Scholarlink

Purpose <p>This study aims to describe a fixation technique for coronoid fractures using suture buttons, and to biomechanically evaluate this technique in comparison to screw fixation as a time-zero pilot study.</p> Methods <p>An O’Driscoll type 2 anteromedial coronoid facet (AMCF) fracture was simulated in 20 fresh-frozen human elbows. The specimens were randomized into two groups and fracture fixation was performed with either a suture button system or a 3.5&#xa0;mm cannulated screw. Ultimate load-to-failure (N) was then tested for each specimen.</p> Results <p>The mean load-to-failure was 322.6 ± 75.9&#xa0;N for suture button fixation and 314.2 ± 85.9&#xa0;N for screw fixation. The differences were not statistically significant (<i>p</i> = 0.432). Additional fracturing of the coronoid fragment was observed in two specimens with screw fixation.</p> Conclusion <p>Promising biomechanical evaluations show that this fixation technique using suture buttons in the treatment of coronoid fractures provides equal construct stability as screw fixation. Further studies are required to fully validate this procedure.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Suture button systems for coronoid fracture fixation: a biomechanical time-zero pilot study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月9日

查看全文
  • Sebastian Lappen,
  • Pavel Kadantsev,
  • Daniel Bohnet,
  • Stephanie Geyer,
  • Maximilian Hinz,
  • Christian Marx,
  • Sepp Braun,
  • Sebastian Siebenlist

摘要

Purpose

This study aims to describe a fixation technique for coronoid fractures using suture buttons, and to biomechanically evaluate this technique in comparison to screw fixation as a time-zero pilot study.

Methods

An O’Driscoll type 2 anteromedial coronoid facet (AMCF) fracture was simulated in 20 fresh-frozen human elbows. The specimens were randomized into two groups and fracture fixation was performed with either a suture button system or a 3.5 mm cannulated screw. Ultimate load-to-failure (N) was then tested for each specimen.

Results

The mean load-to-failure was 322.6 ± 75.9 N for suture button fixation and 314.2 ± 85.9 N for screw fixation. The differences were not statistically significant (p = 0.432). Additional fracturing of the coronoid fragment was observed in two specimens with screw fixation.

Conclusion

Promising biomechanical evaluations show that this fixation technique using suture buttons in the treatment of coronoid fractures provides equal construct stability as screw fixation. Further studies are required to fully validate this procedure.