Evidence map›Paper›PMID 39736560›Full record

ArticleBMC musculoskeletal disorders2024

Higher interfragmentary compression force improves lateral tibial plateau fracture stability using locking plate fixation: experimental and simulation verification.

Daqiang Xu, Jiang Jiang, Zhenhua Ji, Fei Wang, Rui Jia, Hong Hong, Hongtao Zhang, Jianyi Li, Jun Wang

Abstract read
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In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Daqiang Xu *Department of Orthopedics, Affiliated Hospital 6 of Nantong University, Yancheng Third People's Hospital, Yancheng, China.
Jiang Jiang *Nanchang Hongdu Hospital of TCM, Nanchang, China.
Zhenhua Ji *Department of Rehabilitation Medicine, Shandong Public Health Clinical Center, Shandong University, Jinan, China.
Fei WangDepartment of Anatomy, Nanchang Medical College, Nanchang, China.
Rui JiaDepartment of Rehabilitation Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
Hong HongDepartment of Anatomy, Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, National Virtual & Reality Experimental Education Center for Medical Morphology, School of Basic Medical Sciences, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, 510515, China.
Hongtao ZhangZhongshan Torch Development Zone People's Hospital, No.123, Yixian Road, Torch Development District, Zhongshan, Guangdong, 528437, China. femur@163.com.
Jianyi LiDepartment of Anatomy, Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, National Virtual & Reality Experimental Education Center for Medical Morphology, School of Basic Medical Sciences, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, 510515, China. lijianyi@outlook.com.
Jun WangDepartment of Anatomy, Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, National Virtual & Reality Experimental Education Center for Medical Morphology, School of Basic Medical Sciences, Southern Medical University, No.1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, 510515, China. wangjunzmu@163.com.

Funding

National Key Research and Development Program of China No.2022YFF1202600Natural Science Foundation of Guangdong Province No.2022A1515011604Special Project of Clinical-Medicine of Nantong University YXY-Z-2023015
6 · The paper itself

Abstract

backgroundThis study investigated the impact of higher interfragmentary compression force (IFCF) on the stability of locking plate fixation in lateral tibial plateau fractures.

methodsBiomechanical experiments and finite element analysis (FEA) were employed to compare the performance of the AO cancellous lag screw (AOCLS) and a newly developed combined cancellous lag screw (CCLS).

resultsThe results demonstrated that the CCLS provided a higher IFCF without the risk of over-screwing, significantly improving fixation stability. High IFCF markedly increased the initial axial stiffness, allowing for earlier weight-bearing in patients. Additionally, the FEA showed that increased IFCF reduced the peak von Mises stress on implants and the peak equivalent elastic strain on the lateral fragment, thereby enhancing overall structural stability.

conclusionsThese findings suggested that the CCLS, with its superior IFCF and reduced risk of over-screwing, was a promising option for improving fixation stability in lateral tibial plateau fractures. This improvement could facilitate early rehabilitation, minimise complications, and provide better clinical outcomes. These results provide strong scientific evidence for the clinical use of CCLS.

Indexed as

Bone PlatesFinite Element AnalysisFracture Fixation, InternalTibial FracturesBiomechanical PhenomenaBone ScrewsComputer SimulationHumansMaleStress, MechanicalTibial Plateau FracturesWeight-BearingBiomechanicsFixation stabilityInterfragmentary compression forceLateral tibial plateau fractureLocking plate fixation

Identifiers

PMID39736560
PMCPMC11684052

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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.