Biomechanical Comparison of Single- and Double-Twist Tension Band, Cancellous Screw, and Single-Screw Tension Band Models in Medial Malleolus Fractures

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dc.contributor.authorNusran, Gurdal
dc.contributor.authorYilmaz, Onur
dc.contributor.authorMutlu, Ibrahim
dc.contributor.authorKuru, Tolgahan
dc.contributor.authorErken, H. Yener
dc.date.accessioned2025-05-29T02:57:20Z
dc.date.available2025-05-29T02:57:20Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: Models using a double-twist tension band, two partially threaded cancellous screws, a single-twist tension band, and a single-screw tension band were biomechanically compared for fixation of medial malleolus fractures. Methods: All 72 composite cortical tibial bones used in the study were osteotomy suitable for medial malleolus fracture. They were divided into four groups: double-twist tension band (group 1), two partially threaded cancellous screws (group 2), single-twist tension band (group 3), and single-screw tension band (group 4), with 18 composite tibial bones in each group. Bones in each group were divided into three subgroups and subjected to biomechanical tests by applying force as tension, transverse, and axial loading. Results: In the tension and transverse loading tests, the highest mean stiffness was in groups 1 and 4. Group 4 had statistically significantly higher stiffness values than groups 2 and 3. All of the other groups had statistically significantly higher stiffness values than group 2. A statistically significant difference was found comparing group 4 (with the highest value in the axial loading test) with the other groups. No significant difference was found between groups 1 and 3 in any of the biomechanical tests. Conclusions: Tension band method did not make a difference biomechanically when applied as a double or single twist. Single-screw tension band was found to be the most stable fixation method in tension, transverse, and axial loading tests. We think that the single-screw tension band method is a stable and suitable fixation method and should find more place in current surgical practices.
dc.description.sponsorshipScientific Research Coordination Unit of C , anakkale Onsekiz Mart University [TSA-2020-3173]
dc.description.sponsorshipFinancial Disclosure: This work was supported by the Scientific Research Coordination Unit of C , anakkale Onsekiz Mart University (project TSA-2020-3173) .
dc.identifier.doi10.7547/22-172
dc.identifier.endpage9
dc.identifier.issn8750-7315
dc.identifier.issn1930-8264
dc.identifier.issue1
dc.identifier.pmid40127019
dc.identifier.scopus2-s2.0-105001543292
dc.identifier.scopusqualityQ3
dc.identifier.startpage9
dc.identifier.urihttps://doi.org/10.7547/22-172
dc.identifier.urihttps://hdl.handle.net/20.500.12428/30001
dc.identifier.volume115
dc.identifier.wosWOS:001464870800019
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAmer Podiatric Med Assoc
dc.relation.ispartofJournal of the American Podiatric Medical Association
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250529
dc.subjectFixation
dc.titleBiomechanical Comparison of Single- and Double-Twist Tension Band, Cancellous Screw, and Single-Screw Tension Band Models in Medial Malleolus Fractures
dc.typeArticle

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