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- W2328436159 abstract "Summary A laboratory study was performed to compare the stability and ultimate strength of three standard fixation techniques for split-type lateral tibial plateau fractures. The three methods of fixation were (a) three 6.5-mm cancellous lag screws with washers; (b) two 6.5-mm cancellous lag screws with washers and an additional antiglide 4.5-mm cortical screw with washer; and (c) six-hole L-shaped buttress plate. Twelve pairs of embalmed mildly osteopenic lower extremities were used. Simulated split-type lateral tibial plateau fractures were created, reduced, and then instrumented in a matched pair design. The instrumented specimens were axially loaded to determine resistance to displacement, cyclically loaded to 10,000 cycles to determine dynamic stability, and then loaded to failure. There were no statistically significant differences found between the three different treatment groups with respect to initial stability, displacement under cyclic loading, or failure strength either as matched pairs or for the average group values. No significant correlations were found between resistance to displacement or failure strength as a function of either fragment size or sample bone density. On the basis of biomechanical stability, there appears to be no difference between the three fixation techniques tested. The results of this study suggest that use of an antiglide screw or buttress plate does not offer an advantage over lag screw fixation alone for the treatment of split type lateral tibial plateau fractures." @default.
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- W2328436159 date "1996-07-01" @default.
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- W2328436159 title "Split Fractures of the Lateral Tibial Plateau: Evaluation of Three Fixation Methods" @default.
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- W2328436159 doi "https://doi.org/10.1097/00005131-199607000-00003" @default.
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