Does Far Cortical Locking Improve Fracture Healing in Distal Femur Fractures: A Randomised, Controlled, Prospective Multicentre Study
Thomas England, Humza Khan, Sheldon Moniz, David Mitchell, Markus S Kuster, Heinrich Resch, Wing Hoi Cheung · 2023
Read Does Far Cortical Locking Improve Fracture Healing in Distal Femur Fractures: A Randomised, Controlled, Prospective Multicentre Study by Thomas England, Humza Khan, Sheldon Moniz, David Mitchell, Markus S Kuster, Heinrich Resch, Wing Hoi Cheung (2023) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-10743881.txt.
Description
Thomas England and co-authors run a randomised trial of screws designed to let broken thigh bones flex a little as they heal, in a 2023 study. Far cortical locking screws grip only the far side of the bone, so the fracture site moves slightly under load, motion that may stimulate callus. Twenty-one patients with fractures near the knee, across several centres, received either these screws or standard locking screws with the same plate.
Healing was scored on follow-up X-rays with a standard union scale and timed. The trial was small, and the far-locking group healed more slowly on average, about ten months against six and a half, a statistically significant gap running against the hoped direction. Union scores at six months were similar. The authors report the surprise honestly: in this small trial, flexibility did not pay.
Catalog record
| CREATOR | Thomas England, Humza Khan, Sheldon Moniz, David Mitchell, Markus S Kuster, Heinrich Resch, Wing Hoi Cheung |
|---|---|
| YEAR | 2023 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 24 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |