Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7847
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dc.contributor.authorGruszka, Dominik-
dc.contributor.authorHerr, Robert-
dc.contributor.authorHely, Hans-
dc.contributor.authorHofmann, Peer-
dc.contributor.authorKlitscher, Daniela-
dc.contributor.authorHofmann, Alexander-
dc.contributor.authorRommens, Pol Maria-
dc.date.accessioned2022-10-05T09:01:50Z-
dc.date.available2022-10-05T09:01:50Z-
dc.date.issued2016
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7862-
dc.description.abstractPurpose The use of new headless compression screws (HCSs) for scaphoid fixation is growing, but the nonunion rate has remained constant. The aim of this study was to compare the stability of fixation resulting from four modern HCSs using a simulated fracture model to determine the optimal screw design(s). Methods We tested 40 fresh-frozen cadaver scaphoids treated with the Acumed Acutrak 2 mini (AA), the KLS Martin HBS2 midi (MH), the Stryker TwinFix (ST) and the Synthes HCS 3.0 with a long thread (SH). The bones with simulated fractures and implanted screws were loaded uniaxially into flexion for 2000 cycles with a constant bending moment of 800 Nmm. The angulation of the fracture fragments was measured continuously. Data were assessed statistically using the univariate ANOVA test and linear regression analysis, and the significance level was set at p < 0.05. Results The median angulation of bone fragments φ allowed by each screw was 0.89° for AA, 1.12° for ST, 1.44° for SH and 2.36° for MH. With regards to linear regression, the most reliable curve was achieved by MH, with a coefficient of determination of R2 = 0.827. This was followed by AA (R2 = 0.354), SH (R2 = 0.247) and ST (R2 = 0.019). Data assessed using an adapted ANOVA model showed no statistically significant difference (p = 0.291) between the screws. Conclusions The continuous development of HCSs has resulted in very comparable implants, and thus, at this time, other factors, such as surgeons’ experience, ease of handling and price, should be taken into consideration.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizinde
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleImpact of different screw designs on durability of fracture fixation : in vitro study with cyclic loading of scaphoid bonesen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7847-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titlePLoS onede
jgu.journal.volume11de
jgu.journal.issue1de
jgu.pages.alternativee0145949de
jgu.publisher.year2016-
jgu.publisher.namePLoSde
jgu.publisher.placeLawrence, Kan.de
jgu.publisher.urihttp://dx.doi.org/10.1371/journal.pone.0145949de
jgu.publisher.issn1932-6203de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
opus.date.modified2017-05-11T10:29:28Z
opus.subject.dfgcode00-000
opus.organisation.stringFB 04: Medizin: Klinik und Poliklinik für Unfallchirurgiede_DE
opus.organisation.stringFB 04: Medizin: Orthopädische Klinik und Poliklinikde_DE
opus.identifier.opusid56297
opus.institute.number0439
opus.institute.number0443
opus.metadataonlyfalse
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_EN
opus.affiliatedGruszka, Dominik
opus.affiliatedKlitscher, Daniela
opus.affiliatedHofmann, Alexander
jgu.publisher.doi10.1371/journal.pone.0145949de
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:DFG-OA-Publizieren (2012 - 2017)

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