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Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis

Cilt: 32 Sayı: 2 29 Nisan 2022
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Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis

Öz

Aim: Extremity fractures are common in orthopedic trauma. Internal fixation with plate screw, which is among the types of osteosynthesis, is frequently preferred because it provides sufficient stabilization and fixation between bone fragments and is easy to apply. In our study, we aimed to analyze the conditions that may occur during the placement and removal of the plate-screw system for any reason with solidworks-based analysis programs and to offer solutions. Material and Method: When it is necessary to remove the screw, more torque is needed than when it is tightened, and as a result, screw deformations and stripping are encountered. For this reason, it would be more appropriate to use a torque screwdriver during screw placement. We investigated the plate-screw relationship in the locked and unlocked plate screw system with Solidworks 2020 finite element analysis method. Discussion and Conclusion: Our analysis revealed that the most important factor in the plate-screw relationship, which is as important as the surgical approach and anatomical reduction, is compliance with the AO principles. . It has been observed that if the screw is placed at the appropriate torque and place, the removal of the screw is also done at the same torque during primary surgery.

Anahtar Kelimeler

finite element analysis, bone screws, osteosynthesis

Destekleyen Kurum

ÇALIŞMAMIZI DESTEKLEYEN HERHANGİ BİR KURUM/KURULUŞ BULUNMAMAKTADIR.

Kaynakça

  1. 1. Hojjat A, Kovacı H, Alsaran A ve ark. Tibia kırıklarında kullanılan kilitli ve kilitsiz plak fiksasyon sistemlerinin sonlu elemanlar yöntemiyle incelenmesi. J APPL SCI 2014;18(3):167-74.
  2. 2. Müller ME, Perren SM, Allgöwer M et al. Manual of internal fixation: Techniques recommended by the AO-ASIF group. 3rd ed. JBJS 1992; 74(2):315-16.
  3. 3. Szypryt P, Forward D. The use and abuse of locking plates. J Orthop Trauma. 2009;23(4):281-90.
  4. 4. Haas N, Hauke C, Schütz M et al. Treatment of diaphyseal fractures of the forearm using the point contact fixator (PC-Fix): Results of 387 fractures of a prospective multicentric study (PC-Fix II). Injury. 2001;32:51-62.
  5. 5. Şener N. Ekstremite açık kırıklarında komplikasyon ve morbidite oranları. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2010;1(1):9-12.
  6. 6. Çağlar Ö, Leblebicioğlu G. Erişkin önkol kırıklarında kilitli plak ile temel tespit prensipleri. TOTBİD Dergisi 2012;11(1):34-40.
  7. 7. Perren S, Mane K, Pohler O et al. The limited contact dynamic compression plate (LC-DCP). Arch Orthop Trauma Surg 1990;109(6):304-10.
  8. 8. Leung F, Chow S-P. A prospective, randomized trial comparing the limited contact dynamic compression plate with the point contact fixator for forearm fractures. JBJS 2003;85(12):2343-8.
  9. 9. Ünlü S, Ersan Ö. Çocuklarda açık kırıklar ve ateşli silah yaralanmalarına yaklaşım. TOTBİD Dergisi 2019; 18:320–326.
  10. 10. Kılıç E, Çevik E, Soylu K. Ortopedik acillerde radyolojik incelemeler. TOTBİD Dergisi 2013;12(1):35-46.

Kaynak Göster

APA
Şen, Z., Sayar, F., & Tosun, O. M. (2022). Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis. Genel Tıp Dergisi, 32(2), 154-158. https://doi.org/10.54005/geneltip.1033088
AMA
1.Şen Z, Sayar F, Tosun OM. Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis. Genel Tıp Derg. 2022;32(2):154-158. doi:10.54005/geneltip.1033088
Chicago
Şen, Zafer, Ferhat Sayar, ve Osman Mücahit Tosun. 2022. “Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis”. Genel Tıp Dergisi 32 (2): 154-58. https://doi.org/10.54005/geneltip.1033088.
EndNote
Şen Z, Sayar F, Tosun OM (01 Nisan 2022) Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis. Genel Tıp Dergisi 32 2 154–158.
IEEE
[1]Z. Şen, F. Sayar, ve O. M. Tosun, “Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis”, Genel Tıp Derg, c. 32, sy 2, ss. 154–158, Nis. 2022, doi: 10.54005/geneltip.1033088.
ISNAD
Şen, Zafer - Sayar, Ferhat - Tosun, Osman Mücahit. “Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis”. Genel Tıp Dergisi 32/2 (01 Nisan 2022): 154-158. https://doi.org/10.54005/geneltip.1033088.
JAMA
1.Şen Z, Sayar F, Tosun OM. Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis. Genel Tıp Derg. 2022;32:154–158.
MLA
Şen, Zafer, vd. “Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis”. Genel Tıp Dergisi, c. 32, sy 2, Nisan 2022, ss. 154-8, doi:10.54005/geneltip.1033088.
Vancouver
1.Zafer Şen, Ferhat Sayar, Osman Mücahit Tosun. Complications and Solution Suggestıons in Situations When Implant Removal Is Required After Osteosynthesis with the Plate Screw System: Solidworks Analysis. Genel Tıp Derg. 01 Nisan 2022;32(2):154-8. doi:10.54005/geneltip.1033088