Biomechanical Comparison of 4 Different Lateral Plate Constructs for Distal Fibula Fractures

Eckel, Tobin T.; Glisson, Richard R.; Anand, Puneet; Parekh, Selene G.

doi:10.1177/1071100713496223

Cited by 41 publications

(26 citation statements)

References 16 publications

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“…We believe that the main successful factor is the anatomical reduction and the proper lag screw insertion. Eckel et al demonstrated no significant differences in plate performance ( 16 ): they found positive correlation between bone mineral density and bending stiffness, a negative correlation between BMD and the amount of angulation at the peak bending moment for all plates; one-third tubular plates showed the most high resistance to bending forces. No differences were found in rotational and bending forces, torsional stiffness in external rotation exceeded stiffness in internal rotation; this study did not identify a superior plate.…”

Section: Discussionmentioning

confidence: 99%

Tubular vs Profile Plate in Peroneal or Bimalleolar Fractures: is There a Real Difference in Skin Complication? A Retrospective Study in Three Level I Trauma Center

Petruccelli¹,

Bisaccia²,

Rinonapoli³

et al. 2017

Med Arch

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Introduction:Not enough literature is available to evalute the wound complication rate of plates type in distal fibular fractures.Aim:The aim of our study was to compare wound complications of using a third tubular plate compared to LCP distal fibula plate.Material and Methods:This study is a retrospective single-centre study in which was performed plating of fibula in closed ankle fractures. 93 patients were included in our study and assigned in two groups, based on using of different implant : in group A 48 patients were treated with one-third tubular and in group B 45 patients were treated with LCP distal fibula plate. There were no significant differences in the baseline characterisctics. Patients received the same surgical procedure and the same post-operative care, then they were radiologically evalueted at 1-3-12 months and clinical examination was made at 12 months using AOFAS clinical rating system. Categorical data, grouped into distinct categories, were evalueted using Chi-square test. We considered a p value < 0.05 as statistically significant.Results:The wound complications rate of the overall study group was 7.6%. There were no statistical differences in the rate of wound complications between the two groups. There were no differences between both group in percentage of hardware removal at follow-up (overall 5.4%); plate removal was performed earlier in the locking plate because of wound complications.Conclusions:Our study has shown no difference in radiographic bone union rate, no significant differences in terms of clinical outcomes, in time of bone reduction and wound complication rate between the LCP distal fibula plate and conventional one-third tubular plate. Controversy still exists about the best method for the fracture reduction.

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Section: Discussionmentioning

confidence: 99%

Tubular vs Profile Plate in Peroneal or Bimalleolar Fractures: is There a Real Difference in Skin Complication? A Retrospective Study in Three Level I Trauma Center

Petruccelli¹,

Bisaccia²,

Rinonapoli³

et al. 2017

Med Arch

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“…29 Other authors have used measurements of BMD in biomechanical studies. In 2 studies on tibiotalocalcaneal fusions 16,27 and 1 on distal fibula fracture fixation, 8 higher BMD was associated with increased construct stability. However, in 2 studies on tarsometatarsal fusion, no relation was found between BMD and construct stiffness.…”

Section: Discussionmentioning

confidence: 99%

Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty

et al. 2018

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Bone mineral density (BMD) is a modifiable factor which can be addressed prior to elective surgery, if necessary. However, its role pertaining to complications of total ankle arthroplasty (TAA) has not been studied. Medial malleolar fractures are a well-known complication of TAA that can occur both intra-and postoperatively, the latter often presenting as stress fractures. 21,45 These fractures may be prevented by insertion of a prophylactic fixation screw prior to proceeding with TAA implantation, although the indications for such fixation are not well defined.

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“…Once the distal fibula was exposed, a custom jig was used to create a 45-degree oblique osteotomy at the level of the syndesmosis, going from the anterior inferior to the posterior superior fibula aspect. 7…”

Section: Methodsmentioning

confidence: 99%

Early Weightbearing After Operatively Treated Ankle Fractures

et al. 2016

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Biomechanical Comparison of 4 Different Lateral Plate Constructs for Distal Fibula Fractures

Abstract: Identification of an optimal lateral fibular plating system has the potential to improve the clinical outcome of malleolar fracture fixation, particularly when patient conditions are unfavorable.

Cited by 41 publications

References 16 publications

Tubular vs Profile Plate in Peroneal or Bimalleolar Fractures: is There a Real Difference in Skin Complication? A Retrospective Study in Three Level I Trauma Center

Tubular vs Profile Plate in Peroneal or Bimalleolar Fractures: is There a Real Difference in Skin Complication? A Retrospective Study in Three Level I Trauma Center

Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty

Early Weightbearing After Operatively Treated Ankle Fractures

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