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Effect of Plate Geometry Modifications to Reduce Stress Shielding during Healing Stages for Tibial Fracture Fixation.

The goal of this finite element study is to reduce the stress shielding effect in tibial fracture fixation. Five different plates with modified geometry have been modeled. The fracture gap is assumed to be filled with callus, which is new born healing tissue. The effect of different plate modifications in four different healing stages has been compared to the nonmodified plate. It has been observed that all the modified models have higher callus stress than the nonmodified model, and the best modified plate has reduced the stress shielding effect by 117% for the first healing stage. It has also been observed that the effect of different plate modification is prominent during only the first and second healing stages.

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