Biomechanical comparison of plate-screw and screw fixation in medial tibial plateau fractures (Schatzker IV). A model study

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dc.contributor.authorCift, H.
dc.contributor.authorCetik, O.
dc.contributor.authorKalaycioglu, B.
dc.contributor.authorDirikoglu, M.H.
dc.contributor.authorOzkan, K.
dc.contributor.authorEksioglu, F.
dc.date.accessioned2025-01-21T16:27:04Z
dc.date.available2025-01-21T16:27:04Z
dc.date.issued2010
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction: The objective of this biomechanical study was to compare the respective efficiency of plate-screw fixation and screw fixation in an experimental model of a Schatzker type IV fracture. Hypothesis: Screw fixation and plate fixation have a similar load to failure. Materials and methods: This study compares the stability of Schatzker type IV medial tibial plateau fractures fixed with either three 6.5. mm cancellous bone screws with a 16. mm threaded segment or with six-holed buttress T plate-screw system. A Schatzker type IV fracture was modeled on an artificial bone model. In a first group of 10 fracture models, following the anatomical reduction, fractures were stabilized with screws with washers. In the second group of 10 fracture models, fractures were stabilized with T plate. After fixation, ascending axial compression was applied on bone models (Instron machine). Results: Load bearing capacity was 1397.6 ± 194.4 in group I and 2153.2 ± 204.4 in group II. The difference between two groups were statistically significant (p<0.001). Discussion: According to this result, experimental load bearing of bone models indicates that plate-screw fixation system has a significantly higher stabilization capacity than fixation with three screws alone. Our hypothesis was not confirmed. In order to maintain anatomical repositioning, the plate-screw system is a more stable fixation method than the screw in medial tibial plateau fractures of Schatzker type IV. © 2010 Elsevier Masson SAS.
dc.identifier.doi10.1016/j.rcot.2010.03.019
dc.identifier.endpage314
dc.identifier.issn1877-0517
dc.identifier.issue3
dc.identifier.scopus2-s2.0-77954841295
dc.identifier.scopusqualityQ4
dc.identifier.startpage313
dc.identifier.urihttps://doi.org/10.1016/j.rcot.2010.03.019
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23241
dc.identifier.volume96
dc.indekslendigikaynakScopus
dc.language.isofr
dc.relation.ispartofRevue de Chirurgie Orthopedique et Traumatologique
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectBiomechanical test; Bone model; Fixation; Medial tibial plateau fractures
dc.titleBiomechanical comparison of plate-screw and screw fixation in medial tibial plateau fractures (Schatzker IV). A model study
dc.title.alternativeÉtude comparative biomécanique de l'ostéosynthèse par plaque vissée versus vis dans les fractures du plateau tibial médial de type Schatzker 4
dc.typeArticle

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