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Suture anchor versus screw fixation for greater tuberosity fractures of the humerus—a biomechanical study
Author(s) -
Lin ChengLi,
Hong ChihKai,
Jou IMing,
Lin ChiiJeng,
Su FongChin,
Su WeiRen
Publication year - 2012
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.21530
Subject(s) - cadaveric spasm , fixation (population genetics) , greater tuberosity , medicine , orthodontics , humerus , displacement (psychology) , fibrous joint , ultimate load , biomechanics , surgery , anatomy , structural engineering , psychology , population , environmental health , psychotherapist , finite element method , engineering
Suture anchors and screws are commonly used for fixation of humeral greater tuberosity (GT) fractures in either arthroscopic or open surgeries, but no biomechanical studies have been performed to compare the strength of fixation constructs using these two implants. This cadaveric study aimed to compare the biomechanical strength of three different fixation constructs in the management of GT fractures: Double‐Row Suture Anchor Fixation (DR); Suture‐Bridge Technique using suture anchors and knotless suture anchors (SB); and Two‐Screw Fixation (TS). The experimental procedure was designed to assess fracture displacement after cyclic loading, failure load, and failure mode of the fixation construct. Significant differences were found among the SB (321 N), DR (263 N), and TS (187 N) groups (SB > DR > TS, p < 0.05) in the mean force of cyclic loading to create 3 mm displacement. Regarding the mean force of cyclic loading to create 5 mm displacement and ultimate failure load, no significant difference was found between the DR (370 N, 480 N) and SB (399 N, 493 N) groups, but both groups achieved superior results compared with the TS group (249 N, 340 N) ( p < 0.05). The results suggested that the suture anchor constructs would be stronger than the fixation construct using screws for the humeral GT fracture. © 2011 Orthopaedic Research Society Published by Wiley Periodicals, Inc. J Orthop Res 30:423–428, 2012