Comparative analysis reveals hinge fracture risk varies by fixation strategy in porcine tibias, suggesting fixation choice is crucial.
This study demonstrates that hinge fracture susceptibility during OWDTO is dependent on the fixation strategy. While overall construct displacement under axial cyclic loading did not differ among groups, OWDTO with locking screw fixation showed a higher incidence of hinge fracture. These findings highlight the importance of fixation choice when performing OWDTO.
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Kakiage et al. (2026) studied this question.
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