PMID: 3760493Sep 1, 1986Paper

The stability of internal fixation in the proximal phalanx

The Journal of Hand Surgery
D BlackA U Daniels

Abstract

A biomechanical study was performed to assess quantitative differences in the stability obtained with five commonly used types of internal fixation used in proximal phalangeal fractures. The techniques included dorsal plating, dorsal plating combined with an interfragmentary lag screw, two interfragmentary lag screws, tension-band technique, and crossed Kirschner wires. Rigidity and strength in apex palmar bending were determined after oblique osteotomy and fixation of the proximal phalanx. The failure modes for each fixation technique were also observed and described. The results showed that both of the techniques that used interfragmentary lag screws across the oblique osteotomies provided significantly more rigidity than did dorsal plating alone or the wired configurations but that measurements of strength were similar between all techniques tested. Dorsal plates were at a mechanical disadvantage on the compression surface in our apex palmar bend test and consequently provided no more rigidity and strength than did the wired techniques. The tension band technique represented a combination of stiff and flexible intraosseous wires without strict application of tension band principles and provided intermediate rigidity and stre...Continue Reading

References

Jul 1, 1979·The Journal of Hand Surgery·J B MassengillM J Schecter
Jul 1, 1985·The Journal of Hand Surgery·D BlackA U Daniels
Mar 1, 1984·The Journal of Hand Surgery·R K VanikR P Gingrass
May 1, 1982·The Journal of Hand Surgery·J B MassengillA Mylod

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Citations

Dec 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F FitoussiS P Chow
Dec 1, 1996·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W W LuS P Chow
May 8, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·F FitoussiS P Chow
Feb 13, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Y Safoury
Sep 19, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M StricklerU Büchler
Nov 12, 2013·Hand Clinics·Julie E AdamsMarco Rizzo
Sep 1, 1991·The Journal of Hand Surgery·M Ishizuki, K Furuya
Nov 1, 1993·The Journal of Hand Surgery·K K FiroozbakhshM A Pirela-Cruz
Apr 5, 2015·The Journal of Hand Surgery·Jonathan A ZelkenKenneth R Means
Feb 16, 2015·Archives of Orthopaedic and Trauma Surgery·Hakan BaşarCihangir Tetik
Jan 13, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Maureen A Hardy
Oct 8, 2016·Hand Clinics·Praveen BhardwajS Raja Sabapathy
Jul 1, 1993·The Journal of Hand Surgery·T A DamronR Vanderby
Aug 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H S MatloubN J Yousif
Sep 3, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P RoureS Gogolewski
Oct 29, 2017·Hand : Official Journal of the American Association for Hand Surgery·Tim T LögtersRobert A Kaufmann
Apr 14, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Jacqueline Miranda-KleinMichael Davis-Cheshire
Mar 27, 2004·Clinical Orthopaedics and Related Research·Elizabeth Anne OuelletteAnna-Lena Makowski
May 4, 2017·Journal of Plastic Surgery and Hand Surgery·Johanna von KieseritzkyMarianne Arner
Apr 1, 1996·Clinical Orthopaedics and Related Research·K K FiroozbakhshF F Naraghi

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