Biomechanical in vitro - stability testing on human specimens of a locking plate system against conventional screw fixation of a proximal first metatarsal lateral displacement osteotomy.
BACKGROUND
The aim of this study was to examine resistance to angulation and displacement of the internal fixation of a proximal first metatarsal lateral displacement osteotomy, using a locking plate system compared with a conventional crossed screw fixation.


METHODS
Seven anatomical human specimens were tested. Each specimen was tested with a locking screw plate as well as a crossed cancellous srew fixation. The statistical analysis was performed by the Friedman test. The level of significance was p = 0.05.


RESULTS
We found larger stability about all three axes of movement analyzed for the PLATE than the crossed screws osteosynthesis (CSO). The Friedman test showed statistical significance at a level of p = 0.05 for all groups and both translational and rotational movements.


CONCLUSIONS
The results of our study confirm that the fixation of the lateral proximal first metatarsal displacement osteotomy with a locking plate fixation is a technically simple procedure of superior stability.
Orthopädisch - Unfallchirurgische Praxisklinik, Orthopädisches Zentrum Fichtelgebirge, Bahnhofstraße 10, 95111 Rehau, Germany.
Heino
H
Arnold
Christina
C
Stukenborg-Colsman
Christof
C
Hurschler
Frank
F
Seehaus
Evgenij
E
Bobrowitsch
Hazibullah
H
Waizy