Plate System Research Articles

Retrospective evaluation of perioperative clinical outcomes of diaphyseal femoral fractures repaired with the string-of-pearls locking plate system with adjunctive fixation.

To evaluate outcomes and complication rate of utilizing a string-of-pearls (SOP) plate augmented with adjunctive fixation in the repair of canine femur fractures. Records of canine patients with mid-diaphyseal femoral fractures repaired with the SOP plate and adjunctive fixation were reviewed. Information retrieved from medical records included signalment, patient weight, fracture configuration, repair technique, healing time, and complications based on perioperative radiographic follow-up to clinical union. Forty client-owned dogs met inclusion criteria for this study. Variables analyzed for association with major complications included body weight, fracture configuration, repair technique, and adjunctive fixation. Major complications requiring surgical revision occurred in 8 of 40 fractures. Five cases experienced intramedullary pin migration and were successfully treated with sedated pin removal. The remaining 3 cases involved implant failure via screw shear breakage and required surgical revision of the fixation to achieve a successful outcome. On the basis of a calculated Bonferroni correction, no statistical significance of the tested variables was found in association with major complications; however, significance was limited due to the low statistical power of this study. The use of adjunctive fixation with the SOP locking plate system led to radiographic union without complication in most cases, and no instances of plate breakage were reported. However, implant complications secondary to the adjunctive fixation can occur. Adjunctive fixation used with the SOP plate for repair of canine femur fractures has a high success rate, though pin migration as a complication persists.

Numerical Optimization of Functionally Graded Ti-HAP Material for Tibial Bone Fixation System

Functionally graded materials (FGMs) are heterogeneous composites characterized by outstanding properties. They are built from two or more components with a gradient distribution of chemical composition along a given direction. A promising graded material for biomedical engineering as an implant could be a FGM made of titanium (Ti) and hydroxyapatite (HAP). It would allow us to counteract the difference between the stiffness modulus of pure titanium and bone tissue. Moreover, it can be a good solution to the problem of stress shielding for bone fixation plates made of conventional titanium or steel. The presented paper aims to perform micromechanical modeling and optimization of a functionally Ti-HAP graded plate, followed by numerical analysis of a fractured tibia stabilization system under specific boundary conditions. Finite element analysis was performed using ANSYS Workbench 2021 software. The models of the FGM plate and tibial fixation system were made using the Space Claim tool. The ANSYS software allowed the optimization of the model considered and the selection of the appropriate structural parameters of the FGM Ti-HAP material. In general, the results proved that the osteosynthesis plate built of graded Ti-HAP material resulted in lower bone stress compared to titanium and steel plates. The results obtained confirmed the validity of the design and the possibility to use functionally graded Ti-HAP bone fixation plates.

Radiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison

Background: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optimal surgical technique and fixation construct for first TMTJ arthrodesis remains controversial. Purpose: We sought to compare the BLP system with a modified Lapidus (ML) technique with crossed-screw fixation in terms of radiographic outcomes, complications, and reoperations. Methods: In this retrospective multicenter study, we identified a series of consecutive patients who underwent first TMTJ arthrodesis for HV with either the ML procedure at institution A or the BLP system at institution B. Patients 18 years of age with a minimum of 6 months of postoperative radiographs were included. There were 130 patients, 65 in each group, including 121 women (93.8%) with a median age of 58 years and mean radiographic follow-up of 7.1 months. Data included preoperative and postoperative HV angle (HVA), intermetatarsal angle (IMA), and tibial sesamoid position (TSP), plus complications and reoperations. Statistical testing included Mann-Whitney U, Wilcoxon signed rank, Fisher exact, McNemar, and multivariable regression. Results: After adjusting for confounding variables, the BLP system was associated with significantly greater improvements in postoperative IMA and HVA but not TSP. There were no significant differences in rates of complications (ML: 18.4%; BLP: 9.2%) or reoperations (ML: 4.6%; BLP: 7.7%). Conclusion: This retrospective multicenter review found that the BLP system was associated with greater improvement in radiographic HV parameters compared with the ML procedure using crossed-screw fixation. Clinical significance is unclear as complication and reoperation rates were similar between groups. Further study in this regard is warranted.

Effects of Fatigue on Ankle Flexor Activity and Ground Reaction Forces in Elite Table Tennis Players.

