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Updated: May 9, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Aramid-epoxy composite internal fixation plates: a pilot study.

G V Cochran1, V R Palmieri, R E Zickel

  • 1Orthopaedic Engineering and Research Center, Helen Hayes Hospital, West Haverstraw, USA; Department of Veterans Affairs Medical Center, Castle Point, USA; Department of Orthopaedic Surgery, St Lukes-Roosevelt Hospital Center, New York, USA.

Clinical Biomechanics (Bristol, Avon)
|August 7, 2013
PubMed
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Aramid-epoxy composite shows promise for internal fixation plates, significantly reducing strain-shielding in mechanical tests. While flexible, it offers a potential alternative to traditional metal implants.

Area of Science:

  • Biomaterials Science
  • Orthopedic Engineering
  • Composite Materials

Background:

  • Internal fixation plates are crucial for bone fracture repair.
  • Current metallic and carbon fiber plates can cause strain-shielding, potentially leading to bone weakening.
  • Aramid-epoxy composites offer a potential alternative with tunable mechanical properties.

Purpose of the Study:

  • To evaluate the suitability of aramid-epoxy composite laminates for internal fixation plates.
  • To compare the mechanical performance and in vivo response of aramid composites against traditional materials.

Main Methods:

  • In vitro mechanical testing (tensile, three-point and four-point bending) of aramid-epoxy composite coupons.
  • In vivo implantation on canine femora to assess biocompatibility and strain-shielding.

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Last Updated: May 9, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Published on: January 5, 2015

Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation
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Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation

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  • Comparison with carbon fiber composites and metal plates.
  • Main Results:

    • Aramid-epoxy composites exhibited a lower tensile modulus than bone but showed reduced strain-shielding compared to carbon fiber and metal plates.
    • The material demonstrated less catastrophic failure than carbon fiber composites under destructive loads.
    • In vivo studies indicated good tolerance and reduced strain-shielding, though bone response differences were not significant between steel and aramid plates.

    Conclusions:

    • Aramid-epoxy composites show potential for orthopedic internal fixation due to reduced strain-shielding.
    • Further optimization of layer configuration may enhance load-bearing capacity.
    • Flexibility and inability to preform during surgery are limitations to consider.