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Roles of the screw types, proximity and anterior band wiring in the surgical fixation of transverse patellar fractures: A finite element investigation

BMC Musculoskeletal Disorders Mar 08, 2019

Chen CH, et al. - Investigators assessed the data to delineate the significance of screw types, proximity and anterior band wiring in the fixation of transverse patellar fractures surgically. While increasing the contact area at the fracture site, they found an incline in the stability of the fractured patella by reducing fragment displacement, fracture gap formation, and contact pressure due to full thread screw as compared to the partial thread and headless compression screws. A reduction in gap formation by 86.7% (from 2.71 to 0.36 mm) and 55.6% (from 0.81 to 0.36 mm) due to full thread screw with 5-mm placement when compared with the partial thread screw with 10-mm placement, respectively without and with the anterior wire under 400-N in the direction 45°
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