0
Articles   |    
The antiglide plate for distal fibular fixation. A biomechanical comparison with fixation with a lateral plate

The Journal of Bone & Joint Surgery.  1987; 69:596-604 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

Posterior antiglide plates recently have been introduced as a method of fixation for the short oblique fracture (Type B, as defined by the AO Group) of the distal part of the fibula. This method has several advantages over the more commonly used lateral plate for the fixation of this type of fracture, including dissection of a smaller area and less operative time, minimum bending of the plate, and no potential for penetration of a screw into the joint. The system can also be applied without insertion of a screw into the distal fragment. This prompted us to compare the biomechanical properties of fixation with the antiglide and lateral plating systems. Short oblique fractures of the distal part of the fibula were produced mechanically in cadaveric legs by supination and external rotation of the foot. The torque that was necessary to produce the fracture in each of twenty-four fibulae was recorded. After fracture, each fibula was reduced anatomically and fixed internally with a lateral plate or antiglide plate applied posteriorly. The strength of fixation was measured by restressing the legs until failure of fixation occurred. The stiffness of the fixation system and the amount of energy required to produce failure of fixation were also calculated. The system using the lateral plate for fixation failed when the torque reached an average of 64.3 per cent of the torque that produced the fracture.(ABSTRACT TRUNCATED AT 250 WORDS)

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center