Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results

Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Kinner, Bernd [verfasserIn] Kerschbaum, Maximilian Bley, Christine Spiegel, Adrian Roll, Christina

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2014

Schlagwörter:	Calcaneal fracture Plate design Biomechanics

Anmerkung:	© SICOT aisbl 2014

Übergeordnetes Werk:	Enthalten in: International orthopaedics - Berlin : Springer, 1977, 39(2014), 1 vom: 15. Okt., Seite 111-117
Übergeordnetes Werk:	volume:39 ; year:2014 ; number:1 ; day:15 ; month:10 ; pages:111-117

Links:	Volltext

DOI / URN:	10.1007/s00264-014-2561-1

Katalog-ID:	SPR003273725

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245	1	0	\|a Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
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520			\|a Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials.
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700	1		\|a Roll, Christina \|4 aut
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publishDate	2014
allfields	10.1007/s00264-014-2561-1 doi (DE-627)SPR003273725 (SPR)s00264-014-2561-1-e DE-627 ger DE-627 rakwb eng Kinner, Bernd verfasserin aut Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2014 Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213 Kerschbaum, Maximilian aut Bley, Christine aut Spiegel, Adrian aut Roll, Christina aut Enthalten in International orthopaedics Berlin : Springer, 1977 39(2014), 1 vom: 15. Okt., Seite 111-117 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:39 year:2014 number:1 day:15 month:10 pages:111-117 https://dx.doi.org/10.1007/s00264-014-2561-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 39 2014 1 15 10 111-117
spelling	10.1007/s00264-014-2561-1 doi (DE-627)SPR003273725 (SPR)s00264-014-2561-1-e DE-627 ger DE-627 rakwb eng Kinner, Bernd verfasserin aut Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2014 Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213 Kerschbaum, Maximilian aut Bley, Christine aut Spiegel, Adrian aut Roll, Christina aut Enthalten in International orthopaedics Berlin : Springer, 1977 39(2014), 1 vom: 15. Okt., Seite 111-117 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:39 year:2014 number:1 day:15 month:10 pages:111-117 https://dx.doi.org/10.1007/s00264-014-2561-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 39 2014 1 15 10 111-117
allfields_unstemmed	10.1007/s00264-014-2561-1 doi (DE-627)SPR003273725 (SPR)s00264-014-2561-1-e DE-627 ger DE-627 rakwb eng Kinner, Bernd verfasserin aut Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2014 Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213 Kerschbaum, Maximilian aut Bley, Christine aut Spiegel, Adrian aut Roll, Christina aut Enthalten in International orthopaedics Berlin : Springer, 1977 39(2014), 1 vom: 15. Okt., Seite 111-117 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:39 year:2014 number:1 day:15 month:10 pages:111-117 https://dx.doi.org/10.1007/s00264-014-2561-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 39 2014 1 15 10 111-117
allfieldsGer	10.1007/s00264-014-2561-1 doi (DE-627)SPR003273725 (SPR)s00264-014-2561-1-e DE-627 ger DE-627 rakwb eng Kinner, Bernd verfasserin aut Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2014 Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213 Kerschbaum, Maximilian aut Bley, Christine aut Spiegel, Adrian aut Roll, Christina aut Enthalten in International orthopaedics Berlin : Springer, 1977 39(2014), 1 vom: 15. Okt., Seite 111-117 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:39 year:2014 number:1 day:15 month:10 pages:111-117 https://dx.doi.org/10.1007/s00264-014-2561-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 39 2014 1 15 10 111-117
allfieldsSound	10.1007/s00264-014-2561-1 doi (DE-627)SPR003273725 (SPR)s00264-014-2561-1-e DE-627 ger DE-627 rakwb eng Kinner, Bernd verfasserin aut Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © SICOT aisbl 2014 Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213 Kerschbaum, Maximilian aut Bley, Christine aut Spiegel, Adrian aut Roll, Christina aut Enthalten in International orthopaedics Berlin : Springer, 1977 39(2014), 1 vom: 15. Okt., Seite 111-117 (DE-627)253724376 (DE-600)1459230-7 1432-5195 nnns volume:39 year:2014 number:1 day:15 month:10 pages:111-117 https://dx.doi.org/10.1007/s00264-014-2561-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 39 2014 1 15 10 111-117
language	English
source	Enthalten in International orthopaedics 39(2014), 1 vom: 15. Okt., Seite 111-117 volume:39 year:2014 number:1 day:15 month:10 pages:111-117
