%0 Journal Article
%T Biomechanical comparison of single versus double plate osteosynthesis in acromion type III fractures.
%A Pastor MF
%A Nebel D
%A Degering A
%A Smith T
%A Karkosch R
%A Horstmann H
%A Ellwein A
%J Orthop Rev (Pavia)
%V 16
%N 0
%D 2024
%M 38765296
暂无%R 10.52965/001c.88396
%X <B>UNASSIGNED: </B>One of complications of the reverse shoulder arthroplasty is acromion fractures, and its therapy is controversial. The aim of the study was to investigate the double-plate osteosynthesis for these fractures.<BR><B>UNASSIGNED: </B>An acromion type III fracture according to classification of Levy was simulated in 16 human shoulder cadavers, and the specimens were randomly divided into two groups. Single-plate osteosynthesis was performed in the first group (locking compression plate) and double-plate osteosynthesis (locking compression plate and one-third tubular locking plate) in the second group. Biomechanical testing included cycling load and load at failure on a material testing machine. During the test, the translation was measured using an optical tracking system.<BR><B>UNASSIGNED: </B>The load at failure for the single-plate osteosynthesis was 167 N and for the double-osteosynthesis 233.7 N (P = 0.328). The average translation was 11.1 mm for the single-plate osteosynthesis and 16.4 mm for the double-plate osteosynthesis (P = 0.753). The resulting stiffness resulted in 74.7 N/mm for the single-plate osteosynthesis and 327.9 N/mm for the double-plate osteosynthesis (P = 0.141).<BR><B>UNASSIGNED: </B>Results of the biomechanical study showed that double-plate osteosynthesis had biomechanical properties similar to those of single-plate osteosynthesis for an acromion type III fracture at time point zero. The missing advantages of double-plate osteosynthesis can be explained by the choice of plate configuration.