Schneppendahl, Johannes, Thelen, Simon, Gehrmann, Sebastian, Twehues, Soeren, Eichler, Christian, Koebke, Juergen, Windolf, Joachim, Hakimi, Mohssen and Wild, Michael (2012). Biomechanical stability of different suture fixation techniques for tibial eminence fractures. Knee Surg. Sports Traumatol. Arthrosc., 20 (10). S. 2088 - 2094. NEW YORK: SPRINGER. ISSN 0942-2056

Full text not available from this repository.

Abstract

Displaced tibial eminence fractures require surgical fixation in order to obtain a stable knee joint. Suture fixation with FiberWire(A (R)) seems to be the most favorable therapeutic option. Biomechanical studies show failure of this technique most commonly due to a suture cutout with subsequent fracture of the tibial eminence fragment. The goal of this study is to compare the biomechanical properties of three different techniques of suture fixation using FiberWire(A (R)). Bone mineral density was evaluated in 18 human knee specimens by pqCT, and three similar groups were formed. A standardized anterior tibial eminence fracture was created, and suture fixation was performed using one of three different techniques in 6 specimens each. Cyclic and destructive testing was conducted. Significant differences between the three techniques could be shown neither in the cycles needed to achieve a steady state nor in a failure load or initial stiffness. Almost all specimens failed by suture cutout. The presented modification of the existing technique for suture fixation of tibial eminence fractures did not lead to an increased initial stability nor did it lower the rate of suture cutout. All tested suture techniques showed comparable initial stiffness and failure load.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schneppendahl, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thelen, SimonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gehrmann, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Twehues, SoerenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichler, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koebke, JuergenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Windolf, JoachimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hakimi, MohssenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wild, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-481963
DOI: 10.1007/s00167-011-1838-9
Journal or Publication Title: Knee Surg. Sports Traumatol. Arthrosc.
Volume: 20
Number: 10
Page Range: S. 2088 - 2094
Date: 2012
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 0942-2056
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ANTERIOR CRUCIATE LIGAMENT; INTERCONDYLAR EMINENCE; ARTHROSCOPIC FIXATION; AVULSION FRACTURES; SCREW FIXATION; SPINE; CHILDREN; ADULTS; REDUCTION; FAILUREMultiple languages
Orthopedics; Sport Sciences; SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/48196

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item