ArticleInternational orthopaedics2016
Fixation of a split fracture of the lateral tibial plateau with a locking screw plate instead of cannulated screws would allow early weight bearing: a computational exploration.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed, 68 citations in OpenAlex.
- Immediate weight-bearing after tibial plateau fractures internal fixation results in better clinical outcomes with similar radiological outcomes: a randomized clinical trial.International orthopaedics · 2025Trial
- Analysing plate fixation of a comminuted fracture of the proximal ulna in relation to the elbow joint: a finite element study.Journal of orthopaedic surgery and research · 2025Article
- Evaluation of the effect of eccentric nailing on femoral diaphyseal union delay.Joint diseases and related surgery · 2025Article
- Biomechanical performance evaluation of SScientific reports · 2025Article
- Current concepts in tibial plateau fracture management: a Spanish Orthopaedic Trauma Association review.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Finite element analysis of the stability of tibiofibular fractures treated with various combinations of external fixators.BMC musculoskeletal disorders · 2025Article
- Predicting the effect of individual weight-bearing on tibial load and fracture healing after tibial plateau fractures-introduction of a biomechanical simulation model.Frontiers in bioengineering and biotechnology · 2025Article
- Higher interfragmentary compression force improves lateral tibial plateau fracture stability using locking plate fixation: experimental and simulation verification.BMC musculoskeletal disorders · 2024Article
- Application of a combined cancellous lag screw enhances the stability of locking plate fixation of osteoporotic lateral tibial plateau fracture by providing interfragmentary compression force.Journal of orthopaedic surgery and research · 2024Article
- Suprapatellar intramedullary nail combined with screw fixation has comparable surgical outcomes to minimally invasive locking plate fixation in ipsilateral tibial plateau and shaft fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Biomechanical study of a new rim plate fixation strategy for two kinds of posterolateral depression patterns of tibial plateau fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2023Article
- Finite element analysis comparison of Type 42A2 fracture fixed with external titanium alloy locking plate and traditional external fixation frame.Journal of orthopaedic surgery and research · 2023Article
- The study of biomechanics and finite element analysis on a novel plate for tibial plateau fractures via anterolateral supra-fibular-head approach.Scientific reports · 2023Article
- A Novel Locking Buttress Plate Designed for Simultaneous Medial and Posterolateral Tibial Plateau Fractures: Concept and Comparative Finite Element Analysis.Orthopaedic surgery · 2023Article
- Finite element analysis of titanium anatomic plate and titanium reconstructive plate for treatment of extra-articular fractures of the scapula.Journal of orthopaedic surgery and research · 2023Article
- Biomechanical analysis of internal fixation system stability for tibial plateau fractures.Frontiers in bioengineering and biotechnology · 2023Article
- A finite element analysis of the supportive effect of a new type of rotary support plate on lateral tibial plateau fractures.Annals of translational medicine · 2022Article
- Treatment of C1.1 (AO-41) tibial plateau fracture: A finite element analysis of single medial, lateral and dual plating.Experimental and therapeutic medicine · 2022Article
- Horizontal Rafting Plate for Treatment of the Tibial Plateau Fracture.Orthopaedic surgery · 2021Article
- A finite element analysis of relationship between fracture, implant and tibial tunnel.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess, with finite element (FE) calculations, whether immediate weight bearing would be possible after surgical stabilization either with cannulated screws or with a locking plate in a split fracture of the lateral tibial plateau (LTP).
methodsA split fracture of the LTP was recreated in a FE model of a human tibia. A three-dimensional FE model geometry of a human femur-tibia system was obtained from the VAKHUM project database, and was built from CT images from a subject with normal bone morphologies and normal alignment. The mesh of the tibia was reconverted into a geometry of NURBS surfaces. A split fracture of the lateral tibial plateau was reproduced by using geometrical data from patient radiographs. A locking screw plate (LP) and a cannulated screw (CS) systems were modelled to virtually reduce the fracture and 80 kg static body-weight was simulated.
resultsWhile the simulated body-weight led to clinically acceptable interfragmentary motion, possible traumatic bone shear stresses were predicted nearby the cannulated screws. With a maximum estimation of about 1.7 MPa maximum bone shear stresses, the Polyax system might ensure more reasonable safety margins.
conclusionsSplit fractures of the LTP fixed either with locking screw plate or cannulated screws showed no clinically relevant IFM in a FE model. The locking screw plate showed higher mechanical stability than cannulated screw fixation. The locking screw plate might also allow full or at least partial weight bearing under static posture at time zero.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.