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Sample records for bone screws

  1. Cancellous Screws Are Biomechanically Superior to Cortical Screws in Metaphyseal Bone.

    Science.gov (United States)

    Wang, Tim; Boone, Christopher; Behn, Anthony W; Ledesma, Justin B; Bishop, Julius A

    2016-09-01

    Cancellous screws are designed to optimize fixation in metaphyseal bone environments; however, certain clinical situations may require the substitution of cortical screws for use in cancellous bone, such as anatomic constraints, fragment size, or available instrumentation. This study compares the biomechanical properties of commercially available cortical and cancellous screw designs in a synthetic model representing various bone densities. Commercially available, fully threaded, 4.0-mm outer-diameter cortical and cancellous screws were tested in terms of pullout strength and maximum insertion torque in standard-density and osteoporotic cancellous bone models. Pullout strength and maximum insertion torque were both found to be greater for cancellous screws than cortical screws in all synthetic densities tested. The magnitude of difference in pullout strength between cortical and cancellous screws increased with decreasing synthetic bone density. Screw displacement prior to failure and total energy absorbed during pullout strength testing were also significantly greater for cancellous screws in osteoporotic models. Stiffness was greater for cancellous screws in standard and osteoporotic models. Cancellous screws have biomechanical advantages over cortical screws when used in metaphyseal bone, implying the ability to both achieve greater compression and resist displacement at the screw-plate interface. Surgeons should preferentially use cancellous over cortical screws in metaphyseal environments where cortical bone is insufficient for fixation. [Orthopedics.2016; 39(5):e828-e832.].

  2. Lumbar pedicle cortical bone trajectory screw

    Institute of Scientific and Technical Information of China (English)

    Song Tengfei; Wellington K Hsu; Ye Tianwen

    2014-01-01

    Objective The purpose of this study was to demonstrate the lumbar pedicle cortical bone trajectory (CBT) screw fixation technique,a new fixation technique for lumbar surgery.Data sources The data analyzed in this review are mainly from articles reported in PubMed published from 1994 to 2014.Study selection Original articles and critical reviews relevant to CBT technique and lumbar pedicle fixation were selected.Results CBT technique was firstly introduced as a new fixation method for lumbar pedicle surgery in 2009.The concepts,morphometric study,biomechanical characteristics and clinical applications of CBT technique were reviewed.The insertional point of CBT screw is located at the lateral point of the pars interarticularis,and its trajectory follows a caudocephalad path sagittally and a laterally directed path in the transverse plane.CBT technique can be used for posterior fixation during lumbar fusion procedures.This technique is a minimally invasive surgery,which affords better biomechanical stability,fixation strength and surgical safety.Therefore,CBT technique has the greatest benefit in lumbar pedicle surgery for patients with osteoporosis and obesity.Conclusion CBT technique is a better alternative option of lumbar pedicle fixation,especially for patients with osteoporosis and obesity.

  3. Repair of microdamage in osteonal cortical bone adjacent to bone screw.

    Directory of Open Access Journals (Sweden)

    Lei Wang

    Full Text Available Up to date, little is known about the repair mode of microdamage in osteonal cortical bone resulting from bone screw implantation. In this study, self-tapping titanium cortical bone screws were inserted into the tibial diaphyses of 24 adult male rabbits. The animals were sacrificed at 1 day, 2 weeks, 1 month and 2 months after surgery. Histomorphometric measurement and confocal microscopy were performed on basic fuchsin stained bone sections to examine the morphological characteristics of microdamage, bone resorption activity and spatial relationship between microdamage and bone resorption. Diffuse and linear cracks were coexisted in peri-screw bone. Intracortical bone resorption was significantly increased 2 weeks after screw installation and reach to the maximum at 1 month. There was no significant difference in bone resorption between 1-month and 2-months groups. Microdamage was significantly decreased within 1 month after surgery. Bone resorption was predisposed to occur in the region of <100 µm from the bone-screw interface, where had extensive diffuse damage mixed with linear cracks. Different patterns of resorption cavities appeared in peri-screw bone. These data suggest that 1 the complex microdamage composed of diffuse damage and linear cracks is a strong stimulator for initiating targeted bone remodeling; 2 bone resorption activities taking place on the surfaces of differently oriented Haversian and Volkmann canals work in a team for the repair of extensive microdamage; 3 targeted bone remodeling is a short-term reaction to microdamage and thereby it may not be able to remove all microdamage resulting from bone screw insertion.

  4. Development and Testing of X-Ray Imaging-Enhanced Poly-L-Lactide Bone Screws.

    Directory of Open Access Journals (Sweden)

    Wei-Jen Chang

    Full Text Available Nanosized iron oxide particles exhibit osteogenic and radiopaque properties. Thus, iron oxide (Fe3O4 nanoparticles were incorporated into a biodegradable polymer (poly-L-lactic acid, PLLA to fabricate a composite bone screw. This multifunctional, 3D printable bone screw was detectable on X-ray examination. In this study, mechanical tests including three-point bending and ultimate tensile strength were conducted to evaluate the optimal ratio of iron oxide nanoparticles in the PLLA composite. Both injection molding and 3D printing techniques were used to fabricate the PLLA bone screws with and without the iron oxide nanoparticles. The fabricated screws were implanted into the femoral condyles of New Zealand White rabbits. Bone blocks containing the PLLA screws were resected 2 and 4 weeks after surgery. Histologic examination of the surrounding bone and the radiopacity of the iron-oxide-containing PLLA screws were evaluated. Our results indicated that addition of iron oxide nanoparticles at 30% significantly decreased the ultimate tensile stress properties of the PLLA screws. The screws with 20% iron oxide exhibited strong radiopacity compared to the screws fabricated without the iron oxide nanoparticles. Four weeks after surgery, the average bone volume of the iron oxide PLLA composite screws was significantly greater than that of PLLA screws without iron oxide. These findings suggested that biodegradable and X-ray detectable PLLA bone screws can be produced by incorporation of 20% iron oxide nanoparticles. Furthermore, these screws had significantly greater osteogenic capability than the PLLA screws without iron oxide.

  5. The use of bovine screws to promote bone formation using a tibia model in dogs

    Science.gov (United States)

    Bianchini, Marco Aurélio; Pontual, Marco Antônio B; Bez, Leonardo; Benfatti, César Augusto M; Boabaid, Fernanda; Somerman, Martha J; Magini, Ricardo S

    2013-01-01

    The objective of this study was to evaluate the use of a unique resorbable bovine bone screw, to stimulate bone formation. Bovine bone screws were inserted in the tibia beagle dogs. Each animal received 8 screws, divided into Groups A (screws + no membranes), B (screws + titanium reinforced membranes) and C (bone defects treated with autogenous bone grafts). Animals were sacrificed at 2, 4 and 6 months. New bone was measured with a periodontal probe and reported an average of 7.4 mm in vertical bone gain for Group B, 3.6 mm for Group A and 1.7 mm for Group C. Submission to Kruskal-Wallis test showed statistical differences between groups (p<0,05). Histological examination revealed an intimate contact between the newly formed bone and the resorbing bone screws. Conclusion: Bovine bone screws provide environment for new bone formation and thus may provide an alternative therapy for enhancing bone formation vertically, including for regenerative procedures as well as prior to implant therapy. PMID:23058228

  6. Augmentation of screw fixation with injectable calcium sulfate bone cement in ovariectomized rats.

    Science.gov (United States)

    Yu, Xiao-Wei; Xie, Xin-Hui; Yu, Zhi-Feng; Tang, Ting-Ting

    2009-04-01

    The objective of this study was to determine the effect of augmenting screw fixation with an injectable calcium sulfate cement (CSC) in the osteoporotic bone of ovariectomized rats. The influence of the calcium sulfate (CS) on bone remodeling and screw anchorage in osteoporotic cancellous bone was systematically investigated using histomorphometric and biomechanical analyses. The femoral condyles of 55 Sprague-Dawley ovariectomized rats were implanted with screw augmented with CS, while the contralateral limb received a nonaugmented screw. At time intervals of 2, 4, 8, 12, and 16 weeks, 11 rats were euthanized. Six pair-matched samples were used for histological analysis, while five pair-matched samples were preserved for biomechanical testing. Histomorphometric data showed that CS augmented screws activated cancellous bone formation, evidenced by a statistically higher (p < 0.05) percentage of osteoid surface at 2, 4, and 8 weeks and a higher rate of bone mineral apposition at 12 weeks compared with nonaugmented screws. The amount of the bone-screw contact at 2, 8, and 12 weeks and of bone ingrowth on the threads at 4 and 8 weeks was greater in the CS group than in the nonaugmented group (p < 0.05), although these parameters increased concomitantly with time for both groups. The CS was resorbed completely at 8 weeks without stimulating fibrous encapsulation on the screw surface. Also, the cement significantly increased the screw pull-out force and the energy to failure at 2, 4, 8, and 12 weeks after implantation, when compared with the control group (p < 0.05). These results imply that augmentation of screw fixation with CS may have the potential to decrease the risk of implant failure in osteoporotic bone.

  7. Are two retrograde 3.5 mm screws superior to one 7.3 mm screw for anterior pelvic ring fixation in bones with low bone mineral density?

    Science.gov (United States)

    Zderic, I.; Grechenig, S.; Richards, R. G.; Schmitz, P.; Gueorguiev, B.

    2017-01-01

    Objectives Osteosynthesis of anterior pubic ramus fractures using one large-diameter screw can be challenging in terms of both surgical procedure and fixation stability. Small-fragment screws have the advantage of following the pelvic cortex and being more flexible. The aim of the present study was to biomechanically compare retrograde intramedullary fixation of the superior pubic ramus using either one large- or two small-diameter screws. Materials and Methods A total of 12 human cadaveric hemipelvises were analysed in a matched pair study design. Bone mineral density of the specimens was 68 mgHA/cm3 (standard deviation (sd) 52). The anterior pelvic ring fracture was fixed with either one 7.3 mm cannulated screw (Group 1) or two 3.5 mm pelvic cortex screws (Group 2). Progressively increasing cyclic axial loading was applied through the acetabulum. Relative movements in terms of interfragmentary displacement and gap angle at the fracture site were evaluated by means of optical movement tracking. The Wilcoxon signed-rank test was applied to identify significant differences between the groups Results Initial axial construct stiffness was not significantly different between the groups (p = 0.463). Interfragmentary displacement and gap angle at the fracture site were also not statistically significantly different between the groups throughout the evaluated cycles (p ⩾ 0.249). Similarly, cycles to failure were not statistically different between Group 1 (8438, sd 6968) and Group 2 (10 213, sd 10 334), p = 0.379. Failure mode in both groups was characterised by screw cutting through the cancellous bone. Conclusion From a biomechanical point of view, pubic ramus stabilisation with either one large or two small fragment screw osteosynthesis is comparable in osteoporotic bone. However, the two-screw fixation technique is less demanding as the smaller screws deflect at the cortical margins. Cite this article: Y. P. Acklin, I. Zderic, S. Grechenig, R. G. Richards, P

  8. Is there enough evidence to regularly apply bone screws for intermaxillary fixation in mandibular fractures?

    NARCIS (Netherlands)

    A. Bins; M.A.E. Oomens; P. Boffano; T. Forouzanfar

    2015-01-01

    Purpose Intermaxillary fixation (IMF) is traditionally achieved with arch bars; however, this method has several well-known disadvantages and other techniques, such as bone screws, are available. This study evaluated current evidence regarding these IMF screws (IMFSs) for mandibular trauma and to as

  9. A biomechanical study on fixation stability with twin hook or lag screw in artificial cancellous bone.

    Science.gov (United States)

    Olsson, O; Tanner, K E; Ceder, L; Ryd, L

    2002-01-01

    The twin hook has been developed as an alternative to the conventional lag screw to be combined with a barrelled side-plate in the treatment of trochanteric hip fractures. With two oppositely directed apical hooks introduced into the subchondral bone of the femoral head, the twin hook provides different stabilising properties to the lag screw. The femoral head purchase of the twin hook and the lag screw were compared in a biomechanical study using artificial cancellous bone, and responses to axial and torsional loading was determined. A distinct yield point in load and torque was noted for the lag screw, representing failure of the laminas supporting the threads. For the twin hook, gradual increase of load and torque occurred during impaction of the bone supporting the hooks. The peak loads and torques were higher for the lag screw, but were similar for both devices after 8 mm deformation. The stiffness was higher for the lag screw, but in counter-clockwise rotation the stiffness for the lag screw was negligible. The twin hook appeared to provide fixation stability comparable to that offered by the lag screw, but with conceivable advantages in terms of a deformation response involving bone impaction and gradually increasing stability.

  10. Study of Bone-screw Surface Fixation in Lumbar Dynamic Stabilization

    Directory of Open Access Journals (Sweden)

    Yun-Gang Luo

    2015-01-01

    Full Text Available Background: We aimed to use the animal model of dynamic fixation to examine the interaction of the pedicle screw surface with surrounding bone, and determine whether pedicle screws achieve good mechanical stability in the vertebrae. Methods: Twenty-four goats aged 2-3 years had Cosmic ® pedicle screws implanted into both sides of the L2-L5 pedicles. Twelve goats in the bilateral dynamic fixation group had fixation rods implanted in L2-L3 and L4-L5. Twelve goats in the unilateral dynamic fixation group had fixation rods randomly fixed on one side of the lumbar spine. The side that was not implanted with fixation rods was used as a static control group. Results: In the static control group, new bone was formed around the pedicle screw and on the screw surface. In the unilateral and bilateral dynamic fixation groups, large amounts of connective tissue formed between and around the screw threads, with no new bone formation on the screw surface; the pedicle screws were loose after the fixed rods were removed. The bone mineral density and morphological parameters of the region of interest (ROI in the unilateral and bilateral dynamic fixation group were not significantly different (P > 0.05, but were lower in the fixed groups than the static control group (P 0.05; however the maximum pull force of the fixation groups was significantly less than the static control group (P < 0.01. Conclusions: Fibrous connective tissue formed at the bone-screw interface under unilateral and bilateral pedicle dynamic fixation, and the pedicle screws lost mechanical stability in the vertebrae.

  11. A study of the bone healing kinetics of plateau versus screw root design titanium dental implants.

    LENUS (Irish Health Repository)

    Leonard, Gary

    2009-03-01

    This study was designed to compare the bone healing process around plateau root from (PRF) and screw root from (SRF) titanium dental implants over the immediate 12 week healing period post implant placement.

  12. Calcium phosphate cement augmentation of cancellous bone screws can compensate for the absence of cortical fixation.

    Science.gov (United States)

    Stadelmann, Vincent A; Bretton, Elise; Terrier, Alexandre; Procter, Philip; Pioletti, Dominique P

    2010-11-16

    An obvious means to improve the fixation of a cancellous bone screw is to augment the surrounding bone with cement. Previous studies have shown that bone augmentation with Calcium Phosphate (CaP) cement significantly improves screw fixation. Nevertheless, quantitative data about the optimal distribution of CaP cement is not available. The present study aims to show the effect of cement distribution on the screw fixation strength for various cortical thicknesses and to determine the conditions at which cement augmentation can compensate for the absence of cortical fixation in osteoporotic bone. In this study, artificial bone materials were used to mimic osteoporotic cancellous bone and cortical bone of varying thickness. These bone constructs were used to test the fixation strength of cancellous bone screws in different cortical thicknesses and different cement augmentation depths. The cement distribution was measured with microCT. The maximum pullout force was measured experimentally. The microCT analysis revealed a pseudo-conic shape distribution of the cement around the screws. While the maximum pullout strength of the screws in the artificial bone only was 30±7N, it could increase up to approximately 1000N under optimal conditions. Cement augmentation significantly increased pullout force in all cases. The effect of cortical thickness on pullout force was reduced with increased cement augmentation depth. Indeed, cement augmentation without cortical fixation increased pullout forces over that of screws without cement augmentation but with cortical fixation. Since cement augmentation significantly increased pullout force in all cases, we conclude that the loss of cortical fixation can be compensated by cement augmentation.

  13. Micro-CT evaluation and histological analysis of screw-bone interface of expansive pedicle screw in osteoporotic sheep

    Institute of Scientific and Technical Information of China (English)

    WAN Shi-yong; LEI Wei; WU Zi-xiang; L(U) Rong; WANG Jun; FU Suo-chao; LI Bo; ZHAN Ce

    2008-01-01

    To investigate the properties of screwbone interface of expansive pedicle screw(EPS)in osteoporotic sheep by micro-CT and histological observation.Methods:Six female sheep with bilateral ovariectomyinduced osteoporosis were employed in this experiment.After EPS insertion in each femoral condvle, the sheep were randomly divided into two groups:3 sheep were bred for 3 months(Group A),while the other 3 were bred for 6 months(Group B). After the animals being killed,the femoral condyles with EPS were obtained,which were three-dimensionally-imaged and reconstructed by micro-CT. Histological evaluation was made thereafter.Results:The trabecular microstructure was denser at the screw-bone interface than in the distant parts in expansive section,especially within the spiral marking.In the nonexpansive section,however,there was no significant difference between the interface and the distant parts. The regions of interest(ROI)adjacent to EPS were reconstructed and analyzed by micro-CT with the same thresholds. The three-dimensional(3-D)parameters,including tissue mineral density(TMD),bone volume fraction(BVF,BV/TV),bone surface/bone volume(BS/BV) ratio, trabecular thickness(Tb. Th),and trabecular separation(Tb. Sp),were significantly better in expansive sections than non-expansive sections(P<0.05).Histologically,newly-formed bony trabeculae crawled along the expansive fissures and into the center of EPS. The newly-formed bones,as well as the bones at the bone-screw interface,closely contacted with the EPS and constructed four compartments.Conclusions:The findings of the current study,based on micro-CT and histological evaluation, suggest that EPS can significantly provide stabilization in osteoporotic cancellous bones.

  14. In vivo study of extracellular matrix coating enhancing fixation of the pedicle screw-bone's interface

    Institute of Scientific and Technical Information of China (English)

    LIU Guo-min; ZHANG Xing-yi; XU Chuan-jie; ZHU Xiao-min; WANG Jun; LIU Yi

    2011-01-01

    Background Based on in vivo research on the effect of the coating of the extracellular matrix composition of pedicle screws on the conduction and induction of bone formation in young sheep,the aim of this study was to investigate the application of coated pedicle screws in sheep with scoliosis whose spines are under constant development.Methods Four groups of pedicle screws were randomly implanted into bilateral L2-L5 pedicles of 2.5- to 3-month-old sheep.A static experiment was performed on one side and a loading test was performed on the other side by implanting connecting rods at the L2-L3 and L4-L5 segments.The changes in the force on the coated screws and the combination of the surface of the coated screws with the surrounding bone in the growth process of young sheep's spines with aging were observed.After 3 months,the lumbar vertebrae with the screws were removed and examined by micro-CT,histological,and biomechanical analyses.Results Under nonloading conditions,there is bone formation around the surfaces of coated screws.The bone forming on the surface of collagen/chondroitin sulfate/hydroxyapatite coating of pedicle screws is the most,the one of the collagen / chondrcitin sulfate coating and hydroxyapatite coating is followed,and no significant difference between the two groups.In terms of the trabecular bone morphology parameters of the region of interest around the surface of the pedicle screws,such as bone mineral content,bone mineral density,tissue mineral content,tissue bone mineral density,bone volume fraction,and connection density,those associated with collagen/chondroitin sulfate/hydroxyapatite coatings are largest and those unassociated with coatings are smallest.Under nonloading conditions,the pullout strength of the collagen/chondroitin sulfate/hydroxyapatite-coated screws was largest,and that of the uncoated screws was minimal (P <0.01).Under loading conditions,the maximum pullout strength of each group of pedicle screws was less than that

  15. Study of Bone-screw Surface Fixation in Lumbar Dynamic Stabilization

    Institute of Scientific and Technical Information of China (English)

    Yun-Gang Luo; Tao Yu; Guo-Min Liu; Nan Yang

    2015-01-01

    Background:We aimed to use the animal model of dynamic fixation to examine the interaction of the pedicle screw surface with surrounding bone,and determine whether pedicle screws achieve good mechanical stability in the vertebrae.Methods:Twenty-four goats aged 2-3 years had Cosmic(R) pedicle screws implanted into both sides of the L2-L5 pedicles.Twelve goats in the bilateral dynamic fixation group had fixation rods implanted in L2-L3 and L4-L5.Twelve goats in the unilateral dynamic fixation group had fixation rods randomly fixed on one side of the lumbar spine.The side that was not implanted with fixation rods was used as a static control group.Results:In the static control group,new bone was formed around the pedicle screw and on the screw surface.In the unilateral and bilateral dynamic fixation groups,large amounts of connective tissue formed between and around the screw threads,with no new bone formation on the screw surface; the pedicle screws were loose after the fixed rods were removed.The bone mineral density and morphological parameters of the region of interest (ROI) in the unilateral and bilateral dynamic fixation group were not significantly different (P > 0.05),but were lower in the fixed groups than the static control group (P < 0.05).This showed the description bone of the ROI in the static control group was greater than in the fixation groups.Under loading conditions,the pedicle screw maximum pull force was not significantly different between the bilateral and unilateral dynamic fixation groups (P > 0.05); however the maximum pull force of the fixation groups was significantly less than the static control group (P < 0.01).Conclusions:Fibrous connective tissue formed at the bone-screw interface under unilateral and bilateral pedicle dynamic fixation,and the pedicle screws lost mechanical stability in the vertebrae.

  16. Improved Bone Formation in Osteoporotic Rabbits with the Bone Morphogenetic Protein-2 (rhBMP-2 Coated Titanium Screws Which Were Coated By Using Plasma Polymerization Technique

    Directory of Open Access Journals (Sweden)

    Salih Gulsen

    2014-06-01

    Full Text Available Delaying of bone fusion in osteoporotic patients underwent spinal stabilization surgery leads to screw loosening, and this causes pseudoarticulation, mobility and fibrosis at vertebral segments. To prevent these complications, the screws coated with recombinant bone morphogenetic protein-2 (rhBMP-2 could be used. To verify this hypothesis, we coated 5 Titanium screws with rhBMP-2 using plasma polymerization method, and also used 10 uncoated screws for making comparison between coated and uncoated screws in different groups. And 15 skeletally mature white New Zealand female rabbits were assigned into three different groups: Group 1(N = 5: No osteoporosis induction and insertion of uncoated Titanium screw into right sacrum of each rabbit in group 1; group 2 (N = 5: Osteoporosis induction and insertion of uncoated Titanium screw into right sacrum of each rabbit in group 2; group 3 (N = 5 rhBMP-2 coated Titanium screw inserted into right sacrum of each rabbit in group 3. In summary, using of these coated screws provides new bone formation, but causes less fibrosis and less inflammation than uncoated screws at the interface between the coated screw and bone. Then the plasma polymerization technique provides controlled releasing of rhBMP-2 from the screw to the bone tissue in osteoporotic rabbits.

  17. The biomechanical effect of artificial and human bone density on stopping and stripping torque during screw insertion.

    Science.gov (United States)

    Tsuji, Matthew; Crookshank, Meghan; Olsen, Michael; Schemitsch, Emil H; Zdero, Rad

    2013-06-01

    Orthopedic surgeons apply torque to metal screws manually by "subjective feel" to obtain adequate fracture fixation, i.e. stopping torque, and attempt to avoid accidental over-tightening that leads to screw-bone interface failure, i.e. stripping torque. Few studies have quantified stripping torque in human bone, and only one older study from 1980 reported stopping/ stripping torque ratio. The present aim was to measure stopping and stripping torque of cortical and cancellous screws in artificial and human bone over a wide range of densities. Sawbone blocks were obtained having densities from 0.08 to 0.80g/cm(3). Sixteen fresh-frozen human femurs of known standardized bone mineral density (sBMD) were also used. Using a torque screwdriver, 3.5-mm diameter cortical screws and 6.5-mm diameter cancellous screws were inserted for adequate tightening as determined subjectively by an orthopedic surgeon, i.e. stopping torque, and then further tightened until failure of the screw-bone interface, i.e. stripping torque. There were weak (R=0.25) to strong (R=0.99) linear correlations of absolute and normalized torque vs. density or sBMD. Maximum stopping torques normalized by screw thread area engaged by the host material were 15.2N/mm (cortical screws) and 13.4N/mm (cancellous screws) in sawbone blocks and 20.9N/mm (cortical screws) and 6.1N/mm (cancellous screws) in human femurs. Maximum stripping torques normalized by screw thread area engaged by the host material were 23.4N/mm (cortical screws) and 16.8N/mm (cancellous screws) in sawbone blocks and 29.3N/mm (cortical screws) and 8.3N/mm (cancellous screws) in human femurs. Combined average stopping/ stripping torque ratios were 80.8% (cortical screws) and 76.8% (cancellous screws) in sawbone blocks, as well as 66.6% (cortical screws) and 84.5% (cancellous screws) in human femurs. Surgeons should be aware of stripping torque limits for human femurs and monitor stopping torque during surgery. This is the first study of the

  18. Study of new sheep bone and Zn/Ca ratio around TiAlV screw: PIXE-RBS analysis

    Energy Technology Data Exchange (ETDEWEB)

    Guibert, G. [Haute Ecole Arc Ingenierie, IMA-Arc-NEODE, 17 Eplatures-Grise, CH-2300 La Chaux-de-Fonds (Switzerland)], E-mail: geoffroy.guibert@he-arc.ch; Munnik, F. [Haute Ecole Arc Ingenierie, IMA-Arc-NEODE, 17 Eplatures-Grise, CH-2300 La Chaux-de-Fonds (Switzerland); Langhoff, J.D.; Von Rechenberg, B. [MSRU, Universitaet Zuerich, CH-8057 Zuerich (Switzerland); Buffat, Ph.A.; Laub, D. [EPFL-CIME, CH-1015 Lausanne (Switzerland); Faber, L.; Ducret, F. [DePuy ACE, CH-2400 Le Locle (Switzerland); Gerber, I. [Institute of Cell Biology, ETH Hoenggerberg, CH-8093 Zurich (Switzerland); Mikhailov, S. [Haute Ecole Arc Ingenierie, IMA-Arc-NEODE, 17 Eplatures-Grise, CH-2300 La Chaux-de-Fonds (Switzerland)

    2008-03-15

    This study reports on in vivo particle induced X-ray emission (PIXE) measurements combined with Rutherford backscattering spectroscopy (RBS) analyses of new remodeled sheep bone formed around TiAlV screws. The implants (screws) were anodized by a modified TiMax{sup TM} process. The interface between the implant and the bone was carefully investigated. [Zn]/[Ca] in-depth composition profiles as well as Ca, Fe elemental maps were recorded. The thickness of new bone formed around the screw reached 300-400 {mu}m. Osteon and Osteoid phases were identified in the new bone. A higher [Zn]/[Ca] ratio was observed in the new bone as compared to the mature bone. Blood vessels were observed in the bone in close contact with the screw. This study shows the potential of ion beam analysis for biological and biomedical characterization.

  19. Degradation behaviour of LAE442-based plate–screw-systems in an in vitro bone model

    Energy Technology Data Exchange (ETDEWEB)

    Wolters, Leonie [Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559 Hannover (Germany); Besdo, Silke [Institute of Continuum Mechanics, Leibniz Universität Hannover, Appelstraße 11, 30167 Hannover (Germany); Angrisani, Nina [Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559 Hannover (Germany); Wriggers, Peter [Institute of Continuum Mechanics, Leibniz Universität Hannover, Appelstraße 11, 30167 Hannover (Germany); Hering, Britta [Institute of Production Engineering and Machine Tools, Leibniz Universität Hannover, An der Universität 2, 30823 Garbsen (Germany); Seitz, Jan-Marten [Institute of Materials Science, Leibniz Universität Hannover, An der Universität 2, 30823 Garbsen (Germany); Reifenrath, Janin, E-mail: janin.reifenrath@tiho-hannover.de [Small Animal Clinic, University of Veterinary Medicine Hannover, Foundation, Bünteweg 9, 30559 Hannover (Germany)

    2015-04-01

    The use of absorbable implant materials for fixation after bone fracture helps to avoid a second surgery for implant removal and the risks and costs involved. Magnesium (Mg) is well known as a potential metallic material for degradable implants. The aim of the present in vitro study was to evaluate if degradable LAE442-based magnesium plate–screw-systems are suitable candidates for osteosynthesis implants in load-bearing bones. The corrosion behaviour was tested concerning the influence of different surface treatments, coatings and screw torques. Steel plates and screws of the same size served as control. Plates without special treatment screwed on up to a specified torque of 15 cNm or 7 cNm, NaOH treated plates (15 cNm), magnesium fluoride coated plates (15 cNm) and steel plates as control (15 cNm) were examined in pH-buffered, temperature-controlled SBF solution for two weeks. The experimental results indicate that the LAE442 plates and screws coated with magnesium fluoride revealed a lower hydrogen evolution in SBF solution as well as a lower weight loss and volume decrease in μ-computed tomography (μCT). The nanoindentation and SEM/EDX measurements at several plate areas showed no significant differences. Summarized, the different screw torques did not affect the corrosion behaviour differently. Also the NaOH treatment seemed to have no essential influence on the degradation kinetics. The plates coated with magnesium fluoride showed a decreased corrosion rate. Hence, it is recommended to consider this coating for the next in vivo study. - Highlights: • Mg-based plate screw systems were examined in an in vitro corrosion setup. • Different screw torques did not affect the corrosion behaviour. • Pretreatment with NaOH showed no increase in corrosion resistance. • Fluoride coating slowed down the corrosion rate of plates. • Fluoride coating might be an alternative for decrease of corrosion rate in vivo.

  20. Maintaining space in localized ridge augmentation using guided bone regeneration with tenting screw technology.

    Science.gov (United States)

    Chasioti, Evdokia; Chiang, Tat Fai; Drew, Howard J

    2013-01-01

    Prosthetic guided implant surgery requires adequate ridge dimensions for proper implant placement. Various surgical procedures can be used to augment deficient alveolar ridges. Studies have examined new bone formation on deficient ridges, utilizing numerous surgical techniques and biomaterials. The goal is to develop time efficient techniques, which have low morbidity. A crucial factor for successful bone grafting procedures is space maintenance. The article discusses space maintenance tenting screws, used in conjunction with bone allografts and resorbable barrier membranes, to ensure uneventful guided bone regeneration (GBR) enabling optimal implant positioning. The technique utilized has been described in the literature to treat severely resorbed alveolar ridges and additionally can be considered in restoring the vertical and horizontal component of deficient extraction sites. Three cases are presented to illustrate the utilization and effectiveness of tenting screw technology in the treatment of atrophic extraction sockets and for deficient ridges.

  1. Ergotropic effect of bone cement on pedicle screw fixation in treatment of osteoporotic thoracolumbar fracture

    Directory of Open Access Journals (Sweden)

    Da LIU

    2017-02-01

    Full Text Available Objective To evaluate the ergotropic effect of bone cement on pedicle screw fixation in treatment of osteopo¬rotic thoracolumbar fracture. Methods Fifty-three patients with osteoporotic thoracolumbar fracture, admitted from Jun. 2013 to Dec. 2014, were included for treatment by augmentation of pedicle screw fixation with bone cement. All patients underwent pre-operative examination of bone mineral density with T-score ≤-2.5 and augmentation of pedicle screw fixation with injection of 1.5 ml bone cement in adjacent to fractured vertebra. All patients were treated with anti-osteoporosis therapy pre- and post-operation, ob¬served and recorded with basic conditions and complications. At pre-operation, one-week post-operation and last follow-up, pain vi¬sual analogue scale (VAS and neurological function score (ASIA of all patients were recorded, and the compression rats of anterior and posterior edge of fractured vertebra, and compression rats of spinal canal and Cobb angel of all patients were measured. Results All the 53 patients were successfully undergone operation in about 90-140 min with blood loss of about 150-350 ml. No spinal cord or nerve injury, dural tear and obvious leakage of bone cement and screw loosening occurred during operation. All patients were followed up for 12 to 36 months and the neurological function obviously recovered contrasted with pre-operation. X-ray and CT examination at last follow-up showed good fractures healing, good position and non-loosening of internal fixation device and non-leakage of bone cement. At one week post-operation and last follow-up, VAS, compression rats of anterior edge and posterior edge of fractured vertebra, compression rats of spinal canal and Cobb angel were significantly lower than those at pre-operation (P0.05. Conclusions Augmentation of pedicle screw fixation with bone cement can effectively strengthen the initial stability of pedicle screw in osteo¬porosis, restore the

  2. Pedicle screw placement accuracy of bone-mounted miniature robot system

    Science.gov (United States)

    Tsai, Tai-Hsin; Tzou, Rong-Dar; Su, Yu-Feng; Wu, Chieh-Hsin; Tsai, Cheng-Yu; Lin, Chih-Lung

    2017-01-01

    Abstract This article describes factors affecting the accuracy of transpedicle screw placements performed with the Renaissance robot-guided system and reviews the relevant literature. Between January 2013 and January 2015, Renaissance robot-guided spinal surgery was performed in 125 patients at Kaohsiung Medical University Hospital in Kaohsiung, Taiwan. The surgeries included 662 transpedicle screw implants and 49 Kirschner wire (K-wire) reimplants performed by intraoperative repositioning. The lead author evaluated the accuracy of all K-wire insertions and classified their accuracy into 3 categories relative to the preoperative plan for transpedicle screw placement. For cases in which screws required repositioning after the registration step, factors affecting pedicle screw placement were determined according to the consensus of 3 experienced spinal surgeons. According to the scheme developed by Kuo et al (PLoS One 2016;11:e0153235), the K-wire placement accuracies before and after repositioning were respectively classified as follows: 76.1% and 77.6% in type I; 12.2% and 17.7% in type IIa; 4.3% and 4.5% in type IIb; 6.4% and 0% in type IIIa; and 1% and 1% in type IIIb. The percentage of screws requiring repositioning due to drilling error was 85.7% (42/49). Comparisons of preoperative and postoperative function showed significantly improved accuracy. This study showed that inaccurate pedicle screw placement mainly results from errors in preoperative planning, mounting, registration, drilling, and robot assembly. Pedicle screw placement using a bone-mounted miniature robot system requires meticulous preoperative planning to minimize these errors. PMID:28099339

  3. [APPLICATION OF COMPRESSION MINI-SCREWS IN TREATMENT OF PATIENTS WITH INJURY OF ELBOW JOINT BONES].

