; 30: 591-8.
  • 7 Glennon JC, Flanders JA, Beck KA, Trotter EJ, Erb HN. The Effect of Long-Term Bone Plate Application for Fixation of Radial Fractures in Dogs. Vet Surg 1994; 23: 40-7.
  • 8 Jacobs RR, Rahn BA, Perren SM. Effect of Plates on Cortical Bone Perfusion. J Trauma 1981; 21 (02) 91-5.
  • 9 Jain R, Podworny N, Hearn T, Anderson BI, Schemitsch EH. Effect of Stainless Steel and Titanium Low-Contact Dynamic compression Plate Application on the Vascularity and Mechanical Properties of Cortical Bone After Fracture. J Orthop Trauma 1997; 11 (07) 490-5.
  • 10 Jain R, Podworny N, Hearn T, Richards RR, Schemitsch EH. A Biomechanical Evaluation of Different Plates for Fixation of Canine Radial Osteotomies. J Trauma inj. infect, crit care 1998; 44 (01) 193-7.
  • 11 Jain R, Podworny N. Hupei TM. Weinberg J. Schemitsch EH. Influence of Plate Design on Cortical Bone Perfusion and Fracture Healing in Canine Segmental Tibial Fractures. J Orthop Trauma 1999; 13 (03) 178-86.
  • 12 Johnston SA, Lancaster RL, Hubbard RP, Probst CW. A Biomechanical Comparison of 7-holc 3.5 mm Broad and 5-hole Narrow Dynamic Compression Plates. Vet Surg 1991; 20 (04) 235-9.
  • 13 Kregor PJ, Senft T, Panin D, Campbell C, Toomey S, Parker C. et al. Cortical Bone Perfusion in Plated Fractured Sheep Tibiae. J Orthop Res 1995; 13: 715-24.
  • 14 Matter P, Burch H-B. Clinical experience with titanium implants, especially with the limited contact dynamic compression plate system. Arch Orthop Trauma Surg 1990; 109: 311-3.
  • 15 Miclau T, Remiger A, Tepic S, Lindsey R, Mclff T. A Mechanical Comparison of the Dynamic Compression Plate. Limited Contact-Dynamic Compression Plate, and Point Contact Fixator. J Orthop Trauma 1995; 09 (01) 17-22.
  • 16 Muller ME, Allgower M, Scheider R, Willenegger H. Biomechanics of implants and implant failure. In Manual of Internal Fixation Techniques Recommended by the AO Group. 2nd ed.. Berlin: Springer-Verlag; 1979. 16 90. 102.
  • 17 Perren SM, Allgower M, Brunner H. et al. The Concept of Biological Plating Using the Limited Contact-Dynamic Compression Plate (LC-DCP): Scientific background, design and application. Injury 1991; 222 (Suppl. 1): 1-41.
  • 18 Perren SM, Cordey J, Rahn BA, Gautier E, Schneider E. Early Temporary Porosis of Bone Induced by Internal Fixation Implants. A Reaction to Necrosis, Not to Stress Protection?. Clin Orthop. 1988. 232: 139-51.
  • 19 Perren SM. Klaue K. Pohler O et al. The limited contact dynamic compression plate (LC-DCP). Arch Orthop Trauma Surg 1990; 109: 304-10.
  • 20 Roush JK, Wilson JW. Effects of Plate Luting on Cortical Vascularity and Development of Cortical Porosity in Canine Femurs. Vet Surg 1990; 19 (03) 208-14.
  • 21 Smith SR, Bronk JT, Kelly PJ. Effect of Fracture Fixation on Cortical Bone Blood Flow. J Orthop Res 1990; 08: 471-8.
  • 22 Sun J, Abel EW, Rowley DI. Mechanical Perfomance of an Axially Mobile Plate for Fracture Fixation. J Trauma, inj. infect, crit care 1998; 44 (02) 368-71.
  • 23 Szivek JA, Anderson PL, DeYoung DW. In vivo strain measurements collected using calcium phosphate ceramic-bonded strain gauges. J Invest Surg 1997; 10 (05) 263-73.
  • 24 Uhthoff HK, Bardos DI, Liskova-Kiar M. The advantages of titanium alloy over stainless steel plates for the internal fixation of fractures: an experimental study in dogs. J Bone Joint Surg 1981; 63B: 427-34.
  • 25 Uhthoff H. Boisvert D, Finnegan M. Cortical Porosis under Plates. Reaction to Unloading or to Necrosis?. J Bone Joint Surg 1994; 76-A (10) 1507-12.
  • 26 Woo SL-Y, Akeson WH, Coutts RD, Rutherford MD, Doty D. et al. A Comparison of Cortical Bone Atrophy Secondary to Fixation with Plates with Large Differences in Bending Stiffness. J Bone Joint Surg 1976; 58-A (02) 190-5.