The stability of internal fixation in the proximal phalanx

Black, David M.; Mann, Ronald J.; Constine, Ronald; Daniels, A. U.

doi:10.1016/s0363-5023(86)80010-7

Cited by 53 publications

(21 citation statements)

References 15 publications

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“…Thus, a test protocol which gradually increases the loading with each cycle was chosen. This is in contrast with other studies that use quasistatic or fatigue type cyclic loading (Black et al, 1986;Firoozbakhsh et al, 1993;Prevel et al, 1995).…”

Section: Discussioncontrasting

confidence: 57%

“…Rigidity of various fixation methods was investigated in previous studies (Afshar et al, 2012;Black et al, 1986;Lu et al, 1996;Nunley and Kloen, 1991;Ouellette et al, 2004;Prevel et al, 1995). Most of them were conducted applying quasistatic loading, which is less representative for the repetitive movements encountered during rehabilitation, or three-point bending of the fingers with limited physiological relevance.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, there is no consensus regarding the predominant loading type of the fingers during rehabilitation following a phalanx fracture (An et al, 1985;Berme et al, 1977;Wu et al, 2008). In spite of this and the paucity of supporting data, dorsal plating is widely used for phalangeal fracture fixation due to its straightforward approach and the assumption that thereby a stabilizing tension band effect is achieved (Black et al, 1986;Prevel et al, 1995). One of the most commonly used implants for phalanx fractures is the T-plate (DePuy Synthes, Solothurn, Switzerland), available as 1.5 mm non-locking and locking plate, that can be used for both dorsal and lateral application by trimming and shaping the plate accordingly.…”

Section: Introductionmentioning

confidence: 99%

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Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study

Shanmugam

Ernst

Stoffel

et al. 2015

Clinical Biomechanics

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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study

Shanmugam

Ernst

Stoffel

et al. 2015

Clinical Biomechanics

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“…This angulation is due to a volar force at the base of P1 by the interossei insertion, while the extensor expansion pulls the distal fragment dorsally. 11 Freeland 39 recommends that the ''least intrusive technique be used to provide a threshold of strength that reliably holds the fracture securely . .…”

Section: P1 Shaft Fracturementioning

confidence: 99%

Principles of Metacarpal and Phalangeal Fracture Management: A Review of Rehabilitation Concepts

Hardy¹

2004

J Orthop Sports Phys Ther

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Patients with common hand fractures are likely to present in a wide variety of outpatient orthopedic practices. Successful rehabilitation of hand fractures addresses the need to (1) maintain fracture stability for bone healing, (2) introduce soft tissue mobilization for soft tissue integrity, and (3) remodel any restrictive scar from injury or surgery. It is important to recognize the intimate relationship of these 3 tissues (bone, soft tissue, and scar) when treating hand fractures. Fracture terminology precisely defines fracture type, location, and management strategy for hand fractures. These terms are reviewed, with emphasis on their operational definitions, as they relate to the course of therapy. The progression of motion protocols is dependent on the type of fracture healing, either primary or secondary, which in turn is determined by the method of fracture fixation. Current closed-and open-fixation methods for metacarpal and phalangeal fractures are addressed for each fracture location. The potential soft tissue problems that are often associated with each type of fracture are explained, with preventative methods of splinting and treatment. A comprehensive literature review is provided to compare evidence for practice in managing the variety of fracture patterns associated with metacarpal and phalangeal fractures, following closedand open-fixation techniques. Emphasis is placed on initial hand positioning to protect the fracture reduction, exercise to maintain or regain joint range of motion, and specific tendon-gliding exercises to prevent restrictive adhesions, all of which are necessary to assure return of function post fracture.

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“…Metacarpal fractures are frequently seen in football, boxing, karate, and wrestling [4,6]. The biomechanical evaluation of fixation methods for small, tubular bones has received considerable attention in the hand surgery literature [2,3]. The majority of these studies involve simple quasi-static loading experiments.…”

Section: Introductionmentioning

confidence: 99%

Internal fixation of oblique metacarpal fractures: a biomechanical evaluation by impact loading

Firoozbakhah

Monein²

Proceedings of the First Regional Conference, IEEE Engineering in Medicine and Biology Society and 14th Conference of the Biome

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Sports related injuries often involve impact as a primarymode of loading. To compare the impact failure strength of five types of internal fixation of metacarpal fracture, one hundred twenty preserved human metacarpals were dynamically tested in compression and bending after oblique osteotomies of the metacarpal and internal fixation. The failure occurred within 2 to 6 msec in the compressive impact and was almost immediate in the bending impact. The dorsal plate and the intramedullary rods fixations were the strongest. The K-wire tension band was significantly weaker than the plate fixation. The 2-screws was the weakest fixation in this group. This fixation with high risk of failure against impact loads may be avoided in the patient population who may be subjected to such loadings specially those athletes with direct hand involvement.

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The stability of internal fixation in the proximal phalanx

Cited by 53 publications

References 15 publications

Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study

Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study

Principles of Metacarpal and Phalangeal Fracture Management: A Review of Rehabilitation Concepts

Internal fixation of oblique metacarpal fractures: a biomechanical evaluation by impact loading

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