Search Results (20)

This study compares the compression force of cortical screws used in lag fashion with partially threaded cannulated screws and fully threaded headless cannulated screws as fixation methods for humeral condylar fractures in dogs. Cadavers of eleven dogs weighing an average of 10.99 ± 2.51 kg (6.1–14.4 kg) were used. The humeri were subjected to simulated fracture by performing an osteotomy at the trochlea of humerus and classified into three groups: Group 1 applied a 3.0 mm cortical screw applied in a lag fashion, Group 2 applied a 3.0 mm partially threaded cannulated screw, and Group 3 applied a 3.5 mm fully threaded headless cannulated screw. The samples were then placed in a material testing machine, and a compression force was applied vertically to the lateral condyle until failure. There were statistically significant differences in failure load between the groups (p = 0.009). The maximum failure load in Group 3 was significantly higher than in Group 2 (p = 0.014), while there were no statistically significant differences between Group 1 and Group 2) or between Group 1 and Group 3. Partially threaded cannulated screws and fully threaded headless cannulated screws can be alternatives to traditional stabilization methods, offering simpler procedures and additional advantages. Full article

Background and Objectives: Valgus-impacted femoral neck fractures (OTA 31B1.1 and 31B1.2) are considered stable fractures with favorable outcomes compared to displaced fractures. However, complications such as femoral neck shortening, screw sliding, and suboptimal recovery can occur, particularly in severe deformities. This study evaluated the outcomes of a sequential fixation technique using short-threaded screws followed by long-threaded screws. Materials and Methods: This prospective study included 135 patients aged 60 years or older with valgus-impacted femoral neck fractures (OTA 31B1.1 and 31B1.2) treated between March 2017 and February 2021. Patients were divided into two groups: those treated solely with short-threaded screws (the control group) and those treated using a sequential fixation technique involving initial compression with short-threaded screws followed by stabilization with long-threaded screws. Exclusion criteria included follow-up < 12 months, pathological fractures, high-energy trauma, or periprosthetic fractures. Clinical outcomes, including the Harris Hip Score (HHS), and radiological parameters, such as screw sliding distance (SDS) and fixation failure, were analyzed. Multivariate regression identified predictors of outcomes to assess the effectiveness of the sequential fixation technique. Results: The mean follow-up was 38.3 months. Multivariate regression revealed that posterior tilt > 15° (β = 2.944, p < 0.001) and the use of long-threaded screws (β = −1.906, p < 0.001) were significant predictors of reduced SDS. Posterior tilt > 15° (OR 15.085, p = 0.002), valgus tilt > 15° (OR 28.616, p = 0.002), and bone mineral density (OR 0.285, p = 0.005) were predictors of fixation failure, while long-threaded screws significantly reduced fixation failure risk (OR 0.062, p = 0.005). Conclusions: The sequential use of short-threaded screws for compression, followed by long-threaded screws for stabilization, effectively reduced screw sliding and fixation failure while improving functional and radiological outcomes. This technique shows promise as an effective treatment for valgus-impacted femoral neck fractures. Full article

123 withdrawal tests were conducted to investigate the change in axial stiffness of fully threaded screws under axial loading and up to four loading cycles. The screws were initially loaded in two cycles within the elastic range, followed by two cycles up to 90% of the characteristic load-carrying capacity. Several parameters relevant to construction practice were varied. The angle between the screw axis and the grain ranged from 30° to 90°, the timber material was varied between glued laminated timber (glulam) and laminated veneer lumber (LVL) made of beech, and the screw diameter ranged from 8 mm to 12 mm. The test results indicate that axial stiffness increases upon reloading compared to the initial loading. On average, axial stiffness increases by 11% between the first and second loading and remains at this level during unloading and further load cycles. However, if the load exceeds the linear–elastic range, the axial stiffness is reduced due to plastic deformation. A comparison with tests on the composite axial stiffness of fully threaded screws in glulam shows that even with a different test setup and testing objective, there is a slight increase in axial stiffness from the first to the second load cycle in the range of 4 to 8%. Full article

