{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:58:04Z","timestamp":1761807484362,"version":"3.38.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,3,1]],"date-time":"2009-03-01T00:00:00Z","timestamp":1235865600000},"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":[[2009,3]]},"abstract":"<jats:p> Background: This study compared fixation with a titanium one-third tubular plate and one lag-screw vs. fixation with biodegradable plates with one lag-screw applied with two different plate-screw patterns. Materials and Methods: Ten pairs of fibulas were osteotomied, plated (titanium plate with one lag screw vs. absorbable 2\/8 plate-screws crossing vs. 0\/8 plate-screws crossing the osteotomy gap). and tested in torsion and bending to obtain stiffness and neutral-zone (NZ) data. Tests were performed using 5 load cycles. No load to failure was performed. Biodegradation was simulated by 6 week immersion in phosphate-buffered saline after which the testing protocol was repeated. The specimens were then loaded with 100 N in bending. Results: Post-implantation, there were no significant differences, in torsion and bending, regarding the NZ or the stiffness, between the 2\/8 biodegradable plate and the titanium plate. The 0\/8 pattern performed significantly less well in terms of stiffness and NZ in the initial torsion test, and significantly less well in terms of stiffness in the initial bending test. After 6 weeks\u2019 immersion, all biodegradable constructs showed a significantly larger NZ and significantly reduced bending and torsional stiffness. When loaded with 100 N, four of the six 0\/8 osteosyntheses failed. There were no significant differences between the 2\/8 pattern and the titanium plates. Conclusion: In a model of a Weber-B fracture, the use of a 2\/8 biodegradable plate construct initially did not differ statistically to that obtained with a one-third tubular titanium plate. After immersion the 2\/8 construct withstood some physiological load. Clinical Relevance: For the fixation of ankle fractures with a biodegradable plate of the type employed in this study, the use of fracture-gap-crossing screws is recommended. <\/jats:p>","DOI":"10.3113\/fai.2009.0243","type":"journal-article","created":{"date-parts":[[2009,3,26]],"date-time":"2009-03-26T13:18:33Z","timestamp":1238073513000},"page":"243-251","source":"Crossref","is-referenced-by-count":11,"title":["Biomechanical Evaluation of Plate Osteosynthesis of Distal Fibula Fractures with Biodegradable Devices"],"prefix":"10.1177","volume":"30","author":[{"given":"Kajetan","family":"Klos","sequence":"first","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Sauer","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad","family":"Hoffmeier","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Gras","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemarie","family":"Fr\u00f6ber","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunther O.","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"M\u00fcckley","sequence":"additional","affiliation":[{"name":"Jena, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,3,1]]},"reference":[{"key":"bibr1-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1021\/bm050731x"},{"key":"bibr2-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198901000-00028"},{"key":"bibr3-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199611000-00013"},{"key":"bibr4-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B2.8302"},{"key":"bibr5-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200002000-00026"},{"key":"bibr6-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.24145"},{"key":"bibr7-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200105000-00006"},{"key":"bibr8-FAI.2009.0243","first-page":"440","volume":"212","author":"Eitenmuller J","year":"1990","journal-title":"Hefte zur Unfallheilkunde."},{"key":"bibr9-FAI.2009.0243","first-page":"413","volume":"67","author":"Eitenmuller J","year":"1996","journal-title":"Chirurg."},{"key":"bibr10-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1016\/S0142-9612(02)00140-0"},{"volume-title":"Vergleichende Kostenanalyse der Verwendung bioresorbierbarer und konventioneller metallischer Osteosynthesematerialien","year":"2005","author":"Franz D","key":"bibr11-FAI.2009.0243"},{"key":"bibr12-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.3109\/17453678909150131"},{"volume-title":"Biodegradierbare Polymere als Werkstoff fur Osteosyntheseimplantate in der Traumatologie","year":"1992","author":"Hofmann GO","key":"bibr13-FAI.2009.0243"},{"key":"bibr14-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1007\/BF00443385"},{"key":"bibr15-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1016\/S0142-9612(97)00086-0"},{"key":"bibr16-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1016\/0267-6605(93)90004-Q"},{"key":"bibr17-FAI.2009.0243","doi-asserted-by":"publisher","DOI":"10.1016\/S0939-3889(15)70727-0"},{"key":"bibr18-FAI.2009.0243","unstructured":"18. Inion Web Site Enhancing Biocompatibility: Second Generation Biodegradable Implant, Volume 1.1 ed, Tampere, Finland, Inion OY, L\u00e4\u00e4k\u00e4rinkatu 2, FIN 33520, Tampere, Finland p. 11 2008. 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