Fatigue specifically affects the force production capacity of the working muscle, leading to a decline in athletes' performance. This study investigated the impact of fatigue on ankle flexor muscle activity and ground reaction forces (GRFs) in elite table tennis players, with a focus on the implications for performance and injury risk. Twelve elite male table tennis athletes participated in this study, undergoing a fatigue protocol that simulated intense gameplay conditions. Muscle activity of the soleus (SOL) and gastrocnemius lateralis (GL) muscles, heel height, and GRFs were measured using a combination of wireless electromyography (EMG), motion capture, and force plate systems. Results showed a significant decrease in muscle activity in both legs post-fatigue, with a more pronounced decline in the right leg. This decrease in muscle activity negatively affected ankle joint flexibility, limiting heel lift-off. Interestingly, the maximal anteroposterior GRF generated by the left leg increased in the post-fatigue phase, suggesting the use of compensatory strategies to maintain balance and performance. These findings underscore the importance of managing fatigue, addressing muscle imbalances, and improving ankle flexibility and strength to optimize performance and reduce the risk of injuries.

A novel pretreatment approach on titanium alloys for electroless nickel

To augment the wear resistance of the titanium alloy, electroless nickel (EN) is an effective method to strengthen the surface properties. However, the oxide layer on the surface of titanium alloy will inhibit the adhesion of EN. Meanwhile, the traditional pretreatment methods are cumbersome steps and time-consuming. To overcome these limitations, this study systematically explores a one-step pretreatment approach through amino tris(methylenephosphonic acid) (ATMPA) and HF, which is designed to improve the binding strength of EN. The results exhibit that the compact composite membrane with Ti-ATMPA and TiF3 are successfully prepared under pH 3.0, which has provided a pretreatment layer to replace the oxidation of titanium alloy during EN process, and the adhesion of EN coating (EN-3.0) based on the pretreatment layer reaches 22.46 MPa. The wear resistance of titanium alloy and EN plating system studied via a friction measurement, and the lowest wear rate exhibit in EN-3.0 plating (880.9 × 10-10mm3/Nm) that is lower than EN-traditional pretreatment with a decrease of 32 %. Moreover, the formation and catalytic model of medial layer are also discussed.

Rib Fracture Nonunion

Rib fracture nonunions are uncommon after traumatic chest wall injury. Patients with symptomatic nonunions typically present with persistent rib pain, although some will have dyspnea or popping sensations. Surgical fixation can be considered for symptomatic patients who radiographically demonstrate nonunion 3 months after injury. The surgical approach is still evolving; the most common approach is debridement of the callous and non-viable fracture ends followed by stabilization of the fracture with a plating system. Published reports have found this approach decreased pain and improved the quality of life for most patients. Future studies must delineate who will benefit most from operative management and expand our understanding of patient outcomes after surgery.

Dedicated Chest Wall Injury Program quality review: How to create and incorporate a quality and safety program for surgical stabilization of rib fractures.

Adoption of surgical stabilization of rib fractures (SSRF) in chest trauma necessitates outcomes reviews and process improvement (PI). As volume and complexity increase, such vigilance is imperative. Over 10 years, our center has developed a dedicated PI program based on our trauma PI program. Here, we outline the components of this program, aiming to share best practices and potentially improve SSRF patient outcomes. Over 10 years, our dedicated SSRF PI process has evolved to include bimonthly reviews on case and quality metrics. In 2022, all patients at our single high-volume Level 1 trauma center with flail chest segments were identified, and a PI chart review was conducted. Data collected included management approach (operative vs. nonoperative), postoperative complications, mortality, patient demographics, trauma specific variables (Injury Severity Score, etc.), and rib fracture details. Operative data collected included number of ribs plated, system used, and complication rates for each surgeon and plating system used. Of 82 patients identified, 88% underwent SSRF. Among these, 49% experienced one or more postoperative complications, not all directly related to SSRF procedures. Mortality rate for SSRF patients was 15%, predominantly in those with Injury Severity Score of >25 and mean age of 58 years. Patients who had trauma activations and required emergency department chest tube placement had higher complications. The mean number of ribs stabilized was four. Complications occurred more frequently with posterior fractures. Outcomes were collated and analyzed at SSRF Outcomes Committee. The utilization of SSRF underscores the need for a rigorous quality review process to enhance patient safety and SSRF-specific outcomes. Our program developed over time from and was implemented in fashion similar to the trauma PI processes. The resulting quality initiative has fostered center-specific PI projects and programmatic advancements. Economic and Value-Base Evaluations; Level IV.

