UNIVERSITAS AIRLANGGA



Detail Article

Journal Orthopaedi and Traumatology Surabaya

ISSN 2460-8742

Vol. 7 / No. 1 / Published : 2018-04

Order : 7, and page :65 - 76

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Original Article :

Biomechanical comparative study between tension band wiring, double endo button and hook plate for acromioclavicular joint injury

Author :

  1. Erwin Ramawan*1
  2. Jifaldi Afrian MDS*2
  1. Dosen Fakultas Kedokteran
  2. Mahasiswa Fakultas Kedokteran

Abstract :

Background: The treatment for acromioclavicular joint injury are debatable, there are fixation options include tension band wiring, AC joint reconstruction and hook plate These fixations are capable of providing a stable fixation, but controversy still exists that mentions the superiority of each of these fixations Purpose: To compare biomechanical stability of 3 fixation include tension band wiring, double endo button, and hook plate to provide a scientific basis of the fixation. Methods: This research is an experimental in vitro. Using 27 acromioclavicular joints cadaver divided into three groups that performed tension band wiring fixation, double endo button and hook plate. Each fixation evaluated with 10, 20, 50 and 100 times repetitions with 100N traction force.  Results: Tension band wiring gives the smallest displacement. In 10 times repetition average displacement of tension band wiring 0.056 mm (p = 0.000) compared to double endo button 1.622 mm and hook plate 0.867 mm. In 20 times repetitions, tension band wiring 0.1667 mm (p = 0,000) compared to double endo button 3.1778 mm and hook plate 1.1111 mm. In 50 times repetition, tension band wiring 0.3111 mm (p = 0.000) with double endo button 4.7778 mm and hook plate 1.3556 mm. In 100 times repetitions, tension band wire 0.556 mm (p = 0.000) while double endo button 5.4444 mm and hook plate 1.4556 mm. Conclusion: Tension band wiring have a good stability compared to double endo button and hook plate. But all of fixation provide stability for acriomioclavicular joint motion.

Keyword :

acromioclavicular joints injury, tension band wiring, double endo button, hook plate,


References :

Pallis M, Cameron KL, Svoboda SJ, Owens BD,(2012) Epidemiology of Acromioclavicular Joint Injury in Young Athletes 40-2072 : Am J Sports Med

Kaplan LD, Flanigan DC, Norwig J, Jost P, Bradley J,(2005) Prevalence and variance of shoulder injuries in elite collegiate football players 33(8):1142-1146 : Am J Sports Med

Yoon JP, Lee BJ, Nam JS, Chung SW, Jeong WJ, Min WK, Oh JH,(2015) Comparison of result between ook plate fixation and ligament reconstruction for acute unstable acromioclavicular joint dislocation. 7:97-103 : Clinics in Orthopedic Surgery





Archive Article

Cover Media Content

Volume : 7 / No. : 1 / Pub. : 2018-04
  1. Correlation Between Three Column Concept Classification And Internal Fixation Procedure Of Tibial Plateau Patients At Dr. Soetomo Hospital
  2. Correlation Between Harris Hip Score (hhs) And Body Mass Index (bmi) In Patients With Femoral Neck Fracture After Hemiarthroplasty
  3. Osteosarcoma Has Not Become Attention To Society Profile Of Osteosarcoma Patients At Dr. Soetomo General Hospital Surabaya “a Retrospective Study”
  4. The Role Of Platelet-rich Fibrin Facilitates The Healing Of Gastrocnemius Muscle Defect: A Preliminary Study On Animal Model
  5. The Effect Of Decellularization Technique On Collagen Type Ii And Matrices Porosity Of Cartilage Bovine Scaffold
  6. Long Term Functional Evaluation Autofibular Strut Graft In Case Of Fractures Neck Femur In Rsud Dr. Soetomo Surabaya
  7. Biomechanical Comparative Study Between Tension Band Wiring, Double Endo Button And Hook Plate For Acromioclavicular Joint Injury
  8. Orthopaedic Emergency Cases At Hasan Sadikin Hospital Bandung Caused By Traditional Bone Setter Practice
  9. Lower Leg Deformity Correction Using Ilizarov Device In Dr Soetomo General Hospital Surabaya: A Case Series

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