Screws or Sutures? A Pediatric Cadaveric Study of Tibial Spine Fracture Repairs.

Thomas M JohnstoneDavid W BairdAnnelisse Cuellar-MontesWillemijn Hendrike van DeursenMarc A TompkinsTheodore J GanleyDennis E KramerHenry B EllisCalvin K ChanDaniel W GreenSeth L ShermanKevin G Shea

Published in: The American journal of sports medicine (2023)

Suture fixations are not biomechanically superior to screw fixations in pediatric bone. Pediatric bone fails at lower loads, and in different modes, compared with adult cadaveric bone and porcine bone. Further investigation into optimal repair is warranted, including techniques that may reduce suture pullout and "cheese-wiring" through softer pediatric bone. This study provides new biomechanical data regarding the properties of different fixation types in pediatric tibial spine fractures to inform clinical management of these injuries.

Keyphrases

bone mineral density
bone loss
soft tissue
total knee arthroplasty
bone regeneration
minimally invasive
big data
hip fracture