Biomechanical comparison of bicortical locking versus unicortical far-cortex-abutting locking screw-plate fixation for comminuted radial shaft fractures

Steven J. Overturf, Randal P. Morris, Zbigniew Gugala, Ronald W. Lindsey

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Unicortical-abutting screws potentially offer several clinical advantages. They eliminate the need for drilling through the far cortex and thereby a risk of adjacent neurovascular injury or soft tissue structure compromise. They eliminate the issues associated with symptomatic screw prominence. They can decrease risk of refracture after screw-plate removal. In case of revision plating, they permit conversion to bicortical locking screws through the same near-cortex screw holes, which eliminates the need for a longer or repositioned plate.

Original languageEnglish (US)
Pages (from-to)1907-1913
Number of pages7
JournalJournal of Hand Surgery
Volume39
Issue number10
DOIs
StatePublished - Oct 1 2014

Keywords

  • Biomechanics
  • locking plate fixation
  • radius fracture
  • screw abutment
  • unicortical locking screw

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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