Biomechanical studies on transverse olecranon and patellar fractures: a systematic review with the development of a new scoring method.

Autor: Traa WA; Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands., Oomen PJ, den Hamer A, Heusinkveld MH, Maffulli N
Jazyk: angličtina
Zdroj: British medical bulletin [Br Med Bull] 2013; Vol. 108, pp. 131-57. Date of Electronic Publication: 2013 Jul 31.
DOI: 10.1093/bmb/ldt020
Abstrakt: Introduction: Several methods of transverse patellar and olecranon fixation have been described. This article compares biomechanical studies of various fixation methods using a newly developed scoring method.
Source of Data: The databases PubMed, Web of Science, Science Direct, Google Scholar and Google were searched for relevant studies.
Areas of Agreement: Fixation hardware failure remains a problem. Various materials and fixation techniques have been tested to provide an improved fixation of transverse olecranon and patellar fractures.
Areas of Controversy: The difference in biomechanical testing setup between the studies makes it hard to compare different fixation techniques.
Growing Points: The newly developed grading method was proved to be unbiased and reliable; however, extra specifications need to be added at some criteria when adopting the scoring method.
Areas Timely for Developing Research: Non-metallic constructs may provide an improvement to the currently used metallic tension band wiring technique; however, clinical research is required.
Databáze: MEDLINE