The human mandible’s cancellous bone, which is characterized by its unique porosity and directional sensitivity to external forces, is crucial for sustaining biting stress. Traditional computer- aided design (CAD) models fail to fully represent the bone’s anisotropic structure and thus depend on simple isotropic assumptions. For our research, we use the latest versions of nTOP 4.17.3 and Creo Parametric 8.0 software to make biomimetic Voronoi lattice models that accurately reflect the complex geometry and mechanical properties of trabecular bone. The porosity of human cancellous bone is accurately modeled in this work using biomimetic Voronoi lattice models. The porosities range from 70% to 95%, which can be achieved by changing the pore sizes to 1.0 mm, 1.5 mm, 2.0 mm, and 2.5 mm. Finite element analysis (FEA) was used to examine the displacements, stresses, and strains acting on dental implants with a buttress thread, abutment, retaining screw, and biting load surface. The results show that the Voronoi model accurately depicts the complex anatomy of the trabecular bone in the human jaw, compared to standard solid block models. The ideal pore size for biomimetic Voronoi lattice trabecular bone models is 2 mm, taking in to account both the von Mises stress distribution over the dental implant, screw retention, cortical bone, cancellous bone, and micromotions. This pore size displayed balanced performance by successfully matching natural bone’s mechanical characteristics. Advanced FEA improves the biomechanical understanding of how bones and implants interact by creating more accurate models of biological problems and dynamic loading situations. This makes biomechanical engineering better. Full article

The first metatarsophalangeal (MTP) joint is a frequently loaded joint, handling loads up to 90% of bodyweight. First MTP arthrodesis is a frequently performed procedure designed to improve pain in patients with degenerative MTP joint disease. There are a wide variety of fixation constructs for this procedure without consensus on the most effective method. The purpose of this study was to compare the biomechanical integrity of various constructs utilized for first MTP arthrodesis. A systematic review of the literature was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, CINAHL, MEDLINE, and Web of Science databases were searched from inception to 18 June 2023. Articles discussing the biomechanics of first MTP arthrodesis constructs were included. A total of 168 articles were retrieved. A total of 20 articles involving 446 cadaveric and synthetic bone constructs were included in the final review. Of the six articles comparing dorsal plating with compression screws to crossed interfragmentary screws, five found that dorsal plating had significantly higher stiffness. All three studies assessing shape-memory staples found them to be significantly less stable than crossed screws or dorsal plates alone. Both studies evaluating fully threaded screws found them to be stronger than crossed cancellous screws. Wedge resections have been shown to be 10 times stronger than standard planar or conical excision. Dorsal plating with compression screws is the gold standard for MTP arthrodesis. However, more research into newer methods such as fully threaded screws and wedge resections with an increased focus on translation to clinical outcomes is needed. Full article

Background and purpose: Cannulated screws are standard implants for percutaneous fixa-tion of posterior pelvis ring injuries. The choice of whether to use these screws in combination with a washer is still undecided. The aim of this study was to evaluate the biomechanical competence of S1-S2 sacroiliac (SI) screw fixation with and without using a washer across three different screw designs. Material and Methods: Twenty-four composite pelvises were used and an SI joint injury type APC III according to the Young and Burgess classification was simulated. Fixation of the posterior pelvis ring was performed using either partially threaded short screws, fully threaded short screws, or fully threaded long transsacral screws. Biomechanical testing was performed under progressively increasing cyclic loading until failure, with monitoring of the intersegmental and bone-implant movements via motion tracking. Results: The number of cycles to failure and the corresponding load at failure (N) were significantly higher for the fully threaded short screws with a washer (3972 ± 600/398.6 ± 30.0) versus its counterpart without a washer (2993 ± 527/349.7 ± 26.4), p = 0.026. In contrast, these two parameters did not reveal any significant differences when comparing fixations with and without a washer using either partially threaded short of fully threaded long transsacral screws, p ≥ 0.359. Conclusions: From a biomechanical perspective, a washer could be optional when using partially threaded short or fully threaded long transsacral S1-S2 screws for treatment of posterior pelvis ring injuries in young trauma patients. Yet, the omission of the washer in fully threaded short screws could lead to a significant diminished biomechanical stability. Full article

