The effect of different pin configurations on cyclic stability in pediatric proximal humerus fracture fixation: A Sawbones model study


Kaya M., Karahan N.

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, vol.53, no.6, pp.1824-1828, 2022 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 53 Issue: 6
  • Publication Date: 2022
  • Doi Number: 10.1016/j.injury.2022.02.032
  • Journal Name: INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Abstracts in Social Gerontology, Aerospace Database, CINAHL, Communication Abstracts, EMBASE, MEDLINE, Metadex, SportDiscus, Civil Engineering Abstracts
  • Page Numbers: pp.1824-1828
  • Keywords: Sawbones model, Pediatric proximal humeral fracture, Cyclic torsional load values, CHILDREN, MANAGEMENT, BONE
  • Marmara University Affiliated: No

Abstract

Background: In sawbones with proximal humerus fracture model, three different fixation configurations, Parallel-Straight K-wires, Cross-Straight K-wires and Palm-Tree Method, were biomechanically compared. Methods: A total of 36 anatomical pediatric humerus sawbones models were used. They were divided into three equal groups; parallel fixation with straight K-wires (Group PS), cross fixation with straight K-wires (Group CS), and Palm-Tree Method (Group PT). Models were tested in abduction and torsional at a speed of 0.5 mm/s and a 0-5 mm displacement range. Loading (N) and Stiffness (N/mm) data were calculated and compared statistically. Results: Group PS was significantly higher than the other two groups in abduction bending cyclic load values ( P < 0.001). It was also significantly higher in Group CS than in Group PT ( P < 0.001). No signif-icant differences were detected between the three different fixation groups' cyclic torsional load values ( p < 0.05). Conclusion: The parallel configuration with straight K-wires will provide a more stable fixation than the cross configuration with straight or Palm-Tree Method in pediatric proximal humeral sawbones fracture modeling.(c) 2022 Elsevier Ltd. All rights reserved.