Construct stability in anterior open wedge osteotomy: assessing 3D-printed polylactic acid wedges against cortical bone

Background - This in-vitro biomechanical study aimed to assess whether using a wedge as a gap filler in anterior open wedge osteotomy of the proximal tibia reduces load on the screw-plate construct and to evaluate if a 3D-printed polylactic acid wedge offers similar biomechanical stability like a bo...

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Hauptverfasser: Hoffeld, Kai (VerfasserIn) , Hockmann, Jan P. (VerfasserIn) , Wahlers, Christopher (VerfasserIn) , Eysel, Peer (VerfasserIn) , Hackl, Michael (VerfasserIn) , Oppermann, Johannes (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: May 2025
In: Clinical biomechanics
Year: 2025, Jahrgang: 125, Pages: 1-7
ISSN:1879-1271
DOI:10.1016/j.clinbiomech.2025.106509
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.clinbiomech.2025.106509
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0268003325000828
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Verfasserangaben:Kai Hoffeld, Jan P. Hockmann, Christopher Wahlers, Peer Eysel, Michael Hackl, Johannes Oppermann

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520 |a Background - This in-vitro biomechanical study aimed to assess whether using a wedge as a gap filler in anterior open wedge osteotomy of the proximal tibia reduces load on the screw-plate construct and to evaluate if a 3D-printed polylactic acid wedge offers similar biomechanical stability like a bone wedge. - Methods - Twenty-four cadaveric proximal tibiae were randomly assigned to one of three groups: TomoFix plate alone as control group, TomoFix plate with a bone wedge, and TomoFix plate with a 3D-printed polylactic acid wedge. The specimens were subjected to axial loads of 400 N, 800 N, and 1200 N for 1000 cycles. Compression depth and axial stiffness were measured to assess stability. - Findings - There were no significant differences in overall compression depth or axial stiffness between the groups (p > 0.05). At 1200 N, hinge fractures occurred in 6 of 8 specimens in the control group, compared to 0 of 8 in the wedge groups. Both bone and polylactic acid wedges improved construct stability, with the polylactic acid wedge performing comparably to the bone wedge. - Interpretation - Gap fillers, whether bone or polylactic acid wedges, may contribute construct stability in anterior open wedge osteotomy of the proximal tibia. The 3D-printed polylactic acid wedge may be biomechanically comparable to the bone wedge, suggesting its potential as an alternative in clinical applications. 
650 4 |a Anterior open wedge osteotomy 
650 4 |a Biomechanical stability 
650 4 |a Cortical bone wedge 
650 4 |a Gap fillers 
650 4 |a Slope correction osteotomy 
650 4 |a Tibial osteotomy 
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