Background and Objectives: The aim of this study was to investigate under dynamic loading the potential biomechanical benefit of simulated first tarsometatarsal (TMT-1) fusion with low-profile superelastic nitinol staples used as continuous compression implants (CCIs) in two different configurations in comparison to crossed screws and locked plating in a human anatomical model. Materials and Methods: Thirty-two paired human anatomical lower legs were randomized to four groups for TMT-1 treatment via: (1) crossed-screws fixation with two 4.0 mm fully threaded lag screws; (2) plate-and-screw fixation with a 4.0 mm standard fully threaded cortex screw, inserted axially in lag fashion, and a 6-hole TMT-1 Variable-Angle (VA) Fusion Plate 2.4/2.7; (3) CCI fixation with two two-leg staples placed orthogonally to each other; (4) CCI fixation with one two-leg staple and one four-leg staple placed orthogonally to each other. Each specimen was biomechanically tested simulating forefoot weightbearing on the toes and metatarsals. The testing was performed at 35–37 °C under progressively increasing cyclic axial loading until construct failure, accompanied by motion tracking capturing movements in the joints. Results: Combined adduction and dorsiflexion movement of the TMT-1 joint in unloaded foot condition was associated with no significant differences among all pairs of groups (p ≥ 0.128). In contrast, the amplitude of this movement between unloaded and loaded foot conditions within each cycle was significantly bigger for the two CCI fixation techniques compared to both crossed-screws and plate-and-screw techniques (p ≤ 0.041). No significant differences were detected between the two CCI fixation techniques, as well as between the crossed-screws and plate-and-screw techniques (p ≥ 0.493) for this parameter of interest. Furthermore, displacements at the dorsal and plantar aspects of the TMT-1 joint in unloaded foot condition, together with their amplitudes, did not differ significantly among all pairs of groups (p ≥ 0.224). Conclusions: The low-profile superelastic nitinol staples demonstrate comparable biomechanical performance to established crossed-screws and plate-and-screw techniques applied for fusion of the first tarsometatarsal joint. Full article

Pullout strength is an important indicator of the performance and longevity of pedicle screws and can be heavily influenced by the screw design, the insertion technique and the quality of surrounding bone. The purpose of this study was to investigate the pullout strength of three different pedicle screws inserted using three different strategies and with two different loading conditions. Three pedicle screws with different thread designs (single-lead-thread (SLT) screw, dual-lead-thread (DLT) screw and mixed-single-lead-thread (MSLT) screw) were inserted into a pre-drilled rigid polyurethane foam block using three strategies: (A) screw inserted to a depth of 33.5 mm; (B) screw inserted to a depth of 33.5 mm and then reversed by 3.5 mm to simulate an adjustment of the tulip height of the pedicle screw and (C) screw inserted to a depth of 30 mm. After insertion, each screw type was set up with and without a cyclic load being applied to the screw head prior to the pullout test. To ensure that the normality assumption is met, we applied the Shapiro–Wilk test to all datasets before conducting the non-parametric statistical test (Kruskal–Wallis test combined with pairwise Mann–Whitney-U tests). All screw types inserted using strategy A had a significantly greater pullout strength than those inserted using strategies B and C, regardless of if the screw was pre-loaded with a cyclic load prior to testing. Without the use of the cyclic pre-load, the MSLT screw had a greater pullout strength than the SLT and DLT screws for all three insertion strategies. However, the fixation strength of all screws was reduced when pre-loaded before testing, with the MSLT screw inserted using strategy B producing a significantly lower pullout strength than all other groups (p < 0.05). In contrast, the MSLT screw using insertion strategies A and C had a greater pullout strength than the SLT and DLT screws both with and without pre-loading. In conclusion, the MSLT pedicle screw exhibited the greatest pullout strength of the screws tested under all insertion strategies and loading conditions, except for insertion strategy B with a cyclic pre-load. While all screw types showed a reduced pullout strength when using insertion strategy B (screw-out depth adjustment), the MSLT screw had the largest reduction in pullout strength when using a pre-load before testing. Based on these findings, during the initial screw insertion, it is recommended to not fully insert the screw thread into the bone and to leave a retention length for depth adjustment to avoid the need for screw-out adjustment, as with insertion strategy B. Full article

