The use of three types of suture and stainless steel wire tension banding for the fixation of simulated olecranon fractures: a comparison study in cadaver elbows

The Journal of Bone and Joint Surgery. British Volume
S J Lalliss, J G Branstetter

Abstract

Using an osteotomy of the olecranon as a model of a transverse fracture in 22 cadaver elbows we determined the ability of three different types of suture and stainless steel wire to maintain reduction when using a tension-band technique to stabilise the bone. Physiological cyclical loading simulating passive elbow movement (15 N) and using the arms to push up from a chair (450 N) were applied using an Instron materials testing machine whilst monitoring the osteotomy site with a video extensometer. Each osteotomy was repaired by one of four materials, namely, Stainless Steel Wire (7), No 2 Ethibond (3), No 5 Ethibond (5), or No 2 FiberWire (7). There were no failures (movement of > 2 mm) with stainless steel wire or FiberWire and no significant difference in the movements measured across the site of the osteotomy (p = 0.99). The No. 2 Ethibond failed at 450 N and two of the five of No. 5 Ethibond sutures had a separation of > 2 mm at 450 N. FiberWire as the tension band in this model held the reduction as effectively as stainless steel wire and may reduce the incidence of discomfort from the hardware. On the basis of our findings we suggest that a clinical trial should be undertaken.

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Citations

Feb 23, 2013·The Journal of Hand Surgery·Nicolai Baecher, Scott Edwards
Apr 7, 2015·Journal of Shoulder and Elbow Surgery·Dexter K BatemanJoseph A Abboud
Jan 5, 2017·Musculoskeletal Surgery·A J PowellT Nunn
Feb 24, 2015·Strategies in Trauma and Limb Reconstruction·Marc L WagenerDenise Eygendaal
Feb 14, 2014·Clinical Orthopaedics and Related Research·Hendrik J A FlintermanPeter Kloen
Jan 1, 2015·Journal of Orthopaedic Surgery·J F HenselerP D S Dijkstra
Aug 8, 2015·Clinical Orthopaedics and Related Research·Femke M A P ClaessenDavid Ring
Oct 9, 2018·Journal of Children's Orthopaedics·C A PerkinsS C Willimon
Mar 7, 2020·Journal of Shoulder and Elbow Surgery·Kaare Sourin MidtgaardGunnar B Flugsrud
Mar 16, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Omid NazifiAaron Tay

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