Distal Clavicle Fractures

Seppel, Gernot; Imhoff, Andreas B.

doi:10.1007/978-3-319-97602-0_10

Cited by 1 publication

(1 citation statement)

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“…Suture button xation techniques are well established in the management of various joint pathologies, such as acromioclavicular joint dislocations [4] or injuries of the syndesmoses [5], as well as in the management of fractures such as avulsion fractures of the posterior cruciate ligament [6], distal clavicular fractures [7], and glenoid fractures [8]. Suture button systems offer several advantages: besides their technical ease of use, they allow for bone sparing xation, which is particularly bene cial in the xation of small fracture fragments.…”

Section: Introductionmentioning

confidence: 99%

Suture Button Systems for Coronoid Fracture Fixation: A Biomechanical Time-Zero Pilot Study

Lappen,

Kadantsev,

Bohnet

et al. 2024

Preprint

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Purpose: This study aims to describe a fixation technique for coronoid fractures using suture buttons, and to biomechanically evaluate this technique in comparison to screw fixation as a time-zero pilot study. Methods: An O'Driscoll type 2 anteromedial coronoid facet (AMCF) fracture was simulated in 20 fresh-frozen human elbows. The specimens were randomized into two groups and fracture fixation was performed with either a suture button system or a 3.5 mm cannulated screw. Ultimate load-to-failure (N) was then tested for each specimen. Results: The mean load-to-failure was 322.6 ± 75.9 N for suture button fixation and 314.2 ± 85.9 N for screw fixation. The differences were not statistically significant (p = 0.432). Additional fracturing of the coronoid fragment was observed in two specimens with screw fixation. Conclusion: Promising biomechanical evaluations show that this fixation technique using suture buttons in the treatment of coronoid fractures provides equal construct stability as screw fixation. Further studies are required to fully validate this procedure.

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Section: Introductionmentioning

confidence: 99%