4.4 Article

Biomechanical studies on transverse olecranon and patellar fractures: a systematic review with the development of a new scoring method

Journal

BRITISH MEDICAL BULLETIN
Volume 108, Issue 1, Pages 131-157

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/bmb/ldt020

Keywords

patellar fracture; olecranon fracture; internal fixation; tension band wiring

Funding

  1. Royal DSM Biomedical: Europe (Geleen, the Netherlands)

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Introduction: Several methods of transverse patellar and olecranon fixation have been described. This article compares biomechanical studies of various fixation methods using a newly developed scoring method. Source of data: The databases PubMed, Web of Science, Science Direct, Google Scholar and Google were searched for relevant studies. Areas of agreement: Fixation hardware failure remains a problem. Various materials and fixation techniques have been tested to provide an improved fixation of transverse olecranon and patellar fractures. Areas of controversy: The difference in biomechanical testing setup between the studies makes it hard to compare different fixation techniques. Growing points: The newly developed grading method was proved to be unbiased and reliable; however, extra specifications need to be added at some criteria when adopting the scoring method. Areas timely for developing research: Non-metallic constructs may provide an improvement to the currently used metallic tension band wiring technique; however, clinical research is required.

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