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Impact of Different Screw Designs on Durability of Fracture Fixation: In Vitro Study with Cyclic Loading of Scaphoid Bones

Author

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  • Dominik Gruszka
  • Robert Herr
  • Hans Hely
  • Peer Hofmann
  • Daniela Klitscher
  • Alexander Hofmann
  • Pol Maria Rommens

Abstract

Purpose: The use of new headless compression screws (HCSs) for scaphoid fixation is growing, but the nonunion rate has remained constant. The aim of this study was to compare the stability of fixation resulting from four modern HCSs using a simulated fracture model to determine the optimal screw design(s). Methods: We tested 40 fresh-frozen cadaver scaphoids treated with the Acumed Acutrak 2 mini (AA), the KLS Martin HBS2 midi (MH), the Stryker TwinFix (ST) and the Synthes HCS 3.0 with a long thread (SH). The bones with simulated fractures and implanted screws were loaded uniaxially into flexion for 2000 cycles with a constant bending moment of 800 Nmm. The angulation of the fracture fragments was measured continuously. Data were assessed statistically using the univariate ANOVA test and linear regression analysis, and the significance level was set at p

Suggested Citation

  • Dominik Gruszka & Robert Herr & Hans Hely & Peer Hofmann & Daniela Klitscher & Alexander Hofmann & Pol Maria Rommens, 2016. "Impact of Different Screw Designs on Durability of Fracture Fixation: In Vitro Study with Cyclic Loading of Scaphoid Bones," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-11, January.
    • Handle: RePEc:plo:pone00:0145949
    DOI: 10.1371/journal.pone.0145949
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