STUDY DESIGN Biomechanical and histologic analysis. OBJECTIVE To compare the strength of the bone-screw interface of standard uncoated pedicle screws with screws treated with hydroxyapatite (HA), titanium plasma spray (TPS), and a composite HA-TPS coating. SUMMARY OF BACKGROUND DATA Transpedicular screw fixation has become the gold standard in the treatment of various thoracolumbar spinal c...

BACKGROUND Pedicle screws with PMMA cement augmentation have been shown to significantly improve the fixation strength in a severely osteoporotic spine. However, the efficacy of screw fixation for different cement augmentation techniques, namely solid screws with retrograde cement pre-filling versus cannulated screws with cement injection through perforation, remains unknown. This study aimed t...

BACKGROUND Fixation of radial neck fractures can be achieved with a plate and screw construct or with two screws. This study evaluated the biomechanical properties of three different fixation methods following radial neck fractures. METHODS Twenty-four fourth-generation composite radii were sawed to simulate an unstable radial neck fracture. They were then instrumented with a plate and screw ...

BACKGROUND This study sought to determine whether several metatarsophalangeal (MTP) fusion techniques require complete immobilization or if some level of weight-bearing could be recommended after surgery. A comparison of synthetic composite to actual bone was included in order to examine the validity of the testing conditions. METHODS Four MTP fusion modalities were tested in synthetic compos...

BACKGROUND Loosening of screws is a common problem in orthopedic and maxillofacial surgery. Modifying the implant surface to improve the mechanical strength of screws has been tried and reported. We developed screws coated with fibroblast growth factor-2 (FGF-2)-apatite composite layers. We then showed, in a percutaneous external fixation model, that this composite layer had the ability to hold...

Inserting a screw into a long bone introduces a stress riser that can predispose the bone to fracture. Where multiple screws are inserted this vulnerability may be increased. It is thought that the pattern of screw insertion plays an important part in determining the susceptibility of the bone to stress fracture. In order to study the importance of pattern of screw insertion, third generation c...

The aim of this study was to compare the interfragmentary compression generated across a simulated femoral fracture model by a conventional 4.5 mm AO/ASIF cortical lag screw with a differentially pitched cortical compression screw. A 45-degree osteotomy was made in a whole bone composite femoral shaft, this was internally fixed with either a conventional 4.5 mm AO/ASIF cortical lag screw or the...

PURPOSE To assess the maximum and end torque of a fourth-generation composite humerus model with no screw inserted or with a screw inserted in the distal (subpectoral) position or proximal (suprapectoral) position. METHODS 24 large-size, fourth-generation composite humeri were randomised to the control (n=8), proximal (n=8), or distal (n=8) group. For the latter 2 groups, an 8-mm-head interfe...

The Calaxo @ screw, developed by Smith and Nephew, is a novel biomedical composite composed of poly-DL-lactide-co-glycolide (PLLA:PGA) 85:15 and calcium carbonate particulates. Comparisons to an identical surgical anchor composed of PLLA, largely considered an industry standard, shows increased mean failure strength in surgical reconstructions of the patellar-tibia complex in sheep. SEM imaging...

statement of the problem: one disadvantage of cement-retained crowns is the lack of predictable irretrievability. this problem can be overcome through designing a screw access hole in the metal substructure of cement-retained restoration and using porcelain stain to define this area. purpose: this study aimed to evaluate the influence of existence of screw access hole on porcelain fracture resi...