ArticleArchives of orthopaedic and trauma surgery2026
Biomechanical comparison of palmar plate plus headless compression screw versus radiopalmar double plating in AO/OTA 23-C2.1 distal radius fractures.
Article in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Effect of distal screw number on axial deformation and fragment-specific stability in AO/OTA 2R3 C2.1 distal radius fractures.Archives of orthopaedic and trauma surgery · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis biomechanical study compared the fracture stability of a palmar plate combined with a headless compression screw (HCS) with that of a radiopalmar double-plate construct for AO/OTA 23-C2.1 distal radius fractures with metaphyseal defect zones. MATERIALS AND
methodsEleven matched pairs of cryopreserved human radii were prepared with standardized AO/OTA 23-C2.1 fractures. Left radii (n = 11) were fixed with a palmar plate plus HCS, while right radii (n = 11) received a radiopalmar double-plate construct. Construct stiffness and axial displacement were assessed using a universal testing machine. Interfragmentary range of motion (ROM) and rotation (ROT) were quantified using an optical three-dimensional motion-tracking system. Measurements were obtained before and after 5000 cycles of dynamic axial loading at 150 N. Two specimen pairs were excluded due to early failure or incomplete data acquisition.
resultsBoth constructs demonstrated comparable stiffness and axial displacement, with no implant loosening or hardware failure observed. Interfragmentary ROM did not differ significantly between groups. However, the plate–HCS construct showed greater variability in rotational parameters. Initial radial-shaft rotation was significantly greater in the plate–HCS group (1.14° vs. 0.51°, p = 0.02). After cyclic loading, ulnar-shaft rotation increased significantly in the plate–HCS group (0.97° to 1.16°, p = 0.02) but not in the double-plate group.
conclusionIn this cadaveric model, fixation with a palmar plate combined with an HCS provided comparable axial stability but demonstrated greater variability and less consistent rotational control compared with radiopalmar double plating. Clinical studies are required to determine whether this less invasive construct achieves equivalent outcomes in vivo.
Indexed as
Identifiers
What Socratic holds
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 Socratic graph.