Biomechanical stability of a fixed-angle volar plate versus fragment-specific fixation system: cyclic testing in a C2-type distal radius cadaver fracture model

The Journal of Hand Surgery
Kenneth F TaylorKeith A Segalman

Abstract

To compare the biomechanical stability of 2 recently introduced fixation systems in an intra-articular, dorsal comminution distal radius fracture model. AO/ASIF type C2 fractures were simulated in 10 matched pairs of fresh-frozen cadaveric arms randomized between fixed-angle volar plate and fragment-specific fixation systems. Specimens were loaded in extension cyclically for 2,000 repetitions followed by a single cycle to failure. Initial, intermediate, and final stiffness values and failure load values were obtained and compared. Both systems were able to sustain physiologic cyclic loading. The fragment-specific system was significantly stiffer than the fixed-angle volar plate system for the ulnar segment in both the precycle and postcycle values. No other comparisons were significant with respect to stiffness. No significant difference in load to failure was found between the systems with respect to ulnar, radial, or overall fragment displacement. Both fixed-angle volar plate and fragment-specific fixation systems performed comparably in a simulated early postoperative motion protocol. Fragment-specific fixation had improved stiffness characteristics only with respect to the smaller ulnar-sided fragment.

References

Jan 1, 1989·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D K SmithE Y Chao
Jan 1, 1988·The Journal of Hand Surgery·L K RubyE Y Chao
May 1, 1987·The Journal of Bone and Joint Surgery. British Volume·J J DiasP J Gregg
Jul 1, 1987·The Journal of Hand Surgery·W H ShortD J Murphy
Apr 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N S SimpsonA W Kinninmonth
Mar 1, 1994·The Journal of Hand Surgery·T E TrumbleN B Vedder
Nov 1, 1995·The Journal of Hand Surgery·D GesenswayJ L Lewis
May 1, 1997·Clinical Orthopaedics and Related Research·M DienstD Seligson
Mar 1, 1997·The Journal of Hand Surgery·S H NaiduA Radin
Apr 2, 1998·The Journal of Hand Surgery·S W WolfeM M Panjabi
Jul 17, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J KrishnanJ Slavotinek
Aug 25, 1999·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·N N BylG Engel
Dec 7, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J D GliatisT R Davis
May 2, 2001·The Orthopedic Clinics of North America·C R Swigart, S W Wolfe
Mar 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Y SaekiH Inoue
Mar 20, 2002·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez
Apr 16, 2002·Clinical Orthopaedics and Related Research·Masayuki KamanoMasataka Yasuda
Sep 28, 2002·Journal of Orthopaedic Trauma·Gregory A Konrath, Sherice Bahler
Feb 4, 2003·The Journal of Hand Surgery·Denju OsadaRita M Patterson
Jun 18, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F LeungS P Chow
Oct 18, 2003·The Journal of Bone and Joint Surgery. American Volume·Tamara D RozentalDavid J Bozentka
Jan 31, 2004·The Journal of Hand Surgery·Jorge L Orbay, Diego L Fernandez

❮ Previous
Next ❯

Citations

Jun 19, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shuzo KameiYutaka Nohara
Dec 4, 2012·The Journal of Hand Surgery·Michael A SirotaKenneth R Means
Dec 17, 2009·Hand Clinics·Paul A MartineauEdward J Harvey
Mar 18, 2008·The Journal of Hand Surgery·Roger C SohnRobert M Szabo
Jun 15, 2007·The Orthopedic Clinics of North America·Paul A MartineauEdward J Harvey
Nov 12, 2009·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Antonio AbramoMagnus Tägil
Oct 10, 2006·The Journal of Hand Surgery·Leon S BensonRoopa Seshadri
Aug 6, 2015·The Journal of Hand Surgery·David M BroganSanjeev Kakar
Mar 23, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·L ObertP Garbuio
Jun 28, 2016·The Journal of Hand Surgery·Ram K AlluriAlidad Ghiassi
Aug 16, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Sadaaki TsutsuiKatsunori Inagaki
Aug 24, 2017·Hand : Official Journal of the American Association for Hand Surgery·Jeffrey D HoffmannMiguel Pirela-Cruz
Oct 31, 2008·Plastic and Reconstructive Surgery·Douglas M SammerKevin C Chung
Jan 6, 2009·The Journal of Bone and Joint Surgery. American Volume·Jesse B JupiterUNKNOWN LCP Study Group
Feb 9, 2011·ANZ Journal of Surgery·Herwig DrobetzReinhold Muller
Jun 11, 2019·Hand : Official Journal of the American Association for Hand Surgery·Kenneth F TaylorGregory S Lewis
Nov 10, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Yoshihiro AbeHiromasa Wakita
Mar 22, 2014·Sports Medicine and Arthroscopy Review·Curtis M Henn, Scott W Wolfe
Nov 1, 2010·Revista Brasileira De Ortopedia·Edgard Novaes de França BisnetoArnaldo Valdir Zumiotti
Feb 19, 2019·Acta ortopedica brasileira·Ana Lécia Carneiro Leão de Araújo LimaClaudio Henrique Barbieri
Jun 29, 2017·International Orthopaedics·Elhadi Musaab Elhadi BabikirMohammed Mubarak Al-Ateeq Al-Dosari
Jan 15, 2021·Current Reviews in Musculoskeletal Medicine·Adam J Mirarchi, Omar F Nazir
Dec 29, 2020·The Journal of Hand Surgery·David M BroganChristopher J Dy
Jul 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·A Bobby Chhabra, Baris Yildirim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.