The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture

Aim: The aim of our study is to compare the biomechanical strength of two different K-wire fixation methods for extra-articular fractures of the distal end of the radius. Materials and methods: This study was performed on 20 artificial distal radius fracture bone models (Synbone®, Switzerland), whic...

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Main Authors: Parithooran Sembagoundanvalasu Karmegan, Kesavram Alagirisamy, Amudha Ganesh Selvaraj, Muthukumaran Vaiyapuri, Rex Chandrabose
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2025-01-01
Series:Journal of Orthopedics and Joint Surgery
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Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1181
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author Parithooran Sembagoundanvalasu Karmegan
Kesavram Alagirisamy
Amudha Ganesh Selvaraj
Muthukumaran Vaiyapuri
Rex Chandrabose
author_facet Parithooran Sembagoundanvalasu Karmegan
Kesavram Alagirisamy
Amudha Ganesh Selvaraj
Muthukumaran Vaiyapuri
Rex Chandrabose
author_sort Parithooran Sembagoundanvalasu Karmegan
collection DOAJ
description Aim: The aim of our study is to compare the biomechanical strength of two different K-wire fixation methods for extra-articular fractures of the distal end of the radius. Materials and methods: This study was performed on 20 artificial distal radius fracture bone models (Synbone®, Switzerland), which were randomly divided into two groups and fixed with three K-wire fixation concepts. Group I underwent the “single styloid double dorsal (SSDD), Manchester technique” of K-wire fixation, and group II underwent the “cross K-wire, AO technique” of fixation. Each configuration underwent testing by three-point bending in different planes and axial compression. Result: In our study results, we determined that the “SSDD” K-wire fixation technique provided the stiffest construct in bending force compared to the AO technique. No difference was noted in the load to failure during axial compression. Conclusion: This study confirms the biomechanical superiority of the SSDD (Manchester) technique of K-wire fixation compared to the cross K-wire (AO) technique for extra-articular distal end radius fractures and justifies the clinical use of this method to prevent loss of reduction or early implant failure.
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spelling doaj-art-36a02938dfcb400da48bb6f1beef4dd02025-08-20T03:06:10ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632025-01-0171101410.5005/jojs-10079-11813The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius FractureParithooran Sembagoundanvalasu Karmegan0Kesavram Alagirisamy1Amudha Ganesh Selvaraj2Muthukumaran Vaiyapuri3Rex Chandrabose4Department of Orthopedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, IndiaKesavram Alagirisamy, Orthopedics, Department of Orthopedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, India, Phone: +91 9965529609Department of Orthopedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Orthopedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Orthopedics, Rex Ortho Hospital, Coimbatore, Tamil Nadu, IndiaAim: The aim of our study is to compare the biomechanical strength of two different K-wire fixation methods for extra-articular fractures of the distal end of the radius. Materials and methods: This study was performed on 20 artificial distal radius fracture bone models (Synbone®, Switzerland), which were randomly divided into two groups and fixed with three K-wire fixation concepts. Group I underwent the “single styloid double dorsal (SSDD), Manchester technique” of K-wire fixation, and group II underwent the “cross K-wire, AO technique” of fixation. Each configuration underwent testing by three-point bending in different planes and axial compression. Result: In our study results, we determined that the “SSDD” K-wire fixation technique provided the stiffest construct in bending force compared to the AO technique. No difference was noted in the load to failure during axial compression. Conclusion: This study confirms the biomechanical superiority of the SSDD (Manchester) technique of K-wire fixation compared to the cross K-wire (AO) technique for extra-articular distal end radius fractures and justifies the clinical use of this method to prevent loss of reduction or early implant failure.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1181biomechanical studycollesdistal end radiusk-wires
spellingShingle Parithooran Sembagoundanvalasu Karmegan
Kesavram Alagirisamy
Amudha Ganesh Selvaraj
Muthukumaran Vaiyapuri
Rex Chandrabose
The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
Journal of Orthopedics and Joint Surgery
biomechanical study
colles
distal end radius
k-wires
title The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
title_full The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
title_fullStr The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
title_full_unstemmed The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
title_short The Biomechanical Comparison between Two Methods of K-wire Fixation in Extra-articular Distal End Radius Fracture
title_sort biomechanical comparison between two methods of k wire fixation in extra articular distal end radius fracture
topic biomechanical study
colles
distal end radius
k-wires
url https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1181
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