{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:17:29Z","timestamp":1767183449879,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,10,18]],"date-time":"2021-10-18T00:00:00Z","timestamp":1634515200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008005","name":"Yonsei University College of Medicine","doi-asserted-by":"publisher","award":["Faculty research grant No 6-2019-009912"],"award-info":[{"award-number":["Faculty research grant No 6-2019-009912"]}],"id":[{"id":"10.13039\/501100008005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Plate fixation has recently gained popularity among the various surgical methods used to treat Neer type II distal clavicle fractures. The use of a low\u2010profile distal clavicle locking plate is logically considered a better option when there is no significant difference in the fixation strength between insertions of 3.5\u2010 and 2.7\u2010mm diameter screws. Therefore, the purpose of this biomechanical study was to investigate any differences in fixation strength among varying sizes of screws that are used to treat distal clavicle fractures. The study was performed with 20 paired shoulder girdles from 10 fresh frozen cadavers. To create a type IIA fracture of Neer classification, osteotomy was performed perpendicularly to the longitudinal axis of the clavicle at the medial end point of the conoid ligament. Two custom\u2010made fixtures designed to be attached to both upper and lower sides of the Instron were fabricated for the evaluation. The mean maximum pull\u2010out strength for fixation using 3.5\u2010mm diameter screws was 241.9\u2009\u00b1\u200967.8\u2009N, whereas the mean pull\u2010out strength in fixation with 2.7\u2010mm diameter screws was 228.1\u2009\u00b1\u200963.0\u2009N. There was no statistically significant difference between the two groups. Distal fragment fixation with distal clavicle locking plates using two 2.7\u2010mm diameter screws showed comparable biomechanical pull\u2010out strength at the time\u2010zero setting to fixations with a hook plate using two 3.5\u2010mm diameter screws. Therefore, the fixation of the distal fragment with a low\u2010profile plate and 2.7\u2010mm screws may be preferred as an alternative option if the distal fragment of the fractured clavicle is not extremely small.<\/jats:p>","DOI":"10.1002\/jor.25194","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T09:02:00Z","timestamp":1634806920000},"page":"1577-1583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Relation between diameter of a lateral screw and pull\u2010out strength in distal clavicle fracture in plates with different geometry: A cadaveric biomechanical study"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2859-5240","authenticated-orcid":false,"given":"Tae\u2010Hwan","family":"Yoon","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital Yonsei University College of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chong\u2011Hyuk","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital Yonsei University College of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5197-3716","authenticated-orcid":false,"given":"Yun\u2010Rak","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital Yonsei University College of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hun\u2010Jin","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital Yonsei University College of Medicine  Seoul 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