{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:54:33Z","timestamp":1792457673970,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T00:00:00Z","timestamp":1621555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>We compared four methods of metacarpal shaft fixation: 2.2\u2009mm intramedullary headless compression screw; 3.0\u2009mm intramedullary headless compression screw; intramedullary K-wire fixation; and dorsal plate fixation. Transverse mid-diaphyseal fractures were created in 64 metacarpal sawbones and were assigned into four groups. Peak load to failure and stiffness were measured in cantilever bending and torsion. We found that dorsal plating had the highest peak load to failure. However, initial bending stiffness of the 3.0\u2009mm intramedullary headless compression screw was higher than that of the dorsal plates. In torsion testing, dorsal plating had the highest peak torque, but there was no significant difference in torsional stiffness between the plate and intramedullary headless compression screw constructs. We concluded that intramedullary headless compression screw fixation is biomechanically superior to K-wires in cantilever bending and torsion; however, it is less stable than dorsal plating. In our study, the initial stability provided by K-wire fixation was sufficient to cope with expected loads in the early rehabilitation period, whereas dorsal plates and IHCS constructs provided stability far in excess of what is required.<\/jats:p>","DOI":"10.1177\/17531934211017705","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T10:22:38Z","timestamp":1621592558000},"page":"172-178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Biomechanical comparison of intramedullary screw fixation, dorsal plating and K-wire fixation for stable metacarpal shaft fractures"],"prefix":"10.1177","volume":"47","author":[{"given":"John G.","family":"Galbraith","sequence":"first","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopaedic Surgery, Dandenong Hospital, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lachlan S.","family":"Huntington","sequence":"additional","affiliation":[{"name":"Department of Biomechanical Engineering, University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Borbas","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopaedic Surgery, Dandenong Hospital, Monash University, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Ackland","sequence":"additional","affiliation":[{"name":"Department of Biomechanical Engineering, University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen K.","family":"Tham","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopaedic Surgery, Dandenong Hospital, Monash University, Melbourne, VIC, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory (HWBL), O\u2019Brien Institute\/St. Vincent's Institute, Melbourne, VIC, Australia"},{"name":"Department of Surgery, Monash University, Clayton, VIC, Australia This study was performed at the Department of Biomechanical Engineering, University of Melbourne, Australia, and the Hand and Wrist Biomechanics Laboratory (HWBL), O\u2019Brien Institute\/St. Vincent\u2019s Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene T.","family":"Ek","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopaedic Surgery, Dandenong Hospital, Monash University, Melbourne, VIC, Australia"},{"name":"Hand and Wrist Biomechanics Laboratory (HWBL), O\u2019Brien Institute\/St. Vincent's Institute, Melbourne, VIC, Australia"},{"name":"Department of Surgery, Monash University, Clayton, VIC, Australia This study was performed at the Department of Biomechanical Engineering, University of Melbourne, Australia, and the Hand and Wrist Biomechanics Laboratory (HWBL), O\u2019Brien Institute\/St. Vincent\u2019s Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"key":"bibr1-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.02.013"},{"key":"bibr2-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9544-3"},{"key":"bibr3-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005478"},{"key":"bibr4-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1637002"},{"key":"bibr5-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(95)00084-4"},{"key":"bibr6-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.11.023"},{"key":"bibr7-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-014-9620-3"},{"key":"bibr8-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156080"},{"key":"bibr9-17531934211017705","volume":"42","author":"Eu-Jin","year":"2017","journal-title":"J Hand Surg Am"},{"key":"bibr10-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.1999.0928"},{"key":"bibr11-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.07.005"},{"key":"bibr12-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(01)00015-X"},{"key":"bibr13-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005487"},{"key":"bibr14-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.03.035"},{"key":"bibr15-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2017.12.005"},{"key":"bibr16-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2556-z"},{"key":"bibr17-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(78)80008-2"},{"key":"bibr18-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1515\/bmt-2016-0090"},{"key":"bibr19-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716628485"},{"key":"bibr20-17531934211017705","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2019.11.1.120"},{"key":"bibr21-17531934211017705","first-page":"75","volume":"31","author":"Rodr\u00edguez R","year":"2017","journal-title":"Acta Ortop\u00e9dica Mex"},{"key":"bibr22-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.08.016"},{"key":"bibr23-17531934211017705","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01673"},{"key":"bibr24-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90408-H"},{"key":"bibr25-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.01.003"},{"key":"bibr26-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.09.029"},{"key":"bibr27-17531934211017705","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593390"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211017705","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934211017705","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211017705","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:15Z","timestamp":1777502775000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934211017705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2]]}},"alternative-id":["10.1177\/17531934211017705"],"URL":"https:\/\/doi.org\/10.1177\/17531934211017705","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,21]]}}}