Immediate Effects of Two Different Methods of Trunk Elastic Taping on Pelvic Inclination, Trunk Impairment, Balance, and Gait in Stroke Patients.

Background and Objectives: Stroke patients often experience changes in their pelvic tilt, trunk impairments and decreased gait and balance. While various therapeutic interventions have been attempted to improve these symptoms, there is a need for interventions that are easy to apply and reduce the physical labor of physical and occupational therapists. We aimed to investigate the immediate effects of two different methods of trunk elastic taping on the pelvic inclination, trunk impairment, balance, and gait in chronic stroke patients. Materials and Methods: We performed a single-blind randomized controlled trial involving 45 patients with chronic stroke. Participants were randomly assigned to one of three groups: forward rotation with posterior pelvic tilt taping (FRPPT, n = 14), backward rotation with posterior pelvic tilt taping (BRPPT, n = 14), or placebo taping (PT = 14). This study was conducted from December 2023 to January 2024. All the measurements were performed twice: before the intervention and immediately after the intervention. The pelvic inclination was assessed using the anterior pelvic tilt angle. The trunk impairment scale (TIS) was used to measure the trunk impairment. The balance and gait were evaluated using a force plate and walkway system. Results: The pelvic inclination was significantly different in the FRPPT and BRPPT groups compared to the PT group (p < 0.05, p < 0.001). The TIS and gait were significantly increased in the FRPPT group compared to the PT group (p < 0.05). The balance significantly improved in the FRPPT and BRPPT within groups (p < 0.05). Conclusions: Two different methods of posterior pelvic tilt taping improved the anterior pelvic tilt in chronic hemiplegic stroke patients compared with PT, and the FRPPT method also improved the trunk impairment and gait. Therefore, posterior pelvic tilt taping can be used as an intervention with immediate effect.

Metal plate-based promotion on methane hydrate nucleation: Insights into the influence of metal type and surface properties

Hydrate-based technologies hold significant promise in the fields of gas storage, water desalination and gas separation, but their application is restricted by the long induction time and high degree of randomness associated with hydrate nucleation. In this study, we conducted experimental investigations to access the influence of metal plates (Mg, Al and Zn) on methane hydrate nucleation under both pure water and acidic conditions. The results demonstrated that Mg plate exhibited the strongest promotion effect on methane hydrate nucleation. The presence of acid significantly accelerated hydrate nucleation in the Zn plate system, but conversely reduced the promotion effect of Al plate. In conjunction with the in-situ morphology evolution of hydrate nucleation, methane-liquid–metal interface was found to play a crucial role in the metal-induced promotion effect. Two nucleation modes were proposed accordingly: (i) in pure water, hydrate nucleation initiated exclusively at the methane-liquid–metal interface without extra nucleation site (Mode 1), and (ii) in acidic condition, hydrate nucleation occurred with evident multiple nucleation sites (Mode 2). Furthermore, SEM imaging, AFM and contact angle characterization revealed that the surface properties of metal plate (e.g., hydrophilicity and roughness) were the key factors in determining the effectiveness of the promotion effect. Liquid climbing upward along the metal plate surface was vital for metal plates to promote gas hydrate formation. Overall, this study provides new insights into hydrate nucleation promotion and suggests a straightforward way to enhance hydrate nucleation by modifying surface properties

Volar locking and angular stability plate for treatment of comminuted scaphoid fractures: a case series of 44 cases.

The primary method employed worldwide for the treatment of scaphoid fractures is screw fixation. However, in unstable and comminuted fractures, percutaneous fixation could produce complications due to technical challenges, such as improper axis positioning, inaccurate screw length measurement, intra-articular screw penetration, and impingement. Alternative open approaches for the surgical management of scaphoid fractures have been proposed, and in recent years, a new specific volar locking plate for the treatment of scaphoid fractures has been developed. This study aims to present the outcomes of this technique applied to 44 patients with unstable and comminuted fractures of the scaphoid. The purpose of the study is to verify the effectiveness of the volar plate in the treatment of comminuted scaphoid fractures and the necessity for plate removal when consolidation has occurred. Between January 2021 and March 2023, a specific volar locking plate for the treatment of scaphoid fractures was used in 44 patients. A retrospective study was conducted involving all patients, consisting of continuous clinical and radiographic assessments, functional evaluations (using QuickDASH and MHQ), and patient satisfaction surveys. All patients achieved clinical and radiographic recovery. However, the plate can impinge with nearby structures and should be removed once the fracture is consolidated. After plate removal, further improvement in range of motion was observed. The plate and screws system is a viable and appropriate method of osteosynthesis in the treatment of unstable and comminuted recent fractures occurring in the middle third of the carpal scaphoid.

