Document Detail

Locked plate fixation of the comminuted distal fibula: a biomechanical study.
MedLine Citation:
PMID:  23187038     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this study was to compare the biomechanical properties of locked versus nonlocked lateral fibular bridge plating of comminuted, unstable ankle fractures in a mode of catastrophic failure.
METHODS: We created comminuted Weber C fractures in 8 paired limbs from fresh cadavers. Fractures were plated with either standard or locked one-third tubular bridge plating techniques. Specimens were biomechanically evaluated by external rotation to failure while subjected to a compressive load approximating body weight. We measured the angle to failure, torque to failure, energy to failure and construct stiffness.
RESULTS: There was no significant difference in construct stiffness or other biomechanical properties between locked and standard one-third tubular plating techniques.
CONCLUSION: We found no difference in biomechanical properties between locked and standard bridge plating of a comminuted Weber C fibular fracture in a model of catastrophic failure. It is likely that augmentation of fixation with K-wires or transtibial screws provides a construct superior to locked bridge plating alone. Further biomechanical and clinical analysis is required to improve understanding of the role of locked plating in ankle fractures and in osteoporotic bone.
Neil J White; David T Corr; James P Wagg; Caeley Lorincz; Richard E Buckley
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  56     ISSN:  1488-2310     ISO Abbreviation:  Can J Surg     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-03-17     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  35-40     Citation Subset:  IM    
Orthopaedic Trauma, the Royal Infirmary of Edinburgh, Scotland, UK.
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MeSH Terms
Aged, 80 and over
Ankle Injuries / complications*
Bone Plates*
Equipment Design
Fibula / injuries*,  surgery*
Fracture Fixation, Internal / methods*
Fractures, Bone / surgery*
Fractures, Comminuted / surgery*
Middle Aged
Sample Size

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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