Scopus Eşleşmesi Bulundu
20
Cilt
🔓
Açık Erişim
Scopus Yazarları: Numan Mercan, Ebubekir Eravşar, Selim Safali, Levent Uğur, Ali Özdemir
Özet
Background and objectives: Bennett fractures are intra-articular fractures of the first metacarpal, typically resulting from axial loading. The optimal surgical method for fixation remains a topic of ongoing debate. This study aims to evaluate and compare the biomechanical properties of different fixation techniques. Materials and methods: Four fixation models were analyzed: the Lag Screw (LS) model, the Plate-screw (PS) model, and two K-wire models (Kw1 and Kw2). The biomechanical stability of each model was assessed by measuring the total displacement at the fracture line and the maximum von Mises stresses (MvMs) on the fixation materials. Results: Measurements revealed that the LS model exhibited the highest total displacement of 2,184 mm, while the PS model showed the least displacement at 0,069 mm. Among the K-wire models, Kw1 had a total displacement of 0,408 mm, while Kw2 displayed 0,146 mm. Notably, the MvMs values at the fracture line were highest in the LS model (623,95 MPa for the large fragment surface) and lowest in the Kw2 model (16,237 MPa). The PS model demonstrated the lowest stresses on the fixation materials, highlighting its biomechanical advantage. Furthermore, the assessment of joint-level displacement indicated that the Kw1 model had the greatest displacement (0,156 mm), while the PS model maintained remarkable stability, recording a stable 0 mm displacement. Conclusion: The PS model demonstrated superior biomechanical stability, making it the most suitable fixation method among those studied. While the Kw2 model showed promising results with low total displacement values, further studies are necessary to establish its clinical efficacy.
Anahtar Kelimeler (Scopus)
Basilar thumb arthritis
Carpometacarpal
Computational
Rolando fracture
Thumb
Anahtar Kelimeler
Basilar thumb arthritis
Carpometacarpal
Computational
Rolando fracture
Thumb
Makale Bilgileri
Dergi
Journal of Orthopaedic Surgery and Research
ISSN
1749-799X
Yıl
2025
/ 1. ay
Cilt / Sayı
20
/ 90
Sayfalar
1 – 13
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q1
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
5 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Sponsor
Selçuk Üniversitesi Tıp Fakültesi
Alan
Sağlık Bilimleri Temel Alanı
Ortopedi ve Travmatoloji
YÖKSİS Yazar Kaydı
Yazar Adı
MERCAN NUMAN,ERAVŞAR EBUBEKİR,SAFALI SELİM,UĞUR LEVENT,ÖZDEMİR ALİ
YÖKSİS ID
8494390
Hızlı Erişim
Metrikler
JCR Quartile
Q1
Yazar Sayısı
5