ArticleJoint diseases and related surgery2025
Biomechanical evaluation of fixation techniques for posteromedial tibial plateau fractures: A cadaveric model.
Article in Joint diseases and related surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Optimizing fixation in medial distal femur fractures: A biomechanical study.Joint diseases and related surgery · 2026Article
- Long-term outcomes of dual locking-plate fixation for bicondylar tibial plateau fractures via two mini-incisions: A prospective study.Orthopedic reviews · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to compare the biomechanical performances of five fixation techniques, posteroanterior (PA) screw, anteroposterior (AP) screw, posterior locking compression plate (LCP), anatomic posteromedial plate (PMP), and anterolateral plate (ALP), for isolated posteromedial tibial plateau fractures using cadaveric models under static and dynamic axial loading conditions. MATERIALS AND
methodsTwenty-five fresh-frozen cadaveric tibias were used to create standardized posteromedial split-type fractures. Specimens were divided equally into five groups based on the fixation method. Biomechanical testing involved cyclic axial loading (10-250 N, 2500 cycles at 2 Hz), followed by load-to-failure testing under static compression. Outcome parameters included stiffness, load at 3 mm displacement, ultimate load, displacement at failure, and photographic displacement.
resultsThe PMP group demonstrated the highest biomechanical stability, with the greatest ultimate load (805.60±218.96 N) and minimal displacement. The PA screw fixation also showed acceptable performance, offering a minimally invasive alternative. In contrast, the AP and ALP groups exhibited the lowest values for load tolerance and fragment control. There were significant differences between the groups, particularly favoring posterior-based techniques (p<0.05).
conclusionAnatomic PMP provides superior biomechanical stability for isolated posteromedial tibial plateau fractures. The PA screw fixation offers a less invasive, yet stable alternative. Anterior-based fixation strategies such as AP screws and ALP should be avoided due to biomechanical insufficiency.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.