The Biomechanics of Fixation Techniques for Hand Fractures

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The Biomechanics of Fixation Techniques for Hand Fractures Julie E. Adams, MD, Thomas Miller, BS, Marco Rizzo, MD Hand Clinics Volume 29, Issue 4, Pages 493-500 (November 2013) DOI: 10.1016/j.hcl.2013.08.004 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 1 Case example of a patient who sustained a short oblique metacarpal fracture (A, B). This injury was treated with intramedullary K wires (C, D), with the wires removed at 6 weeks (copyright Marco Rizzo). Hand Clinics 2013 29, 493-500DOI: (10.1016/j.hcl.2013.08.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 2 A patient sustained a spiral metacarpal shaft fracture (A). This fracture was amenable to lag screw fixation (B, C) (copyright Julie Adams). Hand Clinics 2013 29, 493-500DOI: (10.1016/j.hcl.2013.08.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 3 The injury shown is of the metacarpal shaft (A, B) and was treated with a plate and screw construct (C, D) (copyright Julie Adams). Hand Clinics 2013 29, 493-500DOI: (10.1016/j.hcl.2013.08.004) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 4 A case of a patient who sustained a high-energy fracture of the middle phalanx (arrow) (A, B). Because of the high risk of nonunion, a combination locking and nonlocking screw/plate construct was used (C, D) (copyright Marco Rizzo). Hand Clinics 2013 29, 493-500DOI: (10.1016/j.hcl.2013.08.004) Copyright © 2013 Elsevier Inc. Terms and Conditions