• 1

    Dhillon MS, Rajnish RK, Patel S, et al: Osteoporotic ankle fractures: a narrative review of management options. J Clin Orthop Trauma 11: 380, 2020.

  • 2

    Canton G, Sborgia A, Maritan G, et al: Fibula fractures management. World J Orthop 12: 254, 2021.

  • 3

    Schepers T, De Vries MR, Van Lieshout EMM, et al: The timing of ankle fracture surgery and the effect on infectious complications; a case series and systematic review of the literature. Int Orthop 37: 489, 2013.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Jain S, Haughton BA, Brew C: Intramedullary fixation of distal fibular fractures: a systematic review of clinical and functional outcomes. J Orthop Traumatol 15: 245, 2014.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Paez CJ, Lurie BM, Bomar JD, et al: Plate versus lag screw only fixation of unstable ankle fractures involving the fibula in adolescent patients. J Pediatr Orthop 41: E161, 2021.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Loukachov VV, Birnie MFN, Dingemans SA, et al: Percutaneous intramedullary screw fixation of distal fibula fractures: a case series and systematic review. J Foot Ankle Surg 56: 1081, 2017.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Wan S, Hong Y, Tian JQ, et al: Treatment of the distal fibula fractures with intramedullary Kirschner fixation [in Chinese]. Zhongguo Gu Shang 26: 78, 2013.

  • 8

    Rehman H, Gardner WT, Rankin I, et al: The implants used for intramedullary fixation of distal fibula fractures: a review of literature. Int J Surg 56: 294, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Ebraheim NA, Vander Maten JW, Delaney JR, et al: Cannulated intramedullary screw fixation of distal fibular fractures. Foot Ankle Spec 12: 264, 2019.

  • 10

    Kim J, Chun D-I, Won S-H, et al: Three-dimensional anatomically pre-contoured locking plate for isolated Weber B type fracture. J Clin Med 10: 2976, 2021.

  • 11

    Chu A, Weiner L: Distal fibula malunions. J Am Acad Orthop Surg 17: 220, 2009.

  • 12

    Taddei F, Pancanti A, Viceconti M: An improved method for the automatic mapping of computed tomography numbers onto finite element models. Med Eng Phys 26: 61, 2004.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Xia S, Zhang Y, Wang X, et al: Computerized virtual surgery planning for ORIF of proximal humeral fractures. Orthopedics 38: e428, 2015.

  • 14

    Öner K, Durusoy S, Özer A: Is the fracture morphology in the sagittal plane important in determining the ideal placement of the lag screw in intertrochanteric femoral fractures? ideal lag screw placement in intertrochanteric fractures in the sagittal plane. Injury 52: 562, 2021.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Bäcker HC, Vosseller JT: Intramedullary fixation of fibula fractures: a systematic review. J Clin Orthop Trauma 18: 136, 2021.

  • 16

    Kilian M, Csörgö P, Vajczikova S, et al: Antiglide versus lateral plate fixation for Danis-Weber type B malleolar fractures caused by supination-external rotation injury. J Clin Orthop Trauma 8: 327, 2017.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Zhao Z, Yan T, Guo W, et al: Is double-strut fibula ankle arthrodesis a reliable reconstruction for bone defect after distal tibia tumor resection? a finite element study based on promising clinical outcomes. J Orthop Surg Res 16: 230, 2021.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Claes LE, Heigele CA, Neidlinger-Wilke C, et al: Effects of mechanical factors on the fracture healing process. Clin Orthop Relat Res 355 (suppl): S132, 1998.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Zawam SH, Mabrouk MG, El-Desouky MA: Lateral malleolar fractures Weber Type A and B: does percutaneous intramedullary screw confer a solid alternative to the traditional neutralization plate? Int Orthop 46: 2127, 2022.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Lee YS, Chen SW, Chen SH, et al: Stabilisation of the fractured fibula plays an important role in the treatment of pilon fractures: a retrospective comparison of fibular fixation methods. Int Orthop 33: 695, 2009.

    • PubMed
    • Search Google Scholar
    • Export Citation

Computational Mechanical Analysis of AO 44A1, 44B1, and 44C1 Fractures with Finite Element Modeling: Evaluation of Screw, Plate, and Kirschner Wire Fixation

Hacı Ali Olçar Department of Orthopaedics and Traumatology,Yozgat Bozok University, Yozgat,Turkey.

Search for other papers by Hacı Ali Olçar in
Current site
Google Scholar
PubMed
Close
 MD
,
Alaettin Özer Department of Mechanical Engineering, Yozgat Bozok University, Yozgat, Turkey

Search for other papers by Alaettin Özer in
Current site
Google Scholar
PubMed
Close
 PhD
,
Halil Burak Mutu Department of Mechanical Engineering, Tokat Gaziosmanpasa University, Tokat, Turkey.

Search for other papers by Halil Burak Mutu in
Current site
Google Scholar
PubMed
Close
 PhD
,
Göker Yurdakul Department of Orthopaedics and Traumatology, Sarikaya State Hospital, Yozgat, Turkey.

Search for other papers by Göker Yurdakul in
Current site
Google Scholar
PubMed
Close
 MD
,
Tolgahan Kuru Department of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.

Search for other papers by Tolgahan Kuru in
Current site
Google Scholar
PubMed
Close
 MD
,
Davut Aydın Department of Orthopaedics and Traumatology,Yozgat Bozok University, Yozgat,Turkey.

Search for other papers by Davut Aydın in
Current site
Google Scholar
PubMed
Close
 MD
, and
Murat Korkmaz Department of Orthopaedics and Traumatology,Yozgat Bozok University, Yozgat,Turkey.

Search for other papers by Murat Korkmaz in
Current site
Google Scholar
PubMed
Close
 MD

Background: The aim of this study was to create AO 44A1, 44B1, and 44C1 fractures using finite element analysis to determine the stability of Kirschner wire, intramedullary screw, and plate-screw fixation methods in fracture.

Methods: Using finite element analysis, the postreduction behavior of AO 44A1, 44B1, and 44C1 fractures with Kirschner wire, intramedullary screw, and plate-screw fixation methods was analyzed and compared in terms of displacement and stress.

Results: The lowest amount of displacement was provided with the intramedullary screw method in AO 44A1 and 44B1 fractures and with the 4-mm Kirschner wire method in AO 44C1 fractures. The total displacement of the intramedullary screw system used for fixation in AO 44A1, 44B1, and 44C1 fractures was lower.

Conclusions: According to finite element analysis results, the lowest amount of displacement was obtained with intramedullary screw fixation in AO 44A1 and 44B1 fractures, and 4-mm Kirschner wire fixation was achieved in AO 44C1 fractures.

Corresponding author: Hacı Ali Olçar, MD, Department of Orthopaedics and Traumatology, Yozgat Bozok University, Yozgat Bozok Medical Faculty, Capanoglu district, Celal Köksal street, No 10, 66100 Yozgat, Turkey. (E-mail: h.ali.olcar@bozok.edu.tr)
Save