    Science.gov (United States)

    Neverov, V A; Egorov, K S

    2015-01-01

    A case report presents the experience of application of compression pileateless mini-screws (Gerbert's screws) in treatment of intra-articular fractures, which formed the elbow joint (44 cases). There were performed 32 operations concerning fracture of head of radius, 10 operations on the occasion of fractures of distal section of the humerus and 2 operations on the coronoid process. Long-term treatment results were followed-up in 31 patients during more than 6 months. On basis of analysis of treatment results the authors made a conclusion that the application of mini-screws in case of bone fractures, which formed the elbow joint, allowed realization of stable osteosynthesis after anatomic reposition of articular surfaces, obtaining good anatomical and functional result and shortened the terms of patient's treatment.

  4. Functionality Evaluation of a Novel Smart Expandable Pedicle Screw to Mitigate Osteoporosis Effect in Bone Fixation: Modeling and Experimentation

    Directory of Open Access Journals (Sweden)

    Ahmadreza Eshghinejad

    2013-01-01

    Full Text Available This paper proposes a novel expandable-retractable pedicle screw and analyzes its functionality. A specially designed pedicle screw is described which has the ability to expand and retract using nitinol elements. The screw is designed to expand in body temperature and retract by cooling the screw. This expansion-retraction function is verified in an experiment designed in larger scale using a nitinol antagonistic assembly. The results of this experiment are compared to the results of a finite element model developed in Abaqus in combination with a user material subroutine (UMAT. This code has been developed to analyze the nonlinear thermomechanical behavior of shape memory alloy materials. The functionality of the proposed screw is evaluated with simulation and experimentation in a pullout test as well. The pullout force of a normal screw inserted in a normal bone was simulated, and the result is compared with the results of the expandable screw in osteoporotic bone. Lastly, strength of the designed pedicle screw in a foam block is also verified with experiment. The reported finite element simulations and experiments are the proof for the concept of nitinol expandable-retractable elements on a pedicle screw which validate the functionality in a pullout test.

  5. Hollow-Bone-Graft Dynamic Hip Screw Can Fix and Promote Bone Union after Femoral Neck Fracture: an Experimental Research

    Directory of Open Access Journals (Sweden)

    Jia-zuo SHEN, Jian-fei YAO, Da-sheng LIN, Ke-jian LIAN, Zhen-qi DING, Bin LIN, Zhi-min GUO, Ming-hua ZHANG, Qiang LI, Lin LI, Peng QI

    2012-01-01

    Full Text Available Background: Delayed bone union, nonunion or osteonecrosis often occur after femoral neck fractures in young adults. Secondary bone healing requires strong internal fixation, intramedullary pressure reduction and early functional exercise.Objective: To compare bone healing of femoral neck fractures treated with hollow-bone-graft dynamic hip screws (Hb-DHS and standard dynamic hip screws (DHS in an animal model.Design: Testing of specifically designed fixation devices in a pig animal model.Interventions/Methods: We designed Hb-DHS and DHS devices appropriate to the femoral neck and head of experimental animals and used them in eight pigs (4-month-old, male or female, 30-40 kg/each. Under anesthesia, we induced medium neck type, Garden III type femoral neck fractures in each pig with fracture gaps of 0.5 mm and then fixed each left femur with Hb-DHS and each right femur with DHS. We assessed the animals radiographically and by postmortem visual appraisal of evidence of bone healing 8 and 16 weeks postoperatively.Results: There were significant differences in radiographic and general findings between the Hb-DHS and DHS groups at weeks 8 and 16 postoperatively. We found statistically significant differences between the Hb-DHS and DHS groups in bone healing scores, trabecular bone volume percentage and bone mineral density as assessed on plain radiographs and computed tomography images (P < 0.05. There were also significant differences between the Hb-DHS and DHS groups in postmortem visually assessed indicators of bone healing at both 8 and 16 weeks postoperatively.Conclusions: The Hb-DHS device promotes femoral neck bone union, stimulates trabecular bone formation, increases BMD and has advantages over DHS for internal fixation of femoral neck fractures. This animal experiment will contribute to developing optimal treatment for femoral neck fractures in young adults.

  6. Posterior lumbar inter-body fusion (PLIF) using autogenous bone and cage with pedicle screw instrumentation versus PLIF using cage with pedicle screw instrumentation in adult spondylolisthesis

    Institute of Scientific and Technical Information of China (English)

    Dou Yusheng; Hao Dingjun; Wen Shiming

    2005-01-01

    Objective: To compare the clinical outcomes of PLIF using autogenous bone and cage with pedicle screw fixation (group 2) and simple cage fusion with pedicle screw fixation (group 1) in adult spondylolisthesis.Methods: 27 patients with minimum follow-up of 24 months, treated by inter-body fusion with pedicle screw fixation were prospectively studied. Disc space height, degree of slippage and fusion rate had been compared before and after operation between the two groups. Results: After minimum 24 month's follow-up, there was no significant difference between the two groups in terms of the amount of blood loss, duration of hospital stay, back pain,radiating pain, fusion rate, or complication (P>0.05). however, there was a significant difference between the two groups in terms of disc space height and percentage of slippage (P<0.05). Conclusion: PLIF using autogenous bone and cage with pedicle screw fixation more beneifical to improve fusion rate and prevent long-term instabilities than simple cage fusion with pedicle screw fixation in adult spondylolisthesis.

  7. Estudo histomorfométrico da interface óssea do parafuso expansor cervical Histomorphometric analysis of bone-screw interface of expansive cervical screw

    Directory of Open Access Journals (Sweden)

    Leandro Sérgio da Silva

    2008-03-01

    experimental study for the Histomorphometric analysis of the bone interface of expansive screws used in the anterior cervical spine fixation system. METHODS: Five sheep cervical vertebrae (C4 were used in the study, in which screws were inserted. The 18.5 mm long and 5.0 mm outer diameter expansive screws (Ulrich were inserted in both sides of the C4 vertebra. On the left side, the screw was inserted without the internal expansive screw, which was used on the right side. A pilot hole was made on the lower portion of the vertebra with a 2.5 mm bore, but no implant was introduced. The vertebral region containing the screws and the pilot hole was prepared for a histological study of the interface between implants and bone screws, and of the pilot hole wall. Histomorphometric analysis evaluated total bone density, external bone density (outside the screw thread, internal density (inside the screw thread and the linear measurement of the contact between bone tissue and the implant. RESULTS: Total bone density was greater in group I (expansive screw as compared to group III (control. External bone density was greater in groups I (expansive screw and II (non-expansive screw when compared to group III. Internal bone density was greater in group I when compared to groups II and III, and greater in group II when compared to group III. Linear contact was greater in group I when compared to groups II and III. CONCLUSION: structural changes around expansive screws detected immediately after their application provide subsidies for a better understanding of the greater tearing resistance of the implant, which could be related to the compacting of cancellous bone around the implant, while providing a larger contact area between the implant and the bone tissue.

  8. When Planning Screw Fracture Fixation Why the 5.5 mm Screw is the Goldilocks Screw. An Observational Computer Tomographic Study of Fifth Metatarsal Bone Anatomy in a Sample of Patients.

    Science.gov (United States)

    Iselin, Lukas D; Ramawat, Sunil; Hanratty, Brian; Klammer, Georg; Stavrou, Peter

    2015-05-01

    We wanted to verify our clinical experience that the 5.5 mm screw was ideal in the majority of fifth metatarsal fracture fixation. The size of a screw is important for the successful surgical treatment of these fractures in order to obtain the maximal stability while reducing the risk for iatrogenic fracture.A sample of patients undergoing computer tomographic imaging of the foot for investigation other than fifth metatarsal pathology were recruited. The parameters of the fifth metatarsal bone anatomy were measured.These parameters of the 5.5 mm screw were correlated with this data. The upper parameter (the diameter of the threads) was 5.5 and the lower parameter (the diameter of the shank) was 4.0 mm.Twenty seven patients were recruited.The proximal third internal diameter ranged from 3.6 to 7.0 mm with a mean of 5.0 mm. 93% of the metatarsals could easily accommodate the 5.5 mm screw. Two of the metatarsals had an internal diameter of < 4 mm (7%).It is our belief that the 5.5 mm screw may be used safely in the majority of patients with fifth metatarsal fractures.

  9. Biodegradable Magnesium Screws Accelerate Fibrous Tissue Mineralization at the Tendon-Bone Insertion in Anterior Cruciate Ligament Reconstruction Model of Rabbit

    Science.gov (United States)

    Wang, Jiali; Xu, Jiankun; Fu, Weimin; Cheng, Wenxiang; Chan, Kaiming; Yung, Patrick Shu-hang; Qin, Ling

    2017-01-01

    The incorporation of tendon graft into bone tunnel is one of the most challenging clinical issues in anterior cruciate ligament (ACL) reconstruction. As a biodegradable metal, Mg has appropriate mechanical strength and osteoinductive effects, thus may be a promising alternative to commercialized products used for graft fixation. Therefore, it was hypothesized that Mg based interference screws would promote tendon graft-bone junction healing when compared to Ti screws. Herein, we compared the effects of Mg and Ti screws on tendon graft healing in rabbits with ACL reconstruction via histological, HR-pQCT and mechanical analysis. The histological results indicated that Mg screws significantly improved the graft healing quality via promoting mineralization at the tendon graft enthesis. Besides, Mg screws significantly promoted bone formation in the peri-screw region at the early healing stage. Importantly, Mg screws exhibited excellent corrosion resistance and the degradation of Mg screws did not induce bone tunnel widening. In tensile testing, there were no significant differences in the load to failure, stress, stiffness and absorption energy between Mg and Ti groups due to the failure mode at the midsubstance. Our findings demonstrate that Mg screws can promote tendon graft healing after ACL reconstruction, implying a potential alternative to Ti screws for clinical applications. PMID:28071744

  10. Simulation of mechanical behavior and optimization of simulated injection molding process for PLA based antibacterial composite and nanocomposite bone screws using central composite design.

    Science.gov (United States)

    Heidari, Behzad Shiroud; Oliaei, Erfan; Shayesteh, Hadi; Davachi, Seyed Mohammad; Hejazi, Iman; Seyfi, Javad; Bahrami, Mozhgan; Rashedi, Hamid

    2017-01-01

    In this study, injection molding of three poly lactic acid (PLA) based bone screws was simulated and optimized through minimizing the shrinkage and warpage of the bone screws. The optimization was carried out by investigating the process factors such as coolant temperature, mold temperature, melt temperature, packing time, injection time, and packing pressure. A response surface methodology (RSM), based on the central composite design (CCD), was used to determine the effects of the process factors on the PLA based bone screws. Upon applying the method of maximizing the desirability function, optimization of the factors gave the lowest warpage and shrinkage for nanocomposite PLA bone screw (PLA9). Moreover, PLA9 has the greatest desirability among the selected materials for bone screw injection molding. Meanwhile, a finite element analysis (FE analysis) was also performed to determine the force values and concentration points which cause yielding of the screws under certain conditions. The Von-Mises stress distribution showed that PLA9 screw is more resistant against the highest loads as compared to the other ones. Finally, according to the results of injection molding simulations, the design of experiments (DOE) and structural analysis, PLA9 screw is recommended as the best candidate for the production of biomedical materials among all the three types of screws.

  11. Posterior lumbar interbody fusion with cortical bone trajectory screw fixation versus posterior lumbar interbody fusion using traditional pedicle screw fixation for degenerative lumbar spondylolisthesis: a comparative study.

    Science.gov (United States)

    Sakaura, Hironobu; Miwa, Toshitada; Yamashita, Tomoya; Kuroda, Yusuke; Ohwada, Tetsuo

    2016-11-01

    OBJECTIVE Several biomechanical studies have demonstrated the favorable mechanical properties of the cortical bone trajectory (CBT) screw. However, no reports have examined surgical outcomes of posterior lumbar interbody fusion (PLIF) with CBT screw fixation for degenerative spondylolisthesis (DS) compared with those after PLIF using traditional pedicle screw (PS) fixation. The purposes of this study were thus to elucidate surgical outcomes after PLIF with CBT screw fixation for DS and to compare these results with those after PLIF using traditional PS fixation. METHODS Ninety-five consecutive patients underwent PLIF with CBT screw fixation for DS (CBT group; mean followup 35 months). A historical control group consisted of 82 consecutive patients who underwent PLIF with traditional PS fixation (PS group; mean follow-up 40 months). Clinical status was assessed using the Japanese Orthopaedic Association (JOA) scale score. Fusion status was assessed by dynamic plain radiographs and CT. The need for additional surgery and surgery-related complications was also evaluated. RESULTS The mean JOA score improved significantly from 13.7 points before surgery to 23.3 points at the latest follow-up in the CBT group (mean recovery rate 64.4%), compared with 14.4 points preoperatively to 22.7 points at final follow-up in the PS group (mean recovery rate 55.8%; p fusion was achieved in 84 patients from the CBT group (88.4%) and in 79 patients from the PS group (96.3%, p > 0.05). Symptomatic adjacent-segment disease developed in 3 patients from the CBT group (3.2%) compared with 9 patients from the PS group (11.0%, p fusion rate tended to be lower in the CBT group than in the PS group, although the difference was not statistically significant between the 2 groups.

  12. Bone cement enhanced pedicle screw fixation combined with vertebroplasty for elderly patients with malignant spinal tumors

    Institute of Scientific and Technical Information of China (English)

    TAN Jiang-wei; SHEN Bing-hua; DU Wei; LIU Jiang-qing; LU Shi-qiao

    2013-01-01

    Background Older patients with malignant spinal tumors are difficult to treat because they have many co-morbidities including osteoporosis.The purpose of this research is to discuss the technique and clinical outcome of bone cement enhanced pedicle screw fixation combined with vertebroplasty (the Sandwich Procedure) for elderly patients with severe osteoporosis and malignant spinal tumors.Methods This study includes 28 consecutive elderly patients with malignant thoracic or lumbar spinal tumors.There were nine patients with myelomas,and 19 patients with metastatic bone tumors.The Sandwich Procedure began with curettage of the tumor and a vertebroplasty with bone cement (polymethyl methacrylate,PMMA),followed by PMMA enhanced pedicle screw fixation.Patients were evaluated with the visual analogue scale (VAS),oswestry disability index (ODI),American Spinal Cord Injury Association (ASIA) neurological function classification,and the radiographic degree of kyphosis (Cobb angle).Data were analyzed using paired t-test to compare the pre-and post-operative values.The complications,local recurrences,and the survival status were also recorded.Results There was no operative mortality,and the mean operative time was 210 minutes (range 150-250 minutes).The average blood loss was 1550 ml (range 650-3300 ml).The average amount of cement for vertebroplasty was 3.6 ml (range 3-5 ml).The VAS,ODI,and ASIA scores were significantly improved after surgery (P <0.05).However,we found no differences between the pre and post-operative Cobb angles.The shortest survival time was 3 months,and we found no evidence of local recurrence in this group of patients.Conclusion The Sandwich Procedure is a safe operation and provides symptomatic relief in these difficult patients,permitting further treatment with chemotherapy or radiotherapy.

  13. Comparison of the Lag Screw Placements for the Treatment of Stable and Unstable Intertrochanteric Femoral Fractures regarding Trabecular Bone Failure.

    Science.gov (United States)

    Celik, Talip; Mutlu, Ibrahim; Ozkan, Arif; Kisioglu, Yasin

    2016-01-01

    Background. In this study, the cut-out risk of Dynamic Hip Screw (DHS) was investigated in nine different positions of the lag screw for two fracture types by using Finite Element Analysis (FEA). Methods. Two types of fractures (31-A1.1 and A2.1 in AO classification) were generated in the femur model obtained from Computerized Tomography images. The DHS model was placed into the fractured femur model in nine different positions. Tip-Apex Distances were measured using SolidWorks. In FEA, the force applied to the femoral head was determined according to the maximum value being observed during walking. Results. The highest volume percentage exceeding the yield strength of trabecular bone was obtained in posterior-inferior region in both fracture types. The best placement region for the lag screw was found in the middle of both fracture types. There are compatible results between Tip-Apex Distances and the cut-out risk except for posterior-superior and superior region of 31-A2.1 fracture type. Conclusion. The position of the lag screw affects the risk of cut-out significantly. Also, Tip-Apex Distance is a good predictor of the cut-out risk. All in all, we can supposedly say that the density distribution of the trabecular bone is a more efficient factor compared to the positions of lag screw in the cut-out risk.

  14. Comparison of the Lag Screw Placements for the Treatment of Stable and Unstable Intertrochanteric Femoral Fractures regarding Trabecular Bone Failure

    Directory of Open Access Journals (Sweden)

    Talip Celik

    2016-01-01

    Full Text Available Background. In this study, the cut-out risk of Dynamic Hip Screw (DHS was investigated in nine different positions of the lag screw for two fracture types by using Finite Element Analysis (FEA. Methods. Two types of fractures (31-A1.1 and A2.1 in AO classification were generated in the femur model obtained from Computerized Tomography images. The DHS model was placed into the fractured femur model in nine different positions. Tip-Apex Distances were measured using SolidWorks. In FEA, the force applied to the femoral head was determined according to the maximum value being observed during walking. Results. The highest volume percentage exceeding the yield strength of trabecular bone was obtained in posterior-inferior region in both fracture types. The best placement region for the lag screw was found in the middle of both fracture types. There are compatible results between Tip-Apex Distances and the cut-out risk except for posterior-superior and superior region of 31-A2.1 fracture type. Conclusion. The position of the lag screw affects the risk of cut-out significantly. Also, Tip-Apex Distance is a good predictor of the cut-out risk. All in all, we can supposedly say that the density distribution of the trabecular bone is a more efficient factor compared to the positions of lag screw in the cut-out risk.

  15. Clinical efficacy of bone cement injectable pedicle screw system combined with intervertebral fusion in treatment of lumbar spondylolysis and osteoporosis

    Directory of Open Access Journals (Sweden)

    Peng-yi DAI

    2016-10-01

    Full Text Available Objective  To observe the therapeutic effect of bone cement injectable pedicle screw system combined with intervertebral fusion for lumbar spondylolysis and osteoporosis. Methods  The clinical data were analyzed retrospectively of 21 patients with lumbar spondylolysis and osteoporosis who received treatment of bone cement injectable pedicle screw system and intervertebral fusion from Aug. 2013 to Nov. 2015. The 21 patients (9 males and 12 females aged from 60 to 80 years (mean 64 years old; 6 of them presented degenerative spondylolysis, 15 with isthmic spondylolisthesis; 2 cases had I degree slippage, 13 had Ⅱdegree slippage, 6 had Ⅲdegree slippage, and all the cases were unisegmental slippage including 9 cases in L4 and 12 cases in L5. Bone mineral density of lumbar vertebrae (L2-L5 was measured with dual-energy X-ray absorptiometry, and T values conforming to the diagnostic criteria of osteoporosis were less than or equal to -2.5; All patients were operated with whole lamina resection for decompression, bone cement injectable pedicle screws system implantation, propped open reduction and fixation intervertebral fusion. The clinical outcomes were determined by the radiographic evaluation including intervertebral height, height of intervertebral foramen, slip distance, slip rate and slip angle, and Oswestry disability index (ODI on preoperative, 3 months after operation and the end of the time, and the interbody fusion were followed up. Results  Cerebrospinal fluid leakage of incision was observed in two cases after operation, compression and dressing to incision, Trendelenburg position, dehydration and other treatments were taken, and the stitches of incisions were taken out on schedule. Slips in the 21 patients were reset to different extent, and lumbar physiological curvatures were recovered. The intervertebral height and height of intervertebral foramen were obviously higher 3 months after operation than that before operation (P0

  16. Accuracy of bone SPECT/CT for identifying hardware loosening in patients who underwent lumbar fusion with pedicle screws

    Energy Technology Data Exchange (ETDEWEB)

    Hudyana, Hendrah; Maes, Alex [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Hospital Leuven, Department of Morphology and Medical Imaging, Leuven (Belgium); Vandenberghe, Thierry; Fidlers, Luc [AZ Groeninge, Department of Neurosurgery, Kortrijk (Belgium); Sathekge, Mike [University of Pretoria, Department of Nuclear Medicine, Pretoria (South Africa); Nicolai, Daniel [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); Wiele, Christophe van de [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Ghent, Department of Radiology and Nuclear Medicine, Ghent (Belgium)

    2016-02-15

    The aim of this retrospective study was to evaluate the accuracy of bone SPECT (single photon emission computed tomography)/CT (computed tomography) in diagnosing loosening of fixation material in patients with recurrent or persistent back pain that underwent lumbar arthrodesis with pedicle screws using surgery and clinical follow-up as gold standard A total of 48 patients (median age 49 years, range 21-81 years; 17 men) who had undergone lumbar spinal arthrodesis were included in this retrospective analysis. SPECT/CT results were compared to the gold standard of surgical evaluation or clinical follow-up. Positive SPECT/CT results were considered true positives if findings were confirmed by surgery or if clinical and other examinations were completely consistent with the positive SPECT/CT finding. They were considered false positives if surgical evaluation did not find any loose pedicle screws or if symptoms subsided with non-surgical therapy. Negative SPECT/CT scans were considered true negatives if symptoms either improved without surgical intervention or remained stable over a minimum follow-up period of 6 months. Negative SPECT/CT scans were determined to be false negatives if surgery was still required and loosening of material was found. The median length of time from primary surgery to bone SPECT/CT referral was 29.5 months (range 12-192 months). Median follow-up was 18 months (range 6-57) for subjects who did not undergo surgery. Thirteen of the 48 patients were found to be positive for loosening on bone SPECT/CT. Surgical evaluation (8 patients) and clinical follow-up (5 patients) showed that bone SPECT/CT correctly predicted loosening in 9 of 13 patients, while it falsely diagnosed loosening in 4 patients. Of 35 negative bone SPECT/CT scans, 12 were surgically confirmed. In 18 patients, bone SPECT/CT revealed lesions that could provide an alternative explanation for the symptoms of pain (active facet degeneration in 14 patients, and disc and sacroiliac

  17. EVALUATION OF POSTERIOR SPINAL FUSION WITH PEDICLE SCREWS AND RODS WITH BONE SUBSTITUTES IN GRADE I AND II SPONDYLOLISTHESIS

    Directory of Open Access Journals (Sweden)

    Chaitanya Reddy

    2016-04-01

    Full Text Available BACKGROUND Low-back pain is the commonest condition encountered day in and day out of an orthopaedic practice. Incidence of spondylolisthesis in normal population is around 5-7%. No matter what the aetiology is, patient has significant functional disability. OBJECTIVES To study the efficacy of pedicular screw rod system and posterolateral fusion with bone substitutes in spondylolisthesis, and to study the complications associated with this treatment modality. METHODOLOGY From July 2012 to September 2014, a total of 30 patients operated with posterolateral fusion were followed up and evaluated based on VAS for low back pain and Japanese orthopaedic association scoring system. RESULTS The mean difference between pre-operative and post-operative VAS score is 3SD with a p value of <0.001, which is strongly significant. The pre-operative and post-operative JOA score has an improvement of 73.4% with a p value of <0.001, which is strongly significant. Rate of improvement was excellent in 16.7%, good in 53.3%, fair in 23.3% and poor in 6.3% of patients; 82% of patients had bone fusion by the end of 8 months. CONCLUSION Pedicular screw rod system with postero-lumbar fusion with bone substitute is safe, promising and appealing technique for low-grade spondylolisthesis with early post-operative pain relief.

  18. Poly(L-lactide) bone plates and screws for internal fixation of mandibular swing osteotomies

    NARCIS (Netherlands)

    Tams, J; Rozema, FR; Bos, RRM; Roodenburg, JLN; Nikkels, PGJ; Vermey, A

    1996-01-01

    This study evaluated bone healing after mandibular swing osteotomies fixed with biodegradable poly(L-lactide) (PLLA) bone plates in four patients. A step osteotomy treated with two PLLA bone plates (n=3), and a straight osteotomy treated with one PLLA bone plate (n=1) were performed. Bone healing wa

  19. Surgical treatment of the osteoporotic spine with bone cement-injectable cannulated pedicle screw fixation: technical description and preliminary application in 43 patients

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    Fei Dai

    2015-02-01

    Full Text Available OBJECTIVES: To describe a new approach for the application of polymethylmethacrylate augmentation of bone cement-injectable cannulated pedicle screws. METHODS: Between June 2010 and February 2013, 43 patients with degenerative spinal disease and osteoporosis (T-score <-2.5 underwent lumbar fusion using cement-injectable cannulated pedicle screws. Clinical outcomes were evaluated using a Visual Analog Scale and the Oswestry Disability Index. Patients were given radiographic follow-up examinations after 3, 6, and 12 months and once per year thereafter. RESULTS: All patients were followed for a mean of 15.7±5.6 months (range, 6 to 35 months. The Visual Analog Scale and Oswestry Disability Index scores showed a significant reduction in back pain (p = 0.018 and an improvement in lower extremity function (p = 0.025 in patients who underwent lumbar fusion using the novel screw. Intraoperative cement leakage occurred in four patients, but no neurological complications were observed. Radiological observation indicated no loosening or pulling out of the novel screw, and bone fusion was excellent. CONCLUSIONS: The described polymethylmethacrylate augmentation technique using bone cement-injectable cannulated pedicle screws can reduce pain and improve spinal dysfunction in osteoporotic patients undergoing osteoporotic spine surgery.

  20. Quantitative dual-energy CT for phantomless evaluation of cancellous bone mineral density of the vertebral pedicle: correlation with pedicle screw pull-out strength

    Energy Technology Data Exchange (ETDEWEB)

    Wichmann, Julian L.; Booz, Christian; Bauer, Ralf W.; Kerl, J.M.; Fischer, Sebastian; Lehnert, Thomas; Vogl, Thomas J.; Khan, M.F. [University Hospital Frankfurt, Department of Diagnostic and Interventional Radiology, Frankfurt am Main (Germany); Wesarg, Stefan [Fraunhofer IGD, Cognitive Computing and Medical Imaging, Darmstadt (Germany); Kafchitsas, Konstantinos [Spine Center, Asklepios Klinik Lindenlohe, Schwandorf (Germany)

    2015-06-01

    To evaluate quantitative dual-energy computed tomography (DECT) for phantomless analysis of cancellous bone mineral density (BMD) of vertebral pedicles and to assess the correlation with pedicle screw pull-out strength. Twenty-nine thoracic and lumbar vertebrae from cadaver specimens were examined with DECT. Using dedicated post-processing software, a pedicle screw vector was mapped (R1, intrapedicular segment of the pedicle vector; R2, intermediate segment; R3, intracorporal segment; global, all segments) and BMD was calculated. To invasively evaluate pedicle stability, pedicle screws were drilled through both pedicles and left pedicle screw pull-out strength was measured. Resulting values were correlated using the paired t test and Pearson's linear correlation. Average pedicle screw vector BMD (R1, 0.232 g/cm{sup 3}; R2, 0.166 g/cm{sup 3}; R3, 0.173 g/cm{sup 3}; global, 0.236 g/cm{sup 3}) showed significant differences between R1-R2 (P < 0.002) and R1-R3 (P < 0.034) segments while comparison of R2-R3 did not reach significance (P > 0.668). Average screw pull-out strength (639.2 N) showed a far stronger correlation with R1 (r = 0.80; P < 0.0001) than global BMD (r = 0.42; P = 0.025), R2 (r = 0.37; P = 0.048) and R3 (r = -0.33; P = 0.078) segments. Quantitative DECT allows for phantomless BMD assessment of the vertebral pedicle. BMD of the intrapedicular segment shows a significantly stronger correlation with pedicle screw pull-out strength than other segments. (orig.)

  1. Biomechanical Comparison of Pedicle Screw Augmented with Different Volumes of Polymethylmethacrylate in Osteoporotic and Severely Osteoporotic Synthetic Bone Blocks in Primary Implantation: An Experimental Study

    Directory of Open Access Journals (Sweden)

    Da Liu

    2016-01-01

    Full Text Available This study was designed to compare screw stabilities augmented with different volumes of PMMA and analyze relationship between screw stability and volume of PMMA and optimum volume of PMMA in different bone condition. Osteoporotic and severely osteoporotic synthetic bone blocks were divided into groups A0-A5 and B0-B5, respectively. Different volumes of PMMA were injected in groups A0 to A5 and B0 to B5. Axial pullout tests were performed and Fmax was measured. Fmax in groups A1-A5 were all significantly higher than group A0. Except between groups A1 and A2, A3 and A4, and A4 and A5, there were significant differences on Fmax between any other two groups. Fmax in groups B1-B5 were all significantly higher than group B0. Except between groups B1 and B2, B2 and B3, and B4 and B5, there were significant differences on Fmax between any other two groups. There was significantly positive correlation between Fmax and volume of PMMA in osteoporotic and severely osteoporotic blocks. PMMA can significantly enhance pedicle screw stability in osteoporosis and severe osteoporosis. There were positive correlations between screw stability and volume of PMMA. In this study, injection of 3 mL and 4 mL PMMA was preferred in osteoporotic and severely osteoporotic blocks, respectively.

  2. Screw-bone finite element models for screw pullout simulation%螺钉-骨抗拔出力试验有限元模型的建立与验证

    Institute of Scientific and Technical Information of China (English)

    严亚波; 裴国献; 桑宏勋; 马真胜; 雷伟

    2013-01-01

    Objective To establish screw-bone finite element (FE) models for screw pullout simulation.Methods A pedicle screw model with a diameter of 6.5 mm,a model of screw-low density porous foam and a model of screw-high density porous foam were established and validated against the published data.Next,a screw-bone model was established and imported into the ANSYS software for FE simulation to study the dynamic bone responses during screw pullout according to the criteria set by American Association for Testing Materials (ASTM).A velocity loading of 0.01 mm/s with a maximum displacement of 2.7 mm was applied on the screw.For validation,the screw-foam models with 2 different densities were used for comparison of the pullout forces with the experimental data published.Results In validation,the predicted pullout forces were 2028.8 N in the high density foam model and 607.0 N in the low density foam model,respectively.They were in good agreement with the data of Hashemi et al.(2132.5 ± 119.3 N and 688.2 ±91.4 N,respectively).The load-displacement curves in the FE models were similar to the published (1.8 mm versus 1.5mm).In the simulation of screw pullout,the areas around the crew changed in volume in the process of pullout.Conclusion The dynamic screw-bone FE model established and validated by the present study can be used in simulation of pullout of pedicle screws to study mechanical bone responses to the pullout.%目的 建立螺钉-骨抗拔出力试验的动态有限元模型,模拟螺钉的拔出过程. 方法 基于螺钉的国标尺寸,建立直径为6.5 mm的椎弓根螺钉模型,并建立对应骨组织的高密度和低密度多孔泡沫三维模型进行验证,最后建立螺钉-骨模型研究螺钉拔出过程中骨骼的动态响应.在Ansys中对三维模型进行网格划分,并按照美国材料试验协会(ASTM)标准对螺钉进行拔出力加载分析.拔出方向为轴向拔出,拔出速度为0.01 mm/s.建立模型后,对模型进行加载计算并与

  3. Do Newer-Generation Bioabsorbable Screws Become Incorporated into Bone at Two Years After ACL Reconstruction with Patellar Tendon Graft?

    Science.gov (United States)

    Cox, Charles L.; Spindler, Kurt P.; Leonard, James P.; Morris, Brent J.; Dunn, Warren R.; Reinke, Emily K.

    2014-01-01

    Background: Bioabsorbable interference screws are used frequently for graft fixation in ACL (anterior cruciate ligament) reconstruction. The resorption properties of many available screws that are marketed as bioabsorbable are not well defined. The CALAXO (Smith & Nephew Endoscopy) and MILAGRO (DePuy Synthes) bioabsorbable screws contain polymers of poly(lactic-co-glycolic acid) (PLGA) plus additives to encourage osseointegration over time. The purpose of this study was to evaluate radiographic and magnetic resonance imaging (MRI) properties and compare patient-reported outcomes at a minimum of two years of follow-up after ACL reconstruction using CALAXO or MILAGRO bioabsorbable interference screws. Methods: A cohort of patients who underwent ACL reconstruction in which the fixation used was either CALAXO or MILAGRO screws returned for repeat radiographs for evaluation of tunnel widening, repeat MRI for evaluation of graft integrity and screw breakdown, and completion of the pain and symptom items of the KOOS (Knee injury and Osteoarthritis Outcome Score) questionnaire. Results: At a mean of three years (range, 2.5 to 4.0 years) after surgery, thirty-one patients with sixty-two CALAXO screws and thirty-six patients with seventy-two MILAGRO screws returned for repeat evaluation. Two blinded, independent reviewers found no significant differences between the two screw types when comparing radiographs for tibial or femoral tunnel widening or MRIs for graft integrity, tibial and femoral foreign body reactions, or femoral screw degradation. Both reviewers found a significant difference between the two screw types when comparing tibial screw degradation properties (p MILAGRO screws were more likely to be rated as intact. No significant differences were noted between the two screw types when comparing the two KOOS subscales. Conclusions: CALAXO screws in the tibial tunnel were more likely to be rated as degraded or partially degraded compared with MILAGRO screws at a mean

  4. Analysis the Reason of 1 Case With Fracture Reason of Metal Bone Screw%一例金属接骨螺钉断裂原因分析

    Institute of Scientific and Technical Information of China (English)

    李涛

    2016-01-01

    目的:研究探讨一例金属接骨螺钉断裂原因,为今后金属接骨螺钉的实际应用提供参考。方法回顾性分析本院收治的1例外科手术治疗骨折并行金属接骨板固定患者,患者术后1月出现金属接骨螺钉断裂失效情况,对此采取现代试验检测技术进行宏观观察、金属化学成分检测、硬度试验、显微组织观察及表面质量检测进行分析。结果螺钉断裂主因是由材质表面存在的裂纹,造成螺距根部应力集中爆发,使之出现较作用力后扩展表面裂纹,造成受力不均断裂。结论金属接骨螺钉断裂主因材质本身存在的不连续裂纹,在钢板连接接骨固定后,循环作用力因素影响,不断加剧裂纹扩张,造成金属螺纹钉发生疲劳性断裂。笔者结合光学金相显微镜技术及电子探针设备辅助对螺纹断口原因进行分析,明确螺钉断裂因素,为今后金属接骨螺钉的实际应用提供参考。%Objective To investigate a case of metal bone screw fracture, and provide a reference for the practical application of metal bone screw in the future.Methods A retrospective analysis of our hospital 1 cases of surgical treatment of fracture of parallel metal plate fixation patients, patients postoperative 1 month appear metal bone screw fracture failure. For this to take modern test technology of macro observation, metal chemical composition test, hardness test and microstructure observation organization and surface quality detection are analyzed.Results Screw fracture is mainly caused by the cracks on the surface of the material, which causes the stress concentration at the root of the pitch, which causes the crack to crack, which is caused by the uneven stress.Conclusion Metal bone screw fracture cause of material itself and the discontinuous crack, in the plate connection after osteosynthesis and circulating acting force factors, increasing the crack expansion, caused by metal

  5. The influence of sacral morphology on the existence of secure S1 and S2 transverse bone corridors for iliosacroiliac screw fixation.

