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June 10, 2026Journal of trauma and orthopaedic surgery.

Ability of distal medial tibial plating for the fixation of distal tibial spiral fractures: A finite element analysis

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Authors

YLYao-Jen Liu

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Overview

Randomized trial evaluates medial plating stability in distal tibial fractures, indicating its clinical efficacy for early mobilization.

Key Points

  • This study aims to assess the mechanical stability of medial minimally invasive plating for distal tibial spiral fractures.
  • Finite element model created from CT data of a distal AO/OTA 42-A1.1c tibial spiral fracture.
  • Simulated use of a precontoured titanium LCP™ plate with nine locking screws under various loading conditions.
  • Analyses included peak stresses and displacement during axial compression, bending, and torsion.
  • Axial loading resulted in a peak plate stress of 508.06 MPa and 2.17 mm displacement.
  • Valgus loading produced stress of 490.17 MPa with a displacement of 3.86 mm; varus loading stressed 324.08 MPa and displaced 2.01 mm.
  • Torsion resulted in stresses of 354.23 MPa (external) and 358.9 MPa (internal) with displacements of 2.64 mm and 2.22 mm, respectively.

Cite This Study

Yao-Jen Liu (2026) studied this question.

synapsesocial.com/papers/6a28ff336f82f25be989c346https://doi.org/10.4103/jtos.jtos_10_25
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Also Consider

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  4. 4Biomechanical Comparison of Locking Plate and Cancellous Screw Techniques in Medial Malleolar Fractures: A Finite Element Analysis2019 · 33 citations
  5. 5Finite element analysis of the stability of AO/OTA 43-C1 type distal tibial fractures treated with distal tibia medial anatomic plate versus anterolateral anatomic plate2017 · 15 citations