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dc.contributor.authorMcGreal, G
dc.contributor.authorReidy, D
dc.contributor.authorJoy, A
dc.contributor.authorMahalingam, K
dc.contributor.authorCashman, W F
dc.date.accessioned2012-02-03T15:13:42Z
dc.date.available2012-02-03T15:13:42Z
dc.date.issued2012-02-03T15:13:42Z
dc.identifier.citationJ Med Eng Technol. 1999 Mar-Apr;23(2):53-6.en_GB
dc.identifier.issn0309-1902 (Print)en_GB
dc.identifier.issn0309-1902 (Linking)en_GB
dc.identifier.pmid10356674en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209154
dc.description.abstractWe use a braided polyester suture in place of cerclage wire in tension band fixations. The objective of this study was to test the biomechanical properties of this technique. Sixteen cadaveric patellae were fractured and repaired by modified tension band fixation. Eight were fixed using eighteen gauge stainless steel wire as a tension band and eight using braided polyester. All specimens were subjected to tensile testing. Polyester was 75.0% as strong as wire. For dynamic testing, the patellae of seven cadaveric knees were fractured and then fixed with polyester tension bands. These were mounted in a device capable of extending the knees from 90 degrees to neutral against an applied force. None of the fixations failed. Three of the specimens fixed using 18 gauge stainless steel wire were compared with three fixed using polyester over 2000 cycles of knee flexion and extension. Polyester performed as well as wire. We conclude that polyester is an acceptable alternative to wire in tension band fixation.
dc.language.isoengen_GB
dc.subject.meshBiomechanicsen_GB
dc.subject.meshBone Wiresen_GB
dc.subject.meshFracture Fixation, Internal/*methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshKnee Joint/physiologyen_GB
dc.subject.meshMovementen_GB
dc.subject.meshPatella/injuries/*surgeryen_GB
dc.subject.mesh*Polyestersen_GB
dc.subject.meshStainless Steelen_GB
dc.subject.meshSuture Techniquesen_GB
dc.subject.mesh*Suturesen_GB
dc.subject.meshTensile Strengthen_GB
dc.titleThe biomechanical evaluation of polyester as a tension band for the internal fixation of patellar fractures.en_GB
dc.contributor.departmentCork University Hospital, Ireland.en_GB
dc.identifier.journalJournal of medical engineering & technologyen_GB
dc.description.provinceMunster
html.description.abstractWe use a braided polyester suture in place of cerclage wire in tension band fixations. The objective of this study was to test the biomechanical properties of this technique. Sixteen cadaveric patellae were fractured and repaired by modified tension band fixation. Eight were fixed using eighteen gauge stainless steel wire as a tension band and eight using braided polyester. All specimens were subjected to tensile testing. Polyester was 75.0% as strong as wire. For dynamic testing, the patellae of seven cadaveric knees were fractured and then fixed with polyester tension bands. These were mounted in a device capable of extending the knees from 90 degrees to neutral against an applied force. None of the fixations failed. Three of the specimens fixed using 18 gauge stainless steel wire were compared with three fixed using polyester over 2000 cycles of knee flexion and extension. Polyester performed as well as wire. We conclude that polyester is an acceptable alternative to wire in tension band fixation.


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