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- W4383070129 abstract "There is a lack of consensus concerning the coracoid graft length in the modified Bristow procedure.We attempted to determine the optimal graft length using the three-dimensional finite element method.In a shoulder model with a 25% anterior glenoid defect, a coracoid graft of varying lengths (5, 10, 15, and 20 mm) was fixed using a half-threaded screw. First, a compressive load of 500 N was applied to the screw head to determine the graft failure load during screw tightening. Next, a tensile load (200 N) was applied to the graft to determine the failure load due to biceps muscle traction.In the screw compression, the failure loads in the 5-, 10-, 15-, and 20-mm models were 252, 370, 377, and 331 N, respectively. In the tensile load applied to the coracoid graft, the failure load exceeded 200 N for both the 5- and 10-mm models.The 5-mm graft had a high risk of fracture during intraoperative screw tightening. As for the biceps muscle traction, the 5- and 10-mm-grafts had a lower failure risk than the 15- and 20-mm-grafts. Therefore, we believe that the optimal length of the coracoid graft is 10 mm in the modified Bristow procedure." @default.
- W4383070129 created "2023-07-05" @default.
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- W4383070129 date "2023-07-04" @default.
- W4383070129 modified "2023-09-27" @default.
- W4383070129 title "Determining optimal length of coracoid graft in the modified bristow procedure for anterior shoulder instability: A three-dimensional finite element analysis" @default.
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- W4383070129 doi "https://doi.org/10.3233/bme-230071" @default.
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