Biomechanical Comparison of Double-Row Locking Plates Versus Single- and Double-Row Non-Locking Plates in a Comminuted Metacarpal Fracture Model

Journal of Hand Surgery

Volumn 34, Issue 10, 2009, Pages 1851-1858

  Gajendran, Varun K ^a   Szabo, Robert M ^a   Myo, George K ^a   Curtiss, Shane B ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

comminuted; fracture; locking; Metacarpal; plate

Indexed keywords

ARTICLE; BIOMECHANICS; BONE SCREW; COMMINUTED FRACTURE; COMPRESSIVE STRENGTH; CONTROLLED STUDY; INTERMETHOD COMPARISON; METACARPAL BONE; METACARPAL BONE FRACTURE; PLATE FIXATION; PRIORITY JOURNAL; RIGIDITY; SIMULATION; SURGICAL TECHNIQUE; TORQUE; TORSION;

BIOMECHANICS; BONE PLATES; BONE SCREWS; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; FRACTURE FIXATION, INTERNAL; FRACTURES, COMMINUTED; HUMANS; MATERIALS TESTING; METACARPAL BONES; MODELS, ANATOMIC; TENSILE STRENGTH; TORSION, MECHANICAL; WEIGHT-BEARING;

EID: 71149105299     PISSN: 03635023     EISSN: 15316564     Source Type: Journal    
DOI: 10.1016/j.jhsa.2009.07.005     Document Type: Article

References (44)

