ArticleJournal of experimental orthopaedics2019
The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws.
Article in Journal of experimental orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Plate Versus Screw Fixation in Treating Pediatric Femoral Neck Fractures: A Systematic Review.Journal of pediatric orthopedicsPooled it
- Superior reduction quality without improved outcomes: open versus closed reduction for displaced femoral neck fractures in adults under 60 years.Archives of orthopaedic and trauma surgery · 2026Article
- Exploring the Effectiveness of "Four-Point" Configuration Cannulated Compression Screw Implantation Protocol for the Fixation of Pauwels Type III Femoral Neck Fractures in Adults.Orthopaedic surgery · 2026Article
- Biomechanical comparison of inverted triangle and L-shaped screw configurations with medial buttress and anteromedial support plate in Pauwels type III femoral neck fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Biomechanical study of medial buttress plate combined with cannulated compression screws for pauwels type III femoral neck fractures using formalin-fixed human cadaveric femora.BMC musculoskeletal disorders · 2026Article
- Bicortical screw placement and microdamage in medial buttress plates in the management of Pauwels type III femoral neck fractures: A scanning electron microscopy-based analysis.Joint diseases and related surgery · 2026Article
- Femoral neck system versus cannulated screws with a medial plate for the fixation of Pauwels type III femoral neck fractures in young patients: a retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Biomechanical evaluation of femoral neck system versus non-sliding fixation in the treatment of young patients with Pauwels type III femoral neck fractures: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Effect of three cannulated compression screws combined with an obstructing screw on the biomechanical performance of pauwels type III femoral neck fractures: a finite element analysis.BMC musculoskeletal disorders · 2025Article
- Femoral neck osteosynthesis using interfragmentary compression or position screw in synthetic bones. What are the mechanical differences?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Finite Element Analysis of Six Internal Fixations in the Treatment of Pauwels Type III Femoral Neck Fracture.Orthopaedic surgery · 2024Article
- A finite element analysis of a low-profile femoral neck system of screws in sleeves in a vertical femoral neck fracture model.BMC musculoskeletal disorders · 2024Article
- Does the type of medial plate fixation matter for supplemental fixation of distal femur fractures manage with a lateral pre-contoured locked plate? A Biomechanical study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Biomechanical comparison of fixation methods on third-generation femoral composite bone models in Pauwels type 3 femoral neck fractures: Contribution of the medial buttress plate to fixation.Acta orthopaedica et traumatologica turcica · 2023Article
- Comparison of augmentation effects of medial buttress plate versus trochanteric lag screw in the cannulated screw fixation of Pauwels type III femoral neck fractures: A retrospective clinical study.Acta orthopaedica et traumatologica turcica · 2023Article
- Effect analysis of medial bracing plate combined with cannulated screw in unstable femoral neck fracture assisted by surgical hip dislocation: a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Combined Deflection Angle Classification: A Novel Typing System of Adult Femoral Neck Fracture.Orthopaedic surgery · 2023Article
- The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Evaluation of a Locking Autocompression Screw Model in Pauwels Type-3 Femoral Neck Fracture: In Vitro Analysis.Bioengineering (Basel, Switzerland) · 2022Article
- Medial Buttress Plate and Allograft Bone-Assisted Cannulated Screw Fixation for Unstable Femoral Neck Fracture with Posteromedial Comminution: A Retrospective Controlled Study.Orthopaedic surgery · 2022Article
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe biomechanical behavior of Pauwels type III fractures should be taken into consideration when performing internal fixation, since this repair should resist the shear force inherent in the vertical fracture line to the greatest extent possible. Recently, the use of a small fragment plate on the medial face of the femoral neck has been proposed by some authors, with satisfactory initial results. In the current study we analyze the mechanical role a medial plate used as a buttress plate for Pauwels type III femoral neck fractures, comparing the resistance of two fixation configurations using three cannulated screws.
methodsPauwels type III fractures were simulated in synthetic bones models and two groups were created, one of those using two parallel screws at the bottom of the femoral neck and the third screw crossing the fracture horizontally (G1), and the other fixed in the same arrangement as G1, but with the addition of a medial side plate at the apex of the fracture (G2). The constructs were subjected to axial loading until catastrophic failure.
resultsThe addition of a medial plate buttressing the femoral neck increased significantly the resistance to maximum loading (p = 0.003).
conclusionUse of a medial buttress plate results in a mechanically superior construction for Pauwels type III fractures fixed with multiple cannulated screws. LEBEL OF EVIDENCE: Level IV. Biomechanical comparative study.
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