Background and Objectives: Pubic ramus fractures are common in compound pelvic injuries known to have an increased rate of morbidity and mortality along with recurrent and chronic pain, impeding a patient’s quality of life. The current standard treatment of these fractures is percutaneous screw fixation due to its reduced risk of blood loss and shorter surgery times. However, this is an intricate surgical technique associated with high failure rates of up to 15%, related to implant failure and loss of reduction. Therefore, the aim of this biomechanical feasibility study was to develop and test a novel intramedullary splinting implant for fixation of superior pubic ramus fractures (SPRF), and to evaluate its biomechanical viability in comparison with established fixation methods using conventional partially or fully threaded cannulated screws. Materials and Methods: A type II superior pubic ramus fracture according to the Nakatani classification was created in 18 composite hemi-pelvises via a vertical osteotomy with an additional osteotomy in the inferior pubic ramus to isolate the testing of three SPRF fixation techniques performed in 6 semi-pelvises each using either (1) a novel ramus intramedullary splint, (2) a partially threaded ramus screw, or (3) a fully threaded ramus screw. Results: No significant differences were detected among the fixation techniques in terms of initial construct stiffness and number of cycles to failure, p ≥ 0.213. Conclusion: The novel ramus intramedullary splint can be used as an alternative option for treatment of pubic ramus fractures and has the potential to decrease the rate of implant failures due to its minimally invasive implantation procedure. Full article

The application of self-tapping screws as reinforcement on glulam connections has been proven effective. However, the implication of different thread configurations on the effectiveness of reinforcement remains unknown. This paper conducted experiments using screws with various thread configurations in embedment-strength tests and tensile connection tests. Results show that self-tapping screws with one third of thread achieved similar improvement in the embedment strength and mechanical properties of connections as fully threaded screws. This implies that properly reducing the thread length on self-tapping screws ensures easier screw installation than using fully threaded screws. The influence of screw-to-dowel distance was also investigated and two distances (0.5 d and 1 d) were adopted, with ‘d’ being the diameter of the dowel. The difference in embedment strength due to different screw-to-dowel distances was insignificant. The group with screws placed in contact (0.5 d) with the dowel achieved 5% higher embedment strength than the group with screws placed at a 1 d distance. The connection tests showed good agreement with the embedment-strength tests. This confirms that self-tapping screws with reduced thread can enhance the load-carrying capacity and ductility of connections to a level similar to connections reinforced by fully threaded screws. Full article

Aiming at the low efficiency of manual measurement of threads and the lack of practicability in machine vision measurement before, online size measurement of threads at the end of sucker rods based on machine vision was studied. A robotic arm is used to carry an optical device to achieve high-quality image acquisition of threads. Based on the prior knowledge of the thread profile angle, the directional edge detection operator is customized to achieve the accurate detection of the left and right edges of the thread. Noise filtering, sorting, and left and right edge-matching algorithms based on connected domains are developed to eliminate the interference effects of electrostatic dust and oil pollution in online measurement, and the dimension of thread profile angles, pitches, major diameters, and minor diameters can be precisely calculated. The experimental results show that the screw thread parameter measurement time is about 0.13 s; the maximum and minimum average errors of the thread angles are 0.011° and 0.632°, respectively; and the total average deviation is less than 0.08°. For the screw thread pitch, major diameter, minor diameter, and pitch diameter parameter measurement, the deviation of the measurement results between the proposed method and the universal tool microscope (UTM) method is less than 10 μm. It fully proves the effectiveness and accuracy of the method in this paper and, at the same time, shows that the method has good real-time performance and high application significance, which lays a good foundation for the subsequent online thread measurement. Full article

