ArticleMedicine2019
Finite element analysis of spiral plate and Herbert screw fixation for treatment of midshaft clavicle fractures.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Comparative efficacy of Nice knot versus lag screw in augmenting locking plate fixation for comminuted clavicular fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Finite element modeling of clavicle fracture fixations: a systematic scoping review.Medical & biological engineering & computing · 2025Article
- Internal fixation with biodegradable high purity magnesium screws in the treatment of ankle fracture.Journal of orthopaedic translation · 2025Article
- Finite element analysis of antegrade and retrograde internal intramedullary nailing for mid-shaft clavicle fracture.BMC musculoskeletal disorders · 2025Article
- Effect of Sextant Fixating Angle of Spiral Clavicle Plate on Biomechanical Stability-A Preliminary Finite Element Study.Bioengineering (Basel, Switzerland) · 2024Article
- Efficacy of intramedullary bridge fixation for midshaft clavicle fractures: a retrospective analysis of a novel technique.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2023Article
- Canceling Notch Improves the Mechanical Safety of Clavicle Locking Plate: A 3D Finite Element Study.Orthopaedic surgery · 2023Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Both spiral plate and Herbert screw fixations have been clinically adopted for treating midshaft displaced clavicle fractures. However, the biomechanical properties of the 2 implant fixations have not yet been thoroughly evaluated. Here we report the results of a finite element analysis of the biomechanical properties of midshaft clavicle fractures treated with Herbert screw and spiral plate fixation. Hebert screw fixation showed stress distribution similar to intact clavicle under all loading conditions, but provided less stability than did spiral plate fixation. Postoperatively, excessive shoulder activities and weight-bearing should be avoided. Spiral plate fixation provides greater stability, but is associated with stress shielding. These results demonstrate that Herbert screw fixation is suitable for the treatment of simple displaced clavicluar fractures, but excessive shoulder activity and weight-bearing should be avoided after the operation. Therefore, spiral plate fixation may be preferred for patients requiring an early return to activity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.