ArticleFrontiers in medicine2026
Optimizing clavicle hook plate fixation through biomechanical analysis of pre-bent plate condition and screw configurations.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Analysis of hardware complications and functional outcomes following sternoclavicular hook plate fixation for traumatic dislocations.JSES reviews, reports, and techniques · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Clavicle hook plates are widely used for internal fixation of clavicle fractures, yet little biomechanical evidence exists to guide optimal plate contouring, screw selection, and screw-hole management. This study aimed to systematically evaluate the biomechanical effects of plate bending configuration, screw type, empty hole location, and invalid hole placement on clavicle hook plate fixation strength to optimize surgical strategies for clavicle fracture fixation. Methods: This was a controlled bench-top biomechanical study. A series of biomechanical tests were conducted using an electronic universal testing machine. Clavicle hook plates were fixed onto synthetic clavicle models under different experimental conditions: (1) plate bending (forward bend, no bend, reverse bend), (2) screw type (common screws vs. locked screws), (3) empty screw hole location (distal vs. proximal), and (4) invalid hole placement (under the plate vs. beyond the plate). Axial force was applied to the distal hook until fracture occurred, and the maximum fracture force was recorded. One-way ANOVA with Results: Plate bending significantly influenced fixation strength, with the forward bend group exhibiting the highest fracture force (202.75 N), significantly greater than the no bend and reverse bend groups ( Conclusion: The study demonstrates that forward bending of the plate, the use of common screws, and avoiding distal empty screw holes or invalid holes beyond the plate significantly improve fixation strength in clavicle hook plate fixation. These findings provide critical biomechanical insights to enhance surgical decision-making and reduce the risk of implant failure. Future research should focus on clinical validation, multi-axial loading analysis, and long-term fatigue testing to further refine fixation techniques for optimal patient outcomes.
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