    Science.gov (United States)

    Mendel, T; Noser, H; Kuervers, J; Goehre, F; Hofmann, G O; Radetzki, F

    2013-12-01

    Sacroiliac (SI) screw fixation for unstable pelvic fractures stands out as the only minimally invasive method among all other ORIF procedures. A strictly transverse screw trajectory is needed for central or bilateral fracture patterns up to a complete iliosacroiliac fixation. However, secure screw insertion is aggravated by a narrow sacroiliac bone stock. This study investigates the influence of a highly variable sacral morphology to the existence of S1 and S2 transverse corridors. The analysis contained in this study is based on 125 CT datasets of intact human pelvises. First, sacral dysplasia was identified using the "lateral sacral triangle" method in a lateral 3-D semi-transparent pelvic view. Second, 3-D corridors for a 7.3mm screw in the upper two sacral levels were visualised using a proprietary IT workflow of custom-made programme scripts based on the Amira(®)-software. Shape-describing measurement variables were calculated as output variables. The results show a significant linear correlation between ratioT and the screw-limiting S1 isthmus height (Pearson coefficient of 0.84). A boundary ratio of 1.5 represented a positive predictive value of 96% for the existence of a transverse S1-corridor for at least one 7.3mm screw. In 100 out of 125 pelvises (80%), a sufficient S1 corridor existed, whereas in 124 specimens (99%), an S2 corridor was found. Statistics revealed significantly larger S1 and S2 corridors in males compared to females (pS1 and 1 screw in S2. The expanse of the S1 corridor is highly influenced by the dimensions of the dysplastic elevated upper sacrum, whereas the S2 corridor is not affected. Hence, in dysplastic pelvises, sacroiliac screw insertion should be recommended into the 2nd sacral segment. Our IT workflow for the automatic computation of 3-D corridors may assist in surgical pre-operative planning. Furthermore, the workflow could be implemented in computer-assisted surgery applications involving pelvic trauma.

  6. Pedicle screw placement in the lumbar spine: effect of trajectory and screw design on acute biomechanical purchase.

    Science.gov (United States)

    Wray, Steven; Mimran, Ronnie; Vadapalli, Sasidhar; Shetye, Snehal S; McGilvray, Kirk C; Puttlitz, Christian M

    2015-05-01

    OBJECT Low bone mineral density in patients undergoing lumbar spinal surgery with screws is an especially difficult challenge because poor bone quality can severely compromise the maximum achievable purchase of the screws. A relatively new technique, the cortical bone screw trajectory, utilizes a medialized trajectory in the caudocephalad direction to engage a greater amount of cortical bone within the pars interarticularis and pedicle. The objectives of this cadaveric biomechanical study were to 1) evaluate a cortical screw system and compare its mechanical performance to the traditional pedicle screw system; 2) determine differences in bone quality associated with the cortical screw trajectory versus the normal pedicle screw insertion technique; 3) determine the cortical wall breach rate with both the cortical and traditional screw trajectories; and 4) determine the performance of the traditional screw in the cortical screw trajectory. METHODS Fourteen fresh frozen human lumbar spine sections (L1-5) were used in this study (mean age 57 ± 19 years). The experimental plan involved drilling and tapping screw holes for 2 trajectories under navigation (a traditional pedicle screw and a cortical screw) in both high-and low-quality vertebrae, measuring the bone quality associated with these trajectories, placing screws in the trajectories, and evaluating the competence of the screw purchase via 2 mechanical tests (pullout and toggle). The 3 experimental variants were 1) traditional pedicle screws placed in the traditional pedicle screw trajectory, 2) traditional pedicle screws placed in the cortical screw trajectory, and 3) cortical screws placed in the cortical screw trajectory. RESULTS A statistically significant increase in bone quality was observed for the cortical trajectories with a cortical screw (42%; p parameter comparisons (screw type and trajectory) between high-quality and lowquality samples were significant (p parameters determined from pullout and toggle

  7. geneX®骨水泥强化椎弓根螺钉体内的实验研究%The experiment study of geneX® bone cement augmentation of pedicle screw in animal model

    Institute of Scientific and Technical Information of China (English)

    张树芳; 江建明; 陈荣春; 朱青安; 黄志平

    2015-01-01

    目的:通过动物实验,评估新型带负电荷硫酸钙/β-磷酸三钙复合骨水泥(geneX®)用于强化体内椎弓根螺钉的生物力学性质变化及可行性。方法选取6只健康山羊腰椎L1~5双侧共30个椎弓根随机分为3组:geneX®组,聚甲基丙烯酸甲酯骨水泥(Polymethylmethacrylate,PMMA)组,空白对照组,每组10个椎弓根。术后3个月处死动物取材行Mirco-CT检查、组织学检查及生物力学实验。结果轴向拔出力实验:geneX®组(803±155) N, PMMA组为(994±122) N,两者差异无统计学意义(P>0.05)。两组均明显高于对照组的(524±118) N,差异具有统计学意义(P<0.05)。组织学观察及Mirco-CT显示geneX®组中螺钉周围骨水泥已经完全降解、吸收,骨小梁排列致密,成熟骨小梁附近可见大量新生骨组织,明显优于对照组及PMMA组。结论 geneX®骨水泥可有效强化椎弓根螺钉内固定的强度,其强化作用随时间推移而增强,对防止骨质疏松症患者内固定的拔出发生率有重要意义。%Objective To evaluate the long-term in vivo biomechanical effects of a newly developed biphasic calcium composite bone cement (geneX®)with a negative surface charge augmentation of pedicle screw. Methods Bilateral pedicles of lumbar vertebrae (L1~5) of 6 female sheep were fi xed with pedicle screws. One pedicle of each vertebral body was treated with a screw augmented with either geneX®(geneX® group) or PMMA (PMMA group) and the contralateral pedicle was treated with a screw without any augmentation (control group). Three months later, the sheep were killed and biomechanical tests, micro-CT analysis and histological observation were conducted on the isolated specimen vertebrae. Results Both the axial and vertical stabilities of the pedicle screws in geneX® group were significantly enhanced compared with those in the control group (P<0.05). Micro-CT reconstruction and analysis showed that there were more bone

  8. Salvage of failed osteosynthesis of an intracapsular fracture of the femoral neck using two cannulated compression screws and a vascularised iliac crest bone graft.

    Science.gov (United States)

    Xiaobing, Y; Dewei, Z

    2015-07-01

    We evaluated the outcome of treatment of nonunion of an intracapsular fracture of the femoral neck in young patients using two cannulated screws and a vascularised bone graft. A total of 32 patients (15 women and 17 men, with a mean age of 36.5 years; 20 to 50) with failed internal fixation of an intracapsular fracture were included in the study. Following removal of the primary fixation, two cannulated compression screws were inserted with a vascularised iliac crest bone graft based on the ascending branch of the lateral femoral circumflex artery. At a mean follow-up of 6.8 years (4 to 10), union was achieved in 27 hips (84%). A total of five patients with a mean age of 40.5 years (35 to 50) had a persistent nonunion and underwent total hip arthroplasty as also did two patients whose fracture united but who developed osteonecrosis of the femoral head two years post-operatively. Statistical analysis showed that younger patients achieved earlier and more reliable union (p 45 years (p osteosynthesis of a displaced intracapsular fractures of the femoral neck has failed.

  9. [Cement augmentation of pedicle screws : Pros and cons].

    Science.gov (United States)

    Schnake, K J; Blattert, T R; Liljenqvist, U

    2016-09-01

    Cement augmentation of pedicle screws biomechanically increases screw purchase in the bone. However, clinical complications may occur. The pros and cons of the technique are discussed from different clinical perspectives.

  10. A new variant of scaphoid reconstruction: Treatment of scaphoid non-union with avascular bone interponate and high compression screw (Synthes

    Directory of Open Access Journals (Sweden)

    Eder, Christian

    2015-08-01

    Full Text Available Scaphoid fractures as frequently overseen injuries often result in scaphoid non-unions, that need to be treated to prevent carpal collapse and secondary cartilage damage. Vital bone tissue and compression of fracture and bone graft ends seem to be crucial in for ossification and final bone healing. In the present study we compare our results using a high compression screw (HCS Synthes to results in the literature using different kinds of internal fixation including compression screws of various types. We present 22 patients with scaphoid non-unions treated with a bone graft and a HCS Synthes. We evaluated our post-operative results. The Manchester-Modified Disability of the Shoulder, Arm and Hand–Score (M-Dash imposed with an average of 29.8 points (MD=29 / SD=9.46 / MIN=18 / MAX=48. None of the re-evaluated patients sorrowed for pain in rest. Five patients stated pain (ranging from 4 to 8 on numeric analogue scale after heavy burden (e.g. boxing, weight lifting.In exploring the range of motion of the operated hand we deliver the following results: dorsal extension: average 72.73° (MD=80° / SD=17.23° / MIN=30° / MAX=85°, flexion: average 73.64° (MD=80° / SD=8.97° / MIN=60° / MAX=80°, ulnar deviation: average 39.09°, (MD=40° / SD=2.02° / MIN=35° / MAX=40°, radial deviation: average 29.09°, (MD=30° / SD=3.01° / MIN=20° / MAX=30°. Additionally a performance testing was conducted: fist clenching sign: complete without pain in 100%, pinch grip: complete in 100%, moderate pain in n=1 (8.33%, opposition digitus manus I–V complete in 100%, moderate pain n=2 (16.67%. Three patients with persisting fracture gap had a scaphoid bone fractured in the proximal third; one patient even with a very small proximal fragment. One persisting non-union was localized in the middle third (period between injury and operation = . In conclusion, our patients showed better healing rates compared to results presented in the literature. Non

  11. A Biomechanical Comparison of Expansive Pedicle Screws for Severe Osteoporosis: The Effects of Screw Design and Cement Augmentation.

    Directory of Open Access Journals (Sweden)

    Ching-Lung Tai

    Full Text Available Expansive pedicle screws significantly improve fixation strength in osteoporotic spines. However, the previous literature does not adequately address the effects of the number of lengthwise slits and the extent of screw expansion on the strength of the bone/screw interface when expansive screws are used with or without cement augmentation. Herein, four designs for expansive pedicle screws with different numbers of lengthwise slits and different screw expansion levels were evaluated. Synthetic bones simulating severe osteoporosis were used to provide a comparative platform for each screw design. The prepared specimens were then tested for axial pullout failure. Regardless of screw design, screws with cement augmentation demonstrated significantly higher pullout strength than pedicle screws without cement augmentation (p 0.05. Taken together, our results show that pedicle screws combined with cement augmentation may greatly increase screw fixation regardless of screws with or without expansion. An increase in both the number of slits and the extent of screw expansion had little impact on the screw-anchoring strength. Cement augmentation is the most influential factor for improving screw pullout strength.

  12. Biomechanical evaluation of dynamic hip screw with bone cement augmentation in normal bone%骨水泥强化正常骨质DHS固定的生物力学研究

    Institute of Scientific and Technical Information of China (English)

    黎宁; 彭阿钦; 聂喜增; 李锋; 赵永涛; 毕靖博; 韩长伶

    2008-01-01

    背景:DHS是治疗股骨转子间骨折的标准内固定,对于伴有骨质疏松的骨折,容易发生拉力螺钉切割.国内外文献建议骨水泥强化DHS以达到坚强内固定,但是对于正常骨质,骨水泥强化是否有效还缺少报道.目的:选取正常骨密度的股骨转子间骨折标本,观察骨水泥强化对DHS固定的生物力学影响.设计、时间及地点:同一标本两侧对比观察实验,于2005-03/05在河北省骨科研究所生物力学实验室完成.材料:选取河北医科大学解剖教研室提供的成年男性防腐尸体双侧股骨上段标本.X射线证实无结核、畸形、肿瘤.方法:取成年男性防腐尸体双侧股骨上段标本24对48侧,制备A2型股骨转子间骨折模型.右侧标本行骨水泥强化DHS固定(在股骨头近端钉道用刮匙扩大.股骨头朝下,注入2mL低黏稠度骨水泥,拧入拉力螺钉,保持位置不变直至骨水泥凝固.置入套筒,拧紧尾钉适当加压,皮质骨螺钉固定钢板),为强化组;左侧行DHS常规固定,为对照组.两组标本进行弯曲强度试验及扭转强度试验.主要观察指标:两组标本的最大负荷及最大扭矩.结果:强化组最大负荷及最大扭矩与对照组比较,差异均无统计学意义[最大负荷分别为:(3852.1602±143.6031)N和(3702.9667±133.8601)N;最大扭矩分别为(15.5±2.6)N·m,(14.7±3.4)N·m, P>0.0⑤.结论:对于正常骨密度的股骨转子间骨折,骨水泥强化对DHS固定强度及骨折整体稳定性无显著的影响.%BACKGROUND: Dynamic hip screw (DHS) is a standard internal fixation for intertrochanteric fracture, whereas the patient combined with osteoporosis, cut-out incidence of lag screw is common. The articles in China and abroad indicate bone cement augmentation of DHS to achieve firm fixation. As for normal bone, no reports is published that whether bone cement augmentation is effective.OBJECTIVE: To investigate the biomechanics of DHS with bone cement augmentation for

  13. INFLUENCE OF RESORBABLE POLY(L-LACTIDE)BONE PLATES AND SCREWS ON THE DOSE DISTRIBUTIONS OF RADIOTHERAPY BEAMS

    NARCIS (Netherlands)

    ROZEMA, FR; LEVENDAG, PC; BOS, RRM; BOERING, G; PENNINGS, AJ

    1990-01-01

    Metallic bone plates have been shown to affect radiation in vitro. Although no damage has ever been demonstrated in vivo these plates may cause dose enhancements and shielding of the adjacent tissue. Resorbable high molecular weight as-polymerized poly(L-lactide) (PLLA) bone plates have recently bee

  14. The bone integration effects of platelet-rich fibrin by removal torque of titanium screw in rabbit tibia.

    Science.gov (United States)

    Cho, Sung-Am; Lee, Byung-Kil; Park, Sang-Hun; Ahn, Jae-Jin

    2014-01-01

    Platelet-rich fibrin (PRF) is nowadays often used in various fields, but no removal torque studies have yet been done to evaluate the effects of the platelet-rich fibrin on the bone integration at the initial healing period. An experimental study have been performed in rabbits to evaluate whether the complete PRF clots can accelerate the bone integration of implants at the initial healing period after creating bone defects in tibias. The effect of the complete PRF clots on bone integration was studied in two rabbit groups, 4-week group (group A) and 6-week group (group B) after preparing bony defects. Artificial bony defects were prepared in the tibias of rabbits. The complete PRF clots was applied to the defects in the experimental group, whereas the defects were unfilled in the control group. Four weeks later, machined implants were installed into the rabbit tibias (group A). Six weeks after installation, the removal torque from nine rabbits was measured to examine the bone healing effect of PRF. In another rabbits (group B), 6 weeks after preparing bony defects, installation was performed, and another 6 weeks after installation, the removal torque from nine rabbits was measured. The authors found a positive significant effect of the complete PRF clots on bone integration (higher bone density) in group A installed at 4 weeks after preparing bony defects (p = 0.008; t-test), but not in group B installed at 6 weeks after preparing bony defects (p = 0.677).

  15. A processing method for orthodontic mini-screws reuse

    Directory of Open Access Journals (Sweden)

    Saeed Noorollahian

    2012-01-01

    Conclusion: Cleaning of used mini-screws with phosphoric acid 37% (10 minutes and sodium hypochlorite 5.25% (30 minutes reduces tissue remnants to the level of as-received mini-screws. So it can be suggested as a processing method of used mini-screws. Previous insertion of mini-screws into the bone and above-mentioned processing method and resterilization with autoclave had no adverse effects on insertion, removal, and fracture torque values as mechanical properties indices.

  16. Coracoid bone graft osteolysis after Latarjet procedure: A comparison study between two screws standard technique vs mini-plate fixation

    Directory of Open Access Journals (Sweden)

    Giovanni Di Giacomo

    2013-01-01

    Full Text Available Aims: One of the reason for Latarjet procedure failure may be coracoid graft osteolysis. In this study, we aimed to understand if a better compression between the coracoid process and the glenoid, using a mini-plate fixation during the Latarjet procedure, could reduce the amount of coracoid graft osteolysis. Materials and Methods: A computed tomography scan analysis of 26 prospectively followed-up patients was conducted after modified Latarjet procedure using mini-plate fixation technique to determine both the location and the amount of coracoid graft osteolysis in them. We then compared our current results with results from that of our previous study without using mini-plate fixation to determine if there is any statistical significant difference in terms of corcacoid bone graft osteolysis between the two surgical techniques. Results: The most relevant osteolysis was represented by the superficial part of the proximal coracoid, whereas the deep part of the proximal coracoid graft is least involved in osteolysis and has best bone healing. The current study showed a significant difference only for the deep part of the distal coracoid with our previous study (P < 0.01. Discussion: To our knowledge, there are no studies in literature that show the causes of coracoid bone graft osteolysis after Latarjet procedure. Conclusion: Our study suggests that there is a significant difference only for the deep part of the distal coracoid in terms of osteolysis. At clinical examination, this difference did not correspond with any clinical findings. Level of Evidence: Level 4. Clinical Relevance: Prospective case series, Treatment study.

  17. Pullout strength of pedicle screws with cement augmentation in severe osteoporosis: A comparative study between cannulated screws with cement injection and solid screws with cement pre-filling

    Directory of Open Access Journals (Sweden)

    Lee Yen-Chen

    2011-02-01

    Full Text Available Abstract 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 to determine the difference in pullout strength between conical and cylindrical screws based on the aforementioned cement augmentation techniques. The potential loss of fixation upon partial screw removal after screw insertion was also examined. Method The Taguchi method with an L8 array was employed to determine the significance of design factors. Conical and cylindrical pedicle screws with solid or cannulated designs were installed using two different screw augmentation techniques: solid screws with retrograde cement pre-filling and cannulated screws with cement injection through perforation. Uniform synthetic bones (test block simulating severe osteoporosis were used to provide a platform for each screw design and cement augmentation technique. Pedicle screws at full insertion and after a 360-degree back-out from full insertion were then tested for axial pullout failure using a mechanical testing machine. Results The results revealed the following 1 Regardless of the screw outer geometry (conical or cylindrical, solid screws with retrograde cement pre-filling exhibited significantly higher pullout strength than did cannulated screws with cement injection through perforation (p = 0.0129 for conical screws; p = 0.005 for cylindrical screws. 2 For a given cement augmentation technique (screws without cement augmentation, cannulated screws with cement injection or solid screws with cement pre-filling, no significant difference in pullout strength was found between conical and cylindrical screws (p >0.05. 3 Cement infiltration into the open cell of

  18. Micro-CT中椎弓根螺钉伪影对其周围骨计量学检测结果的影响及其校正%Influence and Calibration Pedical Screw Artifact on Peri-screw Bone Analysis by Micro-CT

    Institute of Scientific and Technical Information of China (English)

    石磊; 王陵; 王军; 张扬; 雷伟

    2011-01-01

    目的:减少椎弓根螺钉伪影对其周围骨计量学结果的影响.方法:通过在绵羊腰椎内植入椎弓根螺钉后,行去钉扫描和带钉扫描后,以去钉扫描组为对照组,带钉扫描组为实验组,分别采用不同的分割阈值对实验组螺钉周围骨质进行图像重建分析,结果与对照组钉道周围骨质情况进行比较,观察不同分割阈值对于减少螺钉伪影的影响及真实反映螺钉周围骨质情况的能力.结果:与对照组分割阈值为1 000时比较,当实验组分割阈值为1000时,实验组螺钉周围骨量明显优于对照组钉道周围骨量(P<0.05);当实验组分割阈值为1 500时,2组之间无显著差异(P>05);当实验组分割阈值为2000时,对照组钉道周围骨量明显优于实验组螺钉周围骨量(P<0.05).结论:通过一定程度的提高分割阈值,有效地减少了螺钉伪影的影响,有利于准确了解螺钉周围骨质的情况.%Objecbre To decrease the influence of the artifact of pedicle screw on the peri-screw bone analysis. Methods The pedicle screws were inserted into the lumbar vertebrae of the sheep, and the samples were scanned with screw and without screw. The samples with screws fell under the experimental group and the ones without screws under the control group. The scanning results with different segmentation thresholds in the experimental group were compared to those with threshold 1000 in the control group respectively. Results With the threshold 1000, the results of the experimental group were significantly better those of the control group(P0.05), while with the threshold 2000, the results of the control group were significantly better than those of the experimental group(P<0.05). Conclusion The influence of the artifact of pedicle screw on the peri-screw bone analysis can be decreased through enhancing the threshold.[Chinese Medical Equipment Journal,2011,32 (12):60-61,76

  19. Usefulness of absorbable screws in the Sauvé-Kapandji procedure for rheumatoid wrist reconstruction.

    Science.gov (United States)

    Nakamura, K; Oda, H; Tanaka, S; Kuga, Y; Yamamoto, M; Nishikawa, T; Juji, T; Shimizu, M

    2002-06-01

    Abstract  In the Sauvé-Kapandji (S-K) procedure for rheumatoid wrist reconstruction, the distal end of the ulna is fixed to the radius with screws. Recently, absorbable screws have increasingly been used instead of metal ones. However, the clinical usefulness of absorbable screws in S-K procedures for rheumatoid patients is still unknown. The purpose of this article is to evaluate the effect of absorbable screws in this procedure by comparing their clinical results with those of metal screws. Poly-l-lactic acid (PLLA) absorbable screws were used in 23 wrists, and metal screws were used in 20 wrists. We evaluated the presence of general or local reactions to PLLA, the stability of the ulnar head, the time to bone union, changes in the shape of the distal ulna, and the presence of bone resorption around the screws. There were no complications with the use of PLLA screws, and their fixation stability was adequate to form sufficient bone union. In five cases in the metal screw group, bone resorption around the screws occurred between 1 and 2 years after surgery. Bone resorption around the PLLA screws was not observed. We conclude that absorbable screws may be more useful than metal screws in the S-K procedure for rheumatoid wrist reconstruction.

  20. Complicaciones de los tornillos de bloqueo intermaxilar en el tratamiento de las fracturas mandibulares Complications of self-tapping bone screws for maxillomandibular fixation in the treatment of jaw fracture

    OpenAIRE

    J. Molina Montes; J. González-Lagunas; J. Mareque Bueno; J.A. Hueto Madrid; G. Raspall Martí

    2008-01-01

    Durante la última década se ha introducido el tornillo de bloqueo intermaxilar como método de fijación maxilomandibular en el tratamiento de las fracturas de mandíbula. El propósito del estudio es evaluar las complicaciones de la técnica y la yatrogenia dental que derivan de su aplicación durante un periodo de 4 años. Se han revisado un total de 62 pacientes y 272 tornillos y, aunque han aparecido complicaciones, su incidencia es baja.In the last decade, self-tapping bone screws have been use...

  1. A 10-year follow-up of transpedicular screw fixation and intervertebral autogenous posterior iliac crest bone graft or intervertebral B-Twin system in failed back surgery syndrome

    Science.gov (United States)

    Cincu, Rafael; Lorente, Francisco de Asis; Gomez, Joaquin; Eiras, Jose; Agrawal, Amit

    2015-01-01

    Background: The spine surgeons have been combining anterior and posterolateral fusion (circumferential fusion) as the final solution to treat spinal disorders and many have been using it to treat failed back surgery syndrome (FBSS). In present study, we analyzed and compared the clinical and radiological outcomes in patients with transpedicular screw fixation and intervertebral autogenous posterior iliac crest bone graft or in patients with transpedicular screw fixation and intervertebral B-Twin system for FBSS with a follow-up period of 10 years after the surgery. Materials and Methods: This study was a retrospective case study performed on 55 patients with FBSS. Clinical and radiological changes were compared between the two groups of patients on the basis of improvement of back pain, radicular pain, and work capacity. Outcome was measured in terms of Oswestry Low Back Pain Disability Index, and the changes in pain and function were documented every year from before surgery until 2012. We analyzed the evolution of 55 cases of FBSS those underwent segmental circumferential posterior fusions from June 2001 to February 2003, operated by a single surgeon and followed up during 10 years until February 2012. The patients were divided into 2 groups: In 25 patients, posterolateral fusions with Legacy™ (Medtronic, Inc. NYSE: MDT) screws and intersomatic autogenous posterior iliac crest bone graft was performed, and, in 30 patients, posterolateral fusions with the same screws and intersomatic fusion B-Twin (Biomet Spain Orthopaedics, S.L.) system was performed. In all cases, we used posterior lumbar interbody fusion (PLIF)/transforaminal lumbar interbody fusion (TLIF) approach for intervertebral graft, and the artrodesis was supplemented at intertransverse level with Autologus Growth Factor (AGF-MBA INCORPORADO, S.A.). The outcome was measured in terms of Oswestry Low Back Pain Disability Index, and the changes in pain and function were documented every year and compared

  2. Biomechanical evaluation of an expansive pedicle screw in calf vertebrae

    Institute of Scientific and Technical Information of China (English)

    雷伟; 吴子祥

    2005-01-01

    Objective: To obtain a comprehensive understanding of the effect of the improvement of fixation strength of a newly designed expansive pedicle screw through biomechanical analyses.Metheds: 100 (200 pedicles) fresh calf lumber vertebrae were used. A total of four instrumentation systems were tested including CDH (CD Horizon), USS (Universal Spine System pedicle screw), Tenor (Sofamor Denek) and expansive pedicle screw (EPS). Pullout and turning-back tests were performed to compare the holding strength of the expansive pedicle screw with conventional screws, i.e. USS, CDH and Tenor. Revision tests were performed to evaluate the mechanical properties of the expansive pedicle screw as a "rescue" revision screw. A fatigue simulation using perpendicular load up to 1 500 000 cycles was carried out.Results: The turning back torque (Tmax) and pull-out force (Fmax) of EPS were significantly greater than those of USS, Tenor and CDH screws (6.5 mm×40 mm). In revision tests, the Fmax of both kinds of EPS (6.5 mm×40 mm; 7.0 mm×40 mm) were greater than that of CDH, USS and Tenor screws significantly (P<0.05). No screws were broken or bent at the end of fatigue tests.Conclusions: EPS can significantly improve the bone purchase and the pull-out strength compared to USS, Tenor and CDH screws with similar dimensions before and after failure simulation. The fatigue characteristic of EPS is similar to that of CDH, USS and Tenor screws.

  3. Triangular bone positioning of spondylolysis vertebral pedicle screws%峡部裂椎体椎弓根钉入点三角骨定位法

    Institute of Scientific and Technical Information of China (English)

    肖善富; 张喜善

    2015-01-01

    目的:探寻一种简单、准确、可靠的峡部裂椎体椎弓根入点定位方法。方法研究分为两个阶段:①2008年1月~2012年1月,对60例峡部裂伴椎体滑脱患者应用CT测量峡部裂椎体椎弓根中轴线至三角骨下边的距离及其至三角骨内下角顶点的距离;对其中30例患者行手术治疗,术中在C臂机下找出峡部裂椎体椎弓根标准入点,测量峡部裂椎体椎弓根中轴线至三角骨下边的距离及其至三角骨内下角顶点间的距离。②2012年2月~2014年1月,将60例峡部裂伴腰椎滑脱的患者,分别采用三角骨定位法置钉(A组,n=30)和AO法置钉(B组,n=30),两组患者术前资料比较差异无统计学意义(P>0.05)。对比两组手术时间、手术出血量及术后的疼痛评分,手术后应用X线和CT检查验证置钉效果。结果进钉点位于三角骨面内、靠下方,大约在内下角下1/3分界线上下的区域内,距离内下角顶点4~7 mm,距离下边3~6 mm,在进针方向上,入点越靠外侧,钉尾外倾角度越大,入点越靠上方,钉尾头倾角度越大。对比两种方法手术结果,A组明显优于B组(P<0.05)。结论三角骨内下角及下边无明显增生,骨面清晰明确,面积小,位置恒定。应用该定位方法置钉,操作简单、可靠、创伤小、出血少,可明显提高一次性置钉率及置钉优良率,缩短手术时间。%Objective To search for a simple, accurate and reliable positioning method of positioning spondylolysis vertebra pedicle screw, and to evaluate the effect. Methods Research methods were divided into two stages: ①Frome January 2008 to January 2012, the distance between spondylolysis vertebral pedicle axis with lower boundary of triangular bone and the distance between spondylolysis vertebral pedicle axis with annulus inferior and medial oftrian-gular bones was measured by CT for 60 paitiens. In the same period, the distance between spondylolysis vertebral pedicle axis with lower

  4. Double insurance transfacetal screws for lumbar spinal stabilization

    Directory of Open Access Journals (Sweden)

    Atul Goel

    2014-01-01

    Full Text Available Aim: The authors report experience with 14 cases where two screws or ′′double insurance′′ screws were used for transfacetal fixation of each joint for stabilization of the lumbar spinal segment. The anatomical subtleties of the technique of insertion of screws are elaborated. Materials and Methods: During the period March 2011 to June 2014, 14 patients having lumbar spinal segmental instability related to lumbar canal stenosis were treated by insertion of two screws into each articular assembly by transfacetal technique. After a wide surgical exposure, the articular cartilage was denuded and bone chips were impacted into the joint cavity. For screw insertion in an appropriate angulation, the spinous process was sectioned at its base. The screws (2.8 mm in diameter and 18 mm in length were inserted into the substance of the medial or inferior articular facet of the rostral vertebra via the lateral limit of the lamina approximately 6-8 mm away from the edge of the articular cavity. The screws were inserted 3 mm below the superior edge and 5 mm above the inferior edge of the medial (inferior facets and directed laterally and traversed through the articular cavity into the lateral (superior articular facet of the caudal vertebra toward and into the region of junction of base of transverse process and of the pedicle. During the period of follow-up all treated spinal levels showed firm bone fusion. There was no complication related to insertion of the screws. There was no incidence of screw misplacement, displacementor implant rejection. Conclusions: Screw insertion into the firm and largely cortical bones of facets of lumbar spine can provide robust fixation and firm stabilization of the spinal segment. The large size of the facets provides an opportunity to insert two screws at each spinal segment. The firm and cortical bone material and absence on any neural or vascular structure in the course of the screw traverse provides strength and

  5. Bone graft

    Science.gov (United States)

    ... around the area. The bone graft can be held in place with pins, plates, or screws. Why ... Orthopaedic Surgery, San Francosco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the ...

  6. Research and application of absorbable screw in orthopedics: a clinical review comparing PDLLA screw with metal screw in patients with simple medial malleolus fracture

    Directory of Open Access Journals (Sweden)

    TANG Jin

    2013-02-01

    Full Text Available 【Abstract】Objective: To observe the therapeutic effect of absorbable screw in medial malleolus fracture and discuss its clinical application in orthopedics. Methods: A total of 129 patients with simple medial malleolus fracture were studied. Among them, 64 patients were treated with poly-D, L-lactic acid (PDLLA absorbable screws, while the others were treated with metal screws. All the patients were followed up for 12-20 months (averaged 18.4 months and the therapeutic effect was evaluated ac-cording to the American Orthopaedic Foot and Ankle Soci-ety clinical rating systems. Results: In absorbable screw group, we obtained excel-lent and good results in 62 cases (96.88%; in steel screw group, 61 cases (93.85% achieved excellent and good results. There was no significant difference between the two groups. Conclusion: In the treatment of malleolus fracture, absorbable screw can achieve the same result compared with metal screw fixation. Absorbable screw is preferred due to its advantages of safety, cleanliness and avoiding the removal procedure associated with metallic implants. Key words: Ankle; Bone screws; Fractures, bone

  7. An Investigation into the Correlation between the Density of Alveolar Bone around Micro-screws and Their Stability with Cone-Beam CT%利用Cone-Beam CT探讨支抗微螺钉周围骨密度与其稳定性的关系

    Institute of Scientific and Technical Information of China (English)

    秦璐; 邵奕奕; 赵颖

    2013-01-01

    目的:利用Cone-Beam CT测量支抗微螺钉周围骨密度值,探讨其与微螺钉稳定性的关系.方法:选取颌骨左右对称植入微螺钉后一侧松动而另一侧稳固的7名(共18枚微螺钉)正畸患者.拍摄CBCT,所得三维影像重建后用OnDemand 3D Application软件对微螺钉骨内部分周围2 mm范围内骨密度(以Hounsfield Unit表示)进行测量,自身对照比较分析双侧对称部位所植入微螺钉周围骨密度测量值间的差异.结果:松动微螺钉与稳定微螺钉骨内部分周围2 mm范围内骨密度无统计学差异,两侧微螺钉钉尖部1/3、钉中部1/3及钉颈部1/3周围骨密度均无统计学差异.结论:微螺钉种植支抗的稳定性与其周围骨密度间未发现明显相关性.%Objective:To study the relationship between the bone mineral density around micro-screws and their stability with Cone-Beam CT.Methods:7 patients who received orthodontic treatment with micro-screw anchorage were selected in this retrospective study.All of them had micro-screws implanted into symmetric locations,one screw became flexible while the other one stable.The total number of the micro-screws in this research was 18.CBCT films were taken after micro-screw were flexible,the DICOM data were reconstructed via OnDemand 3D Application software.The density of 2mm alveolar bone outside the micro-screws was evaluated,presented in Hounsfiled Unit.The difference of alveolar bone density between the loose and stable micro-screws were analyzed with self-control design.Results:No significant difference of the alveolar bone density outside the micro-screws were detected,no matter in the whole body,the tip,middle or neck area of them.Conclusion:No significant correlation between the alveolar bone density around micro-screwsand their stability was found.