1. Bach H.G., Gonzalez M.H., and Hall Jr. R.F. Locked intramedullary nailing of metacarpal fractures secondary to gunshot wounds. J Hand Surg 31A (2006) 1083-1087
2. Firoozbakhsh K.K., Moneim M.S., Howey T., Castaneda E., and Pirela-Cruz M.A. Comparative fatigue strengths and stabilities of metacarpal internal fixation techniques. J Hand Surg 18A (1993) 1059-1068
3. Ford D.J., el-Hadidi S., Lunn P.G., and Burke F.D. Fractures of the metacarpals: treatment by AO screw and plate fixation. J Hand Surg 12B (1987) 34-37
4. Gonzalez M.H., Igram C.M., and Hall Jr. R.F. Flexible intramedullary nailing for metacarpal fractures. J Hand Surg 20A (1995) 382-387
5. Orbay J. Intramedullary nailing of metacarpal shaft fractures. Tech Hand Up Extrem Surg 9 (2005) 69-73
6. Prevel C.D., McCarty M., Katona T., Moore K., Jackson J.R., Eppley B.L., et al. Comparative biomechanical stability of titanium bone fixation systems in metacarpal fractures. Ann Plast Surg 35 (1995) 6-14
7. Waris E., Ashammakhi N., Happonen H., Raatikainen T., Kaarela O., Tormala P., et al. Bioabsorbable miniplating versus metallic fixation for metacarpal fractures. Clin Orthop Relat Res 410 (2003) 310-319
8. Waris E., Ashammakhi N., Raatikainen T., Tormala P., Santavirta S., and Konttinen Y.T. Self-reinforced bioabsorbable versus metallic fixation systems for metacarpal and phalangeal fractures: a biomechanical study. J Hand Surg 27A (2002) 902-909
9. Dona E., Gillie R.M., Gianoutsos M.P., and Walsh W.R. Plating of metacarpal fractures: unicortical or bicortical screws?. J Hand Surg 29B (2004) 218-221
10. Prevel C.D., Eppley B.L., Jackson J.R., Moore K., McCarty M., Sood R., et al. Mini and micro plating of phalangeal and metacarpal fractures: a biomechanical study. J Hand Surg 20A (1995) 44-49
11. Vanik R.K., Weber R.C., Matloub H.S., Sanger J.R., and Gingrass R.P. The comparative strengths of internal fixation techniques. J Hand Surg 9A (1984) 216-221
12. Firoozbakhsh K.K., Moneim M.S., Doherty W., and Naraghi F.F. Internal fixation of oblique metacarpal fractures: a biomechanical evaluation by impact loading. Clin Orthop Relat Res 325 (1996) 296-301
13. Mann R.J., Black D., Constine R., and Daniels A.U. A quantitative comparison of metacarpal fracture stability with five different methods of internal fixation. J Hand Surg 10A (1985) 1024-1028
14. Dabezies E.J., and Schutte J.P. Fixation of metacarpal and phalangeal fractures with miniature plates and screws. J Hand Surg 11A (1986) 283-288
15. Fambrough R.A., and Green D.P. Tendon rupture as a complication of screw fixation in fractures in the hand: a case report. J Bone Joint Surg 61A (1979) 781-782
16. Stern P.J., Wieser M.J., and Reilly D.G. Complications of plate fixation in the hand skeleton. Clin Orthop Relat Res 214 (1987) 59-65
17. Sohn R.C., Jahng K.H., Curtiss S.B., and Szabo R.M. Comparison of metacarpal plating methods. J Hand Surg 33A (2008) 316-321
18. Korner J., Diederichs G., Arzdorf M., Lill H., Josten C., Schneider E., et al. A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. J Orthop Trauma 18 (2004) 286-293
19. Taylor K.F., Parks B.G., and Segalman K.A. Biomechanical stability of a fixed-angle volar plate versus fragment-specific fixation system: cyclic testing in a C2-type distal radius cadaver fracture model. J Hand Surg 31A (2006) 373-381
20. Smith W.R., Ziran B.H., Anglen J.O., and Stahel P.F. Locking plates: tips and tricks. J Bone Joint Surg 89A (2007) 2298-2307
21. Hasenboehler E., Smith W.R., Laudicina L., Philips G.C., Stahel P.F., and Morgan S.J. Fatigue behavior of Ilizarov frame versus tibial interlocking nail in a comminuted tibial fracture model: a biomechanical study. J Orthop Surg 1 (2006) 16
22. Willis A.A., Kutsumi K., Zobitz M.E., and Cooney III W.P. Internal fixation of dorsally displaced fractures of the distal part of the radius: a biomechanical analysis of volar plate fracture stability. J Bone Joint Surg 88A (2006) 2411-2417
23. Henry M.H. Fractures of the proximal phalanx and metacarpals in the hand: preferred methods of stabilization. J Am Acad Orthop Surg 16 (2008) 586-595
24. Balfour G.W. Minimally invasive intramedullary rod fixation of multiple metacarpal shaft fractures. Tech Hand Up Extrem Surg 12 (2008) 43-45
25. Ozer K., Gillani S., Williams A., Peterson S.L., and Morgan S. Comparison of intramedullary nailing versus plate-screw fixation of extra-articular metacarpal fractures. J Hand Surg 33A (2008) 1724-1731
26. McLoughlin S.W., Wheeler D.L., Rider J., and Bolhofner B. Biomechanical evaluation of the dynamic hip screw with two- and four-hole side plates. J Orthop Trauma 14 (2000) 318-323
27. Peleg E., Mosheiff R., Liebergall M., and Mattan Y. A short plate compression screw with diagonal bolts: a biomechanical evaluation performed experimentally and by numerical computation. Clin Biomech 21 (2006) 963-968
28. Tornkvist H., Hearn T.C., and Schatzker J. The strength of plate fixation in relation to the number and spacing of bone screws. J Orthop Trauma 10 (1996) 204-208
29. Ouellette E.A., and Freeland A.E. Use of the minicondylar plate in metacarpal and phalangeal fractures. Clin Orthop Relat Res 327 (1996) 38-46
30. Page S.M., and Stern P.J. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. J Hand Surg 23A (1998) 827-832
31. Feehan L.M., Tang C.S., and Oxland T.R. Early controlled passive motion improves early fracture alignment and structural properties in a closed extra-articular metacarpal fracture in a rabbit model. J Hand Surg 32A (2007) 200-208
32. Egol K.A., Kubiak E.N., Fulkerson E., Kummer F.J., and Koval K.J. Biomechanics of locked plates and screws. J Orthop Trauma 18 (2004) 488-493
33. Boswell S., McIff T.E., Trease C.A., and Toby E.B. Mechanical characteristics of locking and compression plate constructs applied dorsally to distal radius fractures. J Hand Surg 32A (2007) 623-629
34. Fulkerson E., Egol K.A., Kubiak E.N., Liporace F., Kummer F.J., and Koval K.J. Fixation of diaphyseal fractures with a segmental defect: a biomechanical comparison of locked and conventional plating techniques. J Trauma 60 (2006) 830-835
35. Tejwani N.C., and Wolinsky P. The changing face of orthopaedic trauma: locked plating and minimally invasive techniques. Instr Course Lect 57 (2008) 3-9
36. Greiwe R.M., and Archdeacon M.T. Locking plate technology: current concepts. J Knee Surg 20 (2007) 50-55
37. Downing N.D., and Karantana A. A revolution in the management of fractures of the distal radius?. J Bone Joint Surg 90B (2008) 1271-1275
38. Freeland A.E., and Luber K.T. Biomechanics and biology of plate fixation of distal radius fractures. Hand Clin 21 (2005) 329-339
39. Gehrmann S.V., Windolf J., and Kaufmann R.A. Distal radius fracture management in elderly patients: a literature review. J Hand Surg 33A (2008) 421-429
40. Keast-Butler O., and Schemitsch E.H. Biology versus mechanics in the treatment of distal radial fractures. J Orthop Trauma 22 (2008) S91-S95
41. Larson A.N., and Rizzo M. Locking plate technology and its applications in upper extremity fracture care. Hand Clin 23 (2007) 269-278
42. Fitzpatrick D.C., Doornink J., Madey S.M., and Bottlang M. Relative stability of conventional and locked plating fixation in a model of the osteoporotic femoral diaphysis. Clin Biomech 24 (2009) 203-209
43. Fischer K.J., Bastidas J.A., Provenzano D.A., and Tomaino M.M. Low-profile versus conventional metacarpal plating systems: a comparison of construct stiffness and strength. J Hand Surg 24A (1999) 928-934
44. Bottlang M., Doornink J., Byrd G.D., Fitzpatrick D.C., and Madey S.M. A nonlocking end screw can decrease fracture risk caused by locked plating in the osteoporotic diaphysis. J Bone Joint Surg 91A (2009) 620-627