Evidence map›Paper›PMID 31700213›Full record

ArticleJournal of clinical orthopaedics and trauma2019

Anatomical fitting of a plate shape directly derived from a 3D statistical bone model of the tibia.

Beat Schmutz, Kanchana Rathnayaka, Thomas Albrecht

Abstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Beat SchmutzInstitute of Health and Biomedical Innovation Queensland University of Technology 60 Musk Avenue, Kelvin Grove QLD, 4059, Australia.
Kanchana RathnayakaAccident and Orthopaedic Service The National Hospital of Sri Lanka Colombo 10, Sri Lanka.
Thomas AlbrechtDepartment of Mathematics and Computer Science University of Basel Spiegelstrasse 1, 4051, Basel, Switzerland.
National Hospital of Sri Lanka · LKQueensland University of Technology · AUUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntra- and inter-population variations of bone morphology have made the process of designing an anatomically well-fitting fracture fixation plate challenging. Although statistical bone models have recently been used for analysing morphological variabilities, it is not known to what extent they would also provide the basis for the design of a new plate shape. This would be particularly valuable in the case where no existing plate shape is available to start the process of fit optimisation. Therefore, this study investigated the anatomical fitting of a plate shape (statistical plate) derived from the mean shape of a statistical 3D tibia bone model in comparison to results available from two other plate shapes.

methodsForty-five 3D bone models of tibiae from Japanese cadaver specimens, as well as 3D models of the plate undersurface of both a commercial and shape optimised Medial Distal Tibia Plate, were utilised from earlier studies. The mean shape of the 3D statistical bone model was generated from the tibia models utilising the Statismo framework. With reverse engineering software, the plate undersurface of the statistical plate shape was derived directly from the mean surface of the statistical 3D bone model. Through an iterative process, the statistical plate model was placed at the correct surgical position on each bone model for fit assessment.

resultsThe statistical plate was fitting for 20% of the tibiae compared to 13% for the commercial and 67% for the optimised plate, respectively.

conclusionsThe plate shape derived directly from a statistical bone model was fitting better than the commercial plate, but considerably inferior to that of an optimised plate. However, the results do clearly indicate that this approach provides an appropriate and solid basis for commencing shape optimisation of the statistical plate. Studies of other anatomical regions are required to confirm whether these findings can be generalised.

Indexed as

Fracture fixationOrthopaedic platesPlate fitStatistical modelTibia

Identifiers

PMID31700213
PMCPMC6823809
OpenAlexW2940577635

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.