Fixation for comminuted phalangeal fractures. A biomechanical study of five methods

J Hand Surg Br. 1996 Dec;21(6):765-7. doi: 10.1016/s0266-7681(96)80183-5.

Abstract

The rigidities of five fixation methods have been studied with a comminuted phalangeal fracture model. Mechanical testing of compression, bending and torsion were performed for each fixation. Lateral plating with six screws seems to provide the most rigid fixation. If such lateral plating is not practicable, the four-Kirschner wire method would be a satisfactory alternative.

Publication types

  • Comparative Study

MeSH terms

  • Biomechanical Phenomena
  • Bone Plates
  • Bone Screws
  • Bone Wires
  • Finger Injuries / physiopathology
  • Finger Injuries / surgery*
  • Fracture Fixation, Internal / methods*
  • Fractures, Comminuted / physiopathology
  • Fractures, Comminuted / surgery*
  • Humans
  • Torsion Abnormality
  • Weight-Bearing / physiology