Biomechanical comparison of three different surgical methods in the surgical treatment of distal tibial metaphyseal fractures. An animal model study

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dc.authoridYILDIRIM, Cem/0000-0003-4540-1927
dc.authoridAtlıhan, Doğan/0000-0002-8562-0668
dc.authorwosidYILDIRIM, Cem/GVT-5614-2022
dc.authorwosidAtlıhan, Doğan/JAC-9633-2023
dc.contributor.authorYildirim, Cem
dc.contributor.authorMuratoglu, Osman Gorkem
dc.contributor.authorOrdu, Samed
dc.contributor.authorCeylan, Hasan
dc.contributor.authorMuslu, Duran Can
dc.contributor.authorAtlihan, Dogan
dc.date.accessioned2024-05-19T14:41:24Z
dc.date.available2024-05-19T14:41:24Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBACKGROUND: The aim of this study is to investigate mechanical properties of minimally invasive plate osteosynthesis (MIPO), supracutaneousplating (SP), and unilateral external fixators (UEF) which can be performed for open tibial fractures.METHODS: An unstable diaphysial tibia fracture was created in 60 fresh sheep tibia specimens by performing an osteotomy at the middle of bones. Specimens were divided into 3 groups. Specimens underwent fracture fixation with a standard MIPO technique, implanting the plate 15 mm from the bone for SP group. Unilateral uniplanar external fixators were achieved for UEF group. First, thirty specimens (10 specimen for each group) were loaded vertically along the tibial axis to 1800 N. Second, other 30 preperated bones were used for cyclical loading to avoid metal fatigue. For dynamic tests, a 350 N force was applied for 10,000 cycles.RESULTS: In compression testing (vertical loading up to 1800 N) of the three fixation instruments; construct stiffness was highest in MIPO group when compared with SP and UEF groups. While the stiffness of the MIPO group was similar to SP group, it was statistically higher than UEF group (P=0.08 and P=0.002, respectively). SP group was significantly stiffer than UEF group (P=0.0021). The mean peak load was highest in SP group and lowest in UEF group. The peak load in SP group was similar to the MIPO group, it was statistically higher than the UEF group (P=0.743 and P=0.002, respectively).CONCLUSION: Based on the biomechanical properties from this in vitro animal model study, SP technique was biomechanically stronger than UEF and has similar biomechanical properties with MIPO in terms of axial loading.en_US
dc.identifier.doi10.14744/tjtes.2023.66304
dc.identifier.endpage1097en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue10en_US
dc.identifier.pmid37791442en_US
dc.identifier.scopus2-s2.0-85172991463en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1091en_US
dc.identifier.urihttps://doi.org10.14744/tjtes.2023.66304
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5105
dc.identifier.volume29en_US
dc.identifier.wosWOS:001087012200004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectExternal Fixatoren_US
dc.subjectLocked Compression Plateen_US
dc.subjectMinimal Invasive Plate Osteosynthesisen_US
dc.subjectOpen Tibia Fractureen_US
dc.subjectSupercutaneus Platingen_US
dc.titleBiomechanical comparison of three different surgical methods in the surgical treatment of distal tibial metaphyseal fractures. An animal model studyen_US
dc.typeArticleen_US

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