SynthesisUnfallchirurgie (Heidelberg, Germany)2026
[Operative treatment of ankle fractures-what about biomechanics? : From angle stability to nail fixation].
Synthesis in Unfallchirurgie (Heidelberg, Germany), 2026. 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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Abstract
backgroundAnkle fractures in geriatric patients represent a relevant and not yet definitively resolved problem in everyday trauma surgery practice.
objectiveAre there biomechanical studies on different osteosynthesis techniques for treatment of the fibula in geriatric ankle fractures, and can the superiority of one method be demonstrated? MATERIALS AND
methodsThe article comprises a systematic literature review on the biomechanics of various osteosynthesis techniques for geriatric ankle fractures.
resultsThere are several biomechanical studies on different osteosynthesis techniques. However, only isolated studies are available on additional Kirschner wires, plates with quadrocortical screws, double-plate osteosynthesis, and intramedullary nail fixation. The dorsal antiglide plate has been studied more extensively; however, no advantage over the angular-stable lateral plate could be demonstrated. The strongest body of evidence exists for angular-stable plate osteosynthesis. Nevertheless, a meta-analysis was unable to demonstrate overall superiority, although it suggests a theoretical advantage in osteoporotic bone.
conclusionFrom a biomechanical perspective, the ideal osteosynthesis technique for treatment of the fibula in geriatric ankle fractures has not yet been identified.
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