{
  "abstract": "Objective\n\nTo develop an individualised distal fibular locking hook plate for Danis-Weber type A fractures and assess its preclinical biomechanics.Methods\n\nAnatomical measurements of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) were pooled to define ligament attachment sites and optimise hook-tooth placement. A cobalt-chromium alloy locking hook plate was designed using computer-aided design software, fabricated by 3D printing, and evaluated by finite element analysis under static, inversion, eversion, and external-rotation loading conditions.Results\n\nA 9.0-mm gap between the hook teeth was selected from the pooled anatomical measurements. Across all tested loading conditions, fracture-site displacement remained below 1.0 mm. Under 700-N external-rotation loading, the maximum von Mises stress was 23.0 MPa in the distal fibula and 53.9 MPa in the plate.Conclusion\n\nThe plate demonstrated anatomical compatibility and favourable finite element performance. Cadaveric testing and prospective clinical studies are required before clinical effectiveness or routine use can be established.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Hand Surgery & Microsurgery and Foot & Ankle Surgery, Yantai Affiliated Hospital of Shandong Medical and Pharmaceutical University, Yantai, Shandong Province, China.",
    "Department of Orthopedics, Hand and Foot Microsurgery, Zhongshan Hospital Affiliated to Dalian University, Dalian, Liaoning Province, China.",
    "Department of Hand and Foot Microsurgery, Shenyang Orthopedic Hospital, Shenyang, Liaoning Province, China.",
    "Department of Orthopedic Surgery, The First Hospital of China Medical University, Shenyang, Liaoning Province, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Le Kang"
    },
    {
      "affs": [
        0
      ],
      "name": "Jian-Qiang Cui"
    },
    {
      "affs": [
        1
      ],
      "name": "Yu-Jin Dong"
    },
    {
      "affs": [
        2
      ],
      "name": "Bao-Lei Guo",
      "orcid": "0000-0002-2536-7891"
    },
    {
      "affs": [
        3
      ],
      "name": "Xue-Meng Qin"
    },
    {
      "affs": [
        3
      ],
      "name": "Mao-Wei Yang",
      "orcid": "0009-0001-5053-0355"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ft9dxpkjrw0ce.bib",
  "cited_by": 0,
  "doi": "10.1002/rcs.70236",
  "fulltext_url": "https://europepmc.org/articles/PMC13687568",
  "id": "ft9dxpkjrw0ce",
  "issns": [
    "1478-5951",
    "1478-596X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42908082",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7223187071",
  "pdf_url": "https://europepmc.org/articles/PMC13687568?pdf=render",
  "pmcid": "PMC13687568",
  "pmid": "42908082",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ft9dxpkjrw0ce.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:57Z",
      "native_id": "MED:42908082",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42908082"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Bone fractures and treatments",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Development of an Individualised Distal Fibula Locking Hook Plate Through Digital Orthopaedic Technology and Its Biomechanical Finite Element Analysis.",
  "title_text": "Development of an Individualised Distal Fibula Locking Hook Plate Through Digital Orthopaedic Technology and Its Biomechanical Finite Element Analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:57Z",
  "url": "https://research.draconitic.com/paper/ft9dxpkjrw0ce",
  "venue": "The international journal of medical robotics + computer assisted surgery : MRCAS",
  "versions": []
}