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http://dx.doi.org/10.1053/j.jfas.2003.09.012DOI Listing

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Article Synopsis
  • Certain metacarpal fracture patterns need surgery for proper healing; the minicondylar blade plate offers a stronger fix than dorsal plating due to its design.
  • A study analyzed 22 distal metacarpal fractures in 20 patients treated with this plate, focusing on grip strength, range of motion, and recovery.
  • Results showed good outcomes: 82% of patients regained flexion, 71% achieved nearly full grip strength, and most returned to full activity within about 2.5 months, with no serious complications.
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The tension band effect of plate fixation and the contribution of soft tissues to that effect was examined biomechanically in human proximal phalanges. Forty-six proximal phalanges in whole cadaver hands with all soft tissues in place (intact) and 43 proximal phalanges stripped of soft tissues (denuded) were tested. After midshaft osteotomy, each proximal phalanx was fixed internally with a dorsal minicondylar plate, a lateral minicondylar plate, a dorsal straight plate, or a lateral straight plate.

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Condylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius.

J Hand Surg Am

January 2004

Harvard Medical School, Hand and Upper Extremity Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Ambulatory Care Center 525, 15 Parkman Street, Boston, MA 02114, USA.

Purpose: To review the results of condylar blade plate fixation of unstable fractures of the distal ulna associated with fracture of the distal radius.

Methods: Twenty-four patients in whom a minicondylar blade plate was used to repair an unstable fracture of the distal ulna associated with a fracture of the distal radius were reviewed retrospectively an average of 26 months (range, 12-50 months) after injury. According to the Q modifier of the Comprehensive Classification of Fractures, there were 1 simple fracture of the ulnar neck (Q2), 20 comminuted fractures of the ulnar neck (Q3), and 3 fractures of the head and neck (Q5).

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