Candy box technique for the fixation of inferior pole patellar fractures: finite element analysis and biomechanical experiments.

ABSTRACT:

Background

Maintaining effective reduction and firm fixation in inferior pole patellar fractures is a highly challenging task. There are various treatment methods available; although tension-band wiring combined with cerclage wiring (TBWC) is the mainstream approach, its effectiveness is limited. Herein, we propose and evaluate a new technique called candy box (CB), based on separate vertical wiring (SVW), for the treatment of inferior pole patellar fractures. Specifically, we provide biomechanical evidence for its clinical application.

Methods

Five fixation models were built: SVW combined with cerclage wiring (SVWC); TBWC; modified SVW with the middle (MSVW-A) or upper (MSVW-B) 1/3 of the steel wire reserved, and CB. A finite element analysis was performed to compare the di

SUBMITTER: Fan W 

PROVIDER: S-EPMC10594795 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature