ArticleJournal of orthopaedic surgery and research2019
Biomechanical investigation of the type and configuration of screws used in high tibial osteotomy with titanium locking plate and screw fixation.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Impact of exercise-induced fatigue on the risk of stress fractures in the tibia during smash landing in female badminton players.Scientific reports · 2026Article
- Effects of different HTO correction angles on ankle joint biomechanics in 3D varus knee model: a patient-specific simulation study.Frontiers in bioengineering and biotechnology · 2026Article
- Restoring Sagittal Alignment: Anterior Open-Wedge Flexion Valgus Osteotomy for Post-Traumatic Genu Recurvatum with Reversed Posterior Tibial Slope - A Rare Case Report.Journal of orthopaedic case reports · 2025Article
- Reinforced locking screws with enhanced head and neck junction: improving biomechanical stability in opening-wedge high tibial osteotomy applications.Journal of orthopaedic surgery and research · 2025Article
- [Research progress in biomechanics of different fixation methods for medial opening-wedge high tibial osteotomy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- [Biomechanical study of three-dimensional printed filler block design in open wedge high tibial osteotomy].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024Article
- Stress Effect in the Knee Joint Based on the Fibular Osteotomy Level and Varus Deformity: A Finite Element Analysis Study.Bioengineering (Basel, Switzerland) · 2023Article
- Does the anteromedial plate position affect proximal screw length and worsen the clinical outcomes in medial opening wedge high tibial osteotomy?BMC musculoskeletal disorders · 2023Article
- Different internal fixation methods for Hoffa-like fractures of the tibial plateau: a finite element analysis.Frontiers in medicine · 2023Article
- Is a Complete Anatomical Fit of the Tomofix Plate Biomechanically Favorable? A Parametric Study Using the Finite Element Method.The archives of bone and joint surgery · 2022Article
- Biomechanical aspects of the posteromedial split in bicondylar tibial plateau fractures-a finite-element investigation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Computational comparison of different plating strategies in medial open-wedge high tibial osteotomy with lateral hinge fractures.Journal of orthopaedic surgery and research · 2020Article
- Effects of proximal fibular osteotomy on stress changes in mild knee osteoarthritis with varus deformity: a finite element analysis.Journal of orthopaedic surgery and research · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundTo maintain the corrected alignment after high tibial osteotomy (HTO), fixation with titanium locking plate and screws is widely used in current practice; however, screw breakage is a common complication. Thus, this study was to investigate the mechanical stability of HTO with locking plate and various screw fixations, including the length as well as the type.
methodsA finite element (FE) model involving a distal femur, meniscus, and a proximal tibia with HTO fixed with a titanium locking plate and screws was created. The angle of the medial open wedge was 12°, and bone graft was not used. Two types of screws, namely conventional locking and far-cortical locking screws, with various lengths and configurations were used. At the proximal tibia, conventional locking screws with different lengths, 30 and 55 mm, were used; at the tibia shaft, different screw fixations including one-cortical, two-cortical, and far-cortical locking screws were used.
resultsThe use of far-cortical locking screw generated the highest equivalent stress on the screws, which was four times (from 137.3 to 541 MPa) higher than that of the one-cortical screw. Also, it led to the maximum deformation of the tibia and a greater gap deformation at the osteotomy site, which was twice (from 0.222 to 0.442 mm) larger than that of the one-cortical screw. The effect of different locking screw length on tibia deformation and implant stress was minor.
conclusionThus, far-cortical locking screws and plates increase interfragmentary movement but the screw stress is relatively high. Increasing the protection time (partial weight duration) is suggested to decrease the risk of screw breakage in HTO through fixation with titanium far-cortical locking screws and plates.
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