8. Conclusion and recommendations
The present work allowed describing the complex fatigue failure of a bone-LCP assembly. According to a finite element analysis and to an estimation of the number of fatigue cycles, walking was enough to induce fatigue damages. The stress variation needed to initiate and propagate the fatigue cracks within the screws and the implant were estimated to be in the range of 400 MPa at R = 0. The implant geometry and the uncontrolled preload are possible causes of stress concentration. Nevertheless, final failure was probably caused by the fall of the patient since the critical failure stress was higher than the minimum ultimate tensile strength, Sut min and close to the typical ultimate tensile strength, Sut typ. In future work, careful attention will be given to the geometric stress raisers characterizing the implant. It will be intent to propose a new implant design more resistant to fatigue without compromising the installation versatility. In addition, an extended study will be necessary to investigate if the bolting procedure can be improved in order to reduce the cyclic load amplitude experienced by the screws and plate. An optimization analysis accounting for the number of screws, their position and their preload are under development. The ideal installation scenario will then be proposed to practitioners to assist surgery.