{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T09:02:23Z","timestamp":1780045343841,"version":"3.53.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"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":[[2023,10]]},"abstract":"<jats:p>This study aimed to compare the torsional resistance of three fixation techniques for spiral metacarpal fractures: screw-only fixation, screw plus neutralization plate fixation, and a locking plate construct. A spiral fracture was created on 18 cadaveric metacarpal bones by applying an axial and torsional loading force using an Instron 3343 mechanical tester. The failure strength was defined as the native torque strength. The fractures were divided into three groups and fixed using each of the three techniques. The repaired bones were loaded to failure to determine the post-repair strength. The neutralization plate group conferred a post-repair torque (278.6\u2009Nmm) that was similar to the native torque (292\u2009Nmm) with a diminution of only 4.5% and appeared to provide the best resistance to torsion.<\/jats:p>","DOI":"10.1177\/17531934231168575","type":"journal-article","created":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T08:07:10Z","timestamp":1682928430000},"page":"930-935","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing the torsional resistance of different fixation techniques for spiral metacarpal fractures"],"prefix":"10.1177","volume":"48","author":[{"given":"Abby","family":"Choke","sequence":"first","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoke Rung","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Quek","sequence":"additional","affiliation":[{"name":"Trinity College Dublin, Dublin, Republic of Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duncan A.","family":"McGrouther","sequence":"additional","affiliation":[{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore"},{"name":"Biomechanics Laboratory, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,1]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.08.004"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSE.2007.05.016"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(85)80067-8"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.07.018"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03267-2"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.06.006"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2009.05.005"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200810000-00004"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02844311.1993.12005647"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2006.02.018"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90162-9"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(03)80009-1"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.03.002"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.07.010"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.07.016"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.4214"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80471-X"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2021.01.003"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231168575","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934231168575","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231168575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:03:52Z","timestamp":1780041832000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934231168575"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,1]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/17531934231168575"],"URL":"https:\/\/doi.org\/10.1177\/17531934231168575","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,1]]}}}