sourceStr	Enthalten in International orthopaedics 39(2014), 1 vom: 15. Okt., Seite 111-117 volume:39 year:2014 number:1 day:15 month:10 pages:111-117
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Calcaneal fracture Plate design Biomechanics
isfreeaccess_bool	false
container_title	International orthopaedics
authorswithroles_txt_mv	Kinner, Bernd @@aut@@ Kerschbaum, Maximilian @@aut@@ Bley, Christine @@aut@@ Spiegel, Adrian @@aut@@ Roll, Christina @@aut@@
publishDateDaySort_date	2014-10-15T00:00:00Z
hierarchy_top_id	253724376
id	SPR003273725
language_de	englisch
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A biomechanical analysis and first clinical results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2014</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© SICOT aisbl 2014</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). 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author	Kinner, Bernd
spellingShingle	Kinner, Bernd misc Calcaneal fracture misc Plate design misc Biomechanics Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
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topic_title	Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results Calcaneal fracture (dpeaa)DE-He213 Plate design (dpeaa)DE-He213 Biomechanics (dpeaa)DE-He213
topic	misc Calcaneal fracture misc Plate design misc Biomechanics
topic_unstemmed	misc Calcaneal fracture misc Plate design misc Biomechanics
topic_browse	misc Calcaneal fracture misc Plate design misc Biomechanics
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title	Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
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title_full	Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
author_sort	Kinner, Bernd
journal	International orthopaedics
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container_start_page	111
author_browse	Kinner, Bernd Kerschbaum, Maximilian Bley, Christine Spiegel, Adrian Roll, Christina
container_volume	39
format_se	Elektronische Aufsätze
author-letter	Kinner, Bernd
doi_str_mv	10.1007/s00264-014-2561-1
title_sort	bionic plate design for calcaneal fracture treatment. a biomechanical analysis and first clinical results
title_auth	Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
abstract	Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. © SICOT aisbl 2014
abstractGer	Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. © SICOT aisbl 2014
abstract_unstemmed	Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. These findings will have to be proved by larger clinical trials. © SICOT aisbl 2014
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title_short	Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results
url	https://dx.doi.org/10.1007/s00264-014-2561-1
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author2	Kerschbaum, Maximilian Bley, Christine Spiegel, Adrian Roll, Christina
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up_date	2024-07-03T18:28:06.586Z
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A biomechanical analysis and first clinical results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2014</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© SICOT aisbl 2014</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose Calcaneal fracture treatment is challenging. Implant failure is one problem encountered with plate osteosynthesis. Therefore a new “bionic” plate was developed, which imitates the trabecular orientation of the human calcaneus. The aim of this study was to biomechanically test this new plate in comparison to a “standard” calcaneal locking plate and present the first clinical results. Methods Six “bionic” and six “standard” calcaneal plates were biomechanically tested for stability and fatigue using synthetic calcanei. Between 4/2012 and 04/2013 the first ten consecutive patients meeting the inclusion criteria were treated with the novel implant and followed-up clinically and radiologically. The 12-month follow-up results are reported. Results The “bionic” plate design showed significantly higher fatigue life (68 %), load to failure (100 %) and reduced displacement under load (90 %) if compared to a “standard” locking plate. No major complications were seen; most notably there was no implant failure and no loss of reduction. Mean AOFAS/hindfoot score was 79 (69–86). Conclusions The novel plate architecture offers higher stability and load tolerance while being more resistant to fatigue. The preliminary clinical results are promising. 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Bionic plate design for calcaneal fracture treatment. A biomechanical analysis and first clinical results

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