BIOMECHANICAL EVALUATION OF POLYAXIAL ANGULAR STABLE PLATES IN THE MANAGEMENT OF TIBIAL PLATEAU FRACTURES

被引:0
|
作者
Forna, Norin [1 ,2 ]
Sirbu, Paul-Dan [1 ,2 ]
Liliana, Savin [1 ,2 ]
Eva, Lucian [3 ,4 ]
Friedl, Wilhelm [5 ]
Carata, Eugen [6 ]
Pinteala, Tudor [1 ,2 ]
Tudor, Razvan [1 ,7 ]
Sirbu, Mihnea Theodor [1 ]
机构
[1] Grigore T Popa Univ Med & Pharm, Fac Med, Dept Orthoped & Traumatol, Iasi 700115, Romania
[2] Clin Rehabil Hosp, Dept Orthoped, Iasi 700661, Romania
[3] Prof Dr Nicolae Oblu Neurosurg Hosp Iasi, 2 Ateneului, Iasi 700309, Romania
[4] Dunarea de Jos Univ Galati, Fac Med, Galati 800008, Romania
[5] Wertheim Hosp, Dept Orthoped & Traumatol, D-97877 Wertheim, Germany
[6] Gheorghe Asachi Tech Univ, Fac Machine Construct & Ind Management, Dept Machine Tools & Equipment, Iasi 700050, Romania
[7] Iacob Czihac Emergency Mil Clin Hosp, Dept Orthoped & Traumatol, 7-9 Gen Henri Mathias Berthelot St, Iasi 700483, Romania
来源
ROMANIAN JOURNAL OF ORAL REHABILITATION | 2024年 / 16卷 / 04期
关键词
osteosynthesis; biomechanical performance; polyaxial; tibial plateau fractures; axial loading; stiffness; stability; lateral plate; medial plate; LATERAL LOCKING PLATE; METAANALYSIS SHOWS; SIMILAR OUTCOMES; ALIGNMENT; FIXATION; TITANIUM; STRESS; ANGLE;
D O I
10.62610/RJOR.2024.4.16.52
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Biomechanical efficacy is critical in managing tibial plateau fractures. This study compared the performance of polyaxial screw-plate implant systems under axial loading conditions using synthetic bone models. Osteosynthesis methods involving lateral, medial, and combined (lateral + medial) plates were evaluated. Although no statistically significant differences in stiffness and stability were observed across all groups under progressive axial loading, the combined lateral and medial plate technique demonstrated superior biomechanical performance compared to individual plate use. Notably, the lateral plate method outperformed the medial plate approach but was surpassed by the dual plate configuration. A statistically significant, directly proportional relationship between time intervals and displacement, along with an inverse correlation between time intervals and stiffness, was observed across all test groups. These findings highlight that combining lateral and medial plates enhances rigidity and stability, particularly under axial loading, making it a preferred approach for treating tibial plateau fractures.
引用
收藏
页码:537 / 550
页数:14
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