The paper deals with the analysis of the load-carrying capacity of a timber semi-rigid connection created from a system of two stands and a rung. The connection was made from glued laminated timber with metal mechanical dowel-type fasteners. Not only a common combination of bolts and dowels, but also fully threaded screws were used for the connection. The aim of the research and its motivation was to replace these commonly used fasteners with more modern ones, to shorten and simplify the assembly time, and to improve the load-carrying capacity of this type of connection. Each of these two types of connections was loaded statically, with a slow increase in force until failure. The paper presents results of the experimental testing. Three specimens were made and tested for each type of the connection. Experimental results were subsequently compared with numerical models. The achieved results were also compared with the assumption according to the currently valid standard. The results indicate that a connection using fully threaded screws provides a better load-carrying capacity. Full article

Background and Objectives: The quantity, size, and position of implants might affect the fracture healing process of surgically treated displaced pediatric femoral neck fractures (PFNFs). The aim of this retrospective multicenter study was to evaluate the correlation between the time needed to achieve radiological union and the number, size, and location of the partially threaded cannulated screws (PTCSs) in children with displaced PFNFs. Materials and Methods: A retrospective review of 136 children (mean age: 10.6 ± 3.8 years) with displaced PFNFs treated by two (n = 103) or three (n = 33) PTCSs was carried out. Student’s t-tests, one-way ANOVA, Cox regression analysis, and multiple linear regression analyses were performed to investigate the variables affecting the time needed to achieve radiological fracture healing according to the number, size, and position of PTCSs, as assessed on plain radiographs. Results: A total of 132 hips achieved union at an average of 3.2 ± 1.6 months after the initial surgery. The time needed to achieve union in the patients treated with two or three PTCSs was comparable (p = 0.36). Among the fractures treated by two PTCSs, the time needed to achieve union did not correlate with the size of the implant (p = 0.122), or with the angulation between the PTCSs on anterior–posterior (p = 0.257) and lateral radiographs (p = 0.547). The time needed to achieve union in the fractures that were fully compressed by the implants was similar to the partially compressed fractures (p = 0.08). Conclusions: The number, size, and position of the PTCSs do not affect the radiological healing in the children with displaced PFNFs treated surgically. Full article

The paper deals with the analysis of the rotational stiffness of a semirigid connection created from a system of two stands and a rung. The connection was made from glued laminated timber with metal mechanical dowel-type fasteners. Not only a common combination of bolts and dowels but also fully threaded screws were used for the connection. The aim of the research and its motivation was to replace commonly used fasteners with more modern ones, to shorten and simplify the assembly time, and to improve the load-carrying capacity of this type of connection. Each of these two types of connection was loaded to the level of 60%, 80%, and 100% of the ultimate limit state value. Subsequently, the rotational stiffness was determined for each load level after five loading and unloading cycles. This paper presents the results and comparison of the experimental testing and the numerical modeling. The obtained results were also compared with the assumption according to the currently valid standard. Full article

Cross-laminated timber (CLT) can be used as an element in various parts of timber structures, such as bridges. Fast-growing hardwood species, like poplar, are useful in regions where there is a lack of wood resources. In this study, the withdrawal resistance of nine types of conventional fasteners (stainless-steel nails, concrete nails and screws, drywall screws, three types of partially and fully threaded wood screws, and two types of lag screws), with three loading directions (parallel to the grain, perpendicular to the surface, and tangential), and two layer arrangements (0-90-0° and 0-45-0°) in 3-ply CLTs made of poplar as a fast-growing species and fir as a common species in manufacturing of CLT was investigated. Lag screws (10 mm) displayed the highest withdrawal resistance (145.77 N), whereas steel nails had the lowest (13.13 N), according to the main effect analysis. Furthermore, fasteners loaded perpendicular to the grain (perpendicular to the surface and tangential) had higher withdrawal resistance than those loaded parallel to the grain (edge). In terms of the layer arrangement, fasteners in CLTs manufactured from poplar wood (0-45-0°) had the greatest withdrawal resistance, followed by CLTs manufactured from poplar wood in the (0-90-0°) arrangement, and finally, those made from fir wood in the (0-90-0°) arrangement. The fastener type had the most significant impact on the withdrawal resistance, so changing the fastener type from nails to screws increased it by about 5–11 times, which is consistent with other studies. The results showed that poplar, a fast-growth species, is a proper wood for manufacturing CLTs in terms of fastener withdrawal performance. Full article