The Effect of Ding's Screw and Tension Band Wiring for Treatment of Olecranon Fractures: a Finite Element Study

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2023 Jul 24

PMID 37488540

Authors

Nuo Yin

Mingmang Pan

Chenglei Li

Li Du

Liang Ding

Affiliations

Soon will be listed here.

Abstract

Background: Tension band wiring (TBW) is a common surgical intervention for olecranon fractures. However, high rate of complications such as loss of reduction, skin irritation, and migration of the K-wires were reported up to 80%. Ding's screw tension band wiring (DSTBW) is a new TBW technique that has shown positive results in the treatment of other fracture types. The objective of this study was to evaluate the stability of DSTBW in the treatment of olecranon fractures by finite element analysis.

Method: We used Ding's screw tension band fixation (DSTBW) and K-wire tension band fixation (TBW) to establish a finite element model to simulate and fix olecranon fractures. The stress distribution, opening angle, twisting angle, and pullout strength of K-wires or screws were analyzed and compared.

Results: The maximum von Mises stress was observed on the internal fixation for 90° elbow motion in both groups. The von Mises value of the screw in DSTBW was 241.2 MPa, and the von Mises value of k-wire in TBW was 405.0 MPa. Opening angle: TBW was 0.730° and DSTBW was 0.741° at 45° flexion; TBW was 0.679° and DSTBW was 0.693° at 90° flexion. Twisting angle: TBW was 0.146° and DSTBW was 0.180° at 45° flexion; TBW was 0.111° and DSTBW was 0.134° at 90° flexion. The pullout strength of DSTBW was significantly higher than that of TBW. Maximum pullout strength of Ding's screw was 2179.1 N, maximum pullout strength of K-wire was 263.6 N.

Conclusion: DSTBW technology provides stable fixation for olecranon fractures, reducing the risk of internal fixation migration and failure.

Citing Articles

The effect of Ding's screws and tension band wiring for treatment of olecranon fractures: a biomechanical study.

Zhao Y, Tian H, Yin N, Du L, Pan M, Ding L Sci Rep. 2024; 14(1):9999.

PMID: 38693300 PMC: 11063218. DOI: 10.1038/s41598-024-60264-7.

A novel technique of a new cannulated screw for treatment of inferior pole patellar fractures: a finite element study.

Pan M, Yin N, Du L, Xue F, Shen Y, Ding L J Orthop Surg Res. 2023; 18(1):795.

PMID: 37875974 PMC: 10594702. DOI: 10.1186/s13018-023-04299-y.

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