Biomechanical Assessment of Locked Plating for the Fixation of Patella Fractures.

Abstract:

OBJECTIVE:To analyze the mechanical stability of locked plating in comparison with tension-band wiring for the fixation of fractures of the patella. METHODS:Biomechanical tests were performed on artificial foam patella specimens comparing an angular stable plate and monocortical screws with tension-band wiring. Tests were performed under combined tension and bending until failure simulating physiological loading of the tibia during walking. RESULTS:Tension-band wiring failed at 66% of the failure load of plating (1052 N, P = 0.002) and had 5 times larger fracture gap displacements (P = 0.002). CONCLUSIONS:Based on the biomechanical advantages, locked plating of the patella may constitute a reasonable alternative in the treatment of patella fractures.

journal_name

J Orthop Trauma

authors

Wurm S,Augat P,Bühren V

doi

10.1097/BOT.0000000000000309

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

e305-8

issue

9

eissn

0890-5339

issn

1531-2291

pii

00005131-201509000-00013

journal_volume

29

pub_type

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