The fixation strength of scaphoid bone screws: an in vitro investigation using polyurethane foam

Autor: Louise A. Crawford, Ian A. Trail, E. S. Powell
Rok vydání: 2010
Předmět:
Zdroj: The Journal of hand surgery. 37(2)
ISSN: 1531-6564
Popis: Purpose To compare the compression strength and pull-apart resistance of 5 single-piece scaphoid bone compression screws (Acutrak, Asnis, Herbert, Herbert-Whipple, and Little Grafter), with those of 2 dual-component screws (Kompressor and TwinFix). Methods Two blocks of polyurethane foam were compressed with a screw while held in a tension test machine, with the force measured at full insertion of the screw. The 2 blocks were then pulled apart, and the maximum resistive force was measured. Results The dual-component screws (Kompressor and TwinFix) gave greater compression force than the single-component screws, with the Kompressor screw giving statistically significantly greater compression than the TwinFix. The pull-apart resistance forces did not show such clear differences. Conclusions The Kompressor screw achieves the greatest compressive forces and has one of the highest pull-apart forces. Clinical relevance When compression and pull-apart resistance are considered, the Kompressor screw has advantages over other methods of scaphoid fixation.
Databáze: OpenAIRE