Biomechanical analysis of operative methods in the treatment of extra-articular fracture of the proximal Tibia
DC Field | Value | Language |
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dc.contributor.author | Lee, S.-M. | - |
dc.contributor.author | Oh, C.-W. | - |
dc.contributor.author | Oh, J.-K. | - |
dc.contributor.author | Kim, J.-W. | - |
dc.contributor.author | Lee, H.-J. | - |
dc.contributor.author | Chon, C.-S. | - |
dc.contributor.author | Lee, B.-J. | - |
dc.contributor.author | Kyung, H.-S. | - |
dc.date.accessioned | 2021-09-05T16:03:30Z | - |
dc.date.available | 2021-09-05T16:03:30Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 2005-291x | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/100767 | - |
dc.description.abstract | Background: To determine relative fixation strengths of a single lateral locking plate, a double construct of a locking plate, and a tibial nail used in treatment of proximal tibial extra-articular fractures. Methods: Three groups of composite tibial synthetic bones consisting of 5 specimens per group were included: lateral plating (LP) using a locking compression plate-proximal lateral tibia (LCP-PLT), double plating (DP) using a LCP-PLT and a locking compression plate-medial proximal tibia, and intramedullary nailing (IN) using an expert tibial nail. To simulate a comminuted fracture model, a gap osteotomy measuring 1 cm was created 8 cm below the knee joint. For each tibia, a minimal preload of 100 N was applied before loading to failure. A vertical load was applied at 25 mm/min until tibial failure. Results: Under axial loading, fixation strength of DP (14,387.3 N; standard deviation [SD], 1,852.1) was 17.5% greater than that of LP (12,249.3 N; SD, 1,371.6), and 60% less than that of IN (22,879.6 N; SD, 1,578.8;/? < 0.001, Kruskal-Wallis test). For ultimate displacement under axial loading, similar results were observed for LP (5.74 mm; SD, 1.01) and DP (4.45 mm; SD, 0.96), with a larger displacement for IN (5.84 mm; SD, 0.99). The median stiffness values were 2,308.7 N/mm (range, 2,147.5 to 2,521.4 N/mm; SD, 165.42) for the LP group, 4,128.2 N/mm (range, 3,028.1 to 4,831.0 N/mm; SD, 832.88) for the DP group, and 5,517.5 N/mm (range, 3,933.1 to 7,078.2 N/mm; SD, 1,296.19) for the IN group. Conclusions: During biomechanical testing of a simulated comminuted proximal tibial fracture model, the DP proved to be stronger than the LP in terms of ultimate strength. IN proved to be the strongest; however, for minimally invasive osteosynthesis, which may be technically difficult to perform using a nail, the performance of the DP construct may lend credence to the additional use of a medial locking plate. © 2014, by The Korean Orthopaedic Association. All rights reserved. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | Korean Orthopaedic Association | - |
dc.subject | Article | - |
dc.subject | biomechanics | - |
dc.subject | bone nail | - |
dc.subject | comminuted fracture | - |
dc.subject | controlled study | - |
dc.subject | intermethod comparison | - |
dc.subject | intramedullary nailing | - |
dc.subject | locking compression plate | - |
dc.subject | mechanical stimulus test | - |
dc.subject | mechanical stress | - |
dc.subject | minimally invasive surgery | - |
dc.subject | osteosynthesis | - |
dc.subject | plate fixation | - |
dc.subject | proximal tibia extra articular fracture | - |
dc.subject | proximal tibia fracture | - |
dc.subject | rigidity | - |
dc.subject | simulation | - |
dc.subject | strength | - |
dc.subject | tibia osteotomy | - |
dc.subject | audiovisual equipment | - |
dc.subject | biomechanics | - |
dc.subject | bone nail | - |
dc.subject | bone plate | - |
dc.subject | devices | - |
dc.subject | Fractures, Comminuted | - |
dc.subject | human | - |
dc.subject | pathophysiology | - |
dc.subject | Tibial Fractures | - |
dc.subject | Biomechanical Phenomena | - |
dc.subject | Bone Nails | - |
dc.subject | Bone Plates | - |
dc.subject | Fracture Fixation, Internal | - |
dc.subject | Fractures, Comminuted | - |
dc.subject | Humans | - |
dc.subject | Models, Anatomic | - |
dc.subject | Tibial Fractures | - |
dc.title | Biomechanical analysis of operative methods in the treatment of extra-articular fracture of the proximal Tibia | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Oh, J.-K. | - |
dc.identifier.doi | 10.4055/cios.2014.6.3.312 | - |
dc.identifier.scopusid | 2-s2.0-84923912110 | - |
dc.identifier.bibliographicCitation | CiOS Clinics in Orthopedic Surgery, v.6, no.3, pp.312 - 317 | - |
dc.relation.isPartOf | CiOS Clinics in Orthopedic Surgery | - |
dc.citation.title | CiOS Clinics in Orthopedic Surgery | - |
dc.citation.volume | 6 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 312 | - |
dc.citation.endPage | 317 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001902922 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordPlus | Article | - |
dc.subject.keywordPlus | biomechanics | - |
dc.subject.keywordPlus | bone nail | - |
dc.subject.keywordPlus | comminuted fracture | - |
dc.subject.keywordPlus | controlled study | - |
dc.subject.keywordPlus | intermethod comparison | - |
dc.subject.keywordPlus | intramedullary nailing | - |
dc.subject.keywordPlus | locking compression plate | - |
dc.subject.keywordPlus | mechanical stimulus test | - |
dc.subject.keywordPlus | mechanical stress | - |
dc.subject.keywordPlus | minimally invasive surgery | - |
dc.subject.keywordPlus | osteosynthesis | - |
dc.subject.keywordPlus | plate fixation | - |
dc.subject.keywordPlus | proximal tibia extra articular fracture | - |
dc.subject.keywordPlus | proximal tibia fracture | - |
dc.subject.keywordPlus | rigidity | - |
dc.subject.keywordPlus | simulation | - |
dc.subject.keywordPlus | strength | - |
dc.subject.keywordPlus | tibia osteotomy | - |
dc.subject.keywordPlus | audiovisual equipment | - |
dc.subject.keywordPlus | biomechanics | - |
dc.subject.keywordPlus | bone plate | - |
dc.subject.keywordPlus | devices | - |
dc.subject.keywordPlus | Fractures, Comminuted | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | pathophysiology | - |
dc.subject.keywordPlus | Tibial Fractures | - |
dc.subject.keywordPlus | Biomechanical Phenomena | - |
dc.subject.keywordPlus | Bone Nails | - |
dc.subject.keywordPlus | Bone Plates | - |
dc.subject.keywordPlus | Fracture Fixation, Internal | - |
dc.subject.keywordPlus | Fractures, Comminuted | - |
dc.subject.keywordPlus | Humans | - |
dc.subject.keywordPlus | Models, Anatomic | - |
dc.subject.keywordPlus | Tibial Fractures | - |
dc.subject.keywordPlus | bone nail | - |
dc.subject.keywordAuthor | Biomechanical study | - |
dc.subject.keywordAuthor | Locking plate | - |
dc.subject.keywordAuthor | Nail | - |
dc.subject.keywordAuthor | Proximal tibial fracture | - |
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