ArticleArchives of orthopaedic and trauma surgery2023
"Mother and baby plate": a strategy to improve stability in proximal fractures of the ulna.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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
3 citing papers in PubMed, 3 citations in OpenAlex.
- Suture lasso combined with lateral plate in comminuted transolecranon fracture-dislocations of the elbow.BMC surgery · 2025Article
- Orthogonal plating for complex olecranon fractures: retrospective case series with patient-reported outcomes.Archives of orthopaedic and trauma surgery · 2024Article
- [Implant anchorage: In vivo and in vitro analyses : Clusters for implant anchorage and safety].Orthopadie (Heidelberg, Germany) · 2024Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
introductionProximal ulna fractures with a large zone of comminution, such as in the context of Monteggia injuries, require mechanically strong osteosyntheses as they occur in regions with high physiological joint load. Consequently, implant failure and pseudarthrosis are critical and devastating complications, especially with the background of mainly young patients being affected. An effective solution could be provided by adding a small second plate 90° angulated to the standard dorsal plate in the area of non-union. Thus, this study investigates whether, from a biomechanical point of view, the use of such a mini or baby plate is worthwhile. MATERIALS AND
methodsComminuted fractures distal to the coronoid process, equivalent to Jupiter type IIb fractures, are generated on artificial Sawbones
resultsThe "mother-baby-plate" osteosynthesis had a significantly higher yield load (p < 0.01) and stiffness (p = 0.01) than the LCP group. This correlates with the increased movement of the proximal fracture element during cyclic testing for the LCP group compared to the MBP group as measured by an optical metrology system.
conclusionsHere, we show evidence that the addition of a small plate to the standard plate is highly effective in increasing the biomechanical stability in severe fractures equivalent to Jupiter type IIb. As it hopefully minimizes complications like pseudarthrosis and implant failure and as the additional preparatory effort leading to compromised blood supply is regarded to be negligible, this justifies and highly advises the use of a mother-baby-plate system.
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