scholarly journals Distal tibial fracture: An ideal indication for external fixation using locking plate

2016 ◽  
Vol 19 (2) ◽  
pp. 104-108 ◽  
Author(s):  
Jing-Wei Zhang ◽  
Nabil A. Ebraheim ◽  
Ming Li ◽  
Xian-Feng He ◽  
Joshua Schwind ◽  
...  
Keyword(s):  
External Fixation ◽  
Tibial Fracture ◽  
Locking Plate ◽  
Distal Tibial Fracture

External fixation using locking plate in distal tibial fracture: a finite element analysis

2015 ◽  
Vol 25 (6) ◽  
pp. 1099-1104 ◽  
Author(s):  
Jingwei Zhang ◽  
Nabil Ebraheim ◽  
Ming Li ◽  
Xianfeng He ◽  
Joshua Schwind ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
External Fixation ◽  
Tibial Fracture ◽  
Locking Plate ◽  
Distal Tibial Fracture ◽  
Element Analysis

Comparison between External Locking Plate Fixation and Conventional External Fixation for Extraarticular Proximal Tibial Fractures: A Finite Element Analysis

2021 ◽  
Author(s):  
Dejan Blažević ◽  
Janoš Kodvanj ◽  
Petra Adamović ◽  
Dinko Vidović ◽  
Zlatko Trobonjača ◽  
...  
Keyword(s):  
Finite Element ◽  
External Fixation ◽  
External Fixator ◽  
Tibial Fracture ◽  
Locking Plate ◽  
Plate Fixation ◽  
Tibial Fractures ◽  
Proximal Tibial Fracture ◽  
Locking Plate Fixation ◽  
Maximum Stiffness

Abstract BackgroundGood clinical outcomes for locking plates as an external fixator to treat tibial fractures have been reported. However, external locking plate fixation is still generally rarely performed. This study aimed to compare the stability of external locking plate fixator with that of conventional external fixator for extraarticular proximal tibial fractures, using finite element analysis. MethodsThree models were constructed: (1) external locking plating of proximal tibial fracture with lateral proximal tibial locking plate and 5-mm screws (ELP), (2) conventional external fixation of proximal tibial fracture with an 11-mm rod and 5-mm Schanz screws (EF-11), and (3) conventional external fixation of proximal tibial fracture with a 7-mm rod and 5-mm Schanz screws (EF-7). The stress distribution, displacement at the fracture gap, and stiffness of the three finite element models at 30-, 40-, 50-, and 60-mm plate–rod offset from the lateral surface of the lateral condyle of the tibia were determined. ResultsThe conventional external fixator showed higher stiffness than did the external locking plate fixator. In all models, the stiffness decreased as the distance of the plate–rod from the bone surface increased. The maximum stiffness was 121.06 N/mm in the EF-11 model with 30-mm tibia–rod offset. In the EF-7 model group, the maximum stiffness was 40.00 N/mm in the model with 30-mm tibia–rod offset. In the ELP model group, the maximum stiffness was 35.79 N/mm in the model with 30-mm tibia–plate offsetConclusionsExternal locking plate fixation is more flexible than conventional external fixation, which can influence secondary bone healing. External locking plate fixation requires the placement of the plate as close as possible to the skin, which allow low-profile design, because the increased distance of the plate from bone can be too flexible for bone healing.

scholarly journals Anterior Plating Using Locking Plate for Distal Tibial Fracture

2012 ◽  
Vol 61 (1) ◽  
pp. 153-156
Author(s):  
Takuya Ikuta ◽  
Hiroshi Sakamoto ◽  
Kazumitsu Uto
Keyword(s):  
Tibial Fracture ◽  
Locking Plate ◽  
Distal Tibial Fracture ◽  
Anterior Plating

Anterolateral and Medial Locking Plate Stiffness in Distal Tibial Fracture Model

2011 ◽  
Vol 32 (6) ◽  
pp. 630-637 ◽  
Author(s):  
Zachary C. Yenna ◽  
Arup K. Bhadra ◽  
Nwakile I. Ojike ◽  
AbdulSalam ShahulHameed ◽  
Robert L. Burden ◽  
...  
Keyword(s):  
Tibial Fracture ◽  
Locking Plate ◽  
Fracture Model ◽  
Distal Tibial Fracture

scholarly journals Comparison between external locking plate fixation and conventional external fixation for extraarticular proximal tibial fractures: a finite element analysis

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Dejan Blažević ◽  
Janoš Kodvanj ◽  
Petra Adamović ◽  
Dinko Vidović ◽  
Zlatko Trobonjača ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
External Fixation ◽  
Tibial Fracture ◽  
Locking Plate ◽  
Plate Fixation ◽  
Proximal Tibial Fracture ◽  
Locking Plate Fixation ◽  
Element Analysis ◽  
Maximum Stiffness