Porównanie metod sterowania adaptacyjnego dla stołu balansującego kulą

The purpose of this paper is to present and compare adaptive control algorithms: Model Identification Adaptive Control (MIAC) and Model Reference Adaptive Control (MRAC), with their modifications that allow to improve quality of control in specific cases. The ball balancing (BBT) table physical stand, which is an example of a ball on plate system, was used, and the balancing problem that occurs could potentially lead to work on stabilizing a boat or a drone. This paper presents a non-linear model of the object and its linear approximation in the vicinity of the operating point, additionally demonstrating the process of parameters identification with the Recursive Least Square (RLS) method. The quality of the adaptive control algorithms was compared during transients and in steady state. The research showed the possibilities of both indirect and direct adaptation of the controller parameters, depending on the selected method. Quality indices, such as the cost of control and the integral of absolute error, were utilized for the comparative analysis. The advantages of the compared algorithms and their modifications, that can enhance the system performance in special cases, were also demonstrated. The tested adaptive control algorithms made the system robust to modeling errors (lack of knowledge of parameters) or other internal disturbances.

Moment Capacity of Bolted-Side Plate for the Eaves Joint of Nested Tapered Box Beam Portal Frame

The joints of cold-formed steel (CFS) portal frames with box sections are primarily formed either through stiffened welded connections or by bolted end plates, which typically involve costly full penetration butt welds. In New Zealand, CFS portal frames with nested tapered box beam (NTBB) sections are popular, and the joints of these portal frames are also formed through a bolted end plate system. In literature, it was found that welds in these joints are prone to cracking in the heat-affected zone (HAZ) under bearing opening moments (tension). Therefore, this paper focuses on proposing an alternative connection system (bolted-side plate) for eaves joints without any weld, aiming to reduce the overall cost of construction and increase construction speed. The performance (strength and stiffness) of these joints is mainly dependent on the geometric details of the bolted-side plate, which is limited in Australia/New Zealand standards (AS/NZ 4600). Herein, a non-linear finite element (FE) model was developed for the NTBB portal frame and validated against the experimental test results from the literature. Firstly, the validated FE model was used to investigate the feasibility of using bolted-side plates for NTBB portal frames and found that the bolted-side plate can increase the ultimate capacity of NTBB portal frame by 9%. A parametric study was then conducted by considering different geometric details of the bolted-side plates under both closing (gravity) and opening (wind uplift) moments. Finally, unified design equations for the moment capacity of bolted-side plates were proposed based on the results of the parametric study, and their accuracy was assessed through reliability analysis.

Comparison of spatiotemporal gait parameter measurements across various emulated foot strike patterns between the Tekscan® Strideway™ pressure sensitive walkway and gold-standard marker-based motion capture

Spatiotemporal gait parameters are commonly used to quantify physical functioning including in populations with atypical foot strike patterns. The current gold standard measurement system for gait analysis is marker-based motion capture and floor-mounted force plates, but it can be expensive and cumbersome to set up. Pressure sensitive walkways are more affordable, quicker to set up, and more portable. Currently available walkways have not been compared to marker-based motion capture when measuring atypical foot strike patterns. The recently developed Tekscan® Strideway pressure sensitive walkway system has not been compared to any gold standard. This study compared measurements of step width, step length, and step time from the Strideway™ system against a gold standard marker-based motion capture (Vicon® Vantage™) and floor-mounted force plate (AMTI®) system. Ten typically ambulating adults, free of injury, emulated five different foot strike patterns recording two-hundred footsteps for each. Results indicate that the Strideway™ compares well to the gold standard especially under typical foot strike patterns. The errors were highest for step width and near-zero for step time. However, the user needs to be aware that errors can substantially increase with certain foot strike patterns such as when the heel does not make contact with the walkway. The results of this study will help inform users about potential limitations when using a pressure sensitive walkway like the Strideway™ for testing populations with typical and atypical strike patterns.

