This study investigated the biomechanical behavior of four different screw configurations used to fix comminuted proximal ulna fractures with a locking compression plate (LCP), via a detailed finite element model based on realistic anatomical geometry. The model incorporated realistic anatomical geometry including both cortical and cancellous bone, soft tissue constraints, and loading conditions representing the physiological self-weight of the forearm, with the humerus fixed at its proximal end. The stress distribution on the plate, strain intensity within the bone tissue, and interfragmentary motion (IFM) between fracture fragments were evaluated for each configuration. The results indicate that all the tested configurations provide adequate stability under normal loading conditions, with no risk of material failure. However, excessive stress concentrations were observed in specific screw regions depending on the configuration, particularly when proximal screws anchoring the olecranon (e.g. screws 2 and 3 in Variant 3) were omitted. Strain analysis revealed moderate physiological bone loading across variants, whereas IFM assessment highlighted the importance of securing the coronoid and apical fragments to prevent compromised healing. These findings suggest that a specific reductions in osteosynthetic material, such as omitting certain diaphyseal screws while maintaining crucial olecranon and coronoid fixation, may provide sufficient fracture stabilisation under the modelled conditions, potentially minimising implant-related complications. This modelling approach offers a valuable tool for preclinical assessment of osteosynthesis strategies and supports future comparative research on fixation methods with varying biomechanical properties.

• Keywords
• Elbow joint, Finite element analysis, Interfragmentary motion, Locking compression plate, Olecranon fracture, Proximal ulna comminuted fracture,
• Publication type
• Journal Article MeSH

A combined experimental and numerical study on titanium porous microstructures intended to interface the bone tissue and the solid homogeneous part of a modern dental implant is presented. A specific class of trabecular geometries is compared to a gyroid structure. Limitations associated with the application of the adopted selective laser melting technology to small microstructures with a pore size of 500 μm are first examined experimentally. The measured effective elastic properties of trabecular structures made of Ti6Al4V material support the computational framework based on homogenization with the difference between the measured and predicted Young's moduli of the Dode Thick structure being less than 5%. In this regard, the extended finite element method is promoted, particularly in light of the complex sheet gyroid studied next. While for plastic material-based structures a close match between experiments and simulations was observed, an order of magnitude difference was encountered for titanium specimens. This calls for further study and we expect to reconcile this inconsistency with the help of computational microtomography.

• Keywords
• FEM, X-FEM, dental implant, homogenization, mechanical properties, porous material, selective laser melting, titanium trabecular and gyroid structures,
• Publication type
• Journal Article MeSH