Effect of cortical thickness and cancellous bone density on the holding strength of internal fixator screws

Journal of Orthopaedic Research

Volumn 22, Issue 6, 2004, Pages 1237-1242

  Seebeck, J ^a   Goldhahn, J ^a   Stadele H ^b   Messmer, P ^b   Morlock, M M ^c   Schneider, Erich ^a  

^a AO RESEARCH INSTITUTE   (Switzerland)

^b UNIVERSITY HOSPITAL BASEL   (Switzerland)

^c HAMBURG UNIVERSITY OF TECHNOLOGY   (Germany)

Author keywords

Bone morphology; Fracture treatment; Internal fixation; Screw fixation

Indexed keywords

TITANIUM;

ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; BONE DENSITY; BONE SCREW; BONE STRENGTH; CANCELLOUS BONE; CLINICAL ARTICLE; CONTROLLED STUDY; CORTICAL BONE; DIAPHYSIS; FEMALE; FORCE; HUMAN; LINEAR REGRESSION ANALYSIS; MALE; METAPHYSIS; OSTEOPOROSIS; OSTEOSYNTHESIS; PLATE FIXATION; PRIORITY JOURNAL; SHEAR STRENGTH; STATISTICAL SIGNIFICANCE; THICKNESS; TIBIA; WEIGHT BEARING;

AGED; BONE DENSITY; BONE SCREWS; FEMALE; HUMANS; LINEAR MODELS; MALE; MIDDLE AGED; OSTEOPOROSIS; SHEAR STRENGTH; TIBIA;

EID: 4844225504     PISSN: 07360266     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.orthres.2004.04.001     Document Type: Article

References (26)

1. Asnis S.E. Ernberg J.J. Bostrom M.P. Wright T.M. Harrington R.M. Tencer A. et al. Cancellous bone screw thread design and holding power J. Orthop. Trauma 10 1996 462-469
2. Brown G.A. McCarthy T. Bourgeault C.A. Callahan D.J. Mechanical performance of standard and cannulated 4.0 mm cancellous bone screws J. Orthop. Res. 18 2000 307-312
3. Chapman J.R. Harrington R.M. Lee K.M. Anderson P.A. Tencer A.F. Kowalski D. Factors affecting the pullout strength of cancellous bone screws J. Biomech. Eng. 118 1996 391-398
4. Ciarelli M.J. Goldstein S.A. Kuhn J.L. Cody D.D. Brown M.B. Evaluation of orthogonal mechanical properties and density of human trabecular bone from the major metaphyseal regions with materials testing and computed tomography J. Orthop. Res. 9 1991 674-682
5. DeCoster T.A. Heetderks D.B. Downey D.J. Ferries J.S. Jones W. Optimizing bone screw pullout force J. Orthop. Trauma 4 1990 169-174
6. Ding M. Dalstra M. Danielsen C.C. Kabel J. Hvid I. Linde F. Age variations in the properties of human tibial trabecular bone J. Bone Joint Surg. Br 79 1997 995-1002
7. Faran K.J. Ichioka N. Trzeciak M.A. Han S. Medige J. Moy O.J. Effect of bone quality on the forces generated by compression screws J. Biomech. 32 1999 861-864
8. Ford C.M. Keaveny T.M. The dependence of shear failure properties of trabecular bone on apparent density and trabecular orientation J. Biomech. 29 1996 1309-1317
9. Frigg R. Locking compression plate (LCP). An osteosynthesis plate based on the dynamic compression plate and the point contact fixator (PC-Fix) Injury 32 Suppl 2 2001 63-66
10. Harnroongroj T. Techataweewan A. Determination of the role of the cancellous bone in generation of screw holding power at metaphysis Clin. Biomech. (Bristol, Avon) 14 1999 364-366
11. Horsman A. Leung W.K. Bentley H.B. McLachlan M.S. Effect of rotation on radiographic dimensions of the humerus and femur Br J. Radiol. 50 1977 23-28
12. Messmer P. Long G. Suhm N. Regazzoni P. Jacob A.L. Volumetric model determination of the tibia based on 2D radiographs using a 2D/3D database Comput. Aided Surg. 6 2001 183-194
13. Mitton D. Cendre E. Roux J.P. Arlot M.E. Peix G. Rumelhart C. et al. Mechanical properties of ewe vertebral cancellous bone compared with histomorphometry and high-resolution computed tomography parameters Bone 22 1998 651-658
14. Pearson J. Ruegsegger P. Dequeker J. Henley M. Bright J. Reeve J. et al. European semi-anthropomorphic phantom for the cross-calibration of peripheral bone densitometers: assessment of precision accuracy and stability Bone Miner. 27 1994 109-120
15. Perren S.M. Evolution and rationale of locked internal fixator technology. Introductory remarks Injury 32 Suppl 2 2001 S-9
16. Perren S.M. Buchanan J.S. Basic concepts relevant to the design and development of the Point Contact Fixator (PC-Fix) Injury 26 Suppl 2 1995 S-B1-S-B4
17. Ruegsegger P. Munch B. Felder M. Early detection of osteoarthritis by 3D computed tomography Technol. Health Care 1 1993 53-66
18. Schatzker J. Sanderson R. Murnaghan J.P. The holding power of orthopedic screws in vivo Clin. Orthop. 1975 115-126
19. Schuetz M. Mueller M. Krettek C. Hoentzsch D. Regazzoni P. Ganz R. et al. Minimally invasive fracture stabilization of distal femoral fractures with the LISS: A prospective multicenter study. Results of a clinical study with special emphasis on difficult cases Injury 32 2001 S-C48-C54
20. Seebeck J. Lill C. Morlock M.M. Schneider E. Implant fixation in osteoporotic bone using monocortical screws Trauma Berufskrankh 1 1999 411-414
21. Seebeck J, Morlock MM, Schneider E. Optimal implant anchorage in osteoporotic bone using unicortical screws. In: Transactions of the 46th Annual Meeting, Orthopaedic Research Society. 2000, p. 879
22. Seitz P. Ruegsegger P. Fast contour detection algorithm for high precision quantitative CT IEEE Trans. Med. Imag. MI-2 1983 136-141
23. Snyder S.M. Schneider E. Estimation of mechanical properties of cortical bone by computed tomography J. Orthop. Res. 9 1991 422-431
24. Stromsoe K. Kok W.L. Hoiseth A. Alho A. Holding power of the 4.5 mm AO/ASIF cortex screw in cortical bone in relation to bone mineral Injury 24 1993 656-659
25. Wirtz D.C. Schiffers N. Pandorf T. Radermacher K. Weichert D. Forst R. Critical evaluation of known bone material properties to realize anisotropic FE-simulation of the proximal femur J. Biomech. 33 2000 1325-1330
26. Zand M.S. Goldstein S.A. Matthews L.S. Fatigue failure of cortical bone screws J. Biomech. 16 1983 305-311