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Augmented cerclage wire improves the fixation strength of a two-screw construct for humerus split type greater tuberosity fracture: A biomechanical study

BMC Musculoskeletal Disorders Apr 16, 2021

Chang CJ, Su WR, Hsu KL, et al. - Researchers made a simple modification of the two-screw construct by adding a cerclage wire to the two-screw construct to improve the biomechanical strength of screw fixation in greater tuberosity (GT) fractures. A biomechanical study was performed to examine the impact of this modification on the fixation of GT fractures. In this study, 16 fresh-frozen human cadaveric shoulders were applied. They used Horizontal traction via a stainless steel cable fixed directly to the myotendinous junction of the supraspinatus muscle. They further assessed displacement of the fracture fixation under a pulling force of 100 N/200 N and loading force to construct failure. The current biomechanical cadaveric study illustrated that in comparison with the conventional two-screw configuration for the fixation of humeral GT fractures, the two-screw fixation construct augmented with a cerclage wire has higher mechanical performance.

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