ArticleJournal of orthopaedic surgery and research2022
Comparison between external locking plate fixation and conventional external fixation for extraarticular proximal tibial fractures: a finite element analysis.
Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 23 citations in OpenAlex.
- Effect of muscle atrophy on fracture healing: insights from a tibial musculoskeletal-finite element model.Biomechanics and modeling in mechanobiology · 2026Article
- Staged screw removal in external plate fixation for distal tibial fractures: a finite element study on adaptive biomechanics.Scientific reports · 2026Article
- Biomechanical evaluation of X-ray permeable CF/PEEK composite versus conventional titanium alloy for tibial external fixation plates: a finite element analysis.Scientific reports · 2026Article
- Comparison of clinical application of locking plate versus cancellous screw in structural autologous bone grafting during TKA for medial tibial bone defects.Frontiers in bioengineering and biotechnology · 2026Article
- [Treatment options and research progress of proximal tibial extra-articular fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Effect of Screw Distribution on Stability and Interfragmentary Strain of Lower Tibial Fractures: A Finite Element Analysis.Current medical science · 2025Article
- Externally Applied Metaphyseal Locking Plate: An Alternative to Unilateral External Fixator in Definitive Management of Compound Tibia Fractures - A Prospective Study.Journal of orthopaedic case reports · 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
- Preliminary exploration of finite element biomechanical preoperative planning for complex tibial plateau fractures.Scientific reports · 2025Article
- A novel external fixation for treating tibial fractures: a finite element and biomechanical study.Journal of orthopaedic surgery and research · 2025Article
- Locking compression plate as a sequential external fixator following the distraction phase for the treatment of tibial bone defects caused by fracture-related infection: experiences from 22 cases.BMC musculoskeletal disorders · 2024Article
- How Does the Stress in the Fixation Device Change during Different Stages of Bone Healing in the Treatment of Fractures? A Finite Element Study of External Fixation for Tibial Fractures.Orthopaedic surgery · 2024Article
- Non‑contact locking plate: A useful alternative to external fixation in second‑stage treatment of post‑traumatic tibial osteomyelitis.Experimental and therapeutic medicine · 2024Article
- Comparative analysis of external locking plate and combined frame external fixator for open distal tibial fractures: a comprehensive assessment of clinical outcomes and financial implications.BMC musculoskeletal disorders · 2023Article
- Novel screw fixation placement configuration for the treatment of Pauwels type III femoral neck fractures: a finite element analysis.Medical & biological engineering & computing · 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
- Single-Stage Externalized Locked Plating for Treatment of Unstable Meta-Diaphyseal Tibial Fractures.Journal of clinical medicine · 2023Article
- Biomechanical study of the stiffness of the femoral locking compression plate of an external fixator for lower tibial fractures.BMC musculoskeletal disorders · 2023Article
- Finite element analysis modeling of plates versus intramedullary nails in closed comminuted midshaft tibial fractures.SICOT-J · 2022Article
- Finite Element Analysis of Von Mises Stress in External Fixators for Open Tibial Fractures: A Comparative Study of ASTM F1541-02 and Tibia-Based Models in Indonesian Patients.Healthcare technology lettersArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGood clinical outcomes for locking plates as an external fixator to treat tibial fractures have been reported. However, external locking plate fixation is still generally rarely performed. This study aimed to compare the stability of an external locking plate fixator with that of a conventional external fixator for extraarticular proximal tibial fractures using finite element analysis.
methodsThree models were constructed: (1) external locking plate fixation of proximal tibial fracture with lateral proximal tibial locking plate and 5-mm screws (ELP), (2) conventional external fixation of proximal tibial fracture with an 11-mm rod and 5-mm Schanz screws (EF-11), and (3) conventional external fixation of a proximal tibial fracture with a 7-mm rod and 5-mm Schanz screws (EF-7). The stress distribution, displacement at the fracture gap, and stiffness of the three finite element models at 30-, 40-, 50-, and 60-mm plate-rod offsets from the lateral surface of the lateral condyle of the tibia were determined.
resultsThe conventional external fixator showed higher stiffness than the external locking plate fixator. In all models, the stiffness decreased as the distance of the plate-rod from the bone surface increased. The maximum stiffness was 121.06 N/mm in the EF-11 model with 30-mm tibia-rod offset. In the EF-7 model group, the maximum stiffness was 40.00 N/mm in the model with 30-mm tibia-rod offset. In the ELP model group, the maximum stiffness was 35.79 N/mm in the model with 30-mm tibia-plate offset.
conclusionsFinite element analysis indicated that external locking plate fixation is more flexible than conventional external fixation and can influence secondary bone healing. External locking plate fixation requires the placement of the plate as close as possible to the skin, which allows for a low-profile design because the increased distance from the plate to the bone can be too flexible for bone healing. Further experimental mechanical model tests are necessary to validate these finite element models, and further biological analysis is necessary to evaluate the effect of external locking plate fixation on fracture healing.
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