  8. Pullout strength of misplaced pedicle screws in the thoracic and lumbar vertebrae - A cadaveric study

    Directory of Open Access Journals (Sweden)

    Shyam K Saraf

    2013-01-01

    Full Text Available Background: The objective of this cadaveric study was to analyze the effects of iatrogenic pedicle perforations from screw misplacement on the mean pullout strength of lower thoracic and lumbar pedicle screws. We also investigated the effect of bone mineral density (BMD, diameter of pedicle screws, and the region of spine on the pullout strength of pedicle screws. Materials and Methods: Sixty fresh human cadaveric vertebrae (D10-L2 were harvested. Dual-energy X-ray absorptiometry (DEXA scan of vertebrae was done for BMD. Titanium pedicle screws of different diameters (5.2 and 6.2 mm were inserted in the thoracic and lumbar segments after dividing the specimens into three groups: a standard pedicle screw (no cortical perforation; b screw with medial cortical perforation; and c screw with lateral cortical perforation. Finally, pullout load of pedicle screws was recorded using INSTRON Universal Testing Machine. Results: Compared with standard placement, medially misplaced screws had 9.4% greater mean pullout strength and laterally misplaced screws had 47.3% lesser mean pullout strength. The pullout strength of the 6.2 mm pedicle screws was 33% greater than that of the 5.2 mm pedicle screws. The pullout load of pedicle screws in lumbar vertebra was 13.9% greater than that in the thoracic vertebra ( P = 0.105, but it was not statistically significant. There was no significant difference between pullout loads of vertebra with different BMD ( P = 0.901. Conclusion: The mean pullout strength was less with lateral misplaced pedicle screws while medial misplaced pedicle screw had more pullout strength. The pullout load of 6.2 mm screws was greater than that of 5.2 mm pedicle screws. No significant correlation was found between bone mineral densities and the pullout strength of vertebra. Similarly, the pullout load of screw placed in thoracic and lumbar vertebrae was not significantly different.

  9. Complicaciones de los tornillos de bloqueo intermaxilar en el tratamiento de las fracturas mandibulares Complications of self-tapping bone screws for maxillomandibular fixation in the treatment of jaw fracture

    Directory of Open Access Journals (Sweden)

    J. Molina Montes

    2008-08-01

    Full Text Available Durante la última década se ha introducido el tornillo de bloqueo intermaxilar como método de fijación maxilomandibular en el tratamiento de las fracturas de mandíbula. El propósito del estudio es evaluar las complicaciones de la técnica y la yatrogenia dental que derivan de su aplicación durante un periodo de 4 años. Se han revisado un total de 62 pacientes y 272 tornillos y, aunque han aparecido complicaciones, su incidencia es baja.In the last decade, self-tapping bone screws have been used widely as a temporary maxillomandibular fixation method in the treatment of jaw fractures. The purpose of the present study was to evaluate the complications of the technique and potential dental iatrogenesis over a period of 4 years. We reviewed a total of 62 patients and 272 screws. Although complications appeared, the complication rate was low.

  10. Evaluation of contributions of orthodontic mini-screw design factors based on FE analysis and the Taguchi method.

    Science.gov (United States)

    Lin, Chun-Li; Yu, Jian-Hong; Liu, Heng-Liang; Lin, Chih-Hao; Lin, Yang-Sung

    2010-08-10

    This study determines the relative effects of changes in bone/mini-screw osseointegration and mini-screw design factors (length, diameter, thread shape, thread depth, material, head diameter and head exposure length) on the biomechanical response of a single mini-screw insertion. Eighteen CAD and finite element (FE) models corresponding to a Taguchi L(18) array were constructed to perform numerical simulations to simulate mechanical responses of a mini-screw placed in a cylindrical bone. The Taguchi method was employed to determine the significance of each design factor in controlling strain. Simulation results indicated that mini-screw material, screw exposure length and screw diameter were the major factors affecting bone strain, with percentage contributions of 63%, 24% and 7%, respectively. Bone strain decreased obviously when screw material had the high elastic modulus of stainless/titanium alloys, a small exposure length and a large diameter. Other factors had no significant on bone strain. The FE analysis combined with the Taguchi method efficiently identified the relative contributions of several mini-screw design factors, indicating that using a strong stainless/titanium alloys as screw material is advantageous, and increase in mechanical stability can be achieved by reducing the screw exposure length. Simulation results also revealed that mini-screw and bone surface contact can provide sufficient mechanical retention to perform immediately load in clinical treatment.

  11. Can experimental data in humans verify the finite element-based bone remodeling algorithm?

    DEFF Research Database (Denmark)

    Wong, Christian; Gehrchen, P Martin; Kiaer, Thomas

    2008-01-01

    A finite element analysis-based bone remodeling study in human was conducted in the lumbar spine operated on with pedicle screws. Bone remodeling results were compared to prospective experimental bone mineral content data of patients operated on with pedicle screws.......A finite element analysis-based bone remodeling study in human was conducted in the lumbar spine operated on with pedicle screws. Bone remodeling results were compared to prospective experimental bone mineral content data of patients operated on with pedicle screws....

  12. In vitro analysis and mechanical properties of twin screw extruded single-layered and coextruded multilayered poly(caprolactone) scaffolds seeded with human fetal osteoblasts for bone tissue engineering.

    Science.gov (United States)

    Ergun, Asli; Yu, Xiaojun; Valdevit, Antonio; Ritter, Arthur; Kalyon, Dilhan M

    2011-12-01

    In vitro culturing and mechanical properties of three types of three-dimensional poly(caprolactone) scaffolds with interconnecting open-foam networks are reported. The scaffolds targeted bone tissue regeneration and were fabricated using twin screw extrusion and coextrusion techniques, for continuous mixing/shaping and formation of single or multilayers with distinct and tailorable porosities and pore sizes. Human fetal preosteoblastic cells, hFOB, were cultured on the extruded and coextruded scaffolds under osteogenic supplements and the samples of the resulting tissue constructs were removed and characterized for cell viability and proliferation using the MTS assay, differentiation, and mineralized matrix synthesis via the alkaline phosphatase, ALP, activity and Alizarin Red staining and cell migration using confocal microscopy and scanning electron microscopy. The hFOB cells formed a confluent lining on scaffold surfaces, migrated to the interior and generated abundant extracellular matrix after 2 weeks of culturing, indicative of the promise of such scaffolds for utilization in tissue engineering. The scaffolds and tissue constructs exhibited compressive fatigue behavior that was similar to that of cancellous bone, suggesting the suitability of their use as bone graft substitutes especially for repair of critical-sized defects or nonunion fractures.

  13. 3D打印导板辅助腰椎皮质骨螺钉置入的可行性%Feasibility of three-dimensional printing composite template for lumbar posterior cortical bone screw

    Institute of Scientific and Technical Information of China (English)

    李智多; 袁峰; 盛晓磊; 陆海涛; 姜伟; 李威

    2016-01-01

    背景:腰椎皮质骨螺钉轨迹技术是一种新型腰椎后路内固定技术,其钉道轨迹与传统椎弓根内固定不同,所以凭借经验的徒手置钉失败率高,而3D打印导板的设计可以提高皮质骨螺钉轨迹技术置钉的安全性和准确性。  目的:探讨两种3D打印导板辅助腰椎后路皮质骨钉置入的安全性、准确性,并与徒手置钉进行对比。方法:选取正常腰椎标本6具,随机分成3组,A组为徒手置钉组,B组为椎板-人字嵴型导板组,C组为椎板-棘突型导板组,每组2具标本,行螺旋CT扫描。扫描数据经Mimics软件三维重建后对导板组行腰椎后路皮质骨钉模拟安全钉道的计算机辅助设计,分别建立与腰椎椎板-人字嵴、腰椎椎板-棘突后表面解剖结构互补的三维基板,组合形成复合导板。在3D打印机上进行导板实体化,利用相应导板辅助置钉。行X射线、CT检查,以明确螺钉位置、方向、是否有椎弓根皮质破裂等情况,根据Grade分级评价3种方法的置钉成功率、可接受率并进行比较。  结果与结论:①3组各2例标本,分别各置入腰椎后路皮质骨钉20枚,其中A组置钉的成功率为70%(14/20),置钉可接受率为80%(16/20);B 组置钉成功率为70%(14/20),置钉可接受率为95%(19/20);C组置钉成功率为95%(19/20),置钉可接受率为100%(20/20);②C组置钉成功率显著高于A、B组(P OBJECTIVE:To validate the security and accuracy of lumbar vertebral cortical bone screw placement under the assistance of three-dimensional printing oriented template, and compare to the group with free hand insertion. METHODS:Six normal lumbar spine specimens were selected and randomly divided into groups A, B and C (n=2). Specimens in group A underwent free hand screw placement;group B underwent screw placement by the crista lambdoidalis composite guide;while group C underwent screw placement by the

  14. Supporting screws combined with bone cement filling for reconstructing tibial bone defect in knee arthroplasty%支撑螺钉结合骨水泥填充重建膝关节置换术中胫骨平台骨缺损

    Institute of Scientific and Technical Information of China (English)

    黄海; 张喜才

    2014-01-01

    Objective To observe the clinical effect of supporting screws combined with bone cement filling on reconstructing tibial bone defect in knee arthroplasty.Methods Thirty-one patients (47 lateral tibial plateau structural bone defect) underwent total knee replacement.After conventional tibial osteotomy,2 or 3 pieces of supporting screws were screwed according to bone defect area,and bone cement was pressurely filled,and then the tibial prosthesis was installed.The knee rehabilitation training was strengthened and the effect was regular followed up after the operation.Results Thirty-one patients were followed up for 1-5 years,average 2.8 years.The pain of the knee completely disappeared after operation,and the stability and function of the knee were good.The KSS knee score were 87 to 95 points,an average of 92.4 points,which were significantly improved after operation (t =6.41,P < 0.01).In the last follow-up through X-ray examination,there were no prosthesis loosening or signs of infection,no bone cement filling zone interface lucency or supporting screw loosening,displacement or other complications.Conclusions Supporting screws combined with bone cement filling technique can effectively resolve the tibial knee replacement of large bone defects,and the short-term curative effect is satisfactory.So it is one of the ideal methods for senile patients.%目的 观察支撑螺钉结合骨水泥填充重建膝关节置换术中胫骨平台骨缺损的临床疗效.方法 对31例47侧重度胫骨平台结构性骨缺损患者行全膝关节置换术,常规胫骨平台截骨,截骨后根据骨缺损面积,拧入2~3枚支撑螺钉,加压填充骨水泥,安置胫骨骨水泥假体.术后加强膝关节功能康复训练并定期随访疗效.结果 31例患者术后随访1~5年,平均2.8年,术后疼痛完全消失,膝关节稳定性及功能均良好.膝关节KSS评分87~95分,平均92.4分,较术前显著改善(t=6.41,P<0.01).术后末次随访复查X线片未见

  15. 前路减压植骨可吸收螺钉内固定治疗颈椎病%The anterior decompression and bone grafting with bio-absorbable screw fixation for cervical spondylosis

    Institute of Scientific and Technical Information of China (English)

    王栋; 贺西京; 李浩鹏; 张健; 徐思越; 杨平林; 王国毓

    2009-01-01

    Objective:To observe the early clinical effect of the cervical spendylosis treated by the fixation with bio-absorbable screw after cervical anterior decompression and bone grafting.Method:26 cases suffered from cervical spondylosis who were treated by anterior compression,bone grafting and fixating with 2 bio-ab-serbable screws from Mar. 2007 to Sep. 2008,including 16 males and 10 females with an average age of 49.4 years (38-70 years ).There were 11 cases with cervical spondylotic myelopathy,5 with cervical spendylofic radieulopathy and 10 with mixed type of cervical spondylosis.Clinical data of these patients was analyzed ret-rospectively.One intervertebral space involvement was in 8 cases,and two spaces involvement in 18 cases.All patients underwent anterior decompression and bone grafting,in which the grafted bone was fixated by 2 bio-absorptive screws (PLLA,diameter:2.7mm) from the midline of graft bone to the bone surface of upper and lower vertebrae in 45°.Cervical collar was commonly used for 4-6 weeks after operation.All cases were fol-lowed-up every month in outpatient department to observe the improvement of symptoms and evaluate the fu-sion of bone graft.Neurological function recovery was observed by JOA score.Result:Operations of all cases were finished and screws were placed successfully.The operative incisions healed well.The excellent and good rate of symptom improvement was 84.2%,the graft fusion time was 3.3±0.6 months (range,3.2-4.6 months).No obvious complications were found.Conclusion:The cervical spendylosis with one or two-level involvement can be effectively treated by anterior decompression and bone grafting with bio-absorbable screw fixation.This operative method is safe and can avoid the complications induced by metal implants.%目的:观察颈椎前路减压植骨可吸收螺钉内同定治疗颈椎病的初步临床疗效.方法:2007年3月~2008年9月我院应用颈椎前路减压植骨可吸收螺钉

  16. Comparison of expansive pedicle screw and polymethylmethacrylate-augmented pedicle screw in osteoporotic sheep lumbar vertebrae: biomechanical and interfacial evaluations.

    Directory of Open Access Journals (Sweden)

    Da Liu

    Full Text Available BACKGROUND: It was reported that expansive pedicle screw (EPS and polymethylmethacrylate-augmented pedicle screw (PMMA-PS could be used to increase screw stability in osteoporosis. However, there are no studies comparing the two kinds of screws in vivo. Thus, we aimed to compare biomechanical and interfacial performances of EPS and PMMA-PS in osteoporotic sheep spine. METHODOLOGY/PRINCIPAL FINDINGS: After successful induction of osteoporotic sheep, lumbar vertebrae in each sheep were randomly divided into three groups. The conventional pedicle screw (CPS was inserted directly into vertebrae in CPS group; PMMA was injected prior to insertion of CPS in PMMA-PS group; and the EPS was inserted in EPS group. Sheep were killed and biomechanical tests, micro-CT analysis and histological observation were performed at both 6 and 12 weeks post-operation. At 6-week and 12-week, screw stabilities in EPS and PMMA-PS groups were significantly higher than that in CPS group, but there were no significant differences between EPS and PMMA-PS groups at two study periods. The screw stability in EPS group at 12-week was significantly higher than that at 6-week. The bone trabeculae around the expanding anterior part of EPS were more and denser than that in CPS group at 6-week and 12-week. PMMA was found without any degradation and absorption forming non-biological "screw-PMMA-bone" interface in PMMA-PS group, however, more and more bone trabeculae surrounded anterior part of EPS improving local bone quality and formed biological "screw-bone" interface. CONCLUSIONS/SIGNIFICANCE: EPS can markedly enhance screw stability with a similar effect to the traditional method of screw augmentation with PMMA in initial surgery in osteoporosis. EPS can form better biological interface between screw and bone than PMMA-PS. In addition, EPS have no risk of thermal injury, leakage and compression caused by PMMA. We propose EPS has a great application potential in augmentation of

  17. Pedicle bone grafting with posterior pedicle screw system on thoracolumbar vertebral fractures%后路椎弓根植骨结合椎弓根钉系统治疗胸腰椎骨折

    Institute of Scientific and Technical Information of China (English)

    崔文波; 邝明业

    2011-01-01

    Objective To explore the methods and results of the combination of posterior pedicle graft and pedicle screw system for treatment of thoracolumbar fractures. Methods Sixty-two cases of thoracolumbar fracture patients were treated with pedicle screw system, at the same time, push the injection device with self-made bone graft within the vertebral body through the pedicle bone graft with posterior bone graft in the treatment of bed rest after 15 to 20 days and carryed out rehabilitation exercises back muscles, waist to protect 3 to 6 months. Results Sixty-two patients in this group were operated successfully, the fine rate was 83.87%, postoperative physiological curvature of vertebral height and satisfactory recovery without neurological symptoms have increased by 6 to 28 months follow-up of vertebral height and no obvious physiological radian lost. No broken nail, broken rod fixation loosening or vertebral compression again. Conclusions AF pedicle screw system for thoracolumbar fractures with good reduction and fixation, by pedicle bone graft in the posterior vertebral body does not increase the surgical trauma, it is able to immediately increase the capacity of vertebral bone and spine stability of anterior column in compression, so that patients can be an early activity and reduce broken nails, broken rod, complications such as vertebral compression again due to too much stress.%目的 探讨后路椎弓根植骨结合椎弓根钉系统治疗胸腰椎骨折的方法和效果.方法 62例胸腰椎骨折患者,在均采用椎弓根钉系统治疗的同时,用自制植骨推注器经椎弓根椎体内植骨结合中后路植骨治疗,术后卧床15~20 d,并进行康复背肌锻炼,腰围保护3~6个月.结果 本组62例患者手术均获得成功,优良率为83.87%,术后椎体高度及生理弧度恢复满意,未出现神经症状加重,经随访6~28个月,椎体高度和生理弧度无明显丢失,无断钉、断杆、内固定松动、椎体再压缩等并

  18. Cytotoxicity of a new antimicrobial coating for surgical screws: an in vivo study

    Science.gov (United States)

    Güzel, Yunus; Elmadag, Mehmet; Uzer, Gokcer; Yıldız, Fatih; Bilsel, Kerem; Tuncay, İbrahim

    2017-01-01

    INTRODUCTION The risk of surgery-related infection is a persistent problem in orthopaedics and infections involving implants are particularly difficult to treat. This study explored the responses of bone and soft tissue to antimicrobial-coated screws. We investigated whether such screws, which have never been used to fix bony tissues, would result in a cytotoxic effect. We hypothesised that the coated screws would not be toxic to the bone and that the likelihood of infection would be reduced since bacteria are not able to grow on these screws. METHODS Titanium screws were inserted into the left supracondylar femoral regions of 16 rabbits. The screws were either uncoated (control group, n = 8) or coated with a polyvinylpyrrolidone-polyurethane interpolymer with tertiary amine functional groups (experimental group, n = 8). At Week 6, histological samples were obtained and examined. The presence of necrosis, fibrosis and inflammation in the bony tissue and the tissue surrounding the screws was recorded. RESULTS Live, cellular bone marrow was present in all the rabbits from the experimental group, but was replaced with connective tissue in four rabbits from the control group. Eight rabbits from the control group and two rabbits from the experimental group had necrosis in fatty bone marrow. Inflammation was observed in one rabbit from the experimental group and five rabbits from the control group. CONCLUSION Titanium surgical screws coated with polyvinylpyrrolidone-polyurethane interpolymer were associated with less necrosis than standard uncoated screws. The coated screws were also not associated with any cytotoxic side effect. PMID:26805670

  19. Influência do macheamento na interface do parafuso e do tecido ósseo na fase imediata pós-implante Influencia del taladramiento en la interfase del tornillo y del tejido óseo durante la fase inmediata post implante The influence of tapping techniques on the interface bone screw/bone tissue in immediate postoperative period

    Directory of Open Access Journals (Sweden)

    Fabiano Pinheiro de Lemos Masson

    2009-06-01

    el orificio proximal derecho fue realizado el taladramiento antes de la inserción del tornillo cortical de 3.5 mm (Grupo A, en el orificio proximal izquierdo el tornillo fue insertado sin taladramiento (Grupo B y los otros dos orificios distales fueron utilizados como controles (Grupo C. Las alteraciones de la interfase entre el hueso y el implante fueron analizadas por medio de un estudio histomorfométrico, teniendo en cuenta el número de trabéculas fracturadas entre los filetes de rosca; la mayor distancia de la fractura trabecular transversal provocada por la inserción del tornillo; la mayor extensión de la fractura trabecular longitudinal provocada por la inserción del tornillo y la línea de contacto en la interfase hueso-tornillo. RESULTADOS: taladrar el orificio piloto ha provocado alteraciones de la microestructura del tejido óseo alrededor del implante cuando comparado con las alteraciones producidas por la inserción del tornillo sin el taladramiento o el orificio piloto. La evaluación del contacto entre el hueso y el implante fue el parámetro que presentó diferencia estadística en la comparación entre la colocación del implante con o sin taladramiento. CONCLUSIÓN: al comparar con el orificio control, todos los parámetros presentaron diferencia estadística.OBJECTIVE: to analyze experimentally the early alterations of the bone-screw interface with tapping techniques in the cancellous bone of the cervical vertebrae. METHODS: five wooless sheep (Santa Inês were analyzed. Pilot holes of 2.5 mm were performed at both sides of the third cervical vertebrae in the proximal and distal portion. The tapping process was done in the right proximal hole before the 3.5 mm screw insertion (Group A, while the left proximal hole was not tapped (Group B and the two distal holes were used as control (Group C. The interface alterations between bone and screw were analyzed through histomorphometric study, considering the number of trabeculae fractures between

  20. Interfragmentary compression forces of scaphoid screws in a sawbone cylinder model.

    Science.gov (United States)

    Hausmann, J T; Mayr, W; Unger, E; Benesch, T; Vécsei, V; Gäbler, C

    2007-07-01

    Various screws have been developed to stabilise fractures of the scaphoid. Commonly used are the Herbert, the HBS, the 3-mm AO and the Acutrak screws. Not long ago a new screw, the Twin Fix, was introduced. This is cannulated and similar in shape and appearance to the classical Herbert screw. In our test series we compared the maximum achievable compression forces of the Twin Fix screw with that of three other screws (AO, HBS and Acutrak screws). To avoid the variations of density, stiffness and rigidity in natural bone, a polyurethane sawbone-based test setup was used. The test series included 10 screws of each type. The compression force was measured using a special strain gauge. The mean compression force was significantly higher for the Twin Fix screw (8+/-1N) and the Acutrak screw (7.6+/-0.4/0.6N) in relation to the AO screw (6.8+/-1.0/1.4N) and HBS screw (2+/-1N). We found the Twin Fix and Acutrak screws to be promising in the treatment of scaphoid fractures.

  1. A biomechanical study of two different pedicle screw methods for fixation in osteoporotic and nonosteoporotic vertebrae.

    Science.gov (United States)

    Higashino, Kosaku; Kim, Jin Hwan; Horton, William C; Hutton, William C

    2012-01-01

    In reconstruction of the osteoporotic spine, patients often show poor outcome because of pedicle screw failure. This study used osteoporotic and nonosteoporotic vertebrae to determine the difference in fixation strength between pedicle screws inserted straight forward and pedicle screws inserted in an upward trajectory toward the superior end plate (i.e., end-plate screws). There is some evidence to suggest that end-plate screws have a strength advantage. The particular focus was on osteoporotic vertebrae. Thirty-three vertebrae (T10-L2) were harvested. The bone mineral density (BMD) was measured: 15 vertebrae were greater than 0.8 g/cm(2) and designated as nonosteoporotic (average BMD 1.146 ± 0.186 g/cm(2)) and 18 vertebrae were designated as osteoporotic (average BMD 0.643 ± 0.088 g/cm(2)). On one pedicle the screw was inserted straight forward and on the other pedicle the screw was inserted as an end-plate screw. The torque of insertion was measured (Proto 6106 torque screwdriver). Using an MTS Mini Bionix, two types of mechanical testing were carried out on each pedicle: (a) cephalocaudad toggling was first carried out to simulate some physiological type loading: 500 cycles at 0.3 Hz, at ±50 N; and (b) then each pedicle screw was pulled out at a displacement rate of 12.5 cm/min.There was no difference in pullout force between the pedicle screws inserted straight forward and the pedicle screws inserted as end-plate screws. This result applies whether the vertebrae were osteoporotic or nonosteoporotic. For both the straight-forward screws and the end-plate screws, a statistically significant correlation was observed between torque of insertion and pullout force. The results of this experiment indicate that pedicle screws inserted as end-plate screws do not provide a strength advantage over pedicle screws inserted straight forward, whether the vertebrae are osteoporotic or not.

  2. EFFECT OF THE SCREW TORQUE LEVEL ON THE INTERFRAGMENTARY STRAIN AND THE INTERFRAGMENTARY MODULUS

    Directory of Open Access Journals (Sweden)

    Boonthum Wongchai

    2013-01-01

    Full Text Available The screw torque is applied at the screw head to fix the plate and the bone. It generates the compressive force between the plate and the bone to stabilize them. The interfragmentary strain is the main factor for healing the bone fractured. The screw torque level affects the interfragmentary strain and the stability of the fixation between the plates an the bone. The interfragmentary modulus is the new factor of the plate fixation stability and it is affected by the torque level. This research is proposed to study the effect of the screw torque level on the interfragmentary strain and the interfragmentary modulus. The interfragmentary strain and the interfragmentary modulus decrease by increasing the screw torque level.

  3. 肌间隙入路、椎弓根椎体内植骨结合骨折椎螺钉治疗胸腰椎骨折%The treatment of chest lumbar vertebra bone fracture by muscle gap approach with vertebral transpedicular grafting the bone union bone vertebral fractures screws

    Institute of Scientific and Technical Information of China (English)

    王桥贵

    2016-01-01

    目的:探讨胸腰段脊柱肌间隙后入路(muscle gap approach,MGA)经椎弓根植骨(transpedicular grafting,TPG)和结合骨折椎螺钉(vertebral fractures screws,VFS )治疗胸腰段脊柱骨折的方法和疗效。方法对30例胸腰椎骨折患者经MGA, TPG,VFS,后路短节段椎弓根内固定手术,记录手术时间、失血量、住院时间。在术前,术后及末次随访时测量伤椎前缘高度与正常高度的比值、后凸Cobb角,末次随访的过伸过屈位X线片上测量手术节段运动范围,了解神经功能改变及腰背疼痛变化,功能评定采用Greenough腰痛评分。结果随访15-38个月(平均22.3个月),平均手术时间:130min,平均失血量362ml,平均住院时间15d。术前平均Cobb角360,椎体平均相对高度降低48.8%,术后平均Cobb角2.30,术后椎体相对高度降低≤6.2%。末次随访平均Cobb角矫正丢失2.50,椎体相对高度矫正丢失2.3%。无断钉及内固定物松动,无供骨区并发症。结论肌间隙入路椎弓根椎体内植骨结合骨折椎螺钉治疗胸腰椎骨折,疗效满意。具有失血量少,保留手术节段运动范围,无供骨区并发症。最大可能保留后柱完整性,增强胸腰椎骨折后路短节段内固定的牢固性,利于矫正后凸畸形和维持矫正效果。%Objective This discussion aims at the methods and treatment of the chest waist section spinal column bone fracture through chest waist section spinal column muscle gap approach with the bone transpedicular grafting(TPG)and the union bone vertebral fractures screws(VFS).Methods 30 cases were conducted an operation on the chest waist section spinal column bone fracture by MGA, TPG,VFS and the fixed surgery in the rear guard short stage vertebral arch root. The surgery time,the amount of blood loss,the time of treatment in hospital were recorded. It should be learned that the ratio of the injury front height and

  4. DLC screw preload. Loosening prevention

    Directory of Open Access Journals (Sweden)

    Ivete Aparecida de Mattias Sartori

    2008-01-01

    Full Text Available The screw loosening is a reason to prosthetic rehabilitation failure. However, the DLC (Diamond-like carbon screw treatment lead thefriction decrease and sliding between the components, which increases the screw preload benefit and decreases the chance of looseningoccurrence. This case shows a clinical indication of the association of the correct preload applied and the DLC screw, which can be considered an optimized protocol to solve screw loosening recidivate of unitary prosthesis in anterior maxillary site.

  5. Far cortical locking screws in distal femur fractures.

    Science.gov (United States)

    Adams, John D; Tanner, Stephanie L; Jeray, Kyle J

    2015-03-01

    Distal femur fractures routinely heal by secondary bone healing, which relies on interfragmentary motion. Periarticular locking plates are commonly used for fixation in distal femur fractures but are associated with a high nonunion rate, likely due to the stiffness of the constructs. Far cortical locking (FCL) screws are designed to allow micromotion at the near cortex while maintaining purchase in only the far cortex. Although clinical data are limited, these screws have been shown in biomechanical studies to provide excellent interfragmentary motion, and animal models have shown increased callus formation compared with traditional locking screws. The purpose of this study was to examine the clinical effects that FCL screws have on healing in distal femur fractures treated with locked constructs. In this retrospective case series, 15 patients with a distal femur fracture treated with MotionLoc screws (Zimmer, Warsaw, Indiana) were analyzed. Serial radiographs were evaluated for callus presence and time to union. All fractures were either 33-A3 or 33-C2 according to the AO classification system, and 5 (33%) were open. Bone loss was recorded in 2 patients. There were no nonunions, and average time to union was 24 weeks. There were no implant failures, and all 5 open fractures, including the 2 with bone loss, healed without intervention. There was 1 reoperation due to painful hardware. Although this is a small case series, these results are promising. Far cortical locking screws may provide the answer to the high nonunion rate associated with distal femur fractures treated with traditional locked constructs.

  6. 腰椎皮质骨钉道螺钉在骨质疏松症患者中应用的三维有限元分析%Biomechanical evaluation of lumbar pedicle screws using cortical bone trajectory in osteoporosis:a finite element study

    Institute of Scientific and Technical Information of China (English)

    邵明昊; 吕飞舟; 马晓生; 夏新雷; 王洪立; 郑超君; 张帆; 姜建元

    2015-01-01

    目的:比较椎弓根皮质骨钉道(cortical bone trajectory,CBT)螺钉和传统椎弓根钉道(traditional trajectory,TT)螺钉抗拔出力、螺钉及椎体稳定性的差异。方法回顾性选取复旦大学附属华山医院2015年3月至9月骨质疏松症患者7例,年龄57~63岁,平均(61.4±3.1)岁,均为女性,骨密度T值均<-2.5 SD。使用Mimics和Abaqus 6.9建立L4椎体模型,选用TT螺钉(直径为6.5 mm、长度为45 mm)和CBT螺钉(直径为5.0 mm、长度为35 mm)模拟置钉,分析并比较两种螺钉的轴向抗拔出力、上下左右载荷情况下螺钉载荷位移比及前屈后伸、轴向及侧屈旋转工况下椎体载荷位移比情况。结果CBT螺钉组的抗拔出力[(1013.2±279.1)N]较TT螺钉组[(1277.1±331.3)N]高出26.04%(t=3.128,P=0.024)。CBT螺钉组在受到上下左右应力时载荷位移比明显大于TT螺钉组(t=3.217,P=0.021;t=3.216,P=0.021;t=3.214,P=0.017;t=3.221, P=0.016)。CBT螺钉组椎体前屈、后伸载荷位移比明显大于TT螺钉组(t=2.733,P=0.034;t=2.712,P=0.031);而TT螺钉组椎体轴向、侧屈旋转载荷位移比较CBT螺钉组高(t=3.941, P=0.011;t=4.432,P=0.007)。结论相比TT螺钉,CBT螺钉具有更强的抗拔出力及螺钉稳定性,且椎体前屈、后伸的稳定性强于TT螺钉固定。CBT螺钉内固定为骨质疏松患者的腰椎手术提供了更多的选择。%ObjectiveThe purpose of the present study was to evaluate the differences of pull-out strength and stability of screw and vertebrae between two models using cortical bone trajectory (CBT) screw and traditional trajectory (TT) screw and provide theoretical basis for the clinical application of CBT screw.Methods Finite element models of L4 vertebrae were builded using Mimics and Abaqus 6.9, according to 7 osteoporotic patients, ranging in age from 57 to 63 years, at average age of (61.4±3.1) years, admitted to

  7. Biomechanical comparison of cervical transfacet pedicle screws versus pedicle screws

    Institute of Scientific and Technical Information of China (English)

    LIU Guan-yi; XU Rong-ming; MA Wei-hu; SUN Shao-hua; HUANG Lei; YING Jiang-wei; JIANG Wei-yu

    2008-01-01

    Background Transfacet pedicle screws provide another alternative for standard pedicle screw placement for plate fixation in the Iumbar spine. However, few studies looking at transfacet pedicle screw fixation in the cervical spine are available. Therefore, cervical transfacet pedicle screw fixation and standard pedicle screw fixation techniques were biomechanically compared in this study.Methods Ten fresh human cadaveric cervical spines were harvested. On one side, transfacet pedicle screws were placed at the C3-4, C5-6, and C7-T1 levels. On the other side, pedicle screws were placed at the C3, C5, and C7 levels. The screw insertion technique at each level was randomized for right or left. The starting point for the transfacet pedicle screw insertion was located at the midpoint of the inferolateral quadrant of the lateral mass and the direction of the screw was about 50° caudally in the sagittal plane and about 45° toward the midline in the axial plane. Screws were placed from the inferior articular process, across the facet complex and the pedicle into the body of the caudal vertebra. The entry point for the pedicle screw was located at the midpoint of the superolateral quadrant of the lateral mass, and the direction of the screw was about 45° toward the midline in the axial plane and toward the upper third of the vertebral body in the sagittal plane. After screw placement we performed axial pullout testing.Results All the cervical transfacet pedicle screws and the pedicle screws were inserted successfully. The mean pullout strength for the transfacet pedicle screws was 694 N, while for the pedicle screws 670 N (P=-0.013). In all but six instances (10%), the pedicle screw pullout values exceeded the values for the transfacet pedicle screws; this occurred three times at the C3/C4 level, twice at the C5/C6 level and once at the C7/T1 level. The greatest pullout strength difference at a single level was observed at the C5/C6 level, with a mean difference of 38 N (t

  8. [Midcarpal fusion using break-away compression screw].

    Science.gov (United States)

    Maire, N; Facca, S; Gouzou, S; Liverneaux, P

    2012-02-01

    Indication of midcarpal fusion is SNAC or SLAC wrist grade 3. The main complication of circular plate (most common technique) is non-union. In this context, the purpose of our work was to propose the use of break-away compression screws to decrease the rate of non-union. Our series included ten patients. The fusion was fixed using two break-away compression screws (2mm diameter). No bone graft was used. As assessment, subjective (pain, Quick-DASH) and objective (strength, mobility) criteria were reviewed at follow-up. All the criteria were significantly improved after operation except mobility. Among the complications, we noticed one delayed bone-healing with a good outcome and a radiological consolidation. Midcarpal fusion by dorsal approach using break-away compression screws appears to us a technique of interest, not requiring a bone graft, with good cost effectiveness.

  9. Virtual estimates of fastening strength for pedicle screw implantation procedures

    Science.gov (United States)

    Linte, Cristian A.; Camp, Jon J.; Augustine, Kurt E.; Huddleston, Paul M.; Robb, Richard A.; Holmes, David R.

    2014-03-01

    Traditional 2D images provide limited use for accurate planning of spine interventions, mainly due to the complex 3D anatomy of the spine and close proximity of nerve bundles and vascular structures that must be avoided during the procedure. Our previously developed clinician-friendly platform for spine surgery planning takes advantage of 3D pre-operative images, to enable oblique reformatting and 3D rendering of individual or multiple vertebrae, interactive templating, and placement of virtual pedicle implants. Here we extend the capabilities of the planning platform and demonstrate how the virtual templating approach not only assists with the selection of the optimal implant size and trajectory, but can also be augmented to provide surrogate estimates of the fastening strength of the implanted pedicle screws based on implant dimension and bone mineral density of the displaced bone substrate. According to the failure theories, each screw withstands a maximum holding power that is directly proportional to the screw diameter (D), the length of the in-bone segm,ent of the screw (L), and the density (i.e., bone mineral density) of the pedicle body. In this application, voxel intensity is used as a surrogate measure of the bone mineral density (BMD) of the pedicle body segment displaced by the screw. We conducted an initial assessment of the developed platform using retrospective pre- and post-operative clinical 3D CT data from four patients who underwent spine surgery, consisting of a total of 26 pedicle screws implanted in the lumbar spine. The Fastening Strength of the planned implants was directly assessed by estimating the intensity - area product across the pedicle volume displaced by the virtually implanted screw. For post-operative assessment, each vertebra was registered to its homologous counterpart in the pre-operative image using an intensity-based rigid registration followed by manual adjustment. Following registration, the Fastening Strength was computed

  10. Bone

    Science.gov (United States)

    Helmberger, Thomas K.; Hoffmann, Ralf-Thorsten

    The typical clinical signs in bone tumours are pain, destruction and destabilization, immobilization, neurologic deficits, and finally functional impairment. Primary malignant bone tumours are a rare entity, accounting for about 0.2% of all malignancies. Also benign primary bone tumours are in total rare and mostly asymptomatic. The most common symptomatic benign bone tumour is osteoid osteoma with an incidence of 1:2000.

