Stabilization of the posteromedial fragment in bicondylar tibial plateau fractures: a mechanical comparison of locking and nonlocking single and dual plating methods

The Journal of Trauma
Brad J YooDavid P Barei

Abstract

The objective of this study is to compare locking and nonlocking single and dual plating constructs in maintaining posteromedial fragment reduction in a bicondylar tibial plateau fracture model. We hypothesized that posteromedial fragment fixation with medial and lateral nonlocked constructs would tolerate higher loads than with lateral locked constructs alone. Thirty composite tibiae were fractured (AO 41-C1.3). Six constructs were tested: (1) lateral 3.5-mm conventional nonlocking proximal tibial plate (CP); (2) CP + posteromedial 3.5-mm limited contact dynamic compression plate; (3) CP + posteromedial 1/3 tubular plate (CP + 1/3 tubular); (4) 3.5-mm Zimmer Proximal Tibial Locking plate; (5) 3.5-mm Synthes Locking Compression plate; and (6) Less Invasive Stabilization System tibial plate. Specimens were cyclically loaded to failure or a maximum of 4000 N. Failure occurred at the posteromedial fragment first. The CP + 1/3 tubular had the highest average load to failure (3040 N). The CP + 1/3 tubular demonstrated higher load at failure compared with the 3.5-mm Synthes Locking Compression plate (p = 0.0060) and the Less Invasive Stabilization System (p = 0.0360). The CP + 1/3 tubular did not demonstrate a difference in load at f...Continue Reading

References

May 1, 1995·The Journal of Bone and Joint Surgery. American Volume·J L MarshT T Do
Jul 1, 1996·Clinical Orthopaedics and Related Research·R F GaudinezM Szporn
Jan 1, 1996·Journal of Orthopaedic Trauma·K J KovalJ D Zuckerman
Dec 5, 1998·Journal of Biomechanics·N ZhengS W Barrentine
Feb 15, 2000·Journal of Biomechanics·L Cristofolini, M Viceconti
Mar 14, 2000·Journal of Orthopaedic Trauma·D S HorwitzC L Peters
Jul 27, 2001·Journal of Biomechanics·A D Heiner, T D Brown
Feb 8, 2002·The Orthopedic Clinics of North America·William J Mills, Sean E Nork
Mar 7, 2002·Journal of Orthopaedic Trauma·Madhav A KarunakarJames F Kellam
Oct 12, 2004·Journal of Orthopaedic Trauma·Kenneth A EgolKenneth J Koval
Oct 12, 2004·Journal of Orthopaedic Trauma·Richard D PeindlStephen H Sims
Mar 19, 2005·The Journal of Bone and Joint Surgery. British Volume·C A MuellerN P Suedkamp
Jun 7, 2005·Journal of Biomechanics·Ahmad M AliLang Yang
Oct 6, 2005·Clinical Orthopaedics and Related Research·T GoslingC Krettek
Aug 3, 2006·The Journal of Bone and Joint Surgery. American Volume·David P BareiStephen K Benirschke

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Citations

Oct 12, 2012·Current Osteoporosis Reports·Clifford B Jones
Oct 9, 2013·The Kaohsiung Journal of Medical Sciences·Tien-Ching LeeJian-Chih Chen
Sep 15, 2016·Trauma Monthly·Abolfazl BagherifardHossein Karimi Heris
Feb 22, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·M EhlingerF Bonnomet
May 28, 2015·Indian Journal of Orthopaedics·Devdatta Suhas NeogiChandra Shekhar Yadav
Feb 21, 2018·JBJS Reviews·Adam K LeeCory Collinge
Jan 28, 2014·Journal of Orthopaedic Trauma·Marissa BonyunEmil H Schemitsch
Jan 16, 2015·Journal of Orthopaedic Trauma·Vanessa G CuéllarKenneth A Egol
May 19, 2019·Archives of Orthopaedic and Trauma Surgery·Matthias KrauseKarl-Heinz Frosch
Jun 12, 2019·BioMed Research International·Marc El BeainoZbigniew Gugala
Aug 14, 2020·Acta ortopedica brasileira·Matheus Manolo AroucaKodi Edson Kojima
Nov 13, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J DehoustK-H Frosch

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