Impact of end-screw configuration on peri-implant fracture risk in distal femoral plating

Under the tested conditions, using aCS was related to increased failure load and associated with a more favorable peri-implant strain pattern compared with bLS, suggesting a potentially reduced mechanical predisposition to peri-implant fracture. These findings support further evaluation of angulated bicortical end screws, particularly in osteoporotic bone models.

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Publication Details

Journal
Clinical Biomechanics
Published
2026-02-17
DOI
https://doi.org/10.1016/j.clinbiomech.2026.106793
Primary Topic
Hip and Femur Fractures
Type
article
Field-Weighted Citation Impact
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article

Impact of end-screw configuration on peri-implant fracture risk in distal femoral plating

Dominic Mischler, Luise Puls, Ivan Žderić, Moritz Kraus et al.
Clinical Biomechanics
Hip and Femur Fractures
article

Impact of end-screw configuration on peri-implant fracture risk in distal femoral plating

Dominic Mischler, Luise Puls, Ivan Žderić, Moritz Kraus, Lionel Ezequiel Llano, Karl Stoffel, Boyko Gueorguiev, Peter Varga, R. Geoff Richards
article en

Abstract

Under the tested conditions, using aCS was related to increased failure load and associated with a more favorable peri-implant strain pattern compared with bLS, suggesting a potentially reduced mechanical predisposition to peri-implant fracture. These findings support further evaluation of angulated bicortical end screws, particularly in osteoporotic bone models.

Clinical BiomechanicsVol. 134
AO Foundation (CH), Hospital Italiano de Buenos Aires (AR), University Hospital of Basel (CH)
Openalex Percentile: Top 53%
Hip and Femur Fractures
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Impact of end-screw configuration on peri-implant fracture risk in distal femoral plating — Dominic Mischler, Luise Puls, et al. · Clinical Biomechanics (2026) | TGRS Research Map | TGRS