Biomechanical comparison of 2.4-mm locking compression plating radial head plate and tripod fixation in Mason type III radial head fractures: a human cadaveric study

From a biomechanical perspective, the tripod technique with 2 additional HCSs showed comparable performance compared with plate fixation with 2 additional HCSs in transverse radial neck fractures with an additional head split component. With potentially less soft tissue irritation and necessary secondary hardware removal, the tripod technique seems to be a valid alternative to conventionally used plate osteosynthesis techniques. However, further randomized clinical trials are needed to fully evaluate its clinical value.

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Publication Details

Journal
Journal of Shoulder and Elbow Surgery
Published
2025-07-16
DOI
https://doi.org/10.1016/j.jse.2025.05.039
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

Biomechanical comparison of 2.4-mm locking compression plating radial head plate and tripod fixation in Mason type III radial head fractures: a human cadaveric study

Boyko Gueorguiev, Klaus J. Burkhart, Ivan Zderic, Tatjana Pastor et al.
Journal of Shoulder and Elbow Surgery
Orthopedic Surgery and Rehabilitation
article

Biomechanical comparison of 2.4-mm locking compression plating radial head plate and tripod fixation in Mason type III radial head fractures: a human cadaveric study

Boyko Gueorguiev, Klaus J. Burkhart, Ivan Zderic, Tatjana Pastor, Moritz Kraus, Hans‐Christoph Pape, Rose Richards, Luke X. van Rossenberg, Torsten Pastor
article en

Abstract

From a biomechanical perspective, the tripod technique with 2 additional HCSs showed comparable performance compared with plate fixation with 2 additional HCSs in transverse radial neck fractures with an additional head split component. With potentially less soft tissue irritation and necessary secondary hardware removal, the tripod technique seems to be a valid alternative to conventionally used plate osteosynthesis techniques. However, further randomized clinical trials are needed to fully evaluate its clinical value.

Journal of Shoulder and Elbow SurgeryVol. 35(2)
University of Lucerne (CH), AO Foundation (CH), University Hospital of Bern (CH), University Hospital of Zurich (CH), Solothurner Spitäler (CH), Diakonie-Klinikum Stuttgart (DE), University Hospital Cologne (DE)
Openalex Percentile: Top 71%
Orthopedic Surgery and Rehabilitation
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Biomechanical comparison of 2.4-mm locking compression plating radial head plate and tripod fixation in Mason type III radial head fractures: a human cadaveric study — Boyko Gueorguiev, Klaus J. Burkhart, et al. · Journal of Shoulder and Elbow Surgery (2025) | TGRS Research Map | TGRS