ArticleJournal of hand surgery global online2021
Long-term Evaluation Using Finite Element Analysis of Bone Atrophy Changes after Locking Plate Fixation of Forearm Diaphyseal Fracture.
Article in Journal of hand surgery global online, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Temporary circular external fixation for effective management of bilateral radial non-union in a Toy Poodle.Open veterinary journal · 2024Article
- Elucidation of the radius and ulna fracture mechanisms in toy poodle dogs using finite element analysis.The Journal of veterinary medical science · 2024Article
- Finite element study on post-screw removal stress in toy poodle radius with different plate designs and screw arrangements.Open veterinary journal · 2024Article
- Changes in tibial cortical dimensions and density associated with long-term locking plate fixation in goats.Journal of experimental orthopaedics · 2023Article
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- Development of Osteopenia During Distal Radius Fracture Recovery.Journal of hand surgery global online · 2022Article
- Variations in Strain Distribution at Distal Radius under Different Loading Conditions.Life (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To determine the optimal timing of plate removal in patients with forearm diaphyseal fractures fixed with a locking plate via the analysis of bone atrophy over time. Methods: The study subject was a 56-year-old man. Computed tomography was performed at 0.5, 1, 1.5, 2, 3, 4, and 5 years after plate fixation. Finite element analysis was performed to measure the fracture load of the radius and ulna. The fracture loads of the affected and healthy sides were compared, and their ratio was calculated by dividing the value of the affected side by that of the healthy side at each time point. Results: The strength of the radius and ulna was 40.9% and 29.3%, respectively, on the healthy side at 1 year after surgery. The fracture load increased from the second to the third postoperative year; the strength of the radius and ulna was 62.2% and 37.3%, respectively, on the healthy side after the third year. However, after the third year, the fracture load declined and reached 38.8% and 18.9% for the radius and ulna, respectively, on the healthy side by the fifth postoperative year. Conclusions: The long-term fixation of forearm diaphyseal fractures using a locking plate leads to progressive bone atrophy. Future bone atrophy during long-term locking plate fixation without removal should be monitored. Type of study/level of evidence: Therapeutic IV.
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Registered trials
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