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Predrilled locking compression plate is more accurate than tension band wiring in restoring articular geometry of the ulnar greater sigmoid notch after olecranon chevron osteotomy

Injury May 21, 2020

Goetti P, Behrends DA, Gallusser N, et al. - This study was attempted to assess whether and how predrilled locking compression plate is more accurate than tension band wiring in restoring articular geometry of the ulnar greater sigmoid notch after olecranon Chevron osteotomy. Researchers collected lateral standardised and calibrated radiographs of twenty synthetic ulnar bones applying a custom-made holder prior to preparation by a senior orthopaedic trauma surgeon. A 0.6 mm oscillating saw was applied to conduct a distal “V” olecranon Chevron osteotomy (OCO). They further assessed the diameter of the best-fitting circle (diameter), the distance between the tip of the coronoid and the olecranon processes (distance) and the maximum articular depth. The data exhibit that the predrilled LCP procedure was found to be more accurate than the predrilled tension band wiring in restoring the anatomic articular geometry of the ulnar greater sigmoid notch after OCO.

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