Experimental model of tibial plateau fracture for biomechanical testing.

Although adequate reduction and stable fixation have been recognized to be the prime goals in the treatment of displaced tibial plateau fractures, the optimal fixation technique remains controversial. The lack of a reliable model and a standard methodology contribute to this situation. The purpose of this study is to develop an experimental model of a tibial plateau fracture and a testing methodology that reproduces the failure mode commonly seen in the clinical setting.

The strength of different fixation techniques for bicondylar tibial plateau fractures--a biomechanical study.

Objective: To compare the mechanical strength of fixation of bicondylar tibial plateau fractures using internal and external fixation techniques.

Design: A randomised laboratory testing of fixation methods currently in clinical use.

Background: To reduce the high complication rate associated with the double plating, many surgeons have started to use less invasive techniques.