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

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dc.contributor.authorKuru, Tolgahan
dc.contributor.authorAkpinar, Fuat
dc.contributor.authorIsik, Cengiz
dc.contributor.authorOzkilic, Recai
dc.contributor.authorIpek, Serdar
dc.contributor.authorMutlu, Ibrahim
dc.contributor.authorKizilay, Hasan
dc.date.accessioned2025-01-27T21:21:22Z
dc.date.available2025-01-27T21:21:22Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: This study aims to compare the biomechanical features of a new handy tension hand with the malleolar screw, bicortical screw and conventional tension hand for the fixation of transverse medial malleolar fractures. Materials and methods: This study used 20 Kirschner wires, five cerclage wires, six double-hole U pins, six cortical screws, six malleolar screws, three malleolar clamps and one osteotomy set. A total of 24 tibias of two-year-old cows were obtained and stripped from soft tissue. Each tibia was cut with an electric saw at 15 cm proximal to the tibiotalar joint surface and the proximal tibia sections were discarded. A transverse fracture line was created with an asteotome on the medial malleolus. The tibias were separated into four groups with six tibias in each group. The distal tibia medial malleolar transverse fragments were fixed under guidance of fluoroscopy with the malleolar screw, bicortical screw, conventional tension band and the new handy tension band. Results: In the application of both transverse and axial force, the new handy tension band resisted higher forces in respect of catastrophic damage force being more resistant compared to the bicortical screw, malleolar screw and conventional tension band. However, in respect of the 2 mm displacement force of the forces applied in the axial and transverse sections, no difference was determined between the handy tension hand and the other three implants. Conclusion: The new handy tension band seems to be more successful when hiomechanically compared with the other implants.
dc.description.sponsorshipScientific Research Project of Abant Izzet Baysal University
dc.description.sponsorshipThe authors received financial support from the Scientific Research Project of Abant Izzet Baysal University.
dc.identifier.doi10.5606/ehc.2019.66919
dc.identifier.endpage308
dc.identifier.issn1305-8282
dc.identifier.issn1309-0313
dc.identifier.issue3
dc.identifier.pmid31650929
dc.identifier.scopus2-s2.0-85074090019
dc.identifier.scopusqualityN/A
dc.identifier.startpage301
dc.identifier.trdizinid378466
dc.identifier.urihttps://doi.org/10.5606/ehc.2019.66919
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/378466
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28915
dc.identifier.volume30
dc.identifier.wosWOS:000495358300018
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Joint Diseases Foundation
dc.relation.ispartofEklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectBicortical screw
dc.subjectbiomechanics
dc.subjectmedial malleolar fracture
dc.subjecttension band
dc.titleBiomechanical comparison of a new handy tension band with malleolar screw, bicortical screw and conventional tension band for the fixation of transverse medial malleolar fractures
dc.typeArticle

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