  11. Bioresorbable screws reinforced with phosphate glass fibre: manufacturing and mechanical property characterisation.

    Science.gov (United States)

    Felfel, R M; Ahmed, I; Parsons, A J; Rudd, C D

    2013-01-01

    Use of bioresorbable screws could eliminate disadvantages associated with metals such as removal operations, corrosion, MRI interference and stress shielding. Mechanical properties of bioresorbable polymers alone are insufficient for load bearing applications application as screws. Thus, reinforcement is necessary to try and match or surpass the mechanical properties of cortical bone. Phosphate based glass fibres were used to reinforce polylactic acid (PLA) in order to produce unidirectionally aligned (UD) and unidirectionally plus randomly distributed (UD/RM) composite screws (P40 UD and P40 UD/RM). The maximum flexural and push-out properties for the composite screws (P40 UD and P40 UD/RM) increased by almost 100% in comparison with the PLA screws. While the pull-out strength and stiffness of the headless composite screws were ∼80% (strength) and ∼130% (stiffness) higher than for PLA, those with heads exhibited properties lower than those for PLA alone as a result of failure at the heads. An increase in the maximum shear load and stiffness for the composite screws (∼30% and ∼40%) in comparison to the PLA screws was also seen. Maximum torque for the PLA screws was ∼1000 mN m, while that for the composite screws were slightly lower. The SEM micrographs for P40 UD and P40 UD/RM screws revealed small gaps around the fibres, which were suggested to be due to buckling of the UD fibres during the manufacturing process.

  12. 探讨后路椎间盘摘除椎弓根钉内固定结合Cage植骨治疗腰椎间盘突出症的临床效果%Clinical Effect of Posterior Lumbar Interbody Fusion and Pedicle Screw Fixation Combined With Cage Bone Graft in the Treatment of Lumbar Disc Herniation

    Institute of Scientific and Technical Information of China (English)

    梁涛

    2016-01-01

    Objective To explore the feasibility of posterior lumbar interbody fusion and pedicle screw fixation combined with Cage bone graft in the treatment of lumbar disc herniation. Methods 86 patients with lumbar disc herniation were col ected. The patients in the study group were treated with posterior lumbar interbody fusion and pedicle screw fixation combined with Cage bone graft. The control group was treated with simple bone graft. Results There were significant differences in the treatment effect of the two groups after 6 months. Conclusion The treatment of lumbar disc herniation by posterior lumbar interbody fusion with pedicle screw fixation combined with Cage bone graft is effective and safe.%目的:探究腰椎间盘突出症使用后路椎间盘摘除椎弓根钉内固定结合 Cage 植骨治疗的可行性。方法收集腰椎间盘突出症患者86名,研究组使用后路椎间盘摘除椎弓根钉内固定结合 Cage 植骨治疗方案,对照组使用单纯植骨治疗方案。结果术后6个月两组患者治疗效果的差异具有统计学意义。结论腰椎间盘突出症使用后路椎间盘摘除椎弓根钉内固定结合 Cage 植骨治疗,具有较高的有效率和安全性。

  13. Are allogenic or xenogenic screws and plates a reasonable alternative to alloplastic material for osteosynthesis--a histomorphological analysis in a dynamic system.

    Science.gov (United States)

    Jacobsen, C; Obwegeser, J A

    2010-12-01

    Despite invention of titanium and resorbable screws and plates, still, one of the main challenges in bone fixation is the search for an ideal osteosynthetic material. Biomechanical properties, biocompatibility, and also cost effectiveness and clinical practicability are factors for the selection of a particular material. A promising alternative seems to be screws and plates made of bone. Recently, xenogenic bone pins and screws have been invented for use in joint surgery. In this study, screws made of allogenic sheep and xenogenic human bone were analyzed in a vital and dynamic sheep-model and compared to conventional titanium screws over a standard period of bone healing of 56 days with a constant applied extrusion force. Biomechanical analysis and histomorphological evaluation were performed. After 56 days of insertion xenogenic screws made of human bone showed significantly larger distance of extrusion of on average 173.8 μm compared to allogenic screws made of sheep bone of on average 27.8 and 29.95 μm of the titanium control group. Severe resorption processes with connective tissue interposition were found in the histomorphological analysis of the xenogenic screws in contrast to new bone formation and centripetal vascularization of the allogenic bone screw, as well as in processes of incorporation of the titanium control group. The study showed allogenic cortical bone screws as a substantial alternative to titanium screws with good biomechanical properties. In contrast to other reports a different result was shown for the xenogenic bone screws. They showed insufficient holding strength with confirmative histomorphological signs of degradation and insufficient osseointegration. Before common clinical use of xenogenic osteosynthetic material, further evaluation should be performed.

  14. SU-E-T-609: Perturbation Effects of Pedicle Screws On Radiotherapy Dose Distributions

    Energy Technology Data Exchange (ETDEWEB)

    Bar-Deroma, R; Borzov, E; Nevelsky, A [Rambam Medical Center, Haifa (Israel)

    2015-06-15

    Purpose: Radiation therapy in conjunction with surgical implant fixation is a common combined treatment in case of bone metastases. However, metal implants generally used in orthopedic implants perturb radiation dose distributions. Carbon-Fiber Reinforced (CFR) PEEK material has been recently introduced for production of intramedullary screws and plates. Gold powder can be added to the CFR-PEEK material in order to enhance visibility of the screws during intraoperative imaging procedures. In this work, we investigated the perturbation effects of the pedicle screws made of CFR-PEEK, CFR-PEEK with added gold powder (CFR-PEEK-AU) and Titanium (Ti) on radiotherapy dose distributions. Methods: Monte Carlo (MC) simulations were performed using the EGSnrc code package for 6MV beams with 10×10 fields at SSD=100cm. By means of MC simulations, dose distributions around titanium, CFR- PEEK and CFR-PEEK-AU screws (manufactured by Carbo-Fix Orthopedics LTD, Israel) placed in a water phantom were calculated. The screw axis was either parallel or perpendicular to the beam axis. Dose perturbation (relative to dose in homogeneous water phantom) was assessed. Results: Maximum overdose due to backscatter was 10% for the Ti screws, 5% for the CFR-PEEK-AU screws and effectively zero for the CFR-PEEK screws. Maximum underdose due to attenuation was 25% for the Ti screws, 15% for the CFR-PEEK-AU screws and 5% for the CFR-PEEK screws. Conclusion: Titanium screws introduce the largest distortion on the radiation dose distribution. The gold powder added to the CFR-PEEK material improves visibility at the cost of increased dose perturbation. CFR-PEEK screws caused minimal alteration on the dose distribution. This can decrease possible over and underdose of adjacent tissue and thus favorably influence treatment efficiency. The use of such implants has potential clinical advantage in the treatment of neoplastic bone disease.

  15. Use of self-tapping metal screws for temporary fixation of a resorbable plate system in maxillofacial surgery.

    Science.gov (United States)

    Iwai, Toshinori; Omura, Susumu; Aoki, Noriaki; Tohnai, Iwai

    2015-05-01

    Resorbable plate systems have been used in maxillofacial surgery to obviate the need for plate removal. However, resorbable plates and screws are very costly, and refixation with additional screws may be necessary when reduction or repositioning of the bone segment is inaccurate. Here we report the use of self-tapping metal screws for temporary fixation of a resorbable plating system in maxillofacial surgery to avoid the use of additional screws following inaccurate fixation or the reuse of resorbable screws, which may result in loosening.

  16. 不同角度植骨和空心钉固定股骨颈骨折的生物力学研究%Biomechanical study of femoral neck fracture fixed by cannulated screws and iliac bone graft at different angles

    Institute of Scientific and Technical Information of China (English)

    李智勇; 张奇; 张英泽; 王娟; 田帅; 秦士吉; 刘跃驹; 许斌

    2015-01-01

    Objective To investigate the biomechanical stability of iliac bone grafts at different angles with three cannulated screws for fixation of femoral neck fractures in order to provide scientific basis for clinical application.Methods The nine pairs of proximal femora and ipsilateral iliac bone grafts with lateral and upper surface retaining cortex were harvested from nine cadavers fixed in formalin,which were randomly divided into two groups: cannulated screw with medial bone graft fixation group ( CMB group) ,cannulated screw with cross bone graft fixation group ( CCB group) .The specimens were cut with power saw to create a standardized midcervical osteotomy perpendicular to the cervical neck.The fracture was then reduced and fixed with three parallel 7.3mm cannulated screws and an iliac bone graft.The cannulated screws were placed triangularly with one screw superior and two inferior.In the CMB group,the bone graft was in the middle of three cannulated screws and parallel with it,however,in the CCB group,the bone graft was made an angle of 30°with the screws on postero-anterior position.All the bone grafts were passed across the fracture line about 1.5cm.Every specimen was detected by Electroforce 3520-AT biomechanical machine.Results When femoral head was rotated to 3°and 5°, the torque values in CCB group were significantly higher than those in CMB group ( P <0.05) ,however,during axial displacement at the load of 700N and 1000N, the displacement values in CCB group were significantly lower than those in CMB group ( P <0.05).All the specimens underwent cycling compression test at 700N compression force successfully,without fatigue fracture or screw failure.The mean ultimate load in CMB group and CCB group was (2112.689 ±186.913)N and (2360.811 ±204.340)N,respectively,there was a significant difference between two groups ( P <0.05).Conclusion The biomechanical stability of fixation of femoral neck fracture with three cannulated screws in CCB group is

  17. Subaxial cervical pedicle screw insertion with newly defined entry point and trajectory: accuracy evaluation in cadavers.

    Science.gov (United States)

    Zheng, Xiujun; Chaudhari, Rahul; Wu, Chunhui; Mehbod, Amir A; Transfeldt, Ensor E

    2010-01-01

    Successful placement of cervical pedicle screws requires accurate identification of both entry point and trajectory. However, literature has not provided consistent recommendations regarding the direction of pedicle screw insertion and entry point location. The objective of this study was to define a guideline regarding the optimal entry point and trajectory in placing subaxial cervical pedicle screws and to evaluate the screw accuracy in cadaver cervical spines. The guideline for entry point and trajectory for each vertebra was established based on the recently published morphometric data. Six fresh frozen cervical spines (C3-C7) were used. There were two men and four women. After posterior exposure, the entry point was determined and the cortical bone of the entry point was removed using a 2-mm burr. Pilot holes were created with a cervical probe based on the guideline using fluoroscopy. After tapping, 3.5-mm screws with appropriate length were inserted. After screw insertion, every vertebra was dissected and inspected for pedicle breach. The pedicle width, height, pedicle transverse angulation and actual screw insertion angle were measured. A total of 60 pedicle screws were inserted. No statistical difference in pedicle width and height was found between the left and right sides for each level. The overall accuracy of pedicle screws was 83.3%. The remaining 13.3% screws had noncritical breach, and 3.3% had critical breach. The critical breach was not caused by the guideline. There was no statistical difference between the pedicle transverse angulation and the actual screw trajectory created using the guideline. There was statistical difference in pedicle width between the breach and non-breach screws. In conclusion, high success rate of subaxial cervical pedicle screw placement can be achieved using the recently proposed operative guideline and oblique views of fluoroscopy. However, careful preoperative planning and good surgical skills are still required to

  18. Comparison of migration behavior between single and dual lag screw implants for intertrochanteric fracture fixation

    Directory of Open Access Journals (Sweden)

    Katonis Pavlos G

    2009-05-01

    Full Text Available Abstract Background Lag screw cut-out failure following fixation of unstable intertrochanteric fractures in osteoporotic bone remains an unsolved challenge. This study tested if resistance to cut-out failure can be improved by using a dual lag screw implant in place of a single lag screw implant. Migration behavior and cut-out resistance of a single and a dual lag screw implant were comparatively evaluated in surrogate specimens using an established laboratory model of hip screw cut-out failure. Methods Five dual lag screw implants (Endovis, Citieffe and five single lag screw implants (DHS, Synthes were tested in the Hip Implant Performance Simulator (HIPS of the Legacy Biomechanics Laboratory. This model simulated osteoporotic bone, an unstable fracture, and biaxial rocking motion representative of hip loading during normal gait. All constructs were loaded up to 20,000 cycles of 1.45 kN peak magnitude under biaxial rocking motion. The migration kinematics was continuously monitored with 6-degrees of freedom motion tracking system and the number of cycles to implant cut-out was recorded. Results The dual lag screw implant exhibited significantly less migration and sustained more loading cycles in comparison to the DHS single lag screw. All DHS constructs failed before 20,000 cycles, on average at 6,638 ± 2,837 cycles either by cut-out or permanent screw bending. At failure, DHS constructs exhibited 10.8 ± 2.3° varus collapse and 15.5 ± 9.5° rotation around the lag screw axis. Four out of five dual screws constructs sustained 20,000 loading cycles. One dual screw specimens sustained cut-out by medial migration of the distal screw after 10,054 cycles. At test end, varus collapse and neck rotation in dual screws implants advanced to 3.7 ± 1.7° and 1.6 ± 1.0°, respectively. Conclusion The single and double lag screw implants demonstrated a significantly different migration resistance in surrogate specimens under gait loading simulation with

  19. Screw bondgraph contact dynamics

    NARCIS (Netherlands)

    Visser, Martijn; Stramigioli, Stefano; Heemskerk, Cock

    2002-01-01

    This paper presents an elegant contact dynamics model in screw bondgraph form. It can model the contact between any two objects of finite curvature. It does so by defining a Gauss frame on the surfaces of both objects in the points that are closest to each other. Then it describes how the Gauss fram

  20. Comparative study of safety and efficacy of electrocautery blade with cold scalpel blade for skin opening during fixation of fracture of forearm bone with plate and screws

    Directory of Open Access Journals (Sweden)

    K T Madhukar

    2012-01-01

    Full Text Available Introduction: The art of performing surgeries have improved in recent years with the development of various electrosurgical devices assisting surgeons in performing safer surgeries with better outcomes. Skin incision has traditionally been made with a standard scalpel blade with good primary healing end results of the wound. The electrocautery has been used safely in performing deeper dissections. Use of electrocautery in skin incision has been discouraged in the past for the fear of cutaneous scarring, wound dehiscence, and infections particularly in orthopedic surgeries using internal implants. A review of the literature shows not many studies have been conducted to evaluate the safety and efficacy of electrocautery in skin incisions during orthopedic surgeries using internal implants. Aim: A prospective study was conducted in a tertiary care hospital with the aim to determine whether an electrocautery blade can be used safely for skin incisions. Materials and Methods: Sixty-two patients with single-bone fracture of the forearm undergoing open reduction and internal fixation received one-half of the incision with a standard scalpel blade and another half with electrocautery in pure cutting mode randomly. Analysis: Wounds were compared on operating day for any physical changes and on days 3, 5, and 12, and again on 3 rd and 6 weeks follow-up to know any difference in skin healing between the incised wounds of the two halves. Results: No evidence of any difference in healing of the two halves of skin incision was noted. There was also no increased risk of wound scarring, dehiscence, or infection with electrocautery incision when compared with standard scalpel incision. The time taken for skin incision with electrocautery was significantly less when compared with cold scalpel incision. Conclusion: We propose that electrocautery can be safely used for performing skin incision, with comparable results to that of a standard scalpel skin incision.

  1. 石膏固定和空心螺钉内固定修复腕部舟状骨新鲜骨折:功能恢复比较%Plaster fixationversus cannulated screw internal fixation for the wrist scaphoid bone fresh fracture:comparison of functional recovery

    Institute of Scientific and Technical Information of China (English)

    卡依沙尔•买买提明; 赵岩

    2015-01-01

      结果与结论:随访3-6个月对比分析石膏组和空心螺钉组患者腕关节功能Cooney评分,空心螺钉组优9例,良1例,可1例,差0例;石膏组优1例,良5例,可3例,差2例,空心螺钉组患者治疗后优良率为91%,石膏组患者治疗后优良率为55%,空心螺钉组显著高于石膏组(t=4.817,P OBJECTIVE:To compare and analyze functional recovery of the wrist scaphoid bone fresh fracture after plaster fixation and internal fixation. METHODS: Twenty-two patients with wrist scaphoid bone fresh fracture were recruited from the First Affiliated Hospital of Xinjiang Medical University from March 2012 to March 2014, and the injury time was 2 hours to 12 days. Preoperative X-ray films revealed that, the involved patients had no wrist scaphoid bone colapses, lunate bone dislocation, ischemic necrosis of bone and osseous changes. Al the cases showed shift, unstable fractures. According to the patient’s wiling and the surgical method, the involved patients were divided into two groups, receiving plaster fixation and cannulated screw internal fixation respectively. Each group contained 11 cases. Wrist joint function was evaluated using Cooney score system. There was no significant difference in the age distribution and gender between the two groups (P > 0.05). RESULTS AND CONCLUSION: At 3-6 months of folow-up, wrist joint function of patients in the two groups was compared and analyzed with Cooney scores. According to the Cooney scores, nine cases in internal fixation group were excelent, 1 good, 1 fair and none poor; one case in plaster fixation group was excelent, 5 good, 3 fair, and 2 poor. The excelent and good rate in the internal fixation group was significantly higher than that in the plaster fixation group (91%, 55%,t=4.817,P < 0.05). Although plaster fixation has certain effects on wrist scaphoid bone fresh fracture, open reduction and canulated screw fixation has obvious effect and promotes the

  2. NUT SCREW MECHANISMS

    Science.gov (United States)

    Glass, J.A.F.

    1958-07-01

    A reactor control mechanism is described wherein the control is achieved by the partial or total withdrawal of the fissile material which is in the form of a fuel rod. The fuel rod is designed to be raised and lowered from the reactor core area by means of two concentric ball nut and screw assemblies that may telescope one within the other. These screw mechanisms are connected through a magnetic clutch to a speed reduction gear and an accurately controllable prime motive source. With the clutch energized, the fuel rod may be moved into the reactor core area, and fine adjustments may be made through the reduction gearing. However, in the event of a power failure or an emergency signal, the magnetic clutch will become deenergized, and the fuel rod will drop out of the core area by the force of gravity, thus shutting down the operation of the reactor.

  3. Combining of small fragment screws and large fragment plates for open reduction and internal fixation of periprosthetic humeral fractures.

    Science.gov (United States)

    Seybold, Dominik; Citak, Mustafa; Königshausen, Matthias; Gessmann, Jan; Schildhauer, Thomas A

    2011-10-01

    Operative treatment of periprosthetic humeral fractures in elderly patients with osteoporotic bone requires a stable fixations technique. The combination of 3.5 cortical screws with washers in a 4.5 Arbeitsgemeinschaft für Osteosynthesefragen, Limited-contact dynamic compression plate or Locking plate, allows a stable periprosthetic fixation with the small 3.5 screws and 4.5 screws above and below the prosthesis, respectively. This combination is a cost-effective technique to treat periprosthetic humeral fractures.

  4. Magnetic resonance imaging analysis of the bioabsorbable Milagro interference screw for graft fixation in anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Frosch, K-H; Sawallich, T; Schütze, G; Losch, A; Walde, T; Balcarek, P; Konietschke, F; Stürmer, K M

    2009-10-01

    Ligament graft fixation with bioabsorbable interference screws is a standard procedure in cruciate ligament replacement. Previous screw designs may resorb incompletely, and can cause osteolysis and sterile cysts despite being implanted for several years. The aim of this study was to examine the in vivo degradation and biocompatibility of the new Milagro interference screw (Mitek, Norderstedt, Germany). The Milagro interference screw is made of 30% ss-TCP (TriCalcium phosphate) and 70% PLGA (Poly-lactic-co-glycolic acid). In the period between June 2005 and February 2006, 38 patients underwent graft fixation with Milagro screws in our hospital. Arthroscopic ACL reconstruction was performed using hamstring tendon grafts in all the patients. MR imaging was performed on 12 randomly selected patients out of the total of 38 at 3, 6 and 12 months after surgery. During the examination, the volume loss of the screw, tunnel enlargement, presence of osteolysis, fluid lines, edema and postoperative screw replacement by bone tissue were evaluated. There was no edema or signs of inflammation around the bone tunnels. At 3, 6 and 12 months, the tibial screws showed an average volume loss of 0, 8.1% (+/-7.9%) and 82.6% (+/-17.2%, P Milagro screw is closely linked to the graft healing process. The screws were rapidly resorbed after 6 months and, at 12 months, only the screw remnants were detectable. Moreover, the Milagro screw is biocompatible and osteoconductive, promoting bone ingrowth during resorption. Tunnel enlargement is not prevented in the first months but is reduced by bone ingrowth after 12 months.

  5. ROTARY SCREW SYSTEMS IN CEMENT

    OpenAIRE

    2016-01-01

    The article presents results of research of rotary-screw systems in relation to the creation of rotary kilns for the annealing of-cuttings in the preparation of cement clinker. Using the proposed design, in comparison with known designs of similar purpose, it significantly improves performance, reduces size and power consumption through the use of rotary screw systems in the form of screw rotors and drums made hollow with sidewalls assembled from separate strips or plates of different geometr...

  6. Preliminary experimental results of radiofrequency-cement-augmented and cannulated pedicle screws

    Directory of Open Access Journals (Sweden)

    Goost H

    2011-01-01

    Full Text Available The risk of cut-out of a pedicle screw is high in the presence of osteoporotic bone. In cadaver studies it was found that cement augmentation of pedicle screws markedly increases pullout forces. However, the use of conventional low viscosity vertebroplasty or kyphoplasty cement is associated with the risk of cement extravasation. The risk might be reduced by using high viscosity, radiofrequency-activated bone cement. After performing DEXA scans, six fresh-frozen vertebral bodies of different bone densities were obtained from cadavers. Two pedicle screws (WSI Expertise-Inject, Peter Brehm, Germany were placed in the pedicles. About 3 ml of radiofrequency-activated, ultra-high viscosity cement (ER2 Bone Cement, DFine Europe GmbH, Germany was injected through the right pedicle. The left pedicle screw was left uncemented and served as control. Axial pullout tests were performed using a material testing device (Zwick/Roell Zmartpro, Ulm, Germany. The tests revealed that cementaugmented pedicle screws were able to withstand markedly higher pullout forces. Extravasation of cement did not occur. The value of the study is limited by the fact that only six samples were investigated. Further cadaver studies and clinical evaluation will be needed in the future. However, this pilot study showed that combining cannulated pedicle screws with ultra-high viscosity bone cement is a successful approach. Revision due to cut-out and complications secondary to cement extravasation can be reduced by this method.

  7. C2 laminar screw and C1-2 transarticular screw combined with C1 laminar hooks for atlantoaxial instability with unilateral vertebral artery injury.

    Science.gov (United States)

    Guo, Qunfeng; Liu, Jun; Ni, Bin; Lu, Xuhua; Zhou, Fengjin

    2011-09-01

    Transarticular screw fixation (TASF) is technically demanding, with high risk of vertebral artery (VA) injury. How to manage intraoperative VA injury and choose optimal alternative fixation becomes a concern of spinal surgeons. In this study, the management strategy for a patient with suspected intraoperative VA injury was analyzed. A 53-year-old woman developed type II odontoid fracture and brain stem injury due to a motor vehicle accident 3 months earlier. After conservative treatments, the brain stem injury improved, but with residual ocular motility defect in the right eye. The odontoid fracture did not achieve fusion with displacement and absorption of fracture fragments. After admission, atlantoaxial fixation using bilateral C1-2 transarticular screws (TASs) combined with C1 laminar hooks was planed. The first TAS was inserted successfully. Unfortunately, suspected VA injury developed during tapping the tract for the second TAS. Considering the previous brain stem injury and that directly inserting the screw to tamponade the hemorrhage might cause VA stenosis or occlusion, we blocked the screw trajectory with bone wax. C2 laminar screw was implanted instead of intended TAS on the injured side. The management strategy for suspected VA injury should depend on intraoperative circumstances and be tailored to patients. Blocking screw trajectory with bone wax is a useful method to stop bleeding. Atlantoaxial fixation using C2 laminar screw and C1-2 TAS combined with C1 laminar hooks is an ideal alternative procedure.

  8. The effect of screw insertion torque on tendons fixed with spiked washers.

    Science.gov (United States)

    Beynnon, B D; Meriam, C M; Ryder, S H; Fleming, B C; Johnson, R J

    1998-01-01

    The long-term success of a hamstring tendon graft depends not only on the type of device that is used for fixation but also on the mechanical interlocking of the soft tissue between the fixation device and bone. The purpose of this study was to evaluate the effect of screw insertion torque on the structural properties of soft tissue fixed to bone with a spiked metal washer. Two bovine tendons, one similar in size to a human semitendinosus tendon and the other similar in size to a human gracilis tendon, were secured to a bovine femur using a figure-of-8 technique with screws and metal spiked washers. A single load to failure was applied at 25 mm/sec. A significant positive linear correlation was observed between fixation screw insertion torque magnitude and the ultimate failure load value. An increase in the fixation screw insertion torque produced an increase in the ultimate failure load value. Similarly, there was a significant positive linear correlation between fixation screw insertion torque magnitude and the average maximum linear load value. No relationship was detected between screw insertion torque magnitude and the linear stiffness values of the tendon-fixation construct, indicating that a reproducible model was used. This study demonstrates that screw insertion torque is an important variable that controls the initial strength of soft tissue fixation to bone.

  9. A screwing device for handling and assembly of micro screws

    DEFF Research Database (Denmark)

    Gegeckaite, Asta; Hansen, Hans Nørgaard; Eriksson, Torbjörn Gerhard

    2007-01-01

    Nowadays, the application of specially designed handling devices in micro technology is an important topic and a necessity for the industry. Conventional methods for screwing can not be applied directly to micro screws. This is caused by the 3D micro object geometry and dimensions which inducing ...

  10. Intra-operative computer navigation guided cervical pedicle screw insertion in thirty-three complex cervical spine deformities

    Directory of Open Access Journals (Sweden)

    S Rajasekaran

    2010-01-01

    Full Text Available Background: Cervical pedicle screw fixation is challenging due to the small osseous morphometrics and the close proximity of neurovascular elements. Computer navigation has been reported to improve the accuracy of pedicle screw placement. There are very few studies assessing its efficacy in the presence of deformity. Also cervical pedicle screw insertion in children has not been described before. We evaluated the safety and accuracy of Iso-C 3D-navigated pedicle screws in the deformed cervical spine. Materials and Methods: Thirty-three patients including 15 children formed the study group. One hundred and forty-five cervical pedicle screws were inserted using Iso-C 3D-based computer navigation in patients undergoing cervical spine stabilization for craniovertebral junction anomalies, cervico-thoracic deformities and cervical instabilities due to trauma, post-surgery and degenerative disorders. The accuracy and containment of screw placement was assessed from postoperative computerized tomography scans. Results: One hundred and thirty (89.7% screws were well contained inside the pedicles. Nine (6.1% Type A and six (4.2% Type B pedicle breaches were observed. In 136 levels, the screws were inserted in the classical description of pedicle screw application and in nine deformed vertebra, the screws were inserted in a non-classical fashion, taking purchase of the best bone stock. None of them had a critical breach. No patient had any neurovascular complications. Conclusion: Iso-C navigation improves the safety and accuracy of pedicle screw insertion and is not only successful in achieving secure pedicle fixation but also in identifying the best available bone stock for three-column bone fixation in altered anatomy. The advantages conferred by cervical pedicle screws can be extended to the pediatric population also.

  11. The Biocompatibility of Degradable Magnesium Interference Screws: An Experimental Study with Sheep

    Directory of Open Access Journals (Sweden)

    Ulrich Thormann

    2015-01-01

    Full Text Available Screws for ligament reconstruction are nowadays mostly made of poly-L-lactide (PLLA. However, magnesium-based biomaterials are gathering increased interest in this research field because of their good mechanical property and osteoanabolic influence on bone metabolism. The aim of this pilot study was to evaluate the biocompatibility of an interference screw for ligament reconstruction made of magnesium alloy W4 by diecasting and milling and using different PEO-coatings with calcium phosphates. PLLA and titanium screws were used as control samples. The screws were implanted in the femur condyle of the hind leg of a merino sheep. The observation period was six and twelve weeks and one year. Histomorphometric, immunohistochemical, immunofluorescence, and molecular biological evaluation were conducted. Further TEM analysis was done. In all magnesium screws a clinically relevant gas formation in the vicinity of the biomaterial was observed. Except for the PLLA and titanium control samples, no screw was fully integrated in the surrounding bone tissue. Regarding the fabrication process, milling seems to produce less gas liberation and has a better influence on bone metabolism than diecasting. Coating by PEO with calcium phosphates could not reduce the initial gas liberation but rather reduced the bone metabolism in the vicinity of the biomaterial.

  12. Posterior atlantoaxial transpedicle screw fixation for traumatic atlatoaxial instability

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    Zheng-lei WANG

    2015-10-01

    Full Text Available Objective To explore the clinical efficacy of posterior atlantoaxial pedicle screw fixation for traumatic atlantoaxial instability. Methods From September 2009 to March 2013, 17 patients with atlantoaxial instability received posterior atlantoaxial pedicle screw fixation. There were 12 males and 5 females, with a mean age of 42 years old (ranged from 19 to 63 years old. Transpedicle screw fixation was employed in 8 patients with atlantoaxial fracture and dislocation, in 2 with traumatic disruption of transverse atlantal ligament, and in 7 with odontoid fracture. The Japanese Orthopaedic Association (JOA score before operation was from 5 to 14, with a mean of 11.2. Preoperative CT, MRI and radiographs, as well as intraoperative screw placement and bone graft were administered in all the patients. Results In all the patients, complete reduction was achieved without injury to the vertebral artery, spinal cord or never root, and they started to be ambulatory on the first day after the operation. The patients were followed up for 6-36 months (mean 21 months, and clinical symptoms were seen to be improved significantly. Imaging reexamination 6 months after the surgery showed satisfactory healing of implanted bone and position of all the screws without loosening of the implant. The mean JOA scores was 15.5(11.0-17.0 twelve months after the operation. Conclusion Atlantoaxial pedicle screw fixation for traumatic atlantoaxial instability is safe and reliable with a favorable clinical result. DOI: 10.11855/j.issn.0577-7402.2015.09.14

  13. Influence of screw length and diameter on tibial strain energy density distribution after anterior cruciate ligament reconstruction

    Science.gov (United States)

    Yao, Jie; Kuang, Guan-Ming; Wong, Duo Wai-Chi; Niu, Wen-Xin; Zhang, Ming; Fan, Yu-Bo

    2014-04-01

    Postoperative tunnel enlargement has been frequently reported after anterior cruciate ligament (ACL) reconstruction. Interference screw, as a surgical implant in ACL reconstruction, may influence natural loading transmission and contribute to tunnel enlargement. The aims of this study are (1) to quantify the alteration of strain energy den sity (SED) distribution after the anatomic single-bundle ACL reconstruction; and (2) to characterize the influence of screw length and diameter on the degree of the SED alteration. A validated finite element model of human knee joint was used. The screw length ranging from 20 to 30mm with screw diameter ranging from 7 to 9 mm were investigated. In the post-operative knee, the SED increased steeply at the extra-articular tunnel aperture under compressive and complex loadings, whereas the SED decreased beneath the screw shaft and nearby the intra-articular tunnel aperture. Increasing the screw length could lower the SED deprivation in the proximal part of the bone tunnel; whereas increasing either screw length or diameter could aggravate the SED deprivation in the distal part of the bone tunnel. Decreasing the elastic modulus of the screw could lower the bone SED deprivation around the screw. In consideration of both graft stability and SED alteration, a biodegradable interference screw with a long length is recommended, which could provide a beneficial mechanical environment at the distal part of the tunnel, and meanwhile decrease the bone-graft motion and synovial fluid propagation at the proximal part of the tunnel. These findings together with the clinical and histological factors could help to improve surgical outcome, and serve as a preliminary knowledge for the following study of biodegradable interference screw. [Figure not available: see fulltext.

  14. Comparison study of the pullout strength of conventional spinal pedicle screws and a novel design in full and backed-out insertions using mechanical tests.

    Science.gov (United States)

    Amaritsakul, Yongyut; Chao, Ching-Kong; Lin, Jinn

    2014-03-01

    Recently, new pedicle screw designs have been developed. However, these designs' performances are still unclear, especially when backed out after insertion. The objective of this study was to investigate the performances of different screw designs when backed out from full insertion. Seven conventional designs of the pedicle screw and one novel design were inserted into polyurethane foam (0.32 g/cm(3)). All screws were first fully inserted (43 mm) and were backed out 360°. Axial pullout tests were performed and the reaction force was measured. The results showed that the conical screw of type 1 with a small inner diameter provided the highest pullout strength in both full insertion and backed-out insertion (2401.85 and 2169.82 N, respectively). However, this screw's pullout strength significantly decreased (9.7%) when backed out from full insertion. There was no significant difference between the conical screw of type 1 with a small inner diameter and double duo core screw (p > 0.01) in backed-out insertion. The cylindrical screw with a small diameter, dual inner core screw and double dual core screw also provided good results in both full insertion (2115.44, 2182.99 and 2226.93 N, respectively) and backed-out conditions (2065.80, 2014.28 and 1941.29 N, respectively). The increased pullout strength of the conical design could be due to the effect of bone compaction. However, the screw exhibited less consistent pullout strength when backed out when compared with the other designs. The conical screw should be inserted to the precise position without turning back, especially in osteoporosis patients. The dual inner core screw and double dual core screw could provide greater stability in both conditions. Care should be taken when using both the cylindrical screw with a small thread depth and the dual outer core screw.