Abstract Background Good clinical outcomes for locking plates as an external fixator to treat tibial fractures have been reported. However, external locking plate fixation is still generally rarely performed. This study aimed to compare the stability of an external locking plate fixator with that of a conventional external fixator for extraarticular proximal tibial fractures using finite element analysis. Methods Three models were constructed: (1) external locking plate fixation of proximal tibial fracture with lateral proximal tibial locking plate and 5-mm screws (ELP), (2) conventional external fixation of proximal tibial fracture with an 11-mm rod and 5-mm Schanz screws (EF-11), and (3) conventional external fixation of a proximal tibial fracture with a 7-mm rod and 5-mm Schanz screws (EF-7). The stress distribution, displacement at the fracture gap, and stiffness of the three finite element models at 30-, 40-, 50-, and 60-mm plate–rod offsets from the lateral surface of the lateral condyle of the tibia were determined. Results The conventional external fixator showed higher stiffness than the external locking plate fixator. In all models, the stiffness decreased as the distance of the plate–rod from the bone surface increased. The maximum stiffness was 121.06 N/mm in the EF-11 model with 30-mm tibia–rod offset. In the EF-7 model group, the maximum stiffness was 40.00 N/mm in the model with 30-mm tibia–rod offset. In the ELP model group, the maximum stiffness was 35.79 N/mm in the model with 30-mm tibia–plate offset. Conclusions Finite element analysis indicated that external locking plate fixation is more flexible than conventional external fixation and can influence secondary bone healing. External locking plate fixation requires the placement of the plate as close as possible to the skin, which allows for a low-profile design because the increased distance from the plate to the bone can be too flexible for bone healing. Further experimental mechanical model tests are necessary to validate these finite element models, and further biological analysis is necessary to evaluate the effect of external locking plate fixation on fracture healing.

Temporary bridging external fixation in distal tibial fracture

Injury ◽  
2014 ◽  
Vol 45 ◽  
pp. S58-S63 ◽  
Author(s):  
F. Lavini ◽  
C. Dall’Oca ◽  
S. Mezzari ◽  
T. Maluta ◽  
E. Luminari ◽  
...  
Keyword(s):  
External Fixation ◽  
Tibial Fracture ◽  
Distal Tibial Fracture

scholarly journals Evaluation of Outcome of Management of Distal Tibial Fractures using Distal Tibial Locking Plate

2017 ◽  
Vol 4 (1) ◽  
pp. 5-9
Author(s):  
Rajesh Kapila ◽  
Mannan Ahmed ◽  
Radhe S Garg ◽  
Sanjeev Jindal ◽  
Vivek Bansal
Keyword(s):  
Tibial Fracture ◽  
Locking Plate ◽  
Tibial Fractures ◽  
Asia Pacific ◽  
Modern Trend ◽  
Rigid Fixation ◽  
Locking Plates ◽  
Distal Tibial Fracture ◽  
Distal Tibial Fractures ◽  
Articular Fractures

ABSTRACT Aim The modern trend in the management of fractures is fast changing in favor of rigid fixation and early mobilization with minimal period of plaster immobilization. We present a prospective cohort study of fixation of distal tibial fractures with distal tibial locking plate and its evaluation in terms of maintenance of accurate anatomical reduction, stable fixation, with early restoration of functions. Materials and methods A total of 25 patients with median age 38.04 years, age range 19 to 70, with distal tibial fracture were treated by using distal tibial locking plate. The outcome was evaluated using American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score. Results The majority of fractures in this study were extraarticular (64%), while 20% were partial articular fractures and 16% were complete articular fractures. Out of 25 patients, 6 patients had superficial infection and 1 patient had deep infection. Out of 25 cases, 5 cases had union by 16 weeks, 11 cases by 20 weeks, 7 cases had union by 30 weeks, and 2 cases had nonunion. According to AOFAS score at 6 months, 4 cases had score of 31 to 70 and 21 cases had score of 71 to 100. Conclusion The results of our study corroborate with the contemporary literature relevant to distal tibial fracture fixation performed with various locking plates. Therefore, locking compression plate is a good device to stabilize the fracture of the distal tibial. Clinical significance Locking plates are a good device to stabilize the fractures of the distal tibial, especially when used in conjunction with meticulous intraoperative handling of soft tissue and active participation of patients in rehabilitation program. Studying this alternative method expands the present knowledge for the management of distal tibial fractures. How to cite this article Ahmed M, Jindal S, Bansal V, Kapila R, Garg RS. Evaluation of Outcome of Management of Distal Tibial Fractures using Distal Tibial Locking Plate. J Foot Ankle Surg (Asia-Pacific) 2017;4(1):5-9.

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