In Vitro evaluation of probiotic properties of lactic acid bacteria strains isolated from juçara fruit native to the Atlantic Forest

Lactic acid bacteria (LAB) are the microorganisms most commonly used as probiotics. Since probiotic benefits are strain-dependent, there is a continuous need for research into new cultures with probiotic properties. Fruits such as juçara (Euterpe edulis Martius), a palm species from the Atlantic Forest threatened with extinction, are rich niches for microorganisms, including LAB. This study investigated the probiotic properties of Lactococcus lactis J7 and Leuconostoc pseudomesenteroides JF17 strains isolated from juçara fruits native to the Atlantic Forest. Probiotic characteristics, such as tolerance to simulated gastrointestinal fluids or juices, hydrophobicity, autoaggregation, coaggregation properties, inhibition of pathogenic microorganisms, and technological properties were evaluated. The survival rate of L. lactis J7 and L. pseudomesenteroides JF17 decreased after exposure to simulated gastrointestinal conditions; however, L. lactis J7 was more resistant, maintaining viability at the end of the enteric phase of 6.07 ± 0.16 log CFU mL-1. The J7 strain also exhibited the highest values in hydrophobicity (12.55 ± 0.52%), autoaggregation (25.63 ± 0.75%), and coaggregation capacity with E. coli ATCC 25922 (21.52 ± 0.98%) and S. Enteritidis ATCC 13076 (22.68 ± 1.01%). Both J7 and JF17 strains demonstrated antimicrobial activity, confirmed by the multilayer agar plate system. Additionally, the growth of the strains was temperature-dependent, and they were able to thrive in high concentrations of sodium chloride (6%). Thus, L. lactis J7 is a promising probiotic candidate for the development of functional products. Nevertheless, further studies using animal models are necessary to explore the properties of these probiotic bacteria. Novel strains isolated from fruits should be studied to broaden the application of probiotic microorganisms in the development of foods and medicines.

The Validity of a Dual-Force Plate for Assessing Counter-Movement Jump Performance.

In a single testing session, the Kunwei force plates were placed directly on top of the in-ground Kistler force plate. This allowed for the simultaneous collection of vertical ground reaction forces from 30 participants (male, age = 22.8 ± 2.8 years, body mass = 74.3 ± 12.3 kg, height 178.2 ± 4.6 cm) during CMJ tests. The consistency between force plate systems was assessed using ordinary least products regression (OLPR) with bootstrapped 95% confidence intervals and the Interclass Correlation Coefficient (ICC). There was no fixed or proportional bias in the CMJ variables measured between the force plate systems. The variables exhibited a strong correlation across the force plates during the CMJ task (ICC > 0.950, p < 0.01). The findings of this study indicate that there was no statistical difference between the Kunwei and Kistler force plate systems when evaluating common CMJ strategy and outcome variables, which are considered the gold standard. Hence, the Kunwei force plate can be regarded as a reliable substitute for the established industry benchmark in evaluating the force-time characteristics of the CMJ. Researchers, athletes, and coaches have the option to utilize this affordable and portable choice as a substitute for the more expensive laboratory-based force plate system. This alternative allows for the precise measurement of CMJ performance and force-time variables.

Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note.

Lateral locking plates are commonly employed for the fixation of distal femur fractures. However, scenarios involving medial comminution, extremely distal fractures, periprosthetic fractures, or nonunion could necessitate medial augmentation. This study explores the possibility of using lateral distal femoral locking plate systems for medial fixation by employing the contralateral plate. This study presents a technical note on the application of lateral distal femur locking systems for medial augmentation in patients as indicated by current literature findings. Postoperative imaging modalities, including radiography and computed tomography (CT), were used to assess the plates' fit to the distal femur. Three cases following the specified technical note are presented. The various plate systems, all comprising distal femur locking systems, demonstrated adaptability to the medial femur anatomy as confirmed by intraoperative visualization and postoperative radiographs, including two-dimensional and three-dimensional CT scans. It has also been possible to achieve at least 3 independent fixation points regardless of the size of the medial condyle. Locking distal femoral plates can be a viable option for medial augmentation in indicated cases, achieving anatomical adaptation to the distal femur. This provides robust augmentation without the need for additional instruments beyond those used for the lateral cortex.

