Title: Unicortical fixation of metacarpal fractures–Is it strong enough?
Abstract: Introduction and aims: Plate fixation of metacarpal fractures can be associated with a high rate of complications including stiffness, nonunion, infection, tendon ruptures and neurovascular injury. Bicortical fixation provides a strong fixation but can damage the flexor tendons and neurovascular structures due to overdrilling or proud volar screw tips. Unicortical fixation avoids these problems but may not be strong enough to enable adequate post-operative mobilisation. We hypothesized that fixation using a 4 × 2 hole 3D plate and 8 unicortical screws would be as strong as fixation using a 4-hole straight plate and 4 bicortical screws. In both cases, the fixation would involve four cortices either side of the fracture.
Publication Year: 2014
Publication Date: 2014-11-01
Language: en
Type: article
Indexed In: ['crossref']
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