{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T20:55:49Z","timestamp":1792443349589,"version":"4.5.0"},"reference-count":0,"publisher":"The University of Kansas","issue":"1","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["kjm"],"abstract":"<jats:p>Introduction.\u00a0Among operatively treated pediatric forearm fractures, many different fixation constructs are described. The goal of this study is to define the biomechanical properties of a double stacked 1\/3 tubular plate construct used by the senior author for some fractures and to review available literature regarding the use of stacked plates.\nMethods. Biomechanical testing was performed by 4-point bending of 3 different plate constructs: 1\/3 tubular plate, stacked 1\/3 tubular plates, and 2.7 mm LC-DCP plate. Five test specimens were evaluated for each of the three plate constructs.\u00a0 From stress-strain curves, flexural stiffness (N\/mm), force to cause plastic deformation (N), and force to cause 10\u00ba bend (N) were calculated and compared using standard t-test statistics.\nResults. Key outcome parameter means (\u00b1 SD) for the three plate constructs (1\/3 tubular plate, stacked 1\/3 tubular plates, and 2.7 mm LC-DCP plate) are reported respectively as follows: flexural stiffness (55.4 \u00b1 3.5 N\/mm, 131.7 \u00b1 3.5 N\/mm, 113.3 \u00b1 12.1 N\/mm), force to cause plastic deformation (113.6 \u00b1 11.0 N, 242.1 \u00b1 13.0 N, 192.2 \u00b1 17.9 N), and force to cause a 10\u00ba bend (140.0 \u00b1 8.4 N, 299.4 \u00b1 14.1 N, 265.5 \u00b1 21.2 N).\u00a0 Mean values of all three measures were significantly larger for the stacked 1\/3 tubular plates than for the other plate constructs.\nConclusions. The stacked 1\/3 tubular plate construct was biomechanically superior to the other plate constructs. Stacked plating significantly improves stiffness of the fracture fixation construct supporting use of this technique in selected trauma cases.<\/jats:p>","DOI":"10.17161\/kjm.vol15.16207","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T06:00:26Z","timestamp":1644472826000},"page":"63-66","source":"Crossref","is-referenced-by-count":4,"title":["Stacked 1\/3 Tubular Plates for Fixation of Pediatric Forearm Fractures: A Biomechanical Study"],"prefix":"10.17161","volume":"15","author":[{"given":"Bernard","family":"Hearon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Wendling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Isaacs-Pullins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"White","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Hollenbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6672","published-online":{"date-parts":[[2022,2,9]]},"container-title":["Kansas Journal of Medicine"],"original-title":[],"link":[{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/download\/16207\/14777","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/download\/16207\/14777","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T06:00:28Z","timestamp":1644472828000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.ku.edu\/kjm\/article\/view\/16207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,9]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,2,9]]}},"URL":"https:\/\/doi.org\/10.17161\/kjm.vol15.16207","relation":{},"ISSN":["1948-2035"],"issn-type":[{"value":"1948-2035","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,9]]}}}