Predicting the effect of individual weight-bearing on tibial load and fracture healing after tibial plateau fractures-introduction of a biomechanical simulation model.

ABSTRACT:

Purpose

The prescribed amount of weight-bearing after tibial plateau fractures is controversial because it affects osteosynthetic construct stability and fracture healing. We aim to introduce a simulation model that adequately predicts the effects of different weight-bearing amounts on stability and healing, based on the patient's individual fracture pattern and treatment construct.

Methods

To safely test different amounts of weight-bearing limits, we first extracted knee joint forces for different weight-bearing limits from musculoskeletal simulation based on monitoring data of 22 uninjured participants. Correct loading was ensured with a force-measuring insole. We then tested three patients after tibial plateau fracture with their current weight-bearing level and construct

SUBMITTER: Andres A 

PROVIDER: S-EPMC12507901 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature