https://www.db-thueringen.de/receive/dbt_mods_00055606https://www.db-thueringen.de/servlets/MCRFileNodeServlet/dbt_derivate_00058838/jcm-12-00698.pdfhttps://www.db-thueringen.de/rsc/thumbnail/dbt_mods_00055606.png text article Fibula Nail versus Locking Plate Fixation—A Biomechanical Study Kohler, Felix Christian Kohler Felix Christian Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany aut Author 0000-0002-6863-9025 1186095881 Schenk, Philipp Schenk Philipp Department of Science, Research and Education, BG Klinikum Bergmannstrost Halle gGmbH, 06112 Halle, Germany aut Author Nies, Theresa Nies Theresa Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany aut Author article Hallbauer, Jakob Hallbauer Jakob Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany aut Author 0000-0003-1611-0370 140574441 Biedermann, Uta Biedermann Uta Institute of Anatomy I, Jena University Hospital, Friedrich Schiller University Jena, 07743 Jena, Germany aut Author Hofmann, Gunther Olaf Hofmann Gunther Olaf Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle gGmbH, 06112 Halle, Germany aut Author 110673522 Kielstein, Heike Kielstein Heike Institute of Anatomy and Cell-Biology, Halle University-Hospital, Martin Luther University, 06108 Halle, Germany aut Author Wildemann, Britt Wildemann Britt Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany aut Author 0000-0002-8365-1188 120936208 Ramm, Roland Ramm Roland Fraunhofer Institute for Applied Optics and Precision Engineering (IOF), Albert-Einstein-Str. 7, 07745 Jena, Germany aut Author 0000-0003-2326-2081 Ullrich, Bernhard Wilhelm Ullrich Bernhard Wilhelm Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Friedrich Schiller University Jena, 07747 Jena, Germany Department of Trauma and Reconstructive Surgery, BG Klinikum Bergmannstrost Halle gGmbH, 06112 Halle, Germany aut Author 129581542 urn:nbn:de:gbv:27-dbt-20230203-185049-003 Ehrnthaller, Christian Ehrnthaller Christian edt Editor 10.3390/jcm12020698 2023-01-16 12 2 698 1 11 continuingjournal journal Journal of Clinical Medicine open access journal 2077-0383 http://uri.gbv.de/document/gvk:ppn:718632478 2662592-1 MDPI Basel 2012 text en 610 In the treatment of ankle fractures, complications such as wound healing problems following open reduction and internal fixation are a major problem. An innovative alternative to this procedure offers a more minimally invasive nail stabilization. The purpose of this biomechanical study was to clarify whether this method was biomechanically comparable to the established method. First, the stability (range of motion, diastasis) and rotational stiffness of the native upper ankle were evaluated in eight pairs of native geriatric specimens. Subsequently, an unstable ankle fracture was created and fixed with a locking plate or a nail in a pairwise manner. The ankles showed significantly less stability and rotational stiffness properties after nail and plate fixations than the corresponding native ankles ( p < 0.001 for all parameters). When comparing the two methods, both showed no differences in their range of motion ( p = 0.694) and diastasis ( p = 0.166). The nail also presented significantly greater rotational stiffness compared to the plate ( p = 0.001). However, both fixations remained behind the native stability and rotational stiffness. Due to the comparable biomechanical properties of the nail and plate fixations, an early weight-bearing following nail fixation should be assessed on a case-by-case basis considering the severity of fractures. trauma surgery open reduction and internal fixation syndesmosis upper ankle joint syndesmotic screw biomechanical osteosynthesis geriatric fracture geriatric trauma fibular nail en 610 11 Seiten his Host institution Zweitveröffentlichung dbt_mods_00055606https://www.db-thueringen.de/receive/dbt_mods_00055606