Evidence map›Paper›PMID 40825742›Full record

ArticleOrthopaedic surgery2025

Equilibrium Mechanics in Fracture Reduction of Tibial Plateau.

Kaixuan Zhang, Xinrui Zhu, Wei Chen, Jing Na, Ningning Miao, Yuan Gao, Zhongzheng Wang, Yanbin Zhu, Shuang Yang, Yingze Zhang

Abstract read
In one paragraph

Article in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kaixuan ZhangSchool of Medicine, Nankai University, Tianjin, People's Republic of China.ORCID https://orcid.org/0000-0001-9651-082X
Xinrui ZhuKey Laboratory of Biomechanics of Hebei Province, Orthopaedic Research Institute of Hebei Province, Shijiazhuang, People's Republic of China.
Wei ChenKey Laboratory of Biomechanics of Hebei Province, Orthopaedic Research Institute of Hebei Province, Shijiazhuang, People's Republic of China.
Jing NaSchool of Medicine, Nankai University, Tianjin, People's Republic of China.
Ningning MiaoSchool of Medicine, Nankai University, Tianjin, People's Republic of China.
Yuan GaoSchool of Mechanical Engineering, Hebei University of Technology, Tianjin, People's Republic of China.
Zhongzheng WangKey Laboratory of Biomechanics of Hebei Province, Orthopaedic Research Institute of Hebei Province, Shijiazhuang, People's Republic of China.
Yanbin ZhuKey Laboratory of Biomechanics of Hebei Province, Orthopaedic Research Institute of Hebei Province, Shijiazhuang, People's Republic of China.
Shuang YangSchool of Medicine, Nankai University, Tianjin, People's Republic of China.
Yingze ZhangSchool of Medicine, Nankai University, Tianjin, People's Republic of China.

Funding

Consulting project of Tianjin Research Institute of China Engineering Science and Technology Development Strategy BEY220032National Natural Science Foundation of China 32130052National Natural Science Foundation of China 82072447National Natural Science Foundation of China 82172801National Natural Science Foundation of China 82272578National Natural Science Foundation of Hebei Province 2024206050Natural Science Foundation of Tianjin 24JCQNJC02030State Key Laboratory of Molecular Engineering of Polymers K2025-43The Open Project of Institute of Optometry and Vision Science in Nankai University NKSGY202303
6 · The paper itself

Abstract

backgroundTibial plateau fracture is one of the common fractures in the lower limb, mostly caused by high-energy injuries, which may be accompanied by different degrees of compression and displacement of the joint surface, affecting the knee joint alignment, stability, and sports function, and improper treatment may cause various complications, which are a more difficult problem in the clinic. The objective of this study was to investigate the biomechanical mechanisms underlying effective closed reduction in the treatment of tibial plateau fractures, particularly focusing on the performance of the homeopathic double reverse traction repositor compared to traditional traction table methods.

methodsWe developed a biomechanical model to analyze the equilibrium mechanics during tibial plateau fracture reduction. A quantitative analysis was performed to evaluate the mechanical forces involved in both the traditional traction table method and the double reverse traction repositor.

resultsOur analysis revealed that the use of a traction table generates an additional bending moment at the tibial plateau, resulting in medial over-distraction and lateral compression. This mechanical imbalance can obstruct fracture reduction and irritate surrounding soft tissues. In contrast, the double reverse traction repositor avoids these adverse forces, reducing soft tissue irritation and improving reduction efficiency by utilizing equilibrium mechanics.

conclusionThe double reverse traction repositor offers a biomechanical advantage in the reduction of tibial plateau fractures by creating a more balanced mechanical environment. This study enhances the understanding of fracture reduction mechanics and supports the repositor's use not only for tibial plateau fractures but also for other fracture types, such as intertrochanteric, extremity long bone, and comminuted fractures.

Indexed as

Tibial FracturesTractionBiomechanical PhenomenaHumansdouble reverse traction repositorequilibrium mechanicshomeopathic repositioning theoryminimally invasive therapytibial plateau fractures

Identifiers

PMID40825742
PMCPMC12497557

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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.