  15. Fixação de fraturas ilíacas em cães com parafusos, fios de aço e cimento ósseo de polimetilmetacrilato Canine iliac fracture fixation with screws, orthopedic wire and polymethylmethacrylate bone cement

    Directory of Open Access Journals (Sweden)

    Claudio Roehsig

    2008-09-01

    Full Text Available O presente trabalho teve como objetivo verificar a recuperação da locomoção e o tempo para cicatrização óssea de fraturas ilíacas fixadas com parafusos, fios de aço e cimento ósseo de polimetilmetacrilato. Dezesseis cães de ambos os sexos, com peso de 1,8 a 16kg e idade entre sete meses e 11 anos, foram submetidos à osteossíntese da fratura de ílio, provocadas por acidente automobilístico. Em dois animais, realizou-se osteossíntese bilateral, totalizando 18 ossos ilíacos operados. A abordagem ao ílio foi lateral e quando necessária estendida caudalmente através da osteotomia do trocanter maior. As fraturas foram reduzidas e, em cada segmento ósseo, foram implantados dois a três parafusos e banda de tensão com fio de aço entre os parafusos adjacentes à linha de fratura. Sobre esses implantes aplicou-se cimento ósseo misturado com cefazolina sódica e após o endurecimento prosseguiu-se com a síntese dos tecidos moles com suturas rotineiramente utilizadas na clinica cirúrgica. No período pós-operatório, foram realizadas avaliações até 90 dias após a osteossíntese e observou-se locomoção apropriada em 15 animais. Avaliações radiográficas demonstraram sinais de completa consolidação óssea entre 60 e 90 dias. Falha da estabilização ocorreu em dois casos, obrigando a reintervenção cirúrgica em um deles. A partir dos resultados obtidos, é possível concluir que, em cães com até 16kg de peso, a fixação de fraturas ilíacas utilizando parafusos cimentados com PMMA constitui uma eficiente técnica, que proporciona adequada estabilidade, precoce recuperação funcional e cicatrização óssea.The present study aimed to verify the time for locomotion recovery and bone healing in canine iliac fractures fixated with screws, orthopedic wires and methylmetacrylate bone cement. Sixteen dogs from both genders accidentally hit by a car and showing iliac fractures were included. Dogs aged from 7 months to 11

  16. The pullout performance of pedicle screws

    CERN Document Server

    Demir, Teyfik

    2015-01-01

    This brief book systematically discusses all subjects that affect the pullout strength of pedicle screws. These screws are used in spinal surgeries to stabilize the spine. The holding strength of the pedicle screw is vital since loosening of the pedicle screws can cause revision surgeries. Once the pedicle screw is pulled out, it is harder to obtain same stabilization for the fused vertebrae. The book reviews the effect of screw designs, application techniques, cement augmentation, coating of the screw and test conditions on the pullout strength. The studies with finite element analysis were also included.

  17. Treatment of fractures of the condylar head with resorbable pins or titanium screws: an experimental study.

    Science.gov (United States)

    Schneider, Matthias; Loukota, Richard; Kuchta, Anne; Stadlinger, Bernd; Jung, Roland; Speckl, Katrin; Schmiedekampf, Robert; Eckelt, Uwe

    2013-07-01

    We aimed to compare in vivo the stability of fixation of condylar fractures in sheep using sonic bone welding and standard titanium screws. We assessed stability of the osteosynthesis and maintenance of the height of the mandibular ramus. Height decreased slightly in both groups compared with the opposite side. The volume of the condyle increased considerably in both groups mainly because callus had formed. The results showed no significant disadvantages for pin fixation compared with osteosynthesis using titanium screws.

  18. Carbon nanotube Archimedes screws.

    Science.gov (United States)

    Oroszlány, László; Zólyomi, Viktor; Lambert, Colin J

    2010-12-28

    Recently, nanomechanical devices composed of a long stationary inner carbon nanotube and a shorter, slowly rotating outer tube have been fabricated. In this paper, we study the possibility of using such devices as nanoscale transducers of motion into electricity. When the outer tube is chiral, we show that such devices act like quantum Archimedes screws, which utilize mechanical energy to pump electrons between reservoirs. We calculate the pumped charge from one end of the inner tube to the other, driven by the rotation of a chiral outer nanotube. We show that the pumped charge can be greater than one electron per 360° rotation, and consequently, such a device operating with a rotational frequency of 10 MHz, for example, would deliver a current of ≈1 pAmp.

  19. Self-energized screw coupling

    Science.gov (United States)

    Lefever, A. E.; Totah, R. S.

    1980-01-01

    Threaded coupling carries its own store of rotational energy. Originally developed to ease task of astronauts assembling structures in space, coupling offers same advantages in other hazardous operations, such as underwater and in and around nuclear reactors. Coupling consists of two parts: crew portion and receptacle. When screw portion is inserted into receptacle and given slight push by operator, trigger pins release ratchet, allowing energy stored in springs to rotate screw into nut in receptacle.

  20. Comparison of interfaces of different pedicle screws with micro-CT technique in lumbar vertebrae with osteoporosis of sheep

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    Da LIU

    2015-07-01

    Full Text Available Objective To compare the changes in interfaces of expandable pedicle screw (EPS and polymethylmethacrylateenhanced pedicle screw (PMMA-PS after being used in osteoporotic sheep lumbar vertebrae with micro-CT technique. Methods Six lumbar vertebrae (L1-L6 in each sheep were randomly divided into three different screw-insertion groups (two vertebrae with four pedicles in each group after reproduction of osteoporosis in sheep. After making the pilot hole using the same method, CPS was inserted through the pilot hole into vertebral body in CPS group, while PMMA (1.0ml was injected into the pilot hole prior to the insertion of CPS in PMMA-PS group, and EPS was inserted through pedicle into vertebral body in EPS group. All the sheep were sacrificed, and lumbar vertebrae (L1-L6 were harvested respectively at the 6- and 12-week postoperatively. The micro-CT three dimensional reconstruction and histomorphometric analysis were performed to evaluate the interfacial conditions. Results  It was clearly demonstrated that interface was formed where the bone trabeculae was directly in contact with the screw to form "screw-bone" interface in both CPS and EPS groups both 6 weeks and 12 weeks after the operation. The screw was fully surrounded by PMMA and formed "screw-PMMA-bone" interface in PMMA-PS group. The anterior part of EPS expanded in vertebral body to form a clawlike structure, pressing against the surrounding bone trabeculae, thus significantly improved the local bone quality (amount and density of bone trabeculae. From 6 weeks to 12 weeks after the operation, there was no visual difference in bone quality around the screw in both CPS and PMMA-PS groups. There was no degradation and absorption of PMMA, and it led to form the second non-biological interface in PMMA-PS group. Nevertheless, bone quality around expanding part of EPS at 12-week post-operation was significantly improved compared with that at 6-week post-operation, thus forming a good

  1. Novel free-hand T1 pedicle screw method: Review of 44 consecutive cases

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    Mark A Rivkin

    2014-01-01

    Full Text Available Summary of Background Data: Multilevel posterior cervical instrumented fusions are becoming more prevalent in current practice. Biomechanical characteristics of the cervicothoracic junction may necessitate extending the construct to upper thoracic segments. However, fixation in upper thoracic spine can be technically demanding owing to transitional anatomy while suboptimal placement facilitates vascular and neurologic complications. Thoracic instrumentation methods include free-hand, fluoroscopic guidance, and CT-based image guidance. However, fluoroscopy of upper thoracic spine is challenging secondary to vertebral geometry and patient positioning, while image-guided systems present substantial financial commitment and are not readily available at most centers. Additionally, imaging modalities increase radiation exposure to the patient and surgeon while potentially lengthening surgical time. Materials and Methods: Retrospective review of 44 consecutive patients undergoing a cervicothoracic fusion by a single surgeon using the novel free-hand T1 pedicle screw technique between June 2009 and November 2012. A starting point medial and cephalad to classic entry as well as new trajectory were utilized. No imaging modalities were employed during screw insertion. Postoperative CT scans were obtained on day 1. Screw accuracy was independently evaluated according to the Heary classification. Results: In total, 87 pedicle screws placed were at T1. Grade 1 placement occurred in 72 (82.8% screws, Grade 2 in 4 (4.6% screws and Grade 3 in 9 (10.3% screws. All Grade 2 and 3 breaches were <2 mm except one Grade 3 screw breaching 2-4 mm laterally. Only two screws (2.3% were noted to be Grade 4, both breaching medially by less than 2 mm. No new neurological deficits or returns to operating room took place postoperatively. Conclusions: This modification of the traditional starting point and trajectory at T1 is safe and effective. It attenuates additional bone

  2. Anterior transarticular screw fixation as a conventional operation for rigid stabilization

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    Manabu Sasaki

    2014-01-01

    Full Text Available Background: Anterior transarticular screw (ATS fixation is a useful surgical option for atlantoaxial (AA stabilization. This report presents a revised ATS method for AA fusion. Methods: A 79-year-old male presented with AA instability attributed both to an old odontoid fracture and severe degeneration of the lateral atlantoaxial joints (LAAJs. ATS fixation was performed through the conventional anterior cervical approach. The longest screw trajectories were planned preoperatively using multiplanar reconstruction computed tomography (CT scans, with entry points of the screws situated at the midpoint on the inferior border of the axial body. The surgical exposure was limited to opening at the entry points alone. Our retractor of choice was the Cusco speculum; it sufficiently secured space for utilizing the required instruments for screw placement while offering sufficient protection of soft tissues. Cannulated full-threaded bicortical screws stabilized the LAAJs. Screw insertion required a significant amount of coronal angulation up to the superior articular process of the atlas under open-mouth and lateral fluoroscopy image guidance. After ATS fixation, bone grafting was performed between the posterior laminae of the axis and the atlas through a conventional posterior approach. Results: Bony fusion between the atlas and the axis was confirmed radiographically. Arthrodesis of the LAAJs occurred despite no bone grafting. Conclusions: Rigid fixation of the LAAJs was obtained by our ATS technique, indicating that it is an alternative method for AA fixation when posterior rigid internal fixation is not applicable.

  3. Biomechanical evaluation of Caspar cervical screws: comparative stability under cyclical loading.

    Science.gov (United States)

    Gallagher, M R; Maiman, D J; Reinartz, J; Pintar, F; Yoganandan, N

    1993-12-01

    Anterior cervical instrumentation is used as an adjunct to bone fusion; however, definitive biomechanical data to support some applications and techniques are lacking. In the absence of supportive experimental data, posterior cortical penetration has been recommended with the Caspar system. Previously, we compared the axial pull-out strength of Caspar screws with and without posterior cortical penetration. This study compares the stability of unicortical versus bicortical screw penetration groups under cyclical loading simulating physiological flexion-extension. Caspar screws were placed in human cadaveric vertebrae with or without posterior cortical purchase. Each screw was separately tested, simulating flexion-extension to 200 cycles. Deformation time data allowed a direct comparison of screw "wobble" with and without posterior cortical purchase. The mean deformation differences between subcortical and bicortical groups were statistically significant and increased over time within both groups. Enhanced stability was noted with bicortical purchase throughout most of the examined range, becoming more pronounced over longer periods of cyclical loading. Significant (P < 0.05) increases in deformation over time were noted for both groups, suggesting potentially significant deterioration at the screw-bone interface, despite bicortical purchase. Such deterioration with repeated flexion-extension loading may be of concern in the use of Caspar plates in the presence of multicolumn instability.

  4. 内窥镜辅助下前路经寰枢关节螺钉固定植骨融合术治疗上颈椎不稳%Endoscopy-assisted anterior transarticular screw fixation and bone grafting for upper cervical instability

    Institute of Scientific and Technical Information of China (English)

    姚女兆; 王文军; 王麓山; 晏怡果; 李学林; 欧阳智华

    2012-01-01

    目的:探讨内窥镜辅助下前路经寰枢关节螺钉固定植骨融合术治疗上颈椎不稳的临床可行性及其疗效.方法:2006年1月至2009年12月采用内窥镜辅助下前路经寰枢关节螺钉固定植骨融合术治疗上颈椎不稳患者13例,男8例,女5例;年龄17~65岁,平均46.8岁.JeffersonⅡ型骨折6例,JeffersonⅢ型骨折1例,寰枢椎脱位3例,陈旧性齿状突骨折3例.患者均有枕颈部不适和活动受限,术前VAS评分为3.2~4.1分,平均3.8分;2例伴有不同程度脊髓功能损害者,按Frankel分级C级1例,D级1例.随访患者临床症状改善和植骨融合情况.结果:均在内镜辅助下顺利完成手术,13例患者共置入26枚螺钉;手术时间60~130min,平均80min;术中出血110~290ml,平均190ml.术中无脊髓、椎动脉损伤等并发症.术后复查CT显示1枚螺钉位置欠佳,螺钉外斜角偏小且上斜角偏大,螺钉部分进入椎管,但未损伤脊髓,未做处理;25枚位置良好.寰枢关节基本复位,固定可靠.术后随访12~60个月,平均18个月,末次随访时VAS评分降至1.0~2.0分,平均1.3分,与术前比较有统计学差异(P<0.05).2例伴颈髓损伤患者的症状均有改善,Frankel分级C级者恢复到D级,D级者恢复到E级.12例患者术后3个月开始出现植骨融合,末次随访时寰枢关节间隙植骨均达到融合;1例患者未见明显植骨融合,但寰枢关节稳定性良好,未出现断钉等并发症.结论:内窥镜辅助下前路经寰枢关节螺钉固定植骨融合术治疗上颈椎不稳是可行的,能取得较好的治疗效果,且在一定程度上克服了传统手术显露困难的缺点,从而减少手术并发症.%Objectives: To evaluate the operation method and clinical outcome of atlantoaxial joint fusion using endoscopy-assisted anterior transarticular screw fixation and bone grafting for upper cervical instability. Methods: 13 cases with upper cervical instability who underwent anterior release

  5. Evaluation of different screw fixation techniques and screw diameters in sagittal split ramus osteotomy: finite element analysis method.

    Science.gov (United States)

    Sindel, A; Demiralp, S; Colok, G

    2014-09-01

    Sagittal split ramus osteotomy (SSRO) is used for correction of numerous congenital or acquired deformities in facial region. Several techniques have been developed and used to maintain fixation and stabilisation following SSRO application. In this study, the effects of the insertion formations of the bicortical different sized screws to the stresses generated by forces were studied. Three-dimensional finite elements analysis (FEA) and static linear analysis methods were used to investigate difference which would occur in terms of forces effecting onto the screws and transmitted to bone between different application areas. No significant difference was found between 1·5- and 2-mm screws used in SSRO fixation. Besides, it was found that 'inverted L' application was more successful compared to the others and that was followed by 'L' and 'linear' formations which showed close rates to each other. Few studies have investigated the effect of thickness and application areas of bicortical screws. This study was performed on both advanced and regressed jaws positions.

  6. The clinical research of posterior transpedicular screw fixation combined with intervertebral bone grafting fusion in the treatment of Ⅱ degree and Ⅲ degree lumbar spondylolisthesis%后路椎弓根螺钉内固定联合椎间植骨融合治疗Ⅱ、Ⅲ度腰椎滑脱的临床研究

    Institute of Scientific and Technical Information of China (English)

    宁凯; 车立新; 王志刚; 李坤; 吉喆

    2012-01-01

    目的 探讨后路椎弓根螺钉内固定联合椎间植骨融合治疗Ⅱ、Ⅲ度腰椎滑脱临床疗效.方法 回顾性分析我院2009年1月~2011年1月收治入院的30例腰椎滑脱症患者临床资料,所有病例均为Ⅱ、Ⅲ度腰椎滑脱.患者均采用后路椎弓根螺钉内固定联合椎间植骨融合治疗,观察手术前后临床症状及滑脱恢复情况、术后复位、疗效评价、材料生物相容性、术后椎间隙高度及BFS评分.结果 30例患者术前均为Ⅱ、Ⅲ度腰椎滑脱,其中,19例行椎管、神经根管减压、复位固定、植骨融合治疗,11例只行复位固定、植骨融合治疗.获得随访30例,均超过12个月.30例椎间植骨全部融合,融合率为100%.BFS评分优良率达90.0%.结论 后路椎弓根螺钉内固定联合椎间植骨融合治疗Ⅱ、Ⅲ度腰椎滑脱,操作简便、固定可靠,是临床治疗中的一种值得推广的方法.%Objective To explore the curative effect of posterior transpedicular screw fixation combined with intervertebral bone grafting fusion in the treatment of Ⅱ degree and Ⅲ degree lumbar spondylolisthesis. Methods The clinical data of 30 patients with lumbar spondylolisthesis from January 2009 to January 2011 in our hospital were analyzed retrospectively. All cases were suffered with Ⅱ degree or Ⅲ degree lumbar spondylolisthesis. All patients were adopted posterior transpedicular screw fixation combined with intervertebral bone grafting fusion treatment. The clinical symptoms, slippage recovery condition before and after operation, postoperative restoration, therapeutic effect evaluation, material biocompatibility, postoperative intervertebral height and BFS score were observed. Results 30 patients all suffered with Ⅱ degree or Ⅲ degree lumbar spondylolisthesis before surgery, among whom 19 cases were treated with canalis vertebralis and nerve root canal decompression, reduction and fixation and bone graft fusion. Other 11 cases were

  7. Designs and Techniques That Improve the Pullout Strength of Pedicle Screws in Osteoporotic Vertebrae: Current Status

    Directory of Open Access Journals (Sweden)

    Thomas M. Shea

    2014-01-01

    Full Text Available Osteoporosis is a medical condition affecting men and women of different age groups and populations. The compromised bone quality caused by this disease represents an important challenge when a surgical procedure (e.g., spinal fusion is needed after failure of conservative treatments. Different pedicle screw designs and instrumentation techniques have been explored to enhance spinal device fixation in bone of compromised quality. These include alterations of screw thread design, optimization of pilot hole size for non-self-tapping screws, modification of the implant’s trajectory, and bone cement augmentation. While the true benefits and limitations of any procedure may not be realized until they are observed in a clinical setting, axial pullout tests, due in large part to their reproducibility and ease of execution, are commonly used to estimate the device’s effectiveness by quantifying the change in force required to remove the screw from the body. The objective of this investigation is to provide an overview of the different pedicle screw designs and the associated surgical techniques either currently utilized or proposed to improve pullout strength in osteoporotic patients. Mechanical comparisons as well as potential advantages and disadvantages of each consideration are provided herein.

  8. Designs and techniques that improve the pullout strength of pedicle screws in osteoporotic vertebrae: current status.

    Science.gov (United States)

    Shea, Thomas M; Laun, Jake; Gonzalez-Blohm, Sabrina A; Doulgeris, James J; Lee, William E; Aghayev, Kamran; Vrionis, Frank D

    2014-01-01

    Osteoporosis is a medical condition affecting men and women of different age groups and populations. The compromised bone quality caused by this disease represents an important challenge when a surgical procedure (e.g., spinal fusion) is needed after failure of conservative treatments. Different pedicle screw designs and instrumentation techniques have been explored to enhance spinal device fixation in bone of compromised quality. These include alterations of screw thread design, optimization of pilot hole size for non-self-tapping screws, modification of the implant's trajectory, and bone cement augmentation. While the true benefits and limitations of any procedure may not be realized until they are observed in a clinical setting, axial pullout tests, due in large part to their reproducibility and ease of execution, are commonly used to estimate the device's effectiveness by quantifying the change in force required to remove the screw from the body. The objective of this investigation is to provide an overview of the different pedicle screw designs and the associated surgical techniques either currently utilized or proposed to improve pullout strength in osteoporotic patients. Mechanical comparisons as well as potential advantages and disadvantages of each consideration are provided herein.

  9. A simplified technique for anterior cervical discectomy and fusion using a screw-plate implanted over the Caspar distractor pins.

    Science.gov (United States)

    Fransen, Patrick

    2010-08-01

    The author presents a simplified technique for midline screw-plate fixation in fusion procedures after anterior cervical discectomy, in which the plate is introduced over the Caspar distractor pins. The Uniplate system used, with a single screw in each vertebral body, minimizes bone damage to the vertebral body as the screws can be fixed in the holes previously used for the Caspar distractor pins. This simplified version of the classical anterior cervical fusion technique saves surgical time, facilitates screw insertion, and obviates the need for manipulations to stabilize the plate before the screws are inserted. It provides immediate stability comparable to other plate systems. To the author's knowledge, this is the first report on cervical fusion with the Uniplate system with the plate being introduced over the Caspar distractor pins.

  10. Pull-out strength comparison of a novel expanding fastener against an orthopaedic screw in an ovine vertebral body: an ex-vivo study.

    Science.gov (United States)

    Oldakowski, Matthew; Oldakowska, Intan; Kirk, Thomas B; Ford, Chris T; Sercombe, Tim B; Hardcastle, Philip; Day, Robert E

    2016-01-01

    The purpose of this study was to mechanically test a novel Unthreaded Expandable Fastener (UEF), manufactured using Selective Laser Melting, which was designed for fixation in the cervical lateral mass. The pull-out strength and stiffness of the prototype UEFs was evaluated in a non-osteoporotic ovine bone model against equivalent screws. The prototype UEF demonstrated a 41% increase in failure force and a 60% reduction in failure force standard deviation compared to the screws. All bone samples were micro CT-scanned and no significant differences in bone microstructural properties was found between the screw and UEF sample sets, indicating that the UEFs may be less sensitive to bone quality variation. This increased performance can potentially translate into improved surgical outcome and reduced surgical risk for lateral mass fixation. With further design optimisation, additional improvement in performance over screws may be possible in future studies.

  11. Comparison between two pedicle screw augmentation instrumentations in adult degenerative scoliosis with osteoporosis

    Directory of Open Access Journals (Sweden)

    Xie Yang

    2011-12-01

    Full Text Available Abstract Background The operative treatment of adult degenerative scoliosis combined with osteoporosis increase following the epidemiological development. Studies have confirmed that screws in osteoporotic spines have significant lower-screw strength with more frequent screw movements within the vertebra than normal spines. Screws augmented with Polymethylmethacrylate (PMMA or with autogenous bone can offer more powerful corrective force and significant advantages. Methods A retrospective analysis was conducted on 31 consecutive patients with degenerative lumbar scoliosis combined with osteoporosis who had surgery from December 2000. All had a minimum of 2-year follow-up. All patients had posterior approach surgery. 14 of them were fixed with pedicle screw by augmentation with Polymethylmethacrylate (PMMA and the other 17 patients with autogenous bone. Age, sex and whether smoking were similar between the two groups. Surgical time, blood loss, blood transfusion, medical cost, post surgery ICU time, hospital day, length of oral pain medicines taken, Pre-and postoperative Oswestry disability index questionnaire and surgical revision were documented and compared. Preoperative, postoperative and final follow up Cobb angle, sagittal lumbar curve, correction rate, and Follow up Cobb loss were also compared. Results No significant differences were found between the autogenous bone group and Polymethylmethacrylate group with regards to all the targets above except for length of oral pain medicines taken and surgery cost. 2 patients were seen leakage during operation, but there is neither damage of nerve nor symptom after operation. No revision was needed. Conclusion Both augmentation pedicle screw with Polymethylmethacrylate (PMMA and autogenous bone treating degenerative lumbar scoliosis combined with osteoporosis can achieve a good surgical result. Less oral pain medicines taken are the potential benefits of Polymethylmethacrylate augmentation, but

  12. Combining of small fragment screws and large fragment plates for open reduction and internal fixation of periprosthetic humeral fractures

    Directory of Open Access Journals (Sweden)

    Dominik Seybold

    2011-01-01

    Full Text Available Operative treatment of periprosthetic humeral fractures in elderly patients with osteoporotic bone requires a stable fixations technique. The combination of 3.5 cortical screws with washers in a 4.5 Arbeitsgemeinschaft fόr Osteosynthesefragen, Limited-contact dynamic compression plate or Locking plate, allows a stable periprosthetic fixation with the small 3.5 screws and 4.5 screws above and below the prosthesis, respectively. This combination is a cost-effective technique to treat periprosthetic humeral fractures.

  13. Percutaneous Cement-Augmented Screws Fixation in the Fractures of the Aging Spine: Is It the Solution?

    Directory of Open Access Journals (Sweden)

    Sébastien Pesenti

    2014-01-01

    Full Text Available Introduction. Management of elderly patients with thoracolumbar fractures is still challenging due to frequent osteoporosis and risk of screws pull-out. The aim of this study was to evaluate results of a percutaneous-only procedure to treat these fragile patients using cement-augmented screws. Methods. 12 patients diagnosed with a thoracolumbar fracture associated with an important loss of bone stock were included in this prospective study. Surgical procedure included systematically a percutaneous osteosynthesis using cemented fenestrated screws. When necessary, additional anterior support was performed using a kyphoplasty procedure. Clinical and radiographic evaluations were performed using CT scan. Results. On the whole series, 15 fractures were diagnosed and 96 cemented screws were inserted. The difference between the pre- and postoperative vertebral kyphosis was statistically significant (12.9° versus 4.4°, P=0.0006. No extrapedicular screw was reported and one patient was diagnosed with a cement-related pulmonary embolism. During follow-up period, no infectious complications, implant failures, or pull-out screws were noticed. Discussion. Aging spine is becoming an increasing public health issue. Management of these patients requires specific attention due to the augmented risk of complications. Using percutaneous-only screws fixation with cemented screw provides satisfactory results. A rigorous technique is mandatory in order to achieve best outcomes.

  14. Magnesium inference screw supports early graft incorporation with inhibition of graft degradation in anterior cruciate ligament reconstruction

    Science.gov (United States)

    Cheng, Pengfei; Han, Pei; Zhao, Changli; Zhang, Shaoxiang; Zhang, Xiaonong; Chai, Yimin

    2016-05-01

    Patients after anterior cruciate ligament (ACL) reconstruction surgery commonly encounters graft failure in the initial phase of rehabilitation. The inhibition of graft degradation is crucial for the successful reconstruction of the ACL. Here, we used biodegradable high-purity magnesium (HP Mg) screws in the rabbit model of ACL reconstruction with titanium (Ti) screws as a control and analyzed the graft degradation and screw corrosion using direct pull-out tests, microCT scanning, and histological and immunohistochemical staining. The most noteworthy finding was that tendon graft fixed by HP Mg screws exhibited biomechanical properties substantially superior to that by Ti screws and the relative area of collagen fiber at the tendon-bone interface was much larger in the Mg group, when severe graft degradation was identified in the histological analysis at 3 weeks. Semi-quantitative immunohistochemical results further elucidated that the MMP-13 expression significantly decreased surrounding HP Mg screws with relatively higher Collagen II expression. And HP Mg screws exhibited uniform corrosion behavior without displacement or loosening in the femoral tunnel. Therefore, our results demonstrated that Mg screw inhibited graft degradation and improved biomechanical properties of tendon graft during the early phase of graft healing and highlighted its potential in ACL reconstruction.

  15. TKA 术中螺钉附加骨水泥结合髓内延长杆修复胫骨平台骨缺损重建关节稳定性%Supporing Screws and Bbone Cement Filling Combined with Intramedullary Stem for Reconstruc-ting Tibial Bone Defect and Joint Stability in Total Knee Arthroplasty

    Institute of Scientific and Technical Information of China (English)

    潘文杰; 贺艳; 马建兵; 肖琳; 卿忠; 王曦; 姚舒馨; 武淑芳

    2016-01-01

    Objective To observe the early clinical effect of Supporing screws and bone cement filling combined with intr-amedullary stem for reconstructing tibial noncontained bone defect and joint stability in primary total knee arthroplasty. Meth-ods From May 2012 to October 2015,16 patients(21 knees)with tibial plateau noncontained bone defects including 4 men (5knees)and12 women(16 knees)underwent primary total knee arthmplasty. The average age of the patients was 70. 5 years old ranging from 65 to 76 years. The average weight was 75. 6 kg ranging from 68. 5 kg to 92 kg,and the average body height was 171. 1 cm ranging from 155 cm to 180 cm. The diagnoses of the patients were osteoarthritis in 13 cases(16 knees)and rheumatoid arthritis in 2 cases(4 knees),Kashin-Bek syndrome in 1 case(1 knee). The preoperative range of movement (ROM)was(69. 8 ± 9. 8)°. According to Knee Society score(KSS)criterion,the clinical score of preoperation was(31. 9 ± 8. 8)and functional score was(33. 1 ± 9. 1)During operation,the average depth of tibial plateau defect was 19. 8 mm before tibial osteotomy. The conventional tibial osteotomy of 10. 0 mm was performed,the average depth of the residual bone defect was10. 5 mm. Sclerotic bone was thoroughly removed,2 or 3 pieces of supporting screws were inserted according to bone defect area and morphology,and bone cement was pressurely filled,and then the tibial prosthesis with stem was installed. Results All the cases were followed up of 26. 5 months(range,3 to 36months). All the patients can walk without crutch and self-care 1 month after operation,The enstrophy or ecstrophy or contraction anisotrophy were completely rectified right after operation,and the pain of knee was totally reliefed,At the latest follow-up,the KSS clinical score was knee score(90. 3 ± 9. 0)and functional score was(91. 4 ± 8. 3). The ROM of the knee joint was(115 ± 8. 8)°. In the final follow-up through the X-ray measurement, the position of the prosthesis was good

  16. Treatment of Lumbar Degenerative Disease with Unilateral Decompression,Bone Graft Fusion and Unilateral Pedicle Screw Fixation%经单侧减压融合、单边椎弓根螺钉内固定治疗腰椎退变性疾病

    Institute of Scientific and Technical Information of China (English)

    宋晋刚; 崔易坤; 苗艳; 尹振宇; 羊刚毅; 黄海锋

    2016-01-01

    目的:探讨经单侧行病变节段椎管减压、椎间植骨融合、单边椎弓根螺钉内固定治疗腰椎退变性疾病的临床疗效。方法我院2010年1月~2013年12月对35例腰椎退变性疾病采用经单侧减压、椎间植骨融合、单边椎弓根螺钉固定手术治疗。根据 JOA 评分法评估术后腰椎功能改善情况,采用视觉模拟评分(visual analog scale,VAS)评估术后疼痛缓解情况,腰椎正侧位 X 线片及 CT 扫描了解植骨融合情况。结果随访12~18个月,平均15个月。术前 JOA 评分(8.2±2.1)分,显著低于术后3个月(20.8±3.8)分(q =22.123,P <0.05)和术后12个月(21.7±3.9)分(q =23.703,P <0.05);VAS 评分术前(7.9±2.1)分,显著高于术后3个月(2.4±0.4)分(q =26.107,P <0.05)和12个月(2.3±0.3)分(q =26.582,P <0.05);JOA 评分和 VAS 评分随访期间无显著变化(P >0.05)。1年后椎间植骨融合率100%,未发现椎弓根螺钉松动、断裂、拔钉等异常。结论经单侧减压、椎间植骨融合联合单边椎弓根螺钉内固定治疗腰椎退变性疾病疗效满意,可在合适病例中推广应用。%Objective To investigate the clinical effects of unilateral vertebral canal decompression,intervertebral bone graft fusion,and unilateral pedicle screw fixation in the treatment of lumbar degenerative disease. Methods From January 2010 to December 2013,a total of 35 cases of lumbar degenerative disease were treated with unilateral decompression,intervertebral bone graft fusion,and unilateral pedicle screw fixation.The postoperative spine functions were evaluated with the JOA scores,the postoperative pain relief was evaluated with the VAS scores,and bone graft fusion was reviewed with lumbar X-ray and CT scanning. Results The patients were followed up for 12 -18 months (mean,15 months).The preoperative JOA scores (8.2 ±2

  17. Initial experience with extreme angle cervical screw for treatment of trauma and cervical spondylosis.

    Science.gov (United States)

    Mehta, Ankit I; Babu, Ranjith; Bagley, Carlos A; Grossi, Peter M; Gottfried, Oren N

    2014-03-01

    In this study, we have described our initial experience and surgical technique of extreme angle screw placement in the cervical and upper thoracic spine of a cohort of patients undergoing posterior fusion. This extreme angle screw facilitates rod placement without need for any coronal contouring of the rod or offset connectors despite the varied entry site locations for posterior instrumentation and the different trajectories and pathways of these screws. From ruary 2011 to July 2011, extreme angle screws were placed in twenty consecutive adult patients who underwent posterior cervical, occipital-cervical or cervical-thoracic fusions. The primary diagnosis was cervical spondylotic myelopathy (13), trauma (4), and pseudoarthrosis with stenosis (3). Eight patients had gross instability. A total of 196 screws were placed; half of the cases involved instrumentation at or within the C3-7 segments (10) and the others included constructs extending to occipital bone, C2, T1, or T2 (10). Of all twenty cases, there were no perioperative hardware complications. At long-term follow-up, two patients required reoperation, one for hardware failure and the other for single level symptomatic pseudoarthrosis. We conclude that extreme angle screw use in the posterior cervical spine provides an evolution in posterior instrumentation that maximizes the biomechanical strength of a construct, allows for easy rod placement, and may improve the restoration of sagittal alignment. Overall, extreme angle screws facilitate rod placement even for screws offset from the natural plane of the rod, thereby avoiding the need for coronal contouring or placement of offset connectors.

  18. MODIFIED PERIODONTAL EXPLORER FOR EXPANSION SCREW ACTIVATION

    Directory of Open Access Journals (Sweden)

    Srinivasan

    2012-08-01

    Full Text Available INTRODUCTION: Accidents with expansion screw activation keys are r eported in the literature 1,2 . A simple method to prevent such accident is to use a modified periodontal explorer as a key for expansion screw activation. A no.17 per iodontal explorer (fig 1 is cut at its first terminal bend (fig 2. The second section is bent m ore vertically to the long axis of the shaft (fig 3. This part which is tapered and stiff enough to ac tivate the screw is tried extra orally into the screw. It is further trimmed in such a way that onl y a mm of instrument can project through the screw hole (fig 4. Now a safe key for activating t he maxillary expansion screw is ready to use (fig 5. Once the patient’s parent or guardian succes sfully repeat the activation procedure in office, the instrument can be given to them for hom e use

  19. Bone splint technique and plating application in adolescent high-energy comminuted fracture of distal femur with bone defects

    Institute of Scientific and Technical Information of China (English)

    LIU Hui; DING Zhen-qi; ZHAI Wen-liang; KANG Liang-qi; YAO Xiao-tao

    2008-01-01

    @@ Comminuted fracture of distal femur is a common lower limb injury from traffic accidents, especially from motor accidents. Routine dynamic condylar screw ( DCS ) or 95-degree condylar plate ( CP ) sometimes cannot solve the bone defect in the center of alignment and contralateral diaphysis for the reason of absent screw anchor point, especially for AO C2. 2-2. 3 types.

