{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:09:12Z","timestamp":1777612152407,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T00:00:00Z","timestamp":1078099200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:p>This biomechanical investigation compared two fixation techniques for distal fibular fractures. Elderly cadaver lower extremities with simulated fibula fractures underwent fixation either with a plate and intramedullary Kirschner wires (K-wires) with or without the addition of three screws inserted through the four cortices of the fibula and the tibia. The specimens were axially loaded to body weight on a materials testing machine, and the supinated foot was externally rotated to failure. Displacement at the fracture site was monitored with an extensometer. Comparing the augmented technique with the technique without additional screws, mean stiffness was 460 \u00b1 100 and 320 \u00b1 200 N-mm\/deg, strength at failure was 31 \u00b1 10 and 19 \u00b1 7 N-m, strength at 30\u00b0 external rotation was 15 \u00b1 5 and 10 \u00b1 6 N-m, and axial deformation was 0.04 \u00b1 0.06 mm and 0.10 \u00b1 0.04 mm, respectively. All differences were statistically significant.<\/jats:p>","DOI":"10.1177\/107110070402500303","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T12:43:11Z","timestamp":1484138591000},"page":"128-131","source":"Crossref","is-referenced-by-count":38,"title":["An Augmented Fixation Method for Distal Fibular Fractures in Elderly Patients: A Biomechanical Evaluation"],"prefix":"10.1177","volume":"25","author":[{"given":"Warren R.","family":"Dunn","sequence":"first","affiliation":[{"name":"Baltimore, MD"},{"name":"Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD"},{"name":"Material from this study was presented at the Smith and Nephew Orthopaedic Residents Conference (August 1998; Memphis, TN), Southern Orthopaedic Association 15th Annual Residents\u2019 and Fellows\u2019 Conference (November 1998; New Orleans, LA), American Orthopaedic Foot and Ankle Society Summer Meeting (poster, July 1999; Fajardo, PR), American Academy of Orthopaedic Surgeons 67th Annual Meeting (poster, March 2000; Orlando, FL), and Maryland Orthopaedic Association Annual Scientific Meeting (April 2000;..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Easley","sequence":"additional","affiliation":[{"name":"Baltimore, MD"},{"name":"Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD"},{"name":"Material from this study was presented at the Smith and Nephew Orthopaedic Residents Conference (August 1998; Memphis, TN), Southern Orthopaedic Association 15th Annual Residents\u2019 and Fellows\u2019 Conference (November 1998; New Orleans, LA), American Orthopaedic Foot and Ankle Society Summer Meeting (poster, July 1999; Fajardo, PR), American Academy of Orthopaedic Surgeons 67th Annual Meeting (poster, March 2000; Orlando, FL), and Maryland Orthopaedic Association Annual Scientific Meeting (April 2000;..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent G.","family":"Parks","sequence":"additional","affiliation":[{"name":"Baltimore, MD"},{"name":"Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD"},{"name":"Material from this study was presented at the Smith and Nephew Orthopaedic Residents Conference (August 1998; Memphis, TN), Southern Orthopaedic Association 15th Annual Residents\u2019 and Fellows\u2019 Conference (November 1998; New Orleans, LA), American Orthopaedic Foot and Ankle Society Summer Meeting (poster, July 1999; Fajardo, PR), American Academy of Orthopaedic Surgeons 67th Annual Meeting (poster, March 2000; Orlando, FL), and Maryland Orthopaedic Association Annual Scientific Meeting (April 2000;..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-J\u00f6rg","family":"Trnka","sequence":"additional","affiliation":[{"name":"Baltimore, MD"},{"name":"Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD"},{"name":"Material from this study was presented at the Smith and Nephew Orthopaedic Residents Conference (August 1998; Memphis, TN), Southern Orthopaedic Association 15th Annual Residents\u2019 and Fellows\u2019 Conference (November 1998; New Orleans, LA), American Orthopaedic Foot and Ankle Society Summer Meeting (poster, July 1999; Fajardo, PR), American Academy of Orthopaedic Surgeons 67th Annual Meeting (poster, March 2000; Orlando, FL), and Maryland Orthopaedic Association Annual Scientific Meeting (April 2000;..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"Baltimore, MD"},{"name":"Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, MD"},{"name":"Material from this study was presented at the Smith and Nephew Orthopaedic Residents Conference (August 1998; Memphis, TN), Southern Orthopaedic Association 15th Annual Residents\u2019 and Fellows\u2019 Conference (November 1998; New Orleans, LA), American Orthopaedic Foot and Ankle Society Summer Meeting (poster, July 1999; Fajardo, PR), American Academy of Orthopaedic Surgeons 67th Annual Meeting (poster, March 2000; Orlando, FL), and Maryland Orthopaedic Association Annual Scientific Meeting (April 2000;..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,3,1]]},"reference":[{"key":"bibr1-107110070402500303","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-198701040-00002"},{"key":"bibr2-107110070402500303","doi-asserted-by":"publisher","DOI":"10.1177\/107110078700800107"},{"key":"bibr3-107110070402500303","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.65B3.6404905"},{"key":"bibr4-107110070402500303","doi-asserted-by":"publisher","DOI":"10.3109\/17453678608993211"},{"key":"bibr5-107110070402500303","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.56B2.256"},{"key":"bibr6-107110070402500303","doi-asserted-by":"publisher","DOI":"10.3109\/17453679308993701"},{"key":"bibr7-107110070402500303","first-page":"111","volume":"138","author":"Hughes JL","year":"1979","journal-title":"Clin. 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