Fatigue failure of cortical bone screws

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Fatigue failure of cortical bone screws.

An experimental study of the fatigue life of cortical bone screws under conditions which stimulated in vivo usage was performed. The two most important factors influencing fatigue life were axial screw tension (the force normal of the plate to bone) and the cyclic shearing load. All screws failed at the root of the thread in the interface between the plate and the bone. A modified screw design ...

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Should we use cortical bone screws for cortical bone trajectory?

OBJECT In 2009, Santoni et al. reported cortical bone trajectory (CBT) as a method of inserting pedicle screws to obtain more solid fixation, and proposed the use of cortical trajectory screws with a more closely placed thread (cortical screws) for CBT. Since the entry trajectory in CBT differs from that in the traditional trajectory, it is unclear whether the increased strength derives from th...

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Cortical bone trajectory for lumbar pedicle screws.

BACKGROUND CONTEXT Achieving solid implant fixation to osteoporotic bone presents a clinical challenge. New techniques and devices are being designed to increase screw-bone purchase of pedicle screws in the lumbar spine via a novel cortical bone trajectory that may improve holding screw strength and minimize loosening. Preliminary clinical evidence suggests that this new trajectory provides scr...

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Midline lumbar fusion using cortical bone trajectory screws. Preliminary report

INTRODUCTION Midline lumbar fusion (MIDLF) using cortical bone trajectory is an alternative method of transpedicular spinal fusion for degenerative disease. The new entry points' location and screwdriving direction allow the approach-related morbidity to be reduced. AIM To present our preliminary experience with the MIDLF technique on the first 5 patients with lumbar degenerative disease and ...

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Cortical bone trajectory screws for the middle-upper thorax

To quantify the reference data concerning the morphometrics of the middle-upper thorax to guide the placement of cortical bone trajectory (CBT) screws.Eighty patients were studied on computed tomography (CT) scans. The reference anatomical parameters were measured. Next, 20 cadaveric specimens were implanted with CBT screws based on CT measurements. These specimens were then judged directly fro...

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ژورنال

عنوان ژورنال: Journal of Biomechanics

سال: 1983

ISSN: 0021-9290

DOI: 10.1016/0021-9290(83)90014-3