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Use of locking fibular plates versus non-locking dual plate fixation: A biomechanical study.
Epperly, Scott; Nedley, Allen; Chung, Jun Ho; Rodrigues, Evelyn; Johnson, Joseph.
Afiliación
  • Epperly S; Fairchild Medical Center, Yreka, CA, United States.
  • Nedley A; Loma Linda University Department of Orthopaedics, Loma Linda, CA, United States.
  • Chung JH; Loma Linda University Department of Orthopaedics, Loma Linda, CA, United States.
  • Rodrigues E; Loma Linda University Department of Orthopaedics, Loma Linda, CA, United States.
  • Johnson J; University of Alabama Birmingham Department of Orthopaedics, Birmingham, AL, United States.
J Clin Orthop Trauma ; 53: 102439, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39036509
ABSTRACT

Introduction:

Distal fibula osteoporotic comminuted fractures are challenging to treat and are often treated with periarticular locking plates. This study examined the biomechanical difference between locked plating and dual non-locked one-third tubular plating.

Methods:

Using an osteoporotic Sawbones fibula model, simulated fracture were fixated with one-third tubular dual plating and locked periarticular plating. The samples were then torqued to failure and peak torque, stiffness, and displacement were recorded.

Results:

The peak torque of the dual plating group was found to be statistically higher than the periarticular locked plating group (0.841 Nm and 0.740 Nm respectively; p = 0.024). However overall stiffness calculated at each 10° increment of displacement was noted to have no significant difference between the two constructs.

Conclusion:

Dual non-locked plating of distal fibula osteoporotic comminuted fractures is biomechanically equivalent to locked periarticular plating.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Orthop Trauma Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Orthop Trauma Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: India