000			03653nam a22005417a 4500
008			171213s20172017 xxu||||| |||| 00| 0 eng d
022			_a0363-5023
040			_aOvid MEDLINE(R)
099			_a28052832
245			_aFixation of Regan-Morrey Type II Coronoid Fractures: A Comparison of Screws and Suture Lasso Technique for Resistance to Displacement.
251			_aJournal of Hand Surgery - American Volume. 42(1):e11-e14, 2017 Jan
252			_aJ Hand Surg [Am]. 42(1):e11-e14, 2017 Jan
253			_aThe Journal of hand surgery
260			_c2017
260			_fFY2017
266			_d2017-12-13
501			_aAvailable in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520			_aCLINICAL RELEVANCE: Clinical studies have reported a higher rate of failure after screw fixation compared with suture lasso fixation; however, this study demonstrated a greater stiffness and load to failure after screw fixation of type II coronoid fractures. Screw fixation may provide a stronger fixation construct for fractures of adequate size to support a screw. Further studies may be warranted to assess the importance of securing the anterior capsule to the coronoid tip when using a suture lasso construct because this may affect the stability of the elbow after fixation.
520			_aCONCLUSIONS: Screw fixation was biomechanically superior to fixation using a suture lasso technique. For coronoid fractures in which screw or suture fixation is feasible, screw fixation may provide greater resistance to displacement of the coronoid compared with a suture lasso technique.
520			_aCopyright (c) 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
520			_aMETHODS: We performed a biomechanical study using 10 pairs of fresh-frozen cadaveric elbows. A transverse osteotomy at the midpoint of the coronoid height was created to simulate a Regan-Morrey type II coronoid fracture. The specimens were randomized to screw fixation or suture lasso fixation. The load to failure and stiffness were then measured using a materials testing machine.
520			_aPURPOSE: The aim of this study was to compare the load to failure and stiffness achieved in coronoid fractures treated with a posterior-to-anterior screw versus a suture lasso technique.
520			_aRESULTS: Screw fixation provided greater strength and stiffness than suture lasso fixation. Mean load to failure was 405 N in the screw fixation group compared with a load to failure of 207 N for suture fixation. Screw fixation resulted in a mean stiffness of 284 kPa/mm compared with 119 kPa/mm after suture fixation.
546			_aEnglish
650			_a*Bone Screws
650			_a*Elbow Joint/in [Injuries]
650			_a*Elbow Joint/su [Surgery]
650			_a*Fracture Fixation, Internal/is [Instrumentation]
650			_a*Suture Techniques
650			_a*Ulna Fractures/su [Surgery]
650			_aBiomechanical Phenomena
650			_aCadaver
650			_aEquipment Failure Analysis
650			_aHumans
650			_aMaterials Testing
651			_aCurtis National Hand Center
651			_aMedStar Union Memorial Hospital
656			_aOrthopaedic Surgery
657			_aComparative Study
657			_aJournal Article
700			_aIannuzzi, Nicholas P
700			_aMurphy, Michael S
700			_aPaez, Adrian G
700			_aParks, Brent G
790			_aIannuzzi NP, Murphy MS, Paez AG, Parks BG
856			_uhttps://dx.doi.org/10.1016/j.jhsa.2016.11.003 _zhttps://dx.doi.org/10.1016/j.jhsa.2016.11.003
942			_cART _dArticle
999			_c2921 _d2921