Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Efficacy of Newly Designed Screw for Prevention of the Screw Breakage in Syndesmosis Fixation: Biomechanical Study

나사 파단 예방을 위해 새로 디자인한 경비 인대 결합 나사의 효용성: 생역학 연구

  • Lee, Dong-Oh (Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine) ;
  • Song, Sang-Heon (Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine)
  • 이동오 (한양대학교 의과대학 명지병원 정형외과학교실) ;
  • 송상헌 (한양대학교 의과대학 명지병원 정형외과학교실)
  • Received : 2020.02.29
  • Accepted : 2020.06.01
  • Published : 2020.06.15
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Abstract

Purpose: Fatigue breakage of cortical screws sometimes occurs after syndesmosis fixation, regardless of the period of screw retention. This study compared the fatigue strength of a novel screw design to conventional cortical screws in the fixed state of syndesmosis. Materials and Methods: Twelve sawbone models were tested mechanically to determine the fatigue strength of three screw designs. The first group was composed of cortical screws, while the second and third groups were newly-designed screws. The second group was composed of screws with a 2.4-mm diameter thread-free portion of the mid-shank while the third group had a 2.0-mm diameter thread-free mid-shank. A 400 N load was applied repetitively to a fibula model and the number of cycles until screw failure was recorded. Four screws from each group were tested, giving a total of 12 fatigue tests. Results: The average cycles until screw failure for groups 1, 2, and 3 were 8,134, 63,186, and 2,581, respectively. The second group showed the highest fatigue strength (p=0.018). The other two screw designs showed similar fatigue strength (p=0.401). Conclusion: New screw designs with a thread-free portion in the mid-shank could reduce the occurrence of fatigue breakage after syndesmosis fixation.

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References

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