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The use of biodegradable materials in bone plates offers remarkable advantages; however, their application in bone fixation is limited by their brittleness. Moreover, treatments tailored to patient conditions are needed in orthopedics. In this study, bone plates were fabricated with stereocomplex polylactic acid (scPLA) and the effects of poly(d-lactic acid) molecular weight and scPLA blending ratios were analyzed. Although modulus values of poly(l-lactic acid) (PLLA) and scPLA were similar, strain resistance improved at higher scPLA proportions. The enhanced elongation was owing to the presence of tie molecules within the scPLA as opposed to single PLA chains. The fabricated scPLA bone plates exhibited improved mechanical properties and transparency in the optical and near-infrared ranges. scPLA was characterized by a smaller crystallite size. These properties of scPLA combined with its biocompatibility indicate potential for various diagnostic and therapeutic orthopedic applications. Comparisons with commercial PLLA-based bone plates show no significant differences in in vivo bone-healing ability.
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http://dx.doi.org/10.1021/acs.biomac.4c01768 | DOI Listing |
J Craniofac Surg
September 2025
Division of Ophthalmic Plastic and Reconstructive Surgery, Sadik Eratik Eye Institute, Haydarpasa Numune Education and Research Hospital, University of Health Sciences.
Orbital floor fractures can lead to enophthalmos and diplopia, often requiring surgical intervention to restore orbital volume. Autologous iliac bone grafts are commonly used due to their biocompatibility and mechanical stability, but achieving adequate fixation remains a challenge. Traditional fixation methods, such as plates and screws, may introduce risks of foreign body reactions, graft displacement, and surgical morbidity.
View Article and Find Full Text PDFHead Face Med
September 2025
Department of Oral and Maxillofacial Surgery, University Hospital Tübingen, Tübingen, Germany.
Background: The treatment of mandibular angle fractures remains controversial, particularly regarding the method of fixation. The primary aim of this study was to compare surgical outcomes following treatment with 1-plate versus 2-plate fixation across two oral and maxillofacial surgery clinics. The secondary aim was to evaluate associations between patient-, trauma-, and procedure-specific factors with postoperative complications and to identify high-risk patients for secondary osteosynthesis.
View Article and Find Full Text PDFMed Eng Phys
October 2025
Centre for Simulation in Bioengineering, Biomechanics and Biomaterials (CS3B), Department of Mechanical Engineering, School of Engineering of Bauru, São Paulo State University (UNESP), Bauru, São Paulo, Brazil. Electronic address:
This study aimed to evaluate the near-cortical over-drilling technique on the mechanical behaviour of bone-plate constructs in a rabbit transverse femoral fracture. In vitro biomechanical testing and finite element (FE) models were used for analyses. Rabbits' bones (n = 14) were divided into two groups: G1 - without near-cortical over-drilling, and G2 - with near-cortical over-drilling.
View Article and Find Full Text PDFComparative clinical efficacy of nickel-titanium shape memory staples versus miniplate for Bartoníček-Rammelt type III and IV posterior malleolar fractures. A retrospective analysis of 47 consecutive patients treated between January 2022 and June 2024 documented operative time, intraoperative blood loss, fluoroscopy times, healing time, complications, postoperative fracture gap distance (mm), and articular surface step-off (mm) at the ankle joint. Ankle function was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, the Manchester-Oxford Foot Questionnaire (MOXFQ), and range of motion measurements at 3, 6, 12, and 14 months.
View Article and Find Full Text PDFSurg Radiol Anat
September 2025
Orthopaedics and Traumathology Department, ULS São João, Porto, Portugal.
Purpose: Pelvic ring fractures involving the iliopubic rami can cause functional impairment. Percutaneous retrograde fixation is a less invasive procedure when compared to traditional open approaches, however precise anatomical knowledge is crucial for safe screw placement. This study aims to describe the morphology of the iliopubic rami, define a safety corridor for percutaneous screw fixation, specially focusing on the relationships between the iliopubic rami and neurovascular structures.
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