DESIGN AND BIOMECHANICS OF A PLATE FOR THE DISTAL RADIUS

Citation
D. Gesensway et al., DESIGN AND BIOMECHANICS OF A PLATE FOR THE DISTAL RADIUS, The Journal of hand surgery, 20A(6), 1995, pp. 1021-1027
Citations number
NO
Categorie Soggetti
Orthopedics,Surgery
Journal title
ISSN journal
03635023
Volume
20A
Issue
6
Year of publication
1995
Pages
1021 - 1027
Database
ISI
SICI code
0363-5023(1995)20A:6<1021:DABOAP>2.0.ZU;2-J
Abstract
dorsal plate for the distal radius was designed to provide rigid fixat ion and thus allow early motion. It functions as a blade plate, lessen ing the role of metaphyseal screws, and providing internal neutralizat ion rather than compression. The rigidity and strength of the plate we re compared to the existing T-plate in an unstable, extra-articular fr acture model in paired, fresh-cadaver, axially loaded radii. The dorsa l plate construct was significantly stronger and more rigid than the T -plate construct. The failure mode was similar for both plate types; 8 of 10 constructs failed with plate bending and screw loosening, while the oldest specimen pair showed primary bone failure. Compared to the T-plate, the dorsal plate transmitted a greater single axial load fro m the articular surface to the shaft.