{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:33:55Z","timestamp":1793313235478,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T00:00:00Z","timestamp":1434585600000},"content-version":"vor","delay-in-days":168,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>As several new tibial osteotomy plates recently appeared on the market, the aim of the present study was to compare mechanical static and fatigue strength of three newly designed plates with gold standard plates for the treatment of medial knee joint osteoarthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixteen fourth\u2010generation tibial bone composites underwent a medial open\u2010wedge high tibial osteotomy (HTO) according to standard techniques, using five TomoFix standard plates, five PEEKPower plates and six iBalance implants. Static compression load to failure and load\u2010controlled cyclic fatigue failure tests were performed. Forces, horizontal and vertical displacements were measured; rotational permanent plastic deformations, maximal displacement ranges in the hysteresis loops of the cyclic loading responses and dynamic stiffness were determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Static compression load to failure tests revealed that all plates showed sufficient stability up to 2400\u00a0N without any signs of opposite cortex fracture, which occurred above this load in all constructs at different load levels. During the fatigue failure tests, screw breakage in the iBalance group and opposite cortex fractures in all constructs occurred only under physiological loading conditions (&lt;2400\u00a0N). The highest fatigue strength in terms of maximal load and number of cycles performed prior to failure was observed for the ContourLock group followed by the iBalance implants, the TomoFix standard (std) and small stature (sm) plates. The PEEKPower group showed the lowest fatigue strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All plates showed sufficient stability under static loading. Compared to the TomoFix and the PEEKPower plates, the ContourLock plate and iBalance implant showed a higher mechanical fatigue strength during cyclic fatigue testing. These data suggest that both mechanical static and fatigue strength increase with a wider proximal T\u2010shaped plate design together with diverging proximal screws as used in the ContourLock plate or a closed\u2010wedge construction as in the iBalance design. Mechanical strength of the bone\u2010implant constructs decreases with a narrow T\u2010shaped proximal end design and converging proximal screws (TomoFix) or a short vertical plate design (PEEKPower Plate). Whenever high mechanical strength is required, a ContourLock or iBalance plate should be selected.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40634-015-0030-4","type":"journal-article","created":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T17:09:31Z","timestamp":1434560971000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Biomechanical properties of five different currently used implants for open\u2010wedge high tibial osteotomy"],"prefix":"10.1002","volume":"2","author":[{"given":"Arnaud","family":"Diffo Kaze","sequence":"first","affiliation":[{"name":"Faculty of Science Technology and Communication University of Luxembourg 6, rue R. Coudenhove\u2010Kalergi L\u20101359 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Maas","sequence":"additional","affiliation":[{"name":"Faculty of Science Technology and Communication University of Luxembourg 6, rue R. Coudenhove\u2010Kalergi L\u20101359 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani\u00e8le","family":"Waldmann","sequence":"additional","affiliation":[{"name":"Faculty of Science Technology and Communication University of Luxembourg 6, rue R. Coudenhove\u2010Kalergi L\u20101359 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Zilian","sequence":"additional","affiliation":[{"name":"Faculty of Science Technology and Communication University of Luxembourg 6, rue R. Coudenhove\u2010Kalergi L\u20101359 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Dueck","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Centre Hospitalier de Luxembourg L\u20101460 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietrich","family":"Pape","sequence":"additional","affiliation":[{"name":"Sports Medicine Research Laboratory Public Research Centre for Health, Luxembourg Centre M\u00e9dical de la Fondation Norbert Metz 76, rue d\u2019Eich L\u20101460 Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010005\u20100690\u20101"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634\u2010014\u20100001\u20101"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.2746369"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","unstructured":"CoticM VogtS HinterwimmerS FeuchtMJ Slotta\u2010HuspeninaJ SchusterT ImhoffAB(2014) A matched\u2010pair comparison of two different locking plates for valgus\u2010producing medial open\u2010wedge high tibial osteotomy: peek\u2010carbon composite plate versus titanium plate.Knee Surgery Sport Traumatology Arthroscopy.doi:\u00a010.1007\/s00167\u2010014\u20102914\u20108.","DOI":"10.1007\/s00167-014-2914-8"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1060\u20101872(00)80022\u20102"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10439\u2010009\u20109887\u20107"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.08.013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2009.01.011"},{"key":"e_1_2_8_10_1","unstructured":"ISO 7206\u20104Implants for surgery: Determination of endurance properties of stemmed femoral components with application of torsion(1989)"},{"key":"e_1_2_8_11_1","unstructured":"ISO 7206\u20106Implants for surgery: Determination of endurance properties of head and neck region of stemmed femoral components(1992)"},{"key":"e_1_2_8_12_1","unstructured":"ISO 7206\u20108Implants for surgery: Endurance performance of stemmed femoral components with application of torsion(1995)"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-002-0334-7"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201014\u2010110"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","unstructured":"MaasS Diffo KazeA DueckK PapeD(2013) Static and Dynamic Differences in Fixation Stability between a Spacer Plate and a Small Stature Plate Fixator Used for High Tibial Osteotomies: A Biomechanical Bone Composite Study.ISRN Orthopedics Volume 2013.doi:\u00a010.1155\/2013\/387620.","DOI":"10.1155\/2013\/387620"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010009\u20100929\u20103"},{"key":"e_1_2_8_17_1","unstructured":"PapeD KohnD Van GiffenN HoffmanA SeilR LorbachO(2011) Differences in fixation stability between spacer plate and plate fixator following high tibial osteotomy.Knee Surg Sports Traumatol Arthrosc PubMed.doi:\u00a010.1007\/s00167\u2010011\u20101693\u20108."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20101913\u2010x"},{"issue":"9","key":"e_1_2_8_19_1","first-page":"21","article-title":"Loss of correction after medial opening wedge high tibial osteotomy: a comparison of locking plate without bone grafts and non\u2010locking compression plates with bone grafts","volume":"95","author":"Pornrattanamaneewong C","year":"2012","journal-title":"J Med Assoc Thai"},{"issue":"3","key":"e_1_2_8_20_1","first-page":"360","article-title":"High tibial valgus osteotomy using the Tomofix plate\u2013medium\u2010term results in young patients","volume":"75","author":"Saeed HZ","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s007760200121"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2005.08.013"},{"key":"e_1_2_8_23_1","first-page":"131","volume-title":"Osteotomies around the knee","author":"Staubli AE","year":"2008"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010009\u20100902\u20102"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.09.025"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2004.06.007"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orthres.2003.09.003"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100030\u20101247752"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojo.2014.410042"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.02.020"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2005.04.008"}],"container-title":["Journal of Experimental Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40634-015-0030-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40634-015-0030-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1186\/s40634-015-0030-4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T19:14:41Z","timestamp":1760642081000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1186\/s40634-015-0030-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1186\/s40634-015-0030-4"],"URL":"https:\/\/doi.org\/10.1186\/s40634-015-0030-4","archive":["Portico"],"relation":{},"ISSN":["2197-1153","2197-1153"],"issn-type":[{"value":"2197-1153","type":"print"},{"value":"2197-1153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1]]},"article-number":"14"}}