Evidence map›Paper›PMID 39789519›Full record

ArticleBMC musculoskeletal disorders2025

Suture button systems for coronoid fracture fixation: a biomechanical time-zero pilot study.

Sebastian Lappen, Pavel Kadantsev, Daniel Bohnet, Stephanie Geyer, Maximilian Hinz, Christian Marx, Sepp Braun, Sebastian Siebenlist

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sebastian LappenDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany.
Pavel KadantsevDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany.
Daniel BohnetDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany.
Stephanie GeyerDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany.
Maximilian HinzDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany.
Christian MarxResearch Unit for Orthopaedic Sports Medicine and Injury Prevention, Medical Informatics and Technology, University for Health Sciences, Hall, Austria.
Sepp BraunResearch Unit for Orthopaedic Sports Medicine and Injury Prevention, Medical Informatics and Technology, University for Health Sciences, Hall, Austria.
Sebastian SiebenlistDepartment of Sports Orthopaedics, Klinikum rechts der Isar (Technical University of Munich), Ismaninger Straße 22, 81675, Munich, Germany. sebastian.siebenlist@tum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to describe a fixation technique for coronoid fractures using suture buttons, and to biomechanically evaluate this technique in comparison to screw fixation as a time-zero pilot study.

methodsAn O'Driscoll type 2 anteromedial coronoid facet (AMCF) fracture was simulated in 20 fresh-frozen human elbows. The specimens were randomized into two groups and fracture fixation was performed with either a suture button system or a 3.5 mm cannulated screw. Ultimate load-to-failure (N) was then tested for each specimen.

resultsThe mean load-to-failure was 322.6 ± 75.9 N for suture button fixation and 314.2 ± 85.9 N for screw fixation. The differences were not statistically significant (p = 0.432). Additional fracturing of the coronoid fragment was observed in two specimens with screw fixation.

conclusionPromising biomechanical evaluations show that this fixation technique using suture buttons in the treatment of coronoid fractures provides equal construct stability as screw fixation. Further studies are required to fully validate this procedure.

Indexed as

Bone ScrewsFracture Fixation, InternalSuture TechniquesAgedAged, 80 and overBiomechanical PhenomenaCadaverFemaleHumansMaleMiddle AgedPilot ProjectsSuturesUlna FracturesBiomechanicsElbowFracture managementOsteosynthesisProximal ulnaSuture fixation

Identifiers

PMID39789519
PMCPMC11715954

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.