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

doi:10.1016/j.jhsa.2014.06.141

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

Orthopaedic Surgery & Rehabilitation

Research output: Contribution to journal › Article › peer-review

14 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 language	English (US)
Pages (from-to)	1907-1913
Number of pages	7
Journal	Journal of Hand Surgery
Volume	39
Issue number	10
DOIs	https://doi.org/10.1016/j.jhsa.2014.06.141
State	Published - 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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10.1016/j.jhsa.2014.06.141

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

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.",

keywords = "Biomechanics, locking plate fixation, radius fracture, screw abutment, unicortical locking screw",

author = "Overturf, {Steven J.} and Morris, {Randal P.} and Zbigniew Gugala and Lindsey, {Ronald W.}",

note = "Publisher Copyright: {\textcopyright} 2014 American Society for Surgery of the Hand.",

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AU - Morris, Randal P.

AU - Gugala, Zbigniew

AU - Lindsey, Ronald W.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - 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.

AB - 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.

KW - Biomechanics

KW - locking plate fixation

KW - radius fracture

KW - screw abutment

KW - unicortical locking screw

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ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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