Effect of shoulder abduction on the fixation of humeral greater tuberosity fractures: A biomechanical study for three types of fixation constructs

Cheng Li Lin, Fong Chin Su, Chih Hsun Chang, Chih Kai Hong, I. Ming Jou, Chii Jeng Lin, Wei Ren Su

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Background: An abduction brace and abduction exercises are commonly employed after humeral greater tuberosity fracture repair. However, the effects of glenohumeral abduction on the biomechanical strength have seldom been elucidated. Method: We studied 24 pairs of female fresh frozen porcine shoulders randomly divided into 3 groups. After creation of a greater tuberosity fracture on each shoulder, 3 fixation techniques were used for the 3 groups: double-row suture anchor fixation (DR), suture bridge technique (SB), and 2-screw fixation (TS). This biomechanical study was conducted to compare the forces that create 3- and 5-mm displacements and the ultimate failure load at the simulated shoulder abduction angles of 0° and 45° among the 3 groups. Results: In the DR group, the mean forces to create 3- and 5-mm displacements and the failure load at 0° were higher than those at 45° (P=.036, P=.012, P=.027). By contrast, in the SB group, the mean forces to create 3- and 5-mm displacements at 45° were greater than those at 0° (P=.012, P=.012). There were no significant differences in the forces to create 3- and 5-mm displacements and construct failure between 0° and 45° in the TS group (P = .575, .327, .478). Conclusion: The DR group had greatest initial fixation strength at a low abduction angle, whereas the SB group had the highest initial fixation strength at a high abduction angle. The TS group appeared unaffected by the abduction angle.

Original languageEnglish
Pages (from-to)547-554
Number of pages8
JournalJournal of Shoulder and Elbow Surgery
Volume24
Issue number4
DOIs
Publication statusPublished - 2015 Apr 1

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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