  20. The Accuracy of Screw Axis Analysis Using Position Data from Anatomical Motion Studies.

    Science.gov (United States)

    1980-05-05

    Hip Motion ........ . 57 7-2 Screw Axis Analysis for the Sacro -iliac Joint. 57 viii " LIST OF FIGURES Figure Title Page 2-1 Systems Anthropometry Data...The piercing point selected for this test was an arbitrary point. The screw axis direction was selected so that there would be equal components in all...analyzed are the hip, and the sacro -iliac joint. The bone movements analyzed are the femur moving relative to the left inominate for hip motion, and the

  1. Shock-Absorbent Ball-Screw Mechanism

    Science.gov (United States)

    Hirr, Otto A., Jr.; Meneely, R. W.

    1986-01-01

    Actuator containing two ball screws in series employs Belleville springs to reduce impact loads, thereby increasing life expectancy. New application of springs increases reliability of equipment in which ball screws commonly used. Set of three springs within lower screw of ball-screw mechanism absorbs impacts that result when parts reach their upper and lower limits of movement. Mechanism designed with Belleville springs as shock-absorbing elements because springs have good energy-to-volume ratio and easily stacked to attain any stiffness and travel.

  2. Effects of Lateral Mass Screw Rod Fixation to the Stability of Cervical Spine after Laminectomy

    Science.gov (United States)

    Rosli, Ruwaida; Kashani, Jamal; Kadir, Mohammed Rafiq Abdul

    There are many cases of injury in the cervical spine due to degenerative disorder, trauma or instability. This condition may produce pressure on the spinal cord or on the nerve coming from the spine. The aim of this study was, to analyze the stabilization of the cervical spine after undergoing laminectomy via computational simulation. For that purpose, a three-dimensional finite element (FE) model for the multilevel cervical spine segment (C1-C7) was developed using computed tomography (CT) data. There are various decompression techniques that can be applied to overcome the injury. Usually, decompression procedures will create an unstable spine. Therefore, in these situations, the spine is often surgically restabilized by using fusion and instrumentation. In this study, a lateral mass screw-rod fixation was created to stabilize the cervical spine after laminectomy. Material properties of the titanium alloy were assigned on the implants. The requirements moments and boundary conditions were applied on simulated implanted bone. Result showed that the bone without implant has a higher flexion and extension angle in comparison to the bone with implant under applied 1Nm moment. The bone without implant has maximum stress distribution at the vertebrae and ligaments. However, the bone with implant has maximum stress distribution at the screws and rods. Overall, the lateral mass screw-rod fixation provides stability to the cervical spine after undergoing laminectomy.

  3. Effect of twist-orientation on mechanical properties of self-reinforced poly(lactic acid) screws in simulated body environment

    Science.gov (United States)

    Sakaguchi, Masato; Kobayashi, Satoshi; composite engineering lab Team

    Poly(lactic acid) (PLA) attracts much attention as a typical biodegradable polymer, and has been applied as a bone fixation device. As one of the methods to improve mechanical properties of PLA bone fixation device, orientations of molecular chains have been investigated. However, conventional uniaxial drawing could not improve mechanical properties along the other loading direction than the drawing direction, such as torsion. In this study, screw is treated as a bone fixation device. In order to improve torsional strength of a bioabsorbable PLA screw, twist-orientation method has been developed. PLA screw is prepared through a series of routes including extrusion molding, extrusion drawing, twist-orientation and forging. This screw was immersed in the phosphate buffer solution for 0, 8, 16 and 24 weeks, then shear strength, orientation function, crystallinity and molecular weight were measured. As a result, twist-orientation improves the initial torsional strength of PLA screw without the decrease in initial shear strength. In addition, the shear strength on twist-oriented screw is equivalent that of non-twist oriented screw during immersion until 24 weeks. This result shown that the twist-orientation does not decrease shear strength after immersion.

  4. Parafusos automacheantes: comparação mecânica no modelo artificial de osso e na vértebra cervical de carneiro Tornillos autoterrajante: comparación mecánica en el modelo artificial de hueso y en la vértebra cervical de oveja Self-tapping screws: mechanical analysis in the model of artificial bone and in the cervical sheep vertebra

    Directory of Open Access Journals (Sweden)

    Patrícia Silva

    2009-09-01

    inserción y la fuerza de arrancamiento. Fueron formados dos grupos experimentales de acuerdo con el tipo de tornillo utilizado: Grupo I-Tornillo cortical autoterrajante; Grupo II-tornillo CSLP autoterrajante. El orificio-piloto fue perforado con 10.0 mm de profundidad por medio de una broca con diámetro de 2.5 mm (Grupo I y 3.0 mm (Grupo II. El troque de inserción fue medido durante la implantación de los tornillos y en seguida fueron realizados ensayos mecánicos en máquina universal de test para evaluar la fuerza de arrancamiento de los implantes. RESULTADOS: los tornillos autoterrajante CSLP presentaron valores del torque de inserción y resistencia al arrancamiento mayores que los tornillos corticales autoterrajante. CONCLUSIÓN: el diseño del tornillo CSLP influye en su troque de inserción y resistencia al arrancamiento, siendo la evaluación de estos parámetros superiores a los tornillos corticales autoterrajante.OBJECTIVE: compare the new self-tapping cervical spine locking plate (CSLP screw with traditional self-tapping cortical screw used in anterior cervical locking plates in terms of insertion torque and pullout strength. METHODS: 15 traditional self-tapping cortical screws and 15 new self-drilling CSLP screws were inserted into 15 models of artificial bone (polyurethane and 15 cervical vertebrae of sheep. The studied parameters were the insertional torque and pullout strength. The following groups were created, in agreement with the type of screw used: Group I, of self-tapping cortical screw; and Group II, with self-tapping CSLP screw. The pilot hole had 10.0 mm in depth and was made with a 2.5 mm (Group I and 3.0 mm (Group II drill. The insertional torque was measured and the pullout test was performed. RESULTS: the CSLP self-tapping screw presented a higher insertional torque and pullout strength compared to cortical self-tapping screws. CONCLUSION: the thread design of CSLP screw influenced the insertional torque and pullout resistance, and the

  5. Anatomic comparison of transarticular screws with lateral mass screws in cervical vertebrae

    Institute of Scientific and Technical Information of China (English)

    LIU Guan-yi; XU Rong-ming; MA Wei-hu; RUAN Yong-ping; SUN Shao-hua; HUANG Lei

    2007-01-01

    Objective: To compare the potential incidence of nerve root (ventral and dorsal ramus) injury caused by cervical transarticular screws and Roy-Camille lateral mass screws.Methods: Insertion techniques with Klekamp transarticular screws and Roy-Camille lateral mass screws were respectively performed in this study. Each technique involved four specimens and 40 screws, which were inserted from C3 to C7. And 20-mm-long screws were used to overpenetrate the ventral cortex. The anterolateral aspect of the cervical spine was carefully dissected to allow observation of the screw-ramus relationship.Results: The overall percentage of nerve invasion was significantly lower with Klekamp (45%) technique than with Roy-Camille (85%) technique (P<0.05). The largest percentage of nerve invasion for Klekamp transarticular screws was found at the dorsal ramus (25%), followed by the ventral ramus (15%) and the bifurcation of the ventral dorsal ramus (5%). The largest percentage of nerve invasion for Roy-Camille lateral mass screws was found at the ventral ramus (80%).Conclusion: The potential risk of nerve root invasion is lower with Klekamp transarticular screws than with Roy-Camille lateral mass screws.

  6. Corrosion of magnesium alloy AZ31 screws is dependent on the implantation site

    Energy Technology Data Exchange (ETDEWEB)

    Willbold, E. [Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, D - 30625 Hannover (Germany); Kaya, A.A. [Mugla University, Engineering Faculty, Metallurgy and Materials Engineering Department, Mugla (Turkey); Kaya, R.A. [MedicalPark Hospital, Kueltuer Sok No:1, 34160 Bahcelievler, Istanbul (Turkey); Beckmann, F. [Helmholtz-Zentrum Geesthacht, Institute of Materials Research, Max-Planck-Str.1, D - 21502 Geesthacht (Germany); Witte, F., E-mail: witte.frank@mh-hannover.de [Laboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery, Hannover Medical School, Anna-von-Borries-Strasse 1-7, D - 30625 Hannover (Germany)

    2011-12-15

    The corrosion of biodegradable materials is a crucial issue in implant development. Among other materials, magnesium and magnesium based alloys are one of the most promising candidates. Since the corrosion of biodegradable materials depends on different physiological parameters like pH or ion concentrations, the corrosion might be different in different biological environments. To investigate this issue, we produced screws from magnesium alloy AZ31 and implanted them into the hip bone of 14 sheep. After 3 and 6 months, the screws were explanted and analyzed with synchrotron-radiation based micro-computed tomography and hard tissue histology. We found considerable differences in the corrosion behavior of the magnesium screws with respect to its original tissue location. However, we could detect a normal immunological tissue response.

  7. Twin-Screw Extruders in Ceramic Extrusion

    Science.gov (United States)

    Wiedmann, Werner; Hölzel, Maria

    The machines mainly used for compounding plastics, chemicals and food are co-rotating, closely intermeshing twin-screw extruders. Some 30 000 such extruders are in use worldwide, about 1/3 are ZSKs from Coperion Werner & Pfleiderer, Stuttgart. In the chemical industry more and more batch mixers are being replaced by continuous twin-screw kneaders.

  8. Twin screw granulation: steps in granule growth.

    Science.gov (United States)

    Dhenge, Ranjit M; Cartwright, James J; Hounslow, Michael J; Salman, Agba D

    2012-11-15

    The present work focuses on the study of the progression of granules in different compartments along the length of screws in a twin screw granulator (TSG). The effects of varying powder feed rate; liquid to solid ratio and viscosity of granulation liquid on properties of granules was studied. The bigger granules produced at the start of the process were found to change in terms of size, shape and strength along the screw length at all the conditions investigated. The granules became more spherical and their strength increased along the screw length. Tracer granules were also introduced in order to understand the role of kneading and conveying elements in the TSG. The kneading elements promoted consolidation and breakage while the conveying elements led to coalescence, breakage and some consolidation. The results presented here help to provide a qualitative and quantitative understanding of the twin screw granulation process.

  9. Simple Technique for Removing Broken Pedicular Screws

    Directory of Open Access Journals (Sweden)

    A Agrawal

    2014-03-01

    Full Text Available The procedure for removing a broken pedicle screw should ideally be technically easy and minimally invasive, as any damage to the pedicle, during removal of the broken screw, may weaken the pedicle, thus compromising on the success of re-instrumentation. We describe the case of a 32-year old man who had undergone surgery for traumatic third lumbar vertebral body fracture three years prior to current admission and had developed the complication of pedicle screw breakage within the vertebral body. The patient underwent re-exploration and removal of the distal screws. Through a paravertebral incision and muscle separation, the screws and rods were exposed and the implants were removed.

  10. Twin screw subsurface and surface multiphase pumps

    Energy Technology Data Exchange (ETDEWEB)

    Dass, P. [CAN-K GROUP OF COMPANIES, Edmonton, Alberta (Canada)

    2011-07-01

    A new subsurface twin screw multiphase pump has been developed to replace ESP and other artificial lift technologies. This technology has been under development for a few years, has been field tested and is now going for commercial applications. The subsurface twin screw technology consists of a pair of screws that do not touch and can be run with a top drive or submersible motor; and it carries a lot of benefits. This technology is easy to install and its low slippage makes it highly efficient with heavy oil. In addition twin screw multiphase pumps are capable of handling high viscosity fluids and thus their utilization can save water when used in thermal applications. It also induces savings of chemicals because asphaltenes do not break down easily as well as a reduction in SOR. The subsurface twin screw multiphase pump presented herein is an advanced technology which could be used in thermal applications.

  11. The evaluation of curative effect for lumbar spondylolisthesis by posterior lumbar intervertebral compression bone graft fusion and pedicle screw internal fixation%椎间打压植骨融合椎弓根钉内固定术治疗腰椎滑脱症疗效评价

    Institute of Scientific and Technical Information of China (English)

    黄久勤; 王传文

    2009-01-01

    Objective To investigate the curative effect for lumbar spondylolisthesis by posterior lumbar intervertebral compression bone graft fusion and pedicle screw internal fixation.Method All 39 cases with lumbar spondylolisthesis accepted treatment during January 2003 to October 2007.There were cataplasia spondylolisthesis in 14 cases and isthmic spondylolisthesis in 25 cases.Twenty-two cases had spondylolisthesis in L4 and 17 cases had spondylolisthesis in L5.According to Meyerding grading,11 patients were classified as degree Ⅰ lesion.27 patients as degree Ⅱ lesion and 1 patient as degree Ⅲ lesion.By the help of X-ray machine,pedicle screw Was embedded in the vertebral spondylolisthesis and it Was lower vertebra.Laminectomy decompress was administered in vertebral spondylolisthesis and hold-down bars was placed to open intervertebral space.Then restored the vertebral spondylolisthesis and fixed it temporary.Next,intervertebral compression bone graft fusion was finished and was adjusted.Results Follow-up period was 5 months to 4 years.Clinical outcomes were measured with Prolo evaluation scale,35 cases were cured,4 cases were good effect.Conclusions This operation has been found to be asafe,rapid and effective method for lumbar spondylolisthesis and it produces a high fusion rate and lower expense.%目的 评价椎间打压植骨融合椎弓根钉内固定术治疗腰椎滑脱症的临床疗效.方法 2003年1月至2007年10月收治的腰椎滑脱症患者39例,其中退变性滑脱14例,峡部裂性滑脱25例.L4椎体滑脱22例,L5k椎体滑脱17例.按Meyerding滑脱程度分级标准:Ⅰ度滑脱11例,Ⅱ度滑脱27例,Ⅲ度滑脱1例.C型臂X线机透视定位下在滑脱椎体及其下位椎体间植入椎弓根螺钉,行滑脱椎体全椎板减压术,安放固定棒并撑开椎间隙,进行滑脱椎体复位及临时固定,处理椎间隙,行椎间打压植骨融合术,调整钉棒进行椎间适度加压,以植骨块稳定为度.结果 本组患者

  12. Root contact with maxillomandibular fixation screws in orthognathic surgery: incidence and consequences.

    Science.gov (United States)

    Camargo, I B; Van Sickels, J E; Laureano Filho, J R; Cunningham, L L

    2016-08-01

    The use of maxillomandibular fixation (MMF) screws in orthognathic surgery has become common in recent years. The risk of injury to adjacent roots with their placement in this population has not been studied extensively. The aim of this study was to review the incidence and consequences of root contact/injury in patients undergoing orthognathic surgery. A retrospective analysis of the treatment and radiographic records of patients who underwent orthognathic surgery between January 2013 and September 2014 at a university in Kentucky, USA was performed. The mean number of screws used was correlated to the mean number of roots affected using Spearman's test, set to a level of significance of 5%. Of 125 patients who underwent orthognathic surgery, 15 (12%) had evidence of root contact. Subsequent radiographs showed resolution of the bone defects. There was no clinical evidence of pulpal necrosis or pain during follow-up. The average number of screws used was 3.14±0.35 per patient, with an average of 0.17±0.52 root contacts per patient. There was no correlation between the number of screws used and the number of roots injured (P=0.279). Based on these results, MMF screws can safely be used to establish interim fixation during orthognathic surgery. Caution should be taken during placement to avoid direct injury to the roots of teeth.

  13. Lower cervical spine injury treated with lateral mass plates and pedicle screws through posterior approach

    Institute of Scientific and Technical Information of China (English)

    ZHAO Xue-ling; ZHAO Hong-bin; WANG Bin; ZHU Xiao-song; LI Lin-zhi; ZHANG Chun-qiang

    2005-01-01

    Objective: To treat injury of the lower cervical spine C6 to C7 with cervical lateral mass plates and T1 pedicle screws through posterior approach. Methods: The data of 8 patients with lower cervical spine C6 or C7 injury (6 patients with fracture and dislocation in C6 and C7 and 2 with fracture in C7) were analyzed retrospectively in this study. For the preoperative American Spinal Injury Association (ASIA) classification, Grade C was found in 3 cases and Grade D in 5 cases. Screws were placed on the lateral masses and the first thoracic pedicle with Margerl technique. Lamina or facet bone allografting was used to achieve a long-term stability. Results: All the 8 patients were followed up for 5-37 months (mean: 15 months). No operative death occurred. There were no examples of aggravation of spinal cord injury or vertebral artery injury, cerebrospinal fluid leak, nerve roots injury, screw malposition or back-out, loose of alignment or implant failure. Clinical symptoms and ASIA classification were improved in all the patients. Postoperative MRI scanning confirmed the satisfactory screw placement in all the cases. Conclusions: Lateral mass plates and pedicle screws through posterior approach are safe and beneficial for patients with lower cervical spine C6 or C7 injury.

  14. Arthroscopic assisted percutaneous bone grafting and screw fixation for the treatment of lateral tibial plateau fractures:A 4-year follow-up%胫骨外侧平台骨折关节镜下经皮复位植骨螺钉内固定:4年随访★

    Institute of Scientific and Technical Information of China (English)

    曾润铭; 吴盛荣; 林少彬

    2013-01-01

      BACKGROUND: Studies have shown the knee secondary osteoarthritis may occur after the treatment of tibial plateau fractures with open reduction and internal fixation, but the researches on the middle- and long-term effect of arthroscopic assisted tibial plateau fracture fixation are stil rare. OBJECTIVE: To evaluate the outcomes of lateral tibial plateau fractures after treated with arthroscopic assisted percutaneous bone grafting and screw fixation for 1 and 4 years through clinical and radiological assessment. METHODS: Between March 2007 and March 2009, with the information of the patients with lateral tibial plateau fractures undergoing arthroscopic assisted percutaneous bone grafting and screw fixation were enrol ed. The data of the type of fractures in the Schatzker classification, the accompanying lesions of the cartilage defect on the lateral tibial plateau, the cartilage damage on the femoral condyle, intra-articular soft tissue lesions and insufficient reduction of the fracture, as wel as postoperative subsidence in the lateral tibial plateau were col ected. The Lysholm score, Ahlback osteoarthritis classification, Rasmussen function score and radiological score were assessed at 1 and 4 years after treated with percutaneous bone grafting and screw fixation. RESULTS AND CONCLUSION: Twenty-three patients finished the fol ow-up. At 1 and 4 years after percutaneous bone grafting and screw fixation, the mean Lysholm score was 90 and 87 points respectively (P=0.23), and the mean Rasmussen function score was 26 and 24 points respectively (P=0.30). At 4 years after surgery, 11 cases (47.8%) presented osteoarthritis and the Rasmussen radiological score was decreased from early postoperative 17.4 points to 4-year postoperatively 13.6 points (P=0.01). No correlation could be observed between the various types of fractures and their prognosis. The elder cases, cartilage damage and/or defect, intra-articular soft tissue lesions and postoperative subsidence in the

  15. Maxillary anterior en masse retraction using different antero-posterior position of mini screw: a 3D finite element study

    Directory of Open Access Journals (Sweden)

    Zohreh Hedayati

    2016-10-01

    Full Text Available Abstract Background Nowadays, mini screws are used in orthodontic tooth movement to obtain maximum or absolute anchorage. They have gained popularity among orthodontists for en masse retraction of anterior teeth after first premolar extraction in maximum anchorage cases. The purpose of this study was to determine the type of anterior tooth movement during the time when force was applied from different mini screw placements to the anterior power arm with various heights. Methods A finite element method was used for modeling maxillary teeth and bone structure. Brackets, wire, and hooks were also designed for modeling. Two appropriate positions for mini screw in the mesial and distal of the second premolar were designed as fixed nodes. Forces were applied from the mini screw to four different levels of anterior hook height: 0, 3, 6, and 9 mm. Initial tooth movement in eight different conditions was analyzed and calculated with ANSYS software. Results Rotation of anterior dentition was decreased with a longer anterior power arm and the mesial placement of the mini screw. Bodily movements occurred with the 9-mm height of the power arm in both mini screw positions. Intrusion or extrusion of the anterior teeth segment depended on the level of the mini screw and the edge of the power arm on the Z axis. Conclusions According to the findings of this study, the best control in the sagittal plane during anterior en masse retraction was achieved by mesial placement of the mini screw and the 9-mm height of the anterior power arm. Where control in the vertical plane was concerned, distal placement of the mini screw with the 6-mm power arm height had minimum adverse effect on anterior dentition.

  16. Screw elastic intramedullary nail for the management of adult forearm fractures

    Directory of Open Access Journals (Sweden)

    Wasudeo Gadegone

    2012-01-01

    Full Text Available Background: The failure of the conventional nailing of both forearm bones or isolated fractures of radius and ulna pose a potential problem of nail migration and rotational instability, despite the best reduction. The purpose of this paper is to evaluate the results of screw elastic intramedullary nail for the treatment of adult diaphyseal fractures of both forearm bones, which effectively addresses the problems associated with the conventional nailing systems for the forearm fractures. Materials and Methods: Seventy-six adults with forearm fractures (radius and ulna or isolated fracture of the single bone were retrospectively evaluated. Fifty males and 26 females with the mean age of 38 years (range, 18-70 years underwent closed reduction and screw intramedullary nail fixation. Ten patients required limited open reduction. The fractures were classified according to the AO/OTA system. The average followup was 12 months (range, 6 to 18 months. Results: The mean surgical time was 45 minutes (35 to 65 minutes. The meantime to union was 14 weeks (10-21 weeks. The results were graded as excellent in 50, good in 18 patients, and acceptable in eight patients, using the criteria of Grace and Eversman. We had superficial infection in three cases, one case of delayed infection, painful bursa in two cases, delayed union in two cases, malunion with dislocation of the DRUJ in two cases, injury to the extensor tendon of the thumb in one case, and one case of incomplete radioulnar synostosis. Conclusion: Closed reduction and internal fixation of forearm fractures by screw intramedullary nails reestablishes the near normal relationship of the fractured fragments. Screw intramedullary nail effectively controls both rotatory forces and the migration of the nail. It produces excellent clinical results in isolated fractures of either bones, as well as both bones of the forearm in adults.

  17. 皮质骨螺钉内固定治疗下胫腓联合分离的 CT 研究%Internal fixation with cortical bone screws for the treatment of distal tibiofibular syndesmosis separation:a CT study of 32 patients

    Institute of Scientific and Technical Information of China (English)

    鲁建作; 林央央; 杨杰; 董晓敏

    2015-01-01

    Objective:To explore the effect of internal fixation with cortical bone screws on the distal tibiofibular syndesmosis. Methods:The clinical records of 32 patients who were treated with cortical bone screws internal fixation for distal tibiofibular syndesmosis were analyzed retrospectively.The patients consisted of 18 males and 14 females,and ranged in age from 28 to 64 years (Median =43.5 yrs).The distal tibiofibular syndesmosis separation located in left leg for 14 cases and right leg for 18 cases.According to the Danis -Weber classification,the injuries belonged to types B(12)and C(20).Fibula fracture combined with posterior malleolus injury and medial malleolus injury or deltoid ligament injury were found in 11 patients,and fibula fracture combined with medial malleolus injury or deltoid ligament injury were found in 21 patients.Bilateral distal tibiofibular transverse CT films were taken in all patients.The tibiofibula congru-ence angle,fibular outward displacement and backward displacement relative to peroneal sinus of tibia were measured on the CT films and were analyzed.Results:The tibiofibula congruence angle and fibular outward displacement relative to peroneal sinus of tibia of affected side were less than those of uninjured side(68.66 +/-9.28 vs 79.49 +/-14.66 degrees,t =2.998,P =0.025;5.65 +/-1.79 vs 7.66 +/-2.05 mm,t =2.131,P =0.012),while fibular backward displacement relative to peroneal sinus of tibia of affected side was greater than that of uninjured side(4.94 +/-1.49 vs 1.90 +/-3.34 mm,t =14.089,P =0.002).Conclusion:After cortical bone screws internal fixa-tion for the treatment of distal tibiofibular syndesmosis separation,there is a trend for anteromedial rotation of distal tibiofibular syndesmosis of affected side compared to uninjured side.%目的:探讨皮质骨螺钉内固定对下胫腓联合的影响。方法:回顾性分析32例行皮质骨螺钉内固定术治疗的下胫腓联合分离患者的临床资料,男18例、女14

  18. 空心拉力螺钉加镍钛聚髌器置入内固定重建骨折髌骨的生物力学条件%Biomechanical requirement for the reconstruction of patellar fracture treated with cancellous bone screw and nickel-titanium-patellar concentrator internal fixation

    Institute of Scientific and Technical Information of China (English)

    高振巢; 刘德昌; 蔡国平

    2013-01-01

    BACKGROUND: There are various internal fixation methods for the clinical treatment of patel ar fractures, but each method has advantages and disadvantages, respectively. The selection of proper internal fixation method wil directly affect the healing time and recovery of knee joint function. OBJECTIVE: To investigate the biomechanical reconstruction effect on patel ar fracture treated with cancel ous bone screw and nickel-titanium-patel ar concentrator internal fixation. METHODS: A retrospective analysis was performed on 27 cases of acute patel ar fracture patients from January 2011 to January 2012 in the Department of Orthopedics, Jinshan Hospital, Fudan University, including 13 cases of transverse fracture, 11 cases of comminuted fracture and three cases of upper or lower pole fracture. Al the 27 patients received cancel ous bone screw and nickel-titanium-patel ar concentrator internal fixation without plaster external fixation, and then the quadriceps active contraction training was performed from the 2nd day after internal fixation, and bed knee flexion and extension exercises were performed at 1 week after internal fixation. The knee joint function was evaluated with Böstman score system. RESULTS AND CONCLUSION: Al the 27 patients were fol owed-up for 4-14 months. Incisions obtained stage Ⅰ healing, and there was no fracture fixation or shedding, wound infection, skin necrosis or other complications. The average healing time was 8.5 weeks without delayed healing. According to clinical grading scale of Böstman score system, the mean score was 27.9, included 27 cases of excel ent (81%), four cases of good (15%), one case of poor (4%), and the excel ent and good rate was 96%. The results suggest that cancel ous bone screw combined with nickel-titanium-patel ar concentrator internal fixation can maintain the advantages of traditional internal fixation method, and can avoid the disadvantages of the traditional internal fixation method.%  背景:目前

  19. Efficacy of radial styloid targeting screws in volar plate fixation of intra-articular distal radial fractures: a biomechanical study in a cadaver fracture model

    Directory of Open Access Journals (Sweden)

    Yamashita Toshihiko

    2010-12-01

    Full Text Available Abstract Background The locking screws target the radial styloid, theoretically provide greater stability against radial styloid fragment. However, it is unknown whether the radial styloid locking screws increased the stability of the volar plating system fixation along the entire distal radius or not. In this study, we evaluated the stability of the volar plating system fixation with or without the radial styloid screws using a biomechanical study in a cadaver fracture model. Methods Six matched pairs of fresh-frozen human cadaver wrists complete from the proximal forearm to the metacarpal bones were prepared to simulate standardized 3-part intra-articular and severe comminuted fractures. Specimens were fixed using the volar plating system with or without 2 radial styloid screws. Each specimen was loaded at a constant rate of 20 mm/min to failure. Load data was recorded and, ultimate strength and change in gap between distal and proximal fragments were measured. Data for ultimate strength and screw failure after failure loading were compared between the 2 groups. Results The average ultimate strength at failure of the volar plate fixation with radial styloid screws (913.5 ± 157.1 N was significantly higher than that without them (682.2 ± 118.6 N. After failure loading, the average change in gap between the ulnar and proximal fragment was greater than that between the radial and proximal fragment. The number of bent or broken screws in ulnar fragment was higher than that in radial fragment. The number of specimens with bent or broken screws in cases with radial styloid screws was fewer than that in the fixation without radial styloid screws group. Conclusion The ulnar fragment is more intensively stressed than the radial fragment under axial loading of distal radius at full wrist extension. The radial styloid screws were effective in stable volar plate fixation of distal radial fractures.

  20. A geometrical introduction to screw theory

    Science.gov (United States)

    Minguzzi, E.

    2013-05-01

    This work introduces screw theory, a venerable but little known theory aimed at describing rigid body dynamics. This formulation of mechanics unifies in the concept of screw the translational and rotational degrees of freedom of the body. It captures a remarkable mathematical analogy between mechanical momenta and linear velocities, and between forces and angular velocities. For instance, it clarifies that angular velocities should be treated as applied vectors and that, under the composition of motions, they sum with the same rules of applied forces. This work provides a short and rigorous introduction to screw theory intended for an undergraduate and general readership.

  1. Twin Screw Mixer/Fine Grind Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The 40-mm Twin-Screw Mixer/Extruder (TSE) pilot plant is a continuous, remotely operated, flexible facility that can significantly enhance safety and environmental...

  2. Comparative endurance testing of the Biomet Matthews Nail and the Dynamic Compression Screw, in simulated condylar and supracondylar femoral fractures

    Directory of Open Access Journals (Sweden)

    Davies Benjamin M

    2008-01-01

    Full Text Available Abstract Background The dynamic compression screw is a plate and screws implant used to treat fractures of the distal femur. The Biomet Matthews Nail is a new retrograde intramedullary nail designed as an alternative surgical option to treat these fractures. The objective of this study was to assess the comparative endurance of both devices. Method The dynamic compression screw (DCS and Biomet Matthews Nail (BMN were implanted into composite femurs, which were subsequently cyclically loaded using a materials testing machine. Simulated fractures were applied to each femur prior to the application of load. Either a Y type fracture or a transverse osteotomy was prepared on each composite femur using a jig to enable consistent positioning of cuts. Results The Biomet Matthews Nail demonstrated a greater endurance limit load over the dynamic compression screw in both fracture configurations. Conclusion The distal locking screws pass through the Biomet Matthews Nail in a unique "cruciate" orientation. This allows for greater purchase in the bone of the femoral condyle and potentially improves the stability of the fracture fixation. As these fractures are usually in weak osteoporotic bone, the Biomet Matthews Nail represents a favourable surgical option in these patients.

  3. The effect of hydroxyapatite coated screw in the lateral fragility fractures of the femur. A prospective randomized clinical study.

    Science.gov (United States)

    Pesce, V; Maccagnano, G; Vicenti, G; Notarnicola, A; Moretti, L; Tafuri, S; Vanni, D; Salini, V; Moretti, B

    2014-01-01

    Due to a growing numbers of lateral fragility fractures of the femur and their high social costs the need to work out an effective strategy in order to find a better solution for these patients is warranted. From January 2010 to July 2011, we carried out a prospective randomized clinical study comparing the results of patients with femoral lateral fractures treated by nail and cephalic hydroxyapatite coated screws (study group including 27 patients) compared to the patients with the same fractures treated with nail and head standard screws (control group including 27 patients). We defined the two parts of the femoral neck as ROI 1 (under the head screw) and ROI 2 (above the femoral screw) on the AP view. The bone density of the two areas was calculated using DEXA at T0 (1st day post-surgery), at T1 (40th day post-surgery), at T2 (3 months later), at T3 (1 year later). The clinical-radiography evaluations were based on the Harris Hip Score (HHS), ADL test and x-ray views of the hip. As far as the bone mineral density average of ROI 1 and ROI 2 is concerned, we found a significant statistical increase at T1 and T3 in the study group, while it was not significant in the control group. We could account for this data through the higher mechanical stability of hydroxyapatite coated screws than standard screws. In fact, this material was responsible for improved implant osteointegration. Thanks to a 1 year follow-up we were able to demonstrate the implant utility associated with augmentation and the importance of densitometry exams such as easily repeatable and low cost diagnostics to prevent the onset of complications linked to screw loosening.

  4. SURVEY SUBAXIAL CERVICAL VERTEBRAE FOR TRANSPEDICULAR SCREW FIXATION

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Objective In this study, the pedicles of subaxial vertebrae from C3 to C7 were measured to provide some morphometric data for cervical transpedicular screw fixation. Methods 20 dried bone cervical spinal columns (C3-C7), pedicle dimensions (pedicle height, width, length), and transverse and sagittal angles of the pedicles were performed with vernier in linear and angular measurements. Results The obtained data revealed that the mean values were approximately ranging from 6.7 to 7.2 mm for pedicle height, 4.4 to 4.9 mm for pedicle width, 22.2 to 27.7 mm for pedicle axis length, 42.3° to 51.5° for transverse angle, and 5.2° to 14.1° for sagittal angle. Conclusion Linear measurements of pedicle dimensions and also axial angles from horizontal and vertical planes may provide some anatomic limitations for subaxial cervical transpedicular screw fixation, and also contribute to the safety of the surgical procedure.

  5. Sol-gel derived titania coating with immobilized bisphosphonate enhances screw fixation in rat tibia.

    Science.gov (United States)

    Linderbäck, Paula; Areva, Sami; Aspenberg, Per; Tengvall, Pentti

    2010-08-01

    A variety of surface modifications have been tested for the enhancement of screw fixation in bone, and locally delivered anti-osteoporosis drugs such as bisphosphonates (BP) are then of interest. In this in vivo study, the impact of surface immobilized BP was compared with systemic BP delivery and screws with no BP. After due in vitro characterization, differently treated stainless steel (SS) screws were divided into four groups with 10 rats each. Three of the groups received screws coated with sol-gel derived TiO(2) and calcium phosphate (SS+TiO(2)+CaP). One of these had no further treatment, one had alendronate (BP) adsorbed to calcium phosphate mineral, and one received systemic BP treatment. The fourth group received uncoated SS screws and no BP (control). The screw pullout force was measured after 4 weeks of implantation in rat tibiae. The immobilized amount and release rate of alendronate could be controlled by different immersion times. The SS+TiO(2)+CaP coating did not increase the pullout force compared to SS alone. Surface delivered alendronate enhanced the pullout force by 93% [p = 0.000; 95% Confidence Interval (CI): 67-118%] compared to SS, and by 39% (p = 0.044; 95% CI: 7-71%) compared to systemic alendronate delivery. Both surface immobilized and systemically delivered alendronate improved implant fixation. Also, locally delivered, that is, surface immobilized alendronate showed a better fixation than systemically delivered. Using sol-gel derived TiO(2) as a platform, it is possible to administer controllable amounts of a variety of BPs.

