{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T01:15:03Z","timestamp":1788052503132,"version":"build-2784847793"},"reference-count":39,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T00:00:00Z","timestamp":1723852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82172477"],"award-info":[{"award-number":["82172477"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81600696"],"award-info":[{"award-number":["81600696"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2023J011844"],"award-info":[{"award-number":["2023J011844"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2019J01144"],"award-info":[{"award-number":["2019J01144"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Natural Science Foundation of Fujian Province of China","award":["82172477"],"award-info":[{"award-number":["82172477"]}]},{"name":"Natural Science Foundation of Fujian Province of China","award":["81600696"],"award-info":[{"award-number":["81600696"]}]},{"name":"Natural Science Foundation of Fujian Province of China","award":["2023J011844"],"award-info":[{"award-number":["2023J011844"]}]},{"name":"Natural Science Foundation of Fujian Province of China","award":["2019J01144"],"award-info":[{"award-number":["2019J01144"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bioengineering"],"abstract":"<jats:p>Background Context: This study\u2019s purpose was to evaluate the biomechanical performance of plate\u2013nail and dual-plate fixation for the treatment of AO\/OTA 41-C2 tibial plateau fractures. Methods: Twenty synthetic tibias were selected and randomly divided into a plate\u2013nail group (n = 10) and a dual-plate group (n = 10). After the artificial tibias were osteotomized to simulate AO\/OTA 41-C2 tibial plateau fractures in both groups, the plate\u2013nail and the dual-plate methods, respectively, were used for fixation, and then axial compression loading, three-point bending, torsion, and axial failure tests were carried out. The data of each group were recorded and statistically analyzed. Results: In the axial compression test, the average stiffness of the plate\u2013nail group was higher than that of the dual-plate group (p &lt; 0.05). The displacement generated in the plate\u2013nail group was significantly smaller than that in the dual-plate group (p &lt; 0.05). In the resisting varus test, the stress of the plate\u2013nail group was significantly higher than that of the dual-plate group (p &lt; 0.05). In the resisting valgus test, the stress of the plate\u2013nail group was slightly higher than that of the dual-plate group, but the difference was not statistically significant (p &gt; 0.05). In the static torsion test, the load applied to the plate\u2013nail group was smaller than that of the dual-plate group when rotated to 5\u00b0 (p &lt; 0.05). In the axial compression failure test, the average ultimate load of the plate\u2013nail group was significantly higher than that of the dual-plate group (p &lt; 0.05). Conclusion: The treatment of AO\/OTA 41-C2 tibial plateau fractures with plate\u2013nail fixation is superior to that with dual-plate fixation in resisting axial stress and preventing tibial varus deformity, while dual-plate fixation has better resisting torsional ability.<\/jats:p>","DOI":"10.3390\/bioengineering11080839","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T07:37:21Z","timestamp":1724053041000},"page":"839","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A Biomechanical Comparison Study of Plate\u2013Nail and Dual-Plate Fixation in AO\/OTA 41-C2 Tibial Plateau Fractures"],"prefix":"10.3390","volume":"11","author":[{"given":"Wei","family":"Xie","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deqing","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingqi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kejian","family":"Lian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4568-2044","authenticated-orcid":false,"given":"Dasheng","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"},{"name":"Department of Orthopedic Surgery, Fujian Medical University Union Hospital, Fuzhou 350000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Affiliated Southeast Hospital of Xiamen University, Zhangzhou 363000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"key":"ref_1","first-page":"e22236","article-title":"Is It Necessary to Add Soft Tissue Injury to the Classification in Tibial Plateau Fracture Management?","volume":"14","author":"Tuncez","year":"2022","journal-title":"Cureus"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"110720","DOI":"10.1016\/j.injury.2023.04.007","article-title":"Open tibial plateau fractures: Infection rate and functional outcomes","volume":"54","year":"2023","journal-title":"Injury"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.injury.2023.01.055","article-title":"Intrawound application of vancomycin reduces the proportion of fracture-related infections in high-risk tibial plateau fractures","volume":"54","author":"Wang","year":"2023","journal-title":"Injury"},{"key":"ref_4","first-page":"43","article-title":"Compartment Syndrome in High-Energy Tibial Plateau Fractures","volume":"53","author":"Schneiderman","year":"2022","journal-title":"Orthop. 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