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Are extra locking bolts or fibular plating more important in extreme nailing of distal tibia fractures? A cadaveric biomechanical analysis

2024; Elsevier BV; Volume: 55; Issue: 6 Linguagem: Inglês

10.1016/j.injury.2024.111540

1879-0267

Daniel J. Cunningham, Joshua E. Lawrence, Murali Kovvur, Kristin Turner, Giovanni Oppizzi, Dali Xu, Li‐Qun Zhang, Daniel J. Johnson, Peter N. Mittwede, Aresh Sepehri, Jordan Brand, Robert V. O’Toole, Mark J. Gage,

Knee injuries and reconstruction techniques

In far-distal extra-articular tibia fracture "extreme" nailing, debate surrounds the relative biomechanical performance of plating the fibula compared with extra distal interlocks. This study aimed to evaluate several constructs for extreme nailing including one interlock (one medial-lateral interlock), one interlock + plate (one medial-lateral interlock with lateral fibula compression plating), and two interlocks (one medial-lateral interlock and one anterior-posterior interlock).