{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:56:53Z","timestamp":1792799813649,"version":"4.5.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T00:00:00Z","timestamp":1696636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"medical device companies","id":[{"id":"https:\/\/ror.org\/059mrwr24","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>It is unknown whether total wrist arthrodesis (TWA) should be performed with or without arthrodesis of the carpometacarpal joint (CMCJ). The aim of this study is to compare CMCJ-spanning TWA plates using 3D printed wrist arthrodesis model with and without arthrodesis of the CMCJ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Total wrist arthrodesis plates mounted to 3D printed models were tested under a 4-N bending load at 4 Hz for 50\u2009000 cycles, increased by 15% every 10\u2009000 cycles until failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Plates with arthrodesis CMCJ were stiffer and failed at a significantly greater load and number of cycles than plates mounted to models without CMCJ arthrodesis. The Synthes stainless steel locking TWA plate performed better than the Trimed plate applied to the model without CMCJ arthrodesis and the Acumed plate applied to the model with CMCJ arthrodesis. Based on these findings, we recommend arthrodesis of the CMCJ in TWA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Incorporation of the CMCJ in TWA may protect against plate failure. If arthrodesis of the CMCJ is not performed, plate removal should be considered before breakage occurs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231198263","type":"journal-article","created":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T07:11:52Z","timestamp":1696662712000},"page":"230-236","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Biomechanical Performance of Total Wrist Arthrodesis Plates With and Without Arthrodesis of the Carpometacarpal Joint"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5219-5282","authenticated-orcid":false,"given":"David H.","family":"Owen","sequence":"first","affiliation":[{"name":"Canberra Hospital, ACT, Australia"},{"name":"Australian National University Medical School, Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongyang","family":"Wang","sequence":"additional","affiliation":[{"name":"The University of Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Cong","sequence":"additional","affiliation":[{"name":"The University of Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Mowbray","sequence":"additional","affiliation":[{"name":"Lismore Base Hospital, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana M.","family":"Perriman","sequence":"additional","affiliation":[{"name":"Canberra Hospital, ACT, Australia"},{"name":"Australian National University Medical School, Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris J.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Canberra Hospital, ACT, Australia"},{"name":"Australian National University Medical School, Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul N.","family":"Smith","sequence":"additional","affiliation":[{"name":"Canberra Hospital, ACT, Australia"},{"name":"Australian National University Medical School, Canberra, ACT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herwig","family":"Drobetz","sequence":"additional","affiliation":[{"name":"Lismore Base Hospital, NSW, Australia"},{"name":"Bond University, Robina, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ackland","sequence":"additional","affiliation":[{"name":"The University of Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.08.004"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B5.35638"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2001.0600"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00146-3"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80058-9"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BCO.0b013e3181ef77c9"},{"issue":"99","key":"e_1_3_2_8_2","first-page":"146","article-title":"Compression arthrodesis of the wrist. 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