Bacaksız T, Kazimoglu C, Reisoglu A, Turgut A, Kumtepe E, Agus H. Optimum Screw Configuration for the Fixation of Sanders Type IIC Tongue-Type Fractures?
A Biomechanical Study.
J Am Podiatr Med Assoc 2018;
108:20-26. [PMID:
29547039 DOI:
10.7547/16-140]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND
The minimally invasive technique (percutaneous screw fixation) is one of the options for treating tongue-type IIC fractures successfully. The aim of this study was to assess the biomechanics of four different screw configurations used for the fixation of tongue-type IIC calcaneal fractures.
METHODS
Identical osteotomies, recapitulating a type IIC injury, were created in synthetic calcaneus specimens using a saw. The specimens were randomly assigned to one of the four fixation groups (n = 7 per group): two divergent screws, two parallel screws, two parallel screws plus one screw axially oriented toward the sustentaculum tali, and three parallel screws. A load test was performed on all of the groups, and the specimens were then tested using offset axial loading until 2, 4, and 5 mm of fracture displacement occurred.
RESULTS
Mean force values for the three-parallel screw construct at 2-, 4-, and 5-mm fracture displacements were found to be significantly higher compared with those for the other groups.
CONCLUSIONS
The use of a three-parallel screw construct seems to provide more stability in the treatment of tongue-type IIC fractures.
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