{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T03:11:34Z","timestamp":1779333094843,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This study uses a porcine cadaveric model to biomechanically compare the single\u2010, double\u2010, and triple\u2010screw fixation techniques for tibial eminence fractures. Eighty porcine tibiae were divided into eight groups (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200910 each): intact control, pull\u2010out suture fixation, one 4.0\u2010mm half\u2010threaded screw, one 4.0\u2010mm full\u2010threaded screw, one 4.5\u2010mm screw, two 4.0\u2010mm parallel screws, two 4.0\u2010mm divergent screws, and three 4.0\u2010mm screws. Standardized fractures were created and fixed according to each protocol. The specimens underwent cyclic followed by load\u2010to\u2010failure testing. Maximum failure load and cyclic displacement were compared. The intact specimens demonstrated significantly higher ultimate load (1059.44\u2009\u00b1\u2009311.84\u2009N) than all fixation groups (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Among the fixation methods, the three\u2010screw configuration withstood the highest load (442.10\u2009\u00b1\u2009123.42\u2009N), followed by the two\u2010screw divergent (392.26\u2009\u00b1\u200947.63\u2009N) and two\u2010screw parallel (329.33\u2009\u00b1\u200956.30\u2009N) configurations. The two\u2010screw divergent configuration provided significantly greater strength than the parallel orientation (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.050). Full\u2010threaded screws demonstrated significantly less cyclic displacement (1.05\u2009\u00b1\u20090.49\u2009mm) than half\u2010threaded screws (2.21\u2009\u00b1\u20090.49\u2009mm,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). The pull\u2010out suture showed significantly greater displacement (3.25\u2009\u00b1\u20091.07\u2009mm) than all screw fixations (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.050), yet achieved a comparable ultimate failure load (397.82\u2009\u00b1\u2009126.35\u2009N), indicating that the primary advantage of screw fixation lies in cyclic stability rather than ultimate strength. Although three\u2010screw fixation yielded the highest absolute failure load, the two\u2010screw divergent configuration offered comparable strength (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.571), representing a practical alternative. Screw number, orientation, and thread design significantly influence fixation stability in tibial eminence fractures.\n                  <\/jats:p>","DOI":"10.1002\/jor.70194","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T07:18:48Z","timestamp":1775200728000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Biomechanical Comparison of Single\u2010, Double\u2010, and Triple\u2010Screw Fixation for Tibial Eminence Fractures: A Skeletally Immature Porcine Cadaveric Study"],"prefix":"10.1002","volume":"44","author":[{"given":"Il\u2010Kyu","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Bucheon St. Mary's Hospital, College of Medicine The Catholic University of Korea Bucheon Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinje","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Bucheon St. Mary's Hospital, College of Medicine The Catholic University of Korea Bucheon Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seonjin","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Anatomy Catholic Institute for Applied Anatomy, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang\u2010Hoon","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Bucheon St. Mary's Hospital, College of Medicine The Catholic University of Korea Bucheon Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5129-688X","authenticated-orcid":false,"given":"Dai\u2010Soon","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Anatomy Catholic Institute for Applied Anatomy, College of Medicine The Catholic University of Korea Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001073"},{"key":"e_1_2_9_3_1","volume-title":"Tibial Eminence Fractures","author":"Meyers A. 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