Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures

Isik, cengiz; Özkılıç, Recai; Akpinar, Fuat; Kuru, Tolgahan; İPEK, SERDAR; KIZILAY, HASAN; MUTLU, İbrahim

doi:10.5606/ehc.2019.66919

Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures

Tolgahan KURU, (Onsekiz Mart Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Çanakkale, Türkiye)

Fuat AKPINAR, (Medeniyet Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Cengiz IŞIK, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bolu, Türkiye)

Recai ÖZKILIÇ, (Düzce Atatürk Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Düzce, Türkiye)

Serdar İPEK, (Aksaray Üniversitesi, Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Bölümü, Aksaray, Türkiye)

İbrahim MUTLU, (Kocaeli Üniversitesi, Teknoloji Fakültesi, Biyomedikal Mühendisliği Bölümü, Kocaeli, Türkiye)

Hasan KIZILAY (Gerede Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Bolu, Türkiye)

Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.)

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Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 301 - 308 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.66919 İndeks Tarihi: 20-11-2020

Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures

Öz:

Objectives: This study aims to compare the biomechanical featuresof a new handy tension band with the malleolar screw, bicortical screwand conventional tension band for the fixation of transverse medialmalleolar fractures.Materials and methods: This study used 20 Kirschner wires,five cerclage wires, six double-hole U pins, six cortical screws, sixmalleolar screws, three malleolar clamps and one osteotomy set. Atotal of 24 tibias of two-year-old cows were obtained and stripped fromsoft tissue. Each tibia was cut with an electric saw at 15 cm proximalto the tibiotalar joint surface and the proximal tibia sections werediscarded. A transverse fracture line was created with an osteotomeon the medial malleolus. The tibias were separated into four groupswith six tibias in each group. The distal tibia medial malleolartransverse fragments were fixed under guidance of fluoroscopy withthe malleolar screw, bicortical screw, conventional tension band andthe new handy tension band.Results: In the application of both transverse and axial force, the newhandy tension band resisted higher forces in respect of catastrophicdamage force being more resistant compared to the bicortical screw,malleolar screw, and conventional tension band. However, in respectof the 2 mm displacement force of the forces applied in the axial andtransverse sections, no difference was determined between the handytension band and the other three implants.Conclusion: The new handy tension band seems to be moresuccessful when biomechanically compared with the other implants.

Anahtar Kelime:

Transvers medial malleolar kırıklarının sabitlenmesinde yeni kullanışlı bir gergi bandının malleolar vida, bikortikal vida ve geleneksel gergi bandı ile biyomekanik karşılaştırması

Öz:

Amaç: Bu çalışmada, transvers medial malleolar kırıklarının sabitlenmesinde yeni kullanışlı bir gergi bandının biyomekanik özellikleri malleolar vida, bikortikal vida ve geleneksel gergi bandı ile karşılaştırıldı. Gereç ve yöntemler: Çalışmada 20 Kirschner teli, beş serklaj teli, altı çift delikli U pin, altı kortikal vida, altı malleolar vida, üç malleolar klemp ve bir osteotomi seti kullanıldı. İki yaşında sığırların toplam 24 tibiası elde edilerek yumuşak dokudan sıyrıldı. Her tibia elektrikli bir testere ile tibiotalar eklem yüzeyinin 15 cm proksimalinde kesildi ve proksimal tibia bölümleri atıldı. Medial malleolus üzerinde osteotom ile transvers bir kırık hattı oluşturuldu. Tibialar her grupta altı tibia olmak üzere dört gruba ayrıldı. Distal tibia medial malleolar transvers fragmanları floroskopi kılavuzluğunda malleolar vida, bikortikal vida, geleneksel gergi bandı ve yeni kullanışlı gergi bandı ile sabitlendi. Bulgular: Hem transvers hem de aksiyel kuvvet uygulamasında, yeni kullanışlı gergi bandı katastrofik hasar kuvveti açısından daha yüksek kuvvetlere direnç göstermiş olup bikortikal vida, malleolar vida ve geleneksel gergi bandına kıyasla daha dirençliydi. Ancak aksiyel ve transvers kesitlere uygulanan kuvvetlerin 2 mm deplasman kuvveti açısından yeni kullanışlı gergi bandı ve diğer üç implant arasında farklılık saptanmadı. Sonuç: Yeni kullanışlı gergi bandı diğer implantlarla biyomekanik olarak karşılaştırıldığında daha başarılı görünmektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kuru T, Akpinar F, Isik c, Özkılıç R, İPEK S, MUTLU İ, KIZILAY H (2019). Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. , 301 - 308. 10.5606/ehc.2019.66919
Chicago	Kuru Tolgahan,Akpinar Fuat,Isik cengiz,Özkılıç Recai,İPEK SERDAR,MUTLU İbrahim,KIZILAY HASAN Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. (2019): 301 - 308. 10.5606/ehc.2019.66919
MLA	Kuru Tolgahan,Akpinar Fuat,Isik cengiz,Özkılıç Recai,İPEK SERDAR,MUTLU İbrahim,KIZILAY HASAN Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. , 2019, ss.301 - 308. 10.5606/ehc.2019.66919
AMA	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. . 2019; 301 - 308. 10.5606/ehc.2019.66919
Vancouver	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. . 2019; 301 - 308. 10.5606/ehc.2019.66919
IEEE	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H "Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures." , ss.301 - 308, 2019. 10.5606/ehc.2019.66919
ISNAD	Kuru, Tolgahan vd. "Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures". (2019), 301-308. https://doi.org/10.5606/ehc.2019.66919

APA	Kuru T, Akpinar F, Isik c, Özkılıç R, İPEK S, MUTLU İ, KIZILAY H (2019). Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30(3), 301 - 308. 10.5606/ehc.2019.66919
Chicago	Kuru Tolgahan,Akpinar Fuat,Isik cengiz,Özkılıç Recai,İPEK SERDAR,MUTLU İbrahim,KIZILAY HASAN Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30, no.3 (2019): 301 - 308. 10.5606/ehc.2019.66919
MLA	Kuru Tolgahan,Akpinar Fuat,Isik cengiz,Özkılıç Recai,İPEK SERDAR,MUTLU İbrahim,KIZILAY HASAN Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.30, no.3, 2019, ss.301 - 308. 10.5606/ehc.2019.66919
AMA	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 301 - 308. 10.5606/ehc.2019.66919
Vancouver	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2019; 30(3): 301 - 308. 10.5606/ehc.2019.66919
IEEE	Kuru T,Akpinar F,Isik c,Özkılıç R,İPEK S,MUTLU İ,KIZILAY H "Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 30, ss.301 - 308, 2019. 10.5606/ehc.2019.66919
ISNAD	Kuru, Tolgahan vd. "Biomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 30/3 (2019), 301-308. https://doi.org/10.5606/ehc.2019.66919