دورية أكاديمية
أعرض في EDS

The effect of Ding's screws and tension band wiring for treatment of olecranon fractures: a biomechanical study.

التفاصيل البيبلوغرافية
العنوان: The effect of Ding's screws and tension band wiring for treatment of olecranon fractures: a biomechanical study.
المؤلفون: Zhao Y; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China., Tian H; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China., Yin N; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China., Du L; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China., Pan M; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China., Ding L; Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital South Campus, Shanghai, 201400, China. dl1900@sina.com.
المصدر: Scientific reports [Sci Rep] 2024 May 01; Vol. 14 (1), pp. 9999. Date of Electronic Publication: 2024 May 01.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Nature Publishing Group, copyright 2011-
مواضيع طبية MeSH: Olecranon Process*/injuries , Olecranon Process*/surgery , Bone Wires* , Bone Screws* , Fracture Fixation, Internal*/methods , Fracture Fixation, Internal*/instrumentation, Humans ; Biomechanical Phenomena ; Ulna Fractures/surgery ; Ulna Fractures/physiopathology ; Fractures, Bone/surgery ; Olecranon Fracture
مستخلص: Although tension band wiring (TBW) is popular and recommended by the AO group, the high rate of complications such as skin irritation and migration of the K-wires cannot be ignored. Ding's screw tension band wiring (DSTBW) is a new TBW technique that has shown positive results in the treatment of other fracture types. The objective of this study was to evaluate the stability of DSTBW in the treatment of olecranon fractures by biomechanical testing. We conducted a Synbone biomechanical model by using three fixation methods: DSTBW, intramedullary screw and tension band wiring (IM-TBW), and K-wire TBW, were simulated to fix the olecranon fractures. We compared the mechanical stability of DSTBW, IM-TBW, and TBW in the Mayo Type IIA olecranon fracture Synbone model using a single cycle loading to failure protocol or pullout force. During biomechanical testing, the average fracture gap measurements were recorded at varying flexion angles in three different groups: TBW, IM-TBW, and DSTBW. The TBW group exhibited measurements of 0.982 mm, 0.380 mm, 0.613 mm, and 1.285 mm at flexion angles of 0°, 30°, 60°, and 90° respectively. The IM-TBW group displayed average fracture gap measurements of 0.953 mm, 0.366 mm, 0.588 mm, and 1.240 mm at each of the corresponding flexion angles. The DSTBW group showed average fracture gap measurements of 0.933 mm, 0.358 mm, 0.543 mm, and 1.106 mm at the same flexion angles. No specimen failed in each group during the cyclic loading phase. Compared with the IM-TBW and TBW groups, the DSTBW group showed significant differences in 60° and 90° flexion angles. The mean maximum failure load was 1229.1 ± 110.0 N in the DSTBW group, 990.3 ± 40.7 N in the IM-TBW group, and 833.1 ± 68.7 N in the TBW group. There was significant difference between each groups (p < 0.001).The average maximum pullout strength for TBW was measured at 57.6 ± 5.1 N, 480.3 ± 39.5 N for IM-TBW, and 1324.0 ± 43.8 N for DSTBW. The difference between maximum pullout strength of both methods was significant to p < 0.0001. DSTBW fixation provides more stability than IM-TBW and TBW fixation models for olecranon fractures.
(© 2024. The Author(s).)
References: Clin Orthop Relat Res. 2002 Oct;(403):205-12. (PMID: 12360028)
J Shoulder Elbow Surg. 2019 Apr;28(4):e111-e116. (PMID: 30685273)
J Shoulder Elbow Surg. 2012 Mar;21(3):405-11. (PMID: 22036542)
Injury. 2013 Apr;44(4):518-22. (PMID: 23062670)
Clin Orthop Relat Res. 1987 Nov;(224):215-23. (PMID: 3665243)
Injury. 2023 Apr;54(4):1198-1202. (PMID: 36792403)
Injury. 2000 Jul;31(6):427-31. (PMID: 10831740)
J Biomech Eng. 2023 Dec 1;145(12):. (PMID: 37542709)
J Pediatr Orthop. 2017 Mar;37(2):e80-e82. (PMID: 26974528)
J Orthop Surg Res. 2016 Nov 14;11(1):137. (PMID: 27842568)
Injury. 1987 Jan;18(1):48-50. (PMID: 3440616)
J Shoulder Elbow Surg. 2020 Nov;29(11):2347-2352. (PMID: 32569869)
BMC Musculoskelet Disord. 2021 Dec 20;22(1):1045. (PMID: 34930181)
J Shoulder Elbow Surg. 2012 Dec;21(12):1637-43. (PMID: 22445161)
Arch Orthop Trauma Surg. 2021 Feb;141(2):245-251. (PMID: 32417960)
JSES Int. 2020 Jun 17;4(3):470-477. (PMID: 32939470)
J Orthop Surg Res. 2008 Feb 22;3:9. (PMID: 18294381)
Hand (N Y). 2019 Jul;14(4):554-559. (PMID: 29319350)
Int Orthop. 2014 Apr;38(4):847-55. (PMID: 24326359)
BMC Musculoskelet Disord. 2023 Jul 24;24(1):603. (PMID: 37488540)
Lancet. 1976 Nov 20;2(7995):1118-9. (PMID: 62952)
Z Unfallmed Berufskr. 1963;56:90-6. (PMID: 14049893)
J Bone Joint Surg Am. 1985 Dec;67(9):1396-401. (PMID: 3908460)
J Clin Diagn Res. 2013 Feb;7(2):339-41. (PMID: 23543816)
J Hand Surg Am. 2014 Dec;39(12):2438-43. (PMID: 25447004)
J Bone Joint Surg Am. 2003 May;85(5):831-7. (PMID: 12728033)
Injury. 2012 Mar;43(3):343-6. (PMID: 22077988)
J Hand Surg Am. 2014 Aug;39(8):1606-14. (PMID: 25070030)
J Shoulder Elbow Surg. 2020 Jun;29(6):1242-1248. (PMID: 32139286)
Cochrane Database Syst Rev. 2014 Nov 26;(11):CD010144. (PMID: 25426876)
JSES Rev Rep Tech. 2020 Dec 11;1(1):26-33. (PMID: 37588634)
فهرسة مساهمة: Keywords: Biomechanical study; Complications; Ding’s screw and tension band wiring; Olecranon fractures; Tension band wiring
تواريخ الأحداث: Date Created: 20240501 Date Completed: 20240501 Latest Revision: 20240513
رمز التحديث: 20240514
مُعرف محوري في PubMed: PMC11063218
DOI: 10.1038/s41598-024-60264-7
PMID: 38693300
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-2322
DOI:10.1038/s41598-024-60264-7