ArticleJournal of clinical medicine2022
Single or Double Plating for Acromial Type III Fractures: Biomechanical Comparison of Load to Failure and Fragment Motion.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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
6 citing papers in PubMed, 10 citations in OpenAlex.
- Acromion type III scapular spine nonunion open reduction internal fixation with distal clavicular and pelvic plates.JSES reviews, reports, and techniques · 2026Article
- A systematic review of surgical treatment of reverse shoulder arthroplasty associated acromial and scapular spine stress fractures.JSES reviews, reports, and techniques · 2026Review
- Biomechanical evaluation of acromion and scapular spine fracture repair techniques systematic review.JSES reviews, reports, and techniques · 2026Article
- Complex Scapulothoracic Disruption Managed with Scapular Dual Column Plating and Acromion Tension Band Osteosynthesis: A Radiological and Functional Success Story.Journal of orthopaedic case reports · 2025Article
- [Treatment of symptomatic pseudarthrosis following acromion fracture with a patient-specific implant customized on a 3D-printed scapula].Operative Orthopadie und Traumatologie · 2023Review
- Acromial and Scapular Spine Fractures following Reverse Total Shoulder Arthroplasty-A Systematic Review of Fixation Constructs and Techniques.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundAcromial Levy III fractures after inverse shoulder arthroplasty occur in up to 7% of patients. To date, it is not clear how these fractures should be treated as clinical outcomes remain unsatisfactory. The aim of this study was to evaluate the biomechanical performance of three different plating methods of type III acromion fractures.
methodsLevy III fractures in synthetic scapulae were fixed with three different methods. Angular stable locking plates were placed on the spina scapula to bridge the fracture either dorsally, caudally, or on both aspects by double plating. In a biomechanical experiment, the pull of the deltoid muscle at 40° abduction of the arm was simulated by cyclic loading with increasing load levels until failure. Failure load, cycles to failure, and fragment motions were evaluated.
resultsThe results showed that double plating (350 ± 63 N) withstood the highest loads until failure, followed by dorsal (292 ± 20 N) and caudal (217 ± 49 N) plating. Similarly, double plating showed significantly smaller fragment movement than the other two groups.
conclusionsDouble plating appeared to provide the largest biomechanical stability in type III acromion fracture under arm abduction. Caudal plating in contract resulted in insufficient fracture stability and early failure and can thus not be recommended from a biomechanical point of view.
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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.