Dynamic Bone Plate with Elastomeric Suspension
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Solution Overview
Problem
Locked plating constructs in bone fracture fixation are overly stiff, leading to altered load distribution, bone resorption, and delayed healing due to suppressed interfragmentary motion, which can result in implant breakage and loss of screw fixation.
Innovation Solution
A dynamic locking plate design with elastically suspended locking screw holes within a silicone envelope, allowing controlled axial motion while maintaining stability in other directions to promote fracture healing by callus formation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Strength
If locking plates are used to provide stable fixation, then fixation strength is improved, but construct stiffness increases causing bone resorption and delayed healing
Solution Approach 1:
The patent applies the dynamics principle by making the plate stiffness adjustable rather than fixed. The plate transitions from a rigid locking plate to a dynamic construct where the degree of stiffness can be modified through design parameters such as hole configuration, material selection, and geometric features that allow controlled flexibility. This enables the plate to provide stable fixation when needed while allowing controlled motion to promote healing when appropriate.
Solution Approach 2:
The patent employs parameter changes by modifying physical properties of the plate such as material composition, thickness, hole size, and geometric configuration to control the degree of stiffness. By changing these parameters, the plate can be optimized for different clinical scenarios - providing high stability for certain fracture types while allowing controlled flexibility for others that benefit from interfragmentary motion.
2Reliability
If locking plates are used to provide angle-stable fixation, then fixation reliability is improved, but interfragmentary motion is suppressed delaying fracture healing
Solution Approach 1:
The patent resolves this contradiction by introducing dynamic characteristics to the plate design. Instead of fixed angle-stable locking, the plate allows controlled dynamic motion that can adapt to the healing process. The reliability is maintained through appropriate design features while the duration of action is optimized by allowing motion that stimulates callus formation and accelerates healing.
Solution Approach 2:
The patent applies periodic action by enabling controlled cyclic motion at the fracture site. This periodic interfragmentary motion stimulates biological responses that promote healing, including callus formation and remodeling, while the plate maintains sufficient stability to prevent excessive displacement. The motion can be influenced by loading patterns and plate design features.
3Stability of the object's composition
If rigid plate fixation is used to stabilize bone fragments, then immediate stability is improved, but load distribution is altered causing stress risers and bone fracture
Solution Approach 1:
The patent addresses load distribution issues by changing parameters such as plate material properties, cross-sectional geometry, and hole configuration to create a more flexible construct. This allows for better load distribution across the fracture site, reducing stress concentration at specific points while maintaining sufficient immediate stability through appropriate design optimization.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The dynamic locking plate reduces construct stiffness, enhances impact damping, and promotes fracture healing by enabling controlled interfragmentary motion, thereby reducing the risk of implant and bone fractures, and improving fixation construct strength.
Implementation Method 1
one or more openings are at least partially filled with an elastomer to support elastic suspension of the one or more sliding elements in the bone plate
Implementation Method 2
the sensor is operable to measure displacement of the sliding element relative to the bone plate
Implementation Method 3
the sensor is operable to measure pressure within the elastomer that is suspending the sliding element in the bone plate
Data Source
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AI summary
A device can be provided that includes a bone plate having an upper surface and a bone-facing surface, wherein the bone plate includes one or more openings extending through the bone plate from the upper surface to the bone-facing surface, and one or more sliding elements each including a fastener receiving hole. The one or more openings can at least partially surround a periphery of one of the receiving holes. Further, the one or more openings can be at least partially filled with an elastomer to support elastic suspension of the one or more sliding elements in the bone plate, thereby enabling relative displacement between the one or more sliding elements and the bone plate. At least one sensor can also be provided that is operable to assess a dynamic parameter of one of the one or more sliding elements within the bone plate.