Comparing biomechanical strength of unicortical locking plate versus bicortical compression plate for transverse midshaft metacarpal fracture

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A biomechanical study comparing plate fixation using unicortical and bicortical screws in transverse metacarpal fracture models subjected to cyclic loading.

The use of bicortical screws to fix metacarpal fractures has been suggested to provide no added biomechanical advantage over unicortical screw fixation. However, this was only demonstrated in static loading regimes, which may not be representative of biological conditions. The present study was done to determine whether similar outcomes are obtained when cyclic loading is applied. Transverse mi...

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Unicortical versus bicortical locked plate fixation in midshaft clavicle fractures.

Higher rates of poor outcomes in displaced midshaft clavicle fractures treated nonoperatively have recently been reported. Along with expanding indications for operative fixation and increasing application of locked plate constructs, it is unknown whether complications related to bicortical penetration of the clavicle can be avoided using unicortical fixation. The purpose of this study is to co...

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A biomechanical analysis of plate fixation using unicortical and bicortical screws in transverse metacarpal fracture models subjected to 4-point bending and dynamical bending test

In the published literature there are controversial data to the biomechanical stability of monocortical comparing to the bicortical fixation of metacarpal fractures. The aim of this study was to compare the biomechanical stability of monocortical and bicortical locking osteosynthesis in quasi-static and dynamic 4-point bending tests of composite third metacarpal bone (4th Gen third metacarpal, ...

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Use of locking plate in combination with dynamic compression plate for repair of tibial fracture in a young horse

Grade 1 open spiral fracture of left tibia in a 1.5 year-old horse was treated using a combination of 4.5 mm locking compression plate (LCP) and a dynamic compression plate applied in a neutralization manner. The open wound was managed postoperatively by regular dressing and lavage. Radiograph at 24 days post-treatment revealed callus formation and at two months complete bridging callus was obs...

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Biomechanical comparison of bicortical versus unicortical screw placement of proximal tibia locking plates: a cadaveric model.

OBJECTIVE The purpose of this study was to compare the biomechanical properties of bicortical with unicortical screws in a proximal tibial fracture cadaveric model. SETTING Biomechanics laboratory at a Level 1 trauma center. PATIENTS/PARTICIPANTS Eight pairs (4 male and 4 female) of elderly (average age, 79 years; range, 63 to 104 years) cadaveric tibiae. INTERVENTION Osteotomies were per...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2018

ISSN: 2309-4990,2309-4990

DOI: 10.1177/2309499018802511