{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:38:36Z","timestamp":1792643916813,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop an individualised distal fibular locking hook plate for Danis\u2013Weber type A fractures and assess its preclinical biomechanics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Anatomical measurements of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) were pooled to define ligament attachment sites and optimise hook\u2010tooth placement. A cobalt\u2010chromium alloy locking hook plate was designed using computer\u2010aided design software, fabricated by 3D printing, and evaluated by finite element analysis under static, inversion, eversion, and external\u2010rotation loading conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A 9.0\u2010mm gap between the hook teeth was selected from the pooled anatomical measurements. Across all tested loading conditions, fracture\u2010site displacement remained below 1.0\u00a0mm. Under 700\u2010N external\u2010rotation loading, the maximum von Mises stress was 23.0\u00a0MPa in the distal fibula and 53.9\u00a0MPa in the plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The plate demonstrated anatomical compatibility and favourable finite element performance. Cadaveric testing and prospective clinical studies are required before clinical effectiveness or routine use can be established.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70236","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:00:40Z","timestamp":1792641640000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of an Individualised Distal Fibula Locking Hook Plate Through Digital Orthopaedic Technology and Its Biomechanical Finite Element Analysis"],"prefix":"10.1002","volume":"22","author":[{"given":"Le","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Hand Surgery &amp; Microsurgery and Foot &amp; Ankle Surgery Yantai Affiliated Hospital of Shandong Medical and Pharmaceutical University  Yantai Shandong Province 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