{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:35:43Z","timestamp":1777926943652,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T00:00:00Z","timestamp":1690156800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Proc Inst Mech Eng H"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>After a distal humeral injury, olecranon osteotomy (OO) is a traditional way to visualize the distal humerus for performing fracture fixation. In contrast, the current authors previously showed that novel proximal ulna osteotomy (PUO) allows better access to the distal humerus without ligamentous compromise. Therefore, this study biomechanically compared plating repair following OO versus PUO. The left or right ulna from eight matched pairs of human cadaveric elbows were randomly assigned to receive OO or PUO and repaired using pre-contoured titanium plates. Destructive and non-destructive mechanical tests were performed to assess stability. Mechanical tests on OO versus PUO groups yielded average results for ulna cantilever bending stiffness at a 90\u00b0 elbow angle (29.6 vs 30.5\u2009N\/mm, p\u2009=\u20090.742), triceps tendon pull stiffness at a 90\u00b0 elbow angle (28.2 vs 24.4\u2009N\/mm, p\u2009=\u20090.051), triceps tendon pull stiffness at a 110\u00b0 elbow angle (61.9 vs 59.5\u2009N\/mm, p\u2009=\u20090.640), and triceps tendon pull failure load at a 110\u00b0 elbow angle (1070.1 vs 1359.7\u2009N, p\u2009=\u20090.078). OO and PUO elbows had similar failure mechanisms, namely, tendon tear or avulsion from the ulna with or without some fracture of the proximal bone fragment, or complete avulsion of the proximal bone fragment from the plate. The similar biomechanical stability (i.e., no statistical difference for 4 of 4 mechanical measurements) and failure mechanisms of OO and PUO plated elbows support the clinical use of PUO as a possible alternative to OO for visualizing the distal humerus.<\/jats:p>","DOI":"10.1177\/09544119231189108","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T07:26:08Z","timestamp":1690183568000},"page":"1052-1060","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Biomechanics of plate fixation following traditional olecranon osteotomy versus novel proximal ulna osteotomy for visualizing a distal humerus injury"],"prefix":"10.1177","volume":"237","author":[{"given":"Parham","family":"Daneshvar","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Orthopaedic Surgery, Queen\u2019s University, Kingston, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2147-7233","authenticated-orcid":false,"given":"Aaron","family":"Gee","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Lab, Victoria Hospital, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6557-7159","authenticated-orcid":false,"given":"Pawel","family":"Brzozowski","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Lab, Victoria Hospital, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6435-9069","authenticated-orcid":false,"given":"Emil H.","family":"Schemitsch","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Lab, Victoria Hospital, London, Canada"},{"name":"Department of Surgery, Division of Orthopaedic Surgery, Western University, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parham","family":"Rasoulinejad","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Lab, Victoria Hospital, London, Canada"},{"name":"Department of Surgery, Division of Orthopaedic Surgery, Western University, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0853-3402","authenticated-orcid":false,"given":"Radovan","family":"Zdero","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Lab, Victoria Hospital, London, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"bibr1-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(52)90254-7"},{"key":"bibr2-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1915.02570300026009"},{"key":"bibr3-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-03424-1.10008-7"},{"key":"bibr4-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-03424-1.10007-5"},{"key":"bibr5-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.116517"},{"key":"bibr6-09544119231189108","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2021.11.010"},{"key":"bibr7-09544119231189108","doi-asserted-by":"crossref","unstructured":"Zdero R (ed.). 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