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Comparison of two surgical techniques for the treatment of transverse olecranon fractures: A finite element study
Author(s) -
Civan Osman,
Ugur Levent,
Yildiz Gurkan
Publication year - 2021
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2265
Subject(s) - olecranon , elbow , transverse plane , medicine , elbow flexion , orthodontics , materials science , surgery , anatomy
Background In this study, we aimed to compare the stability of traditional tension band wiring (TBW) and screw combined TBW (SC‐TBW) fixation methods performed for a transverse olecranon osteotomy‐fracture during different degrees of elbow movement by using finite element analysis. Methods Three‐dimensional solid modeling of the olecranon was obtained by computed tomography images. Transverse olecranon fracture was created and fixed by TBW and SC‐TBW with respect to triceps muscle force. Opening angle, twisting angle and interplanar translation occurring on the fracture line were evaluated at 45° and 90° elbow flexion. Results Opening angle: 0.71°, 0.87° at 45° and 0.64°, 0.67° at 90° elbow flexion for TBW and SC‐TBW, respectively. Twisting angle: −0.01°, −0.19° at 45° flexion and 0.19°, 0.30° at 90° flexion for TBW and SC‐TBW, respectively. Interplanar translation: 1.93 mm, 4.65 mm at 45° flexion and 1.78 mm, 3.95 mm at 90° flexion for TBW and SC‐TBW, respectively. Conclusion TBW fixation provides more stability than SC‐TBW fixation model.