Multiswitching Surface Based Sliding Mode Controller for a Class of Underactuated Nonlinear Systems: With Application to Ball and Plate System

Multiswitching Surface Based Sliding Mode Controller for a Class of Underactuated Nonlinear Systems: With Application to Ball and Plate System

A high-throughput sample preparation approach for the determination of nonsteroidal anti-inflammatory drugs in urine samples through membrane-based microextraction employing a green supramolecular solvent

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of drugs with antipyretic, analgesic, and anti-inflammatory effects widely used worldwide. This study aimed at developing an environmentally friendly and high-throughput sample preparation method for the determination of six NSAIDs in urine samples followed by high-performance liquid chromatography coupled to diode-array detection (HPLC-DAD). The experimental workflow consisted of hollow-fiber microporous membrane liquid-liquid extraction (HF-MMLLE) using a supramolecular solvent immobilized into the porous of polypropylene hollow membranes (1 cm length). These membranes were attached to a 96-well plate system to permit multiple extractions simultaneously. Under the optimized conditions, limits of detection (LODs) and limits of quantification (LOQs) ranged from 6.06 to 30.3 µg/L and from 20 to 100 µg/L, respectively. The linear ranges varied from 20 to 1000 µg/L for indomethacin and diclofenac, from 50 to 1000 µg/L for ketoprofen and ibuprofen, and from 100 to 1000 µg/L for naproxen and fenoprofen. The coefficients of determination (R²) ranged from 0.9735 to 0.9997. Intraday precision ranged from 6.13 to 20.11 %, interday precision varied from 2.87 to 20.72 %, and accuracy ranged from 92.49 to 126.89 %. Moreover, the recently proposed Sample Preparation Metric of Sustainability (SPMS) was employed to evaluate the greenness of the sample preparation technique resulting in a score of 8.0, which is highly satisfactory according to the concepts of green analytical chemistry.

Is plate tectonics a post-Archean phenomenon? A petrological perspective

The petrogenesis of contemporary igneous and metamorphic rocks is commonly explained by plate tectonics, but how far back in time does this relationship hold? Here we investigate whether the distinctive petrological features of recent ocean crust, subduction-related magmatism and regional metamorphism can be unambiguously identified in the Archean geological record. From an igneous perspective based on geological relationships and Th–Nb systematics, it is difficult to claim that any Archean ‘ophiolite’ was part of a global plate system rather than deriving from a plume ascending through attenuating lithosphere. Furthermore, the rarity of subduction-related rocks, particularly their plutonic equivalents, which have good preservation potential, is consistent with the concept of local convergence and short-lived subduction. From a metamorphic perspective, the appearance of orogenic eclogites in the Paleoproterozoic, the widespread occurrence of blueschists and ultrahigh-pressure metamorphic rocks since the late Neoproterozoic, and a change from a unimodal to a bimodal distribution of metamorphic T / P during the Proterozoic, are responses to secular cooling and the evolution of global tectonics since the Archean. Our petrological perspective is that plate tectonics analogous to that on Earth today is probably a post-Archean phenomenon.

Early Weight-Bearing Using Narrow Symmetrical Distal Fibular Plate: Preliminary Results

Background: Ankle fractures, comprising about 10% of musculoskeletal injuries, pose a significant healthcare burden with an increasing incidence, particularly among an aging population. This study focuses on isolated Danis-Weber type B fractures. Recent trends lean towards surgical intervention for anatomical restoration and quicker recovery, albeit with associated complications. This report aims to assess the safety and efficacy of the NewClip narrow locking plate system with early weight-bearing in treating isolated fibular fractures. Methods: The study includes patients with Danis-Weber type B fractures surgically treated with the NewClip narrow locking plate system. Exclusions involved nondisplaced fractures, open fractures, or those requiring additional fixation. Results: Fifteen patients were enrolled in this study. Minor complications, including wound swelling, were observed in two cases. The Visual Analogue Scale (VAS) for pain exhibited a steady decline postoperatively, with almost complete resolution by the third month. At three months, the FAOS demonstrated excellent results, and a final follow-up at twelve months revealed complete osseous healing without complications. Conclusions: The use of this type of plate in treating isolated fibular fractures with early weight-bearing shows promising results in terms of fracture healing, pain resolution, and functional outcomes, warranting further investigation with larger cohorts.