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Fit optimisation of a distal medial tibia plate

Beat Schmutz, Martin E. Wullschleger, Hansrudi Noser, Mark Barry, John Meek and Michael A. Schütz

Computer Methods in Biomechanics and Biomedical Engineering, 2011, vol. 14, issue 04, 359-364

Abstract: An iterative method for the fit optimisation of a pre-contoured fracture fixation plate for a given bone data set is presented. Both plate shape optimisation and plate fit quantification are conducted in a virtual environment utilising computer graphical methods and 3D bone and plate models. Two optimised shapes of the undersurface of an existing distal medial tibia plate were generated based on a dataset of 45 3D bone models reconstructed from computed tomography image data of Japanese tibiae. The existing plate shape achieved an anatomical fit on 13% of tibiae from the dataset. Modified plate 1 achieved an anatomical fit for 42% and modified plate 2 a fit for 67% of the bones. If either modified plate 1 or plate 2 is used, then the anatomical fit can be increased to 82% for the same dataset. Issues pertaining to any further improvement in plate fit/shape are discussed.

Date: 2011
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DOI: 10.1080/10255842.2010.482044

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