Internal fixation sets for use in the hand. A comparison of available instrumentation.

Abstract

Optimal clinical results of internal fixation in the hand depend on appropriate patient selection criteria, good surgical techniques, and appropriate implant selection. A variety of implant sets with plates and screws from different manufacturers are available for hand bone fixation. Traditionally, such sets have been made of stainless steel, but more recently, implants have been manufactured from titanium. Sizes and configurations vary significantly between manufacturers. In this article, commonly available internal fixation sets are compared. Plate, screw, and instrument design are considered. These comparisons should help the surgeon make an enlightened choice of implant sets.