ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Biomechanical aspects of the posteromedial split in bicondylar tibial plateau fractures-a finite-element investigation.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 32 citations in OpenAlex.
- Arthroscopically assisted refixation of bony ACL tears with accompanying posteraleral tibial plateau ("apple bite") fractures - a minimally invasive treatment approach.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biomechanical performance of proximal tibia fracture plates: A review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Review
- [Tibial plateau fractures : Tips and tricks].Orthopadie (Heidelberg, Germany) · 2025Review
- The influence of "kickstand" screws on the mechanical performance of a lateral distal femoral plate : a finite element analysis.Bone & joint research · 2025Article
- 3D printing improves preoperative decision making for patient positioning and surgical approach selection for tibial plateau fractures.Scientific reports · 2025Article
- Location of lateral tibial plateau fractures relative to the posterolateral complex predicts the need for extension of lateral approaches: A retrospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Biomechanical evaluation of fixation techniques for posteromedial tibial plateau fractures: A cadaveric model.Joint diseases and related surgery · 2025Article
- Title of the study: finite element analysis of five internal fixation modalities for Schatzker type IV‒C tibial plateau fractures.BMC musculoskeletal disorders · 2025Article
- [Application of intermediate screw assisted reduction and fixation technique in treatment of Schatzker typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- [Research progress on biomechanics for internal fixation in tibial plateau fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Nanoscopy and an extended lateral approach can improve the management of latero-central segments in tibial plateau fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Anterolateral versus modified posterolateral approach for tibial plateau fractures with involvement of the posterior column: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Different internal fixation methods for Hoffa-like fractures of the tibial plateau: a finite element analysis.Frontiers in medicine · 2023Article
- Biomechanical analysis of internal fixation system stability for tibial plateau fractures.Frontiers in bioengineering and biotechnology · 2023Article
- Tibial plateau fractures: three dimensional fracture mapping and morphologic measurements.International orthopaedics · 2022Article
- [Change in the treatment of tibial plateau fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- Development of Digital Twins to Optimize Trauma Surgery and Postoperative Management. A Case Study Focusing on Tibial Plateau Fracture.Frontiers in bioengineering and biotechnology · 2021Article
- Tibial plateau fractures: a lot more to come!European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
purposeTo gain principal insight into fixation techniques of a posteromedial split fragment in bicondylar tibial plateau fractures.
methodsA computer simulation was performed, applying the finite-element method (FEM) to compare four methods of fixation of the posteromedial split fragment: lateral plate (model 1), lateral plate and kickstand screw (model 2), lateral plate and two antero-posterior lag screws (model 3), and lateral and posteromedial plate (model 4). The displacement of the fragment and material stresses in implants and bone under 2500 N axial load were analyzed.
resultsMaximal displacement of the posteromedial split fragment of 2.8 mm was found with a sole lateral plate. An added kickstand screw decreased the displacement to 1.46 mm. Added lag screws improved stability by a factor 4, with a maximal displacement of 0.76 mm. The double-plate configuration revealed 0.27 mm, a decrease of the displacement by a factor 10 compared to model 1. An additional analysis of posteromedial fragment displacements with osteoporotic bone, simulated by dividing the elastic modulus of the bone by a factor 2, turned out to be of relevant impact. For model 1, the calculations did not converge. The influence of bone quality was found to be 70% in model 2, 60% in model 3, and 40% in model 4.
conclusionsThe results indicate that the additional fixation of a posteromedial split fracture by plate osteosynthesis might be advantageous in bicondylar tibial plateau fractures treated with lateral plating. This might be even more important in patients with low bone quality.
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