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Biomechanical studies on transverse olecranon and patellar fractures: a systematic review with the development of a
Willeke A Traa1, Pim J A Oomen, Anniek den Hamer
1Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.
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.
