{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T06:44:08Z","timestamp":1767422648863,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of this study was to assess the biomechanical contributions of the nail and the plate individually to a complete nail\u2010plate construct in the setting of comminuted distal femur fractures. For this biomechanical study, comminuted extra\u2010articular distal femur fractures were created in 24 synthetic osteoporotic femur models. These were then split into three groups: the nail\u2010only group, the plate\u2010only group, and the nail\u2010plate group. After fixation, each specimen underwent sequential axial and torsional loading, and axial and torsional stiffness were calculated and compared. The addition of a nail to a plate\u2010only construct increased axial stiffness by 19.7% and torsional stiffness by 59.4%. The plate\u2010only group and nail\u2010plate group both demonstrated significantly greater axial and torsional stiffness than the nail\u2010only group at all levels of axial and torsional load. (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) At 1000 and 2000\u2009N of cyclic loading, the nail\u2010plate group demonstrated significantly greater axial stiffness than the plate\u2010only group (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.018). The nail\u2010plate group demonstrated greater torsional stiffness than the plate\u2010only groups at all levels of torsional loading (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In osteoporotic comminuted distal femur fracture models, most of the axial stiffness in a nail\u2010plate construct comes from the plate. While the combination of the two constructs is not fully additive, the plate contributes the majority of the axial and torsional stiffness in a nail\u2010plate construct. The supplementation of the plate with a nail primarily helps to increase resistance to rotational forces. Level of Evidence: III.<\/jats:p>","DOI":"10.1002\/jor.25908","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T08:45:13Z","timestamp":1716885913000},"page":"2210-2215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Relative contribution of the nail and plate to a nail\u2010plate construct for comminuted distal femoral fractures"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1491-6410","authenticated-orcid":false,"given":"Charles C.","family":"Lin","sequence":"first","affiliation":[{"name":"NYU Langone Orthopedic Hospital NYU Langone Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Parody","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital NYU Langone Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utkarsh","family":"Anil","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital NYU Langone Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"NYU Langone Orthopedic Hospital NYU Langone Health New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678208992855"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)80034-0"},{"key":"e_1_2_8_4_1","first-page":"188","article-title":"Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965\u20101984","volume":"98","author":"Arneson TJ","year":"1988","journal-title":"Clin Orthop"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3665-1"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001332"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001591"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5606\/ehc.2015.06"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002594"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001749"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.210015"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/OI9.0000000000000174"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B6.36826"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002482"},{"key":"e_1_2_8_15_1","first-page":"748","article-title":"Long\u2010term functional outcomes after intra\u2010articular distal femur fractures: ORIF versus retrograde intramedullary nailing","volume":"31","author":"Thomson AB","year":"2008","journal-title":"Orthopedics"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001154"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.11.011"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4885-1"}],"container-title":["Journal of Orthopaedic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jor.25908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T19:24:56Z","timestamp":1729193096000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jor.25908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,28]]},"references-count":17,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/jor.25908"],"URL":"https:\/\/doi.org\/10.1002\/jor.25908","archive":["Portico"],"relation":{},"ISSN":["0736-0266","1554-527X"],"issn-type":[{"type":"print","value":"0736-0266"},{"type":"electronic","value":"1554-527X"}],"subject":[],"published":{"date-parts":[[2024,5,28]]},"assertion":[{"value":"2023-12-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}