  6. Biofilm formation on titanium alloy and anatase-Bactercline® coated titanium healing screws: an in vivo human study

    Directory of Open Access Journals (Sweden)

    Antonio Scarano

    2013-03-01

    Full Text Available Aim Bacterial adherence to implants is considered to be an important event in the pathogenesis of bacterial infections. In fact, this infection process is a first stage of peri-implant mucositis and peri-implantitis, and a positive correlation has been found between oral hygiene and marginal bone loss around implants in the edentulous mandible. Surface properties of transgingival implant components are important determinants in bacterial adhesion. The purpose of this study was to characterize the biofilm formation, in vivo, on healing screws made of titanium alloy or coated with a combination of anatase and Bactercline® product. Materials and methods Twenty-five patients, between 21- 37 years, in excellent systemic health, participated in this study. In each of the 25 participants, one anatase-Bactercline® coated healing screw (Test and one titanium alloy (TI6Al4V healing screw (Control were adapted to two different implants. Quantitative and qualitative biofilm formation on healing abutments was analyzed by culture method.Results Bacterial adherence to the two different healing screws used in this study were compared. Statistically significant differences were found between the Control and the Test group for both aerobic and anaerobic bacterial counts (p<0,05. The microflora consisted both of Gram-positive and Gram-negative bacteria, and displayed a high variability. The anaerobic S. intermedius, potentially “pathogenic”, was isolated only from the Control group. Both healing screws harbored primarily Gram-positive rods as Actinomyces spp, A. naeslundii, A. viscosus and the Gram-negative rods (Fusobacterium spp, Prevotella spp, Capnocythophaga spp were mostly found on the Control healing screws.Conclusion Anatase-Bactercline® coated healing screws reduce the number of initially adhering bacteria, formed mainly of Gram-positive microorgnisms, while, on the contrary, the microflora covering the titanium alloy healing screws was, for the

  7. Transarticular screw fixation for atlantoaxial instability - modified Magerl's technique in 38 patients

    Directory of Open Access Journals (Sweden)

    Dhatt Saravdeep S

    2010-11-01

    Full Text Available Abstract Background Symptomatic atlantoaxial instability needs stabilization of the atlantoaxial joint. Among the various techniques described in literature for the fixation of atlantoaxial joint, Magerl's technique of transarticular screw fixation remains the gold standard. Traditionally this technique combines placement of transarticular screws and posterior wiring construct. The aim of this study is to evaluate clinical and radiological outcomes in subjects of atlantoaxial instability who were operated using transarticular screws and iliac crest bone graft, without the use of sublaminar wiring (a modification of Magerl's technique. Methods We evaluated retrospectively 38 subjects with atlantoaxial instability who were operated at our institute using transarticular screw fixation. The subjects were followed up for pain, fusion rates, neurological status and radiographic outcomes. Final outcome was graded both subjectively and objectively, using the scoring system given by Grob et al. Results Instability in 34 subjects was secondary to trauma, in 3 due to rheumatoid arthritis and 1 had tuberculosis. Neurological deficit was present in 17 subjects. Most common presenting symptom was neck pain, present in 35 of the 38 subjects. Postoperatively residual neck and occipital pain was present in 8 subjects. Neurological deficit persisted in only 7 subjects. Vertebral artery injury was seen in 3 subjects. None of these subjects had any sign of neurological deficit or vertebral insufficiency. Three cases had nonunion. At the latest follow up, subjectively, 24 subjects had good result, 6 had fair and 8 had bad result. On objective grading, 24 had good result, 11 had fair and 3 had bad result. The mean follow up duration was 41 months. Conclusions Transarticular screw fixation is an excellent technique for fusion of the atlantoaxial complex. It provides highest fusion rates, and is particularly important in subjects at risk for nonunion. Omitting the

  8. Design and biomechanical study of a modified pedicle screw

    Institute of Scientific and Technical Information of China (English)

    LIU Tao; ZHENG Wen-jie; LI Chang-qing; LIU Guo-dong; ZHOU Yue

    2010-01-01

    Objective: In pedicle screw fixation,the heads of monoaxial screws need to be directed in the same straight line to accommodate the rod placement by backing out during operation, which decreases the insertional torque and internal fixation strength. While polyaxial screws facilitate the assembly of the connecting rod, but its ball-in-cup locking mechanism reduces the static compressive bending yield strength as compared with monoaxial screws. Our study aimed to assess the mechanical performance of a modified pedicle screw.Methods: In this study, the tail of the screw body of the modified pedicle screw was designed to be a cylindershaped structure that well matched the inner wall of the screw head and the screw head only rotated around the cyclinder. Monoaxial screws, modified screws and polyaxial screws were respectively assembled into 3 groups ofvertebrectomy models simulated by ultra high molecular weight polyethylene (UHMWPE) blocks. This model was developed according to a standard for destructive mechanical testing published by the American Society for Testing Materials (ASTM F1717-04). Each screw design had 6 subgroups, including 3 for static tension, load compression and torsion tests, and the rest for dynamic compression tests. In dynamic tests, the cyclic loads were 25%, 50%, and 75% of the compressive bending ultimate loads respectively.Yield load, yield ultimate load, yield stiffness, torsional stiffness, cycles to failure and modes of failure for the 3 types of screws were recorded. The results of modified screws were compared with those ofmonoaxial and polyaxial screws.Results: In static tests, results of bending stiffness,yield load, yield torque and torsional stiffness indicated no significant differences between the modified and monoaxial screws (P>0.05), but both differed significantly from those ofpolyaxial screws (P<0.05). In dynamic compression tests,both modified and monoaxial screws showed failures that occurred at the insertion point of screw

  9. Ball Screw Actuator Including a Stop with an Integral Guide

    Science.gov (United States)

    Wingett, Paul T. (Inventor); Perek, John (Inventor); Geck, Kellan (Inventor)

    2015-01-01

    An actuator includes a housing assembly, a ball nut, a ball screw, and a ball screw stop. The ball nut is rotationally mounted in the housing assembly, is adapted to receive an input torque, and is configured, upon receipt thereof, to rotate and supply a drive force. The ball screw is mounted within the housing assembly and extends through the ball nut. The ball screw has a first end and a second end, and is coupled to receive the drive force from the ball nut. The ball screw is configured, upon receipt of the drive force, to selectively translate between a stow position and a deploy position. The ball screw stop is mounted on the ball screw to translate therewith and is configured to at selectively engage the housing assembly while the ball screw is translating, and engage the ball nut when the ball screw is in the deploy position.

  10. Experimental and Numerical Analysis of Screw Fixation in Anterior Cruciate Ligament Reconstruction

    Science.gov (United States)

    Chizari, Mahmoud; Wang, Bin; Snow, Martyn; Barrett, Mel

    2008-09-01

    This paper reports the results of an experimental and finite element analysis of tibial screw fixation in anterior cruciate ligament (ACL) reconstruction. The mechanical properties of the bone and tendon graft are obtained from experiments using porcine bone and bovine tendon. The results of the numerical study are compared with those from mechanical testing. Analysis shows that the model may be used to establish the optimum placement of the tunnel in anterior cruciate ligament reconstruction by predicting mechanical parameters such as stress, strain and displacement at regions in the tunnel wall.

  11. Flow characteristics of screws and special mixing enhancers in a co-rotating twin screw extruder

    NARCIS (Netherlands)

    Brouwer, T.; Todd, D.B.; Janssen, L.P.B.M.

    2002-01-01

    The flow behavior of a Newtonian fluid through special mixing enhancers in a modular intermeshing co-rotating twin screw extruder has been examined. The mixing enhancers are slotted screws and gear mixing elements. Particular attention has been directed to drag and pressure flow characteristics and

  12. Standard Waste Box Lid Screw Removal Option Testing

    Energy Technology Data Exchange (ETDEWEB)

    Anast, Kurt Roy [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-03-11

    This report provides results from test work conducted to resolve the removal of screws securing the standard waste box (SWB) lids that hold the remediated nitrate salt (RNS) drums. The test work evaluated equipment and process alternatives for removing the 42 screws that hold the SWB lid in place. The screws were secured with a red Loctite thread locker that makes removal very difficult because the rivets that the screw threads into would slip before the screw could be freed from the rivet, making it impossible to remove the screw and therefore the SWB lid.

  13. Transpedicular screw fixation in the thoracic and lumbar spine with a novel cannulated polyaxial screw system

    Directory of Open Access Journals (Sweden)

    Lutz Weise

    2008-10-01

    Full Text Available Lutz Weise, Olaf Suess, Thomas Picht, Theodoros KombosNeurochirurgische Klinik, Charité – Universitätsmedizin Berlin, Berlin, GermanyObjective: Transpedicular screws are commonly and successfully used for posterior fixation in spinal instability, but their insertion remains challenging. Even using navigation techniques, there is a misplacement rate of up to 11%. The aim of this study was to assess the accuracy of a novel pedicle screw system.Methods: Thoracic and lumbar fusions were performed on 67 consecutive patients for tumor, trauma, degenerative disease or infection. A total of 326 pedicular screws were placed using a novel wire-guided, cannulated, polyaxial screw system (XIA Precision®, Stryker. The accuracy of placement was assessed post operatively by CT scan, and the patients were followed-up clinically for a mean of 16 months.Results: The total medio-caudal pedicle wall perforation rate was 9.2% (30/326. In 19 of these 30 cases a cortical breakthrough of less than 2 mm occurred. The misplacement rate (defined as a perforation of 2 mm or more was 3.37% (11/326. Three of these 11 screws needed surgical revision due to neurological symptoms or CSF leakage. There have been no screw breakages or dislocations over the follow up-period.Conclusion: We conclude that the use of this cannulated screw system for the placement of pedicle screws in the thoracic and lumbar spine is accurate and safe. The advantages of this technique include easy handling without a time-consuming set up. Considering the incidence of long-term screw breakage, further investigation with a longer follow-up period is necessary.Keywords: spinal instrumentation, pedicle screws, misplacement, pedicle wall perforation

  14. Treatment options for unstable trochanteric fractures: Screw or helical proximal femoral nail

    Institute of Scientific and Technical Information of China (English)

    Jeetendra Bajpai; Rajesh Maheshwari; Akansha Bajpai; Sumit Saini

    2015-01-01

    Purpose: To compare treatment outcome of screw proximal femoral nail (PFN) system with that of a helical PFN.Methods: The study included 77 patients with closed unstable intertrochanteric fracture classified as AO 31A2 & 31A3, between June 2008 to August 2011.Inclusion criteria were: all mature skeletons above 50 years of age;closed unstable trochanteric fracture classified as AO 31A2 & A3.Exclusion criteria were: immature skeleton, pathological fracture of any cause other than osteoporosis, inability to walk independently prior to injury.Patients were randomized to 2 treatment groups based on admission sequence.Forty patients were treated with screw PFN and thirty seven were treated with helical PFN.Results: Both groups were similar in respect of time of surgery, blood loss and functional assessment and duration of hospitalization.In screw PFN group 2 patients had superficial wound infection, 1 patient had persistent hip pain and 1 patient had shortening >1 cm but <2 cm, while in helical PFN group 1 patient had superficial wound infection.Conclusion: Both screw and helical PFN are very effective implants in osteoporotic and unstable trochanteric fractures even in Indian patients where the bones are narrow and neck diameter is small.It is an implant of choice for osteoporotic and unstable trochanteric fractures.

  15. Coating of carbon fiber-reinforced polyetheretherketone implants with titanium to improve bone apposition.

    Science.gov (United States)

    Devine, Declan M; Hahn, Joachim; Richards, R Geoffery; Gruner, Heiko; Wieling, Ronald; Pearce, Simon G

    2013-05-01

    Carbon fiber-reinforced polyetheretherketone (CF/PEEK) is a thermoplastic composite biomaterial exhibiting properties suitable for load-bearing orthopedic implants. However, the hydrophobic surface of CF/PEEK implants induces the deposition of a peri-implant fibrous tissue capsule preventing bone apposition. However, if bone apposition was improved, the use of CF/PEEK in orthopedics could be increased as it has many advantages compared with metallic implants. In this study, CF/PEEK screws were coated with titanium (Ti) using two different techniques, namely vacuum plasma spraying (VPS) and physical vapor deposition (PVD) with uncoated screws as controls. These coatings were characterized and implanted in a loaded sheep tibia model. In the characterization of the screw surfaces using microscopy techniques, the uncoated screws were seen to have an irregular surface. The PVD coating appeared smooth and consistent, whereas the VPS coating appeared to be a rough coating with some inhomogeneities, which did not cover the entire surface area. Nevertheless, in the ex vivo analysis the VPS-coated screws had a screw removal torque which was statistically greater than uncoated and PVD-coated screws (p ≤ 0.002 for both comparisons). Additionally, the VPS-coated screws had a statistically higher bone contact area than the uncoated screws (p = 0.006), whereas no statistical difference was detected between VPS and PVD coating types (p = 0.11). Thereby illustrating that Ti coating of CF/PEEK screws significantly improve bone apposition and removal torque compared with uncoated CF/PEEK screws.

  16. Twin screw wet granulation: Binder delivery.

    Science.gov (United States)

    Saleh, Mohammed F; Dhenge, Ranjit M; Cartwright, James J; Hounslow, Michael J; Salman, Agba D

    2015-06-20

    The effects of three ways of binder delivery into the twin screw granulator (TSG) on the residence time, torque, properties of granules (size, shape, strength) and binder distribution were studied. The binder distribution was visualised through the transparent barrel using high speed imaging as well as quantified using offline technique. Furthermore, the effect of binder delivery and the change of screw configuration (conveying elements only and conveying elements with kneading elements) on the surface velocity of granules across the screw channel were investigated using particle image velocimetry (PIV). The binder was delivered in three ways; all solid binder incorporated with powder mixture, 50% of solid binder mixed with powder mixture and 50% mixed with water, all the solid binder dissolved in water. Incorporation of all solid binder with powder mixture resulted in the relatively longer residence time and higher torque, narrower granule size distribution, more spherical granules, weaker big-sized granules, stronger small-sized granules and better binder distribution compared to that in other two ways. The surface velocity of granules showed variation from one screw to another as a result of uneven liquid distribution as well as shown a reduction while introducing the kneading elements into the screw configuration.

  17. Bone tumor

    Science.gov (United States)

    Tumor - bone; Bone cancer; Primary bone tumor; Secondary bone tumor; Bone tumor - benign ... The cause of bone tumors is unknown. They often occur in areas of the bone that grow rapidly. Possible causes include: Genetic defects ...

  18. Impact of screw configuration on the particle size distribution of granules produced by twin screw granulation.

    Science.gov (United States)

    Vercruysse, J; Burggraeve, A; Fonteyne, M; Cappuyns, P; Delaet, U; Van Assche, I; De Beer, T; Remon, J P; Vervaet, C

    2015-02-01

    Twin screw granulation (TSG) has been reported by different research groups as an attractive technology for continuous wet granulation. However, in contrast to fluidized bed granulation, granules produced via this technique typically have a wide and multimodal particle size distribution (PSD), resulting in suboptimal flow properties. The aim of the current study was to evaluate the impact of granulator screw configuration on the PSD of granules produced by TSG. Experiments were performed using a 25 mm co-rotating twin screw granulator, being part of the ConsiGma™-25 system (a fully continuous from-powder-to-tablet manufacturing line from GEA Pharma Systems). Besides the screw elements conventionally used for TSG (conveying and kneading elements), alternative designs of screw elements (tooth-mixing-elements (TME), screw mixing elements (SME) and cutters) were investigated using an α-lactose monohydrate formulation granulated with distilled water. Granulation with only conveying elements resulted in wide and multimodal PSD. Using kneading elements, the width of the PSD could be partially narrowed and the liquid distribution was more homogeneous. However, still a significant fraction of oversized agglomerates was obtained. Implementing additional kneading elements or cutters in the final section of the screw configuration was not beneficial. Furthermore, granulation with only TME or SME had limited impact on the width of the PSD. Promising results were obtained by combining kneading elements with SME, as for these configurations the PSD was narrower and shifted to the size fractions suitable for tableting.

  19. Favorable outcome of a total hip arthroplasty with insufficient bone coverage of the roof reinforcement ring

    Directory of Open Access Journals (Sweden)

    Fernando M. Judas

    2015-01-01

    Conclusion: This result can be supported by the good fixation of the metal ring to the pelvis with screws, the adequate orientation of both components of the total hip arthroplasty, and the bone graft incorporation.

  20. A modified technique for removing a failed abutment screw from an implant with a custom guide tube.

    Science.gov (United States)

    Taira, Yohsuke; Sawase, Takashi

    2012-04-01

    Fracture of abutment screw is a serious prosthodontic complication. When the abutment screw is fractured at the junction of the screw shank and screw thread, removal of the fractured screw fragment from the screw hole can be difficult. This article describes a modified technique for removing the failed abutment screw with a custom guide tube and tungsten carbide bur. The failed screw can be removed speedily without damaging the screw hole of the implant body or the screw threads.

  1. Basic study for ultrasound-based navigation for pedicle screw insertion using transmission and backscattered methods.

    Directory of Open Access Journals (Sweden)

    Ziqiang Chen

    Full Text Available The purpose of this study was to understand the acoustic properties of human vertebral cancellous bone and to study the feasibility of ultrasound-based navigation for posterior pedicle screw fixation in spinal fusion surgery. Fourteen human vertebral specimens were disarticulated from seven un-embalmed cadavers (four males, three females, 73.14 ± 9.87 years, two specimens from each cadaver. Seven specimens were used to measure the transmission, including tests of attenuation and phase velocity, while the other seven specimens were used for backscattered measurements to inspect the depth of penetration and A-Mode signals. Five pairs of unfocused broadband ultrasonic transducers were used for the detection, with center frequencies of 0.5 MHz, 1 MHz, 1.5 MHz, 2.25 MHz, and 3.5 MHz. As a result, good and stable results were documented. With increased frequency, the attenuation increased (P0.05. At about 0.6 cm away from the cortical bone, warning signals were easily observed from the backscattered measurements. In conclusion, the ultrasonic system proved to be an effective, moveable, and real-time imaging navigation system. However, how ultrasonic navigation will benefit pedicle screw insertion in spinal surgery needs to be determined. Therefore, ultrasound-guided pedicle screw implantation is theoretically effective and promising.

  2. A geometrical introduction to screw theory

    CERN Document Server

    Minguzzi, E

    2012-01-01

    Since the addition of applied forces must take into account the line of action, applied forces do not belong to a vector space. Screw theory removes this geometrical limitation and solves other mechanical problems by unifying, in a single concept, the translational and rotational degrees of freedom. Although venerable this theory is little known. By introducing some innovations, I show how screw theory can help us to rapidly develop several standard and less standard results in classical mechanics. The connection with the Lie algebra of the group of rigid maps is clarified.

  3. Drag and Torque on Locked Screw Propeller

    Directory of Open Access Journals (Sweden)

    Tomasz Tabaczek

    2014-09-01

    Full Text Available Few data on drag and torque on locked propeller towed in water are available in literature. Those data refer to propellers of specific geometry (number of blades, blade area, pitch and skew of blades. The estimation of drag and torque of an arbitrary propeller considered in analysis of ship resistance or propulsion is laborious. The authors collected and reviewed test data available in the literature. Based on collected data there were developed the empirical formulae for estimation of hydrodynamic drag and torque acting on locked screw propeller. Supplementary CFD computations were carried out in order to prove the applicability of the formulae to modern moderately skewed screw propellers.

  4. Screw Extruder for Pellet Injection System

    Directory of Open Access Journals (Sweden)

    Sharadkumar K. Chhantbar

    2014-05-01

    Full Text Available Solid hydrogenic pellets are used as fuel for fusion energy reactor. A technique for continuous production of solid hydrogen and its isotopes by a screw extruder is suggested for the production of an unlimited number of pellets. The idea was developed and patented by PELIN laboratories, Inc. (Canada. A Gifford McMahon cryocooler is used for the generation of solid hydrogenic fluid pellets. Requirements of the pellets is depends upon the energy to be produced by tokamak. This review paper focuses on the model for the screw extruder for solidification of hydrogen ice having high injection reliability.

  5. 21 CFR 872.4880 - Intraosseous fixation screw or wire.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Intraosseous fixation screw or wire. 872.4880... (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Surgical Devices § 872.4880 Intraosseous fixation screw or wire. (a) Identification. An intraosseous fixation screw or wire is a metal device intended to be...

  6. The additon of screws and the axodes of gear pairs

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wen-xiang

    2001-01-01

    In the light of screw addition, the distribution of instantaneous axes along the common perpendicular of the two screws is determined and all possible sorts of axodes are derived cinematically with the pitch of the relative-motio n screw in the gear pair as the basis and the transmission ratio i as an inde pendent variable.

  7. The additon of screws and the axodes of gear pairs

    Institute of Scientific and Technical Information of China (English)

    张文祥

    2001-01-01

    In the light of screw addition, the distribution of instantaneous axes along the common perpendicular of the two screws is determined and all possible sorts of axodes are derived cinematically with the pitch of the relative-motion screw in the gear pair as the basis and the transmission ratio i as an independent variable.

  8. A Novel Pedicle Screw with Mobile Connection: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Yasuaki Tokuhashi

    2014-01-01

    Full Text Available To prevent adjacent disc problems after spinal fusion, a pedicle screw with a mobile junction between the head and threaded shaft was newly developed. The threaded shaft of the screw has 10 degrees mobility in all directions, but its structure is to prevent abnormal translation and tilting. This screw was evaluated as follows: (1 endurance test: 106 times rotational stress was applied; (2 biological reactions: novel screws with a mobile head and conventional screws with a fixed head were inserted into the bilateral pedicles of the L3, L4, and L5 in two mini pigs with combination. Eight months after surgery, vertebral units with the screw rod constructs were collected. After CT scan, the soft and bony tissues around the screws were examined grossly and histologically. As a result, none of the screws broke during the endurance test stressing. The mean amount of abrasion wear was 0.0338 g. In the resected mini pig section, though zygapophyseal joints between fixed-head screws showed bony union, the amount of callus in the zygapophyseal joints connected with mobile-head screws was small, and joint space was confirmed by CT. No metalloses were noted around any of the screws. Novel screws were suggested to be highly durable and histologically safe.

  9. Dual-worm screw compressors; Compresseurs bi-vis

    Energy Technology Data Exchange (ETDEWEB)

    Baleydier, J.P. [Bitzer France, 69 - Lyon (France)

    1997-12-31

    Low power worm-screw moto-compressors are used in any king of refrigerating machineries and more and more in air conditioning systems. This paper presents the principle of dual-screw moto-compressors: worm-screw technology, role of oil (lubrication, tightness, cooling), compression, internal pressure, power reduction, lubrication, economizer, operation, model selection and accessories. (J.S.)

  10. Design of a magnetic lead screw for wave energy conversion

    DEFF Research Database (Denmark)

    Holm, Rasmus Koldborg; Berg, Nick Ilsø; Rasmussen, Peter Omand

    2012-01-01

    This paper deals with the development of a magnetic lead screw (MLS) for wave energy conversion. Initially, a brief state-of-the-art regarding linear PM generators and magnetic lead screws is given, leading to an introduction of the magnetic lead screw and a presentation of the results from...

  11. Cortical screw trajectory for instrumentation and fusion in the setting of osteopathic compression fracture allows for percutaneous kyphoplasty for adjacent level compression fractures.

    Science.gov (United States)

    Pacione, Donato; Kim, Irene; Wilson, Taylor A; Frempong-Boadu, Anthony

    2015-05-01

    Spinal fixation in the osteoporotic patient can be challenging due to the poor trabecular bone quality of the vertebral body. Patients with osteoporotic vertebral body compression fractures are at risk for future compression fractures at adjacent levels, especially after cement augmentation. The purpose of this technical report is to describe the utilization of a cortical screw trajectory along with kyphoplasty for a patient with an osteoporotic compression fracture as well as degenerative spinal disease. This trajectory allows for the possibility of percutaneous pedicle access in the event of future compression fractures. Our patient underwent a decompressive laminectomy and kyphoplasty at the level of an osteoporotic compression fracture. The fracture was stabilized with cortical screw instrumentation and fusion at a level above and a level below the fracture. Subsequently the patient developed an adjacent level fracture within the fusion construct. Due to the utilization of a cortical screw trajectory for the initial fusion, the traditional pedicle trajectory was still accessible. As a result, the new fracture was treated with a percutaneous kyphoplasty through a standard pedicle trajectory. In conclusion, the use of a cortical screw trajectory for stabilization of osteoporotic compression fractures provides for a stronger bone screw interface and avoids osteoporotic trabecular vertebral body bone. At the same time this trajectory allows for future percutaneous pedicular access in the event that the patient suffers future compression fractures.

  12. VARIANTS OF SPINE OSTEOSYNTESIS AT LOW MINERAL DENSITY OF BONE

    Directory of Open Access Journals (Sweden)

    V. D. Usikov

    2010-01-01

    Full Text Available The analysis of the results of transpedicular screw fixation in the treatment of patients with osteoporotic vertebral compression fractures was done. In the first group (N=27 the polysegmental transpedicular screw fixation was applied. In the second group (N=20 we used short-level stabilization with additional augmentation of transpedicular screws by bone cement. The spinal stability, restoration of function, correction of spine's deformation and pain relief was same in both groups. But in the second group the results was achieved with less traumatization and time of rehabilitation of the patients.

  13. Biopolymer augmentation of the lag screw in the treatment of femoral neck fractures - a biomechanical in-vitro study

    Directory of Open Access Journals (Sweden)

    Paech A

    2010-04-01

    Full Text Available Abstract The cut-out of the sliding screw is one of the most common complications in the treatment of intertrochanteric fractures. The reasons for the cut-out are: a suboptimal position of the hip-screw in the femoral head, the type of fracture and poor bone quality. The aim of this study was to reproduce the cut-out event biomechanically and to evaluate the possible prevention of this event by the use of a biopolymer augmentation of the hip screw. Concerning the density and compression force of osteoporotic femoral bone polyurethane foam according to the terms of the Association for Standard Testing Material (ASTMF 1839-97 was used as test material. The polyurethane foam Lumoltan 200 with a compression force of 3.3 Mpa and a density of 0.192 g/cm3 was used to reproduce the osteoporotic bone of the femoral fragment (density 12 lbm/ft3. A cylinder of 50 mm of length and 50 mm of width was produced by a rotary splint raising procedure with planar contact. The axial load of the system was performed by a hydraulic force cylinder of a universal test machine type Zwick 1455, Ulm, Germany. The CCD-angle of the used TGN-System was preset at 130 degrees. The migration pattern of the hip screw in the polyurethane foam was measured and expressed as a curve of the distance in millimeter [mm] against the applied load in Newton [N] up to the cut-out point. During the tests the implants reached a critical changing point from stable to unstable with an increased load progression of steps of 50 Newton. This unstable point was characterized by an increased migration speed in millimeters and higher descending gradient in the migration curve. This peak of the migration curve served as an indicator for the change of the hip screw position in the simulated bone material. The applied load in the non-augmented implant showed that in this group for a density degree of 12 (0,192 g/cm3 the mean force at the failure point was 1431 Newton (± 52 Newton. In the augmented

  14. A New Electromagnetic Navigation System for Pedicle Screws Placement: A Human Cadaver Study at the Lumbar Spine.

    Directory of Open Access Journals (Sweden)

    Patrick Hahn

    Full Text Available Technical developments for improving the safety and accuracy of pedicle screw placement play an increasingly important role in spine surgery. In addition to the standard techniques of free-hand placement and fluoroscopic navigation, the rate of complications is reduced by 3D fluoroscopy, cone-beam CT, intraoperative CT/MRI, and various other navigation techniques. Another important aspect that should be emphasized is the reduction of intraoperative radiation exposure for personnel and patient. The aim of this study was to investigate the accuracy of a new navigation system for the spine based on an electromagnetic field.Twenty pedicle screws were placed in the lumbar spine of human cadavers using EMF navigation. Navigation was based on data from a preoperative thin-slice CT scan. The cadavers were positioned on a special field generator and the system was matched using a patient tracker on the spinous process. Navigation was conducted using especially developed instruments that can be tracked in the electromagnetic field. Another thin-slice CT scan was made postoperatively to assess the result. The evaluation included the position of the screws in the direction of trajectory and any injury to the surrounding cortical bone. The results were classified in 5 groups: grade 1: ideal screw position in the center of the pedicle with no cortical bone injury; grade 2: acceptable screw position, cortical bone injury with cortical penetration ≤ 2 mm; grade 3: cortical bone injury with cortical penetration 2,1-4 mm, grad 4: cortical bone injury with cortical penetration 4,1-6 mm, grade 5: cortical bone injury with cortical penetration >6 mm.The initial evaluation of the system showed good accuracy for the lumbar spine (65% grade 1, 20% grade 2, 15% grade 3, 0% grade 4, 0% grade 5. A comparison of the initial results with other navigation techniques in literature (CT navigation, 2D fluoroscopic navigation shows that the accuracy of this system is

  15. Clinical pedicle screw accuracy and deviation from planning in robot-guided spine surgery: robot-guided pedicle screw accuracy

    NARCIS (Netherlands)

    Dijk, van Joris D.; Ende, Roy P.J.; Stramigioli, Stefano; Köchling, Matthias; Höss, Norbert

    2015-01-01

    STUDY DESIGN: A retrospective chart review was performed for 112 consecutive minimally invasive spinal surgery patients who underwent pedicular screw fixation in a community hospital setting. OBJECTIVE: To assess the clinical accuracy and deviation in screw positions in robot-assisted pedicle screw

  16. The mechanical benefit of medial support screws in locking plating of proximal humerus fractures.

    Directory of Open Access Journals (Sweden)

    Wen Zhang

    Full Text Available BACKGROUND: The purpose of this study was to evaluate the biomechanical advantages of medial support screws (MSSs in the locking proximal humeral plate for treating proximal humerus fractures. METHODS: Thirty synthetic left humeri were randomly divided into 3 subgroups to establish two-part surgical neck fracture models of proximal humerus. All fractures were fixed with a locking proximal humerus plate. Group A was fixed with medial cortical support and no MSSs; Group B was fixed with 3 MSSs but without medial cortical support; Group C was fixed with neither medial cortical support nor MSSs. Axial compression, torsional stiffness, shear stiffness, and failure tests were performed. RESULTS: Constructs with medial support from cortical bone showed statistically higher axial and shear stiffness than other subgroups examined (P<0.0001. When the proximal humerus was not supported by medial cortical bone, locking plating with medial support screws exhibited higher axial and torsional stiffness than locking plating without medial support screws (P ≤ 0.0207. Specimens with medial cortical bone failed primarily by fracture of the humeral shaft or humeral head. Specimens without medial cortical bone support failed primarily by significant plate bending at the fracture site followed by humeral head collapse or humeral head fracture. CONCLUSIONS: Anatomic reduction with medial cortical support was the stiffest construct after a simulated two-part fracture. Significant biomechanical benefits of MSSs in locking plating of proximal humerus fractures were identified. The reconstruction of the medial column support for proximal humerus fractures helps to enhance mechanical stability of the humeral head and prevent implant failure.

  17. Numerical simulation of in vivo intraosseous torsional failure of a hollow-screw oral implant

    Directory of Open Access Journals (Sweden)

    Akca Kivanc

    2006-11-01

    Full Text Available Abstract Background Owing to the complexity and magnitude of functional forces transferred to the bone-implant interface, the mechanical strength of the interface is of great importance. The purpose of this study was to determine the intraosseous torsional shear strength of an osseointegrated oral implant using 3-D finite element (FE stress analysis implemented by in vivo failure torque data of an implant. Methods A Ø 3.5 mm × 12 mm ITI® hollow screw dental implant in a patient was subjected to torque failure test using a custom-made strain-gauged manual torque wrench connected to a data acquisition system. The 3-D FE model of the implant and peri-implant circumstances was constructed. The in vivo strain data was converted to torque units (N.cm to involve in loading definition of FE analysis. Upon processing of the FE analysis, the shear stress of peri-implant bone was evaluated to assume torsional shear stress strength of the bone-implant interface. Results The in vivo torque failure test yielded 5952 μstrains at custom-made manual torque wrench level and conversion of the strain data resulted in 750 N.cm. FE revealed that highest shear stress value in the trabecular bone, 121 MPa, was located at the first intimate contact with implant. Trabecular bone in contact with external surface of hollow implant body participated shear stress distribution, but not the bone resting inside of the hollow. Conclusion The torsional strength of hollow-screw implants is basically provided by the marginal bone and the hollow part has negligible effect on interfacial shear strength.

  18. 4 mm cannulatedcancellous screws fixation in extra articular distal 1/3 radius fracture - A study

    Directory of Open Access Journals (Sweden)

    M.S. Patil

    2017-01-01

    Full Text Available Background: Distal radius fracture are extremely common and represents 16% of fractures treated by orthopaedic surgeons. Near anatomical reduction with restoration of radial length, radial tilt and ulnar variances are important for good functional results. Cannulated 4 mm long threaded using minimally invasive osteosynthesis technique are less aggressive towards soft tissue covering. It allows immediate range of motion of the wrist while maintaining alignment resulting in rapid and comfortable functional recovery. The objective of this study was to evaluate the clinical, radiological and functional efficacy of 4 mm cannulated screws in the management of extra articular distal radius fracture using the criteria of Gartland and Werley point system. Material & Method: 40 Patients with extra articular distal radius fracture were treated by minimally invasive osteosynthesis technique using 4 mm cannulatedcancellous screws in AL-Ameen Medical College Hospital, Bijapur between Nov 2013 to Oct 2015 which included 19 males and 21 female patients. The duration of follow-up was ranged from 12-18 months. Results: Using Demerit scoring system of Gartland and Werley, we had 45% excellent, 50% good, 0% fair and 5% poor results. As per our results, excellent to good results were found in 95% of patients. Conclusion: Cannulatedcancellous screws fixation is an effective means of fixation in distal 1/3 radius fracture, allowing immediate range of motion of the wrist, resulting in a rapid and comfortable functional recovery while maintaining alignment and bone healing. It has higher degree of purchase when treating extra articular distal radius fracture with poor bone quality. Being minimally invasive with minimal soft tissue dissection, less operative time, cost effective, cannulated screws is a good option for both young and elderly patients with extra articular distal radius fracture.

  19. Comparative clinical study of locking screws versus smooth locking pegs in volar plating of distal radius fractures.

    Science.gov (United States)

    Boretto, J G; Pacher, N; Giunta, D; Gallucci, G L; Alfie, V; De Carli, P

    2014-09-01

    The present study was performed to test the null hypothesis on no difference in stability of fixation after volar plating of intra-articular distal radius fractures (AO C2-C3) with either locking smooth pegs or locking screws in a clinical setting. A retrospective evaluation included adult patients with C2-C3 AO fractures treated with a volar plate with locking smooth pegs or locking screws. Radiographic assessment was performed to evaluate extra- and intra-articular parameters in the early postoperative period and after bone union. Twenty-seven consecutive patients were included. Thirteen cases had fixation with locking screws and 14 had fixation with locking smooth pegs. Both groups had bone fragment displacement after fixation. However, there were no significant differences between the groups either in extra- or intra-articular parameters defined by Kreder et al. (1996). Our study shows that, in a clinical setting, there is no difference in stability fixation between locking screws or smooth locking pegs in C2-C3 distal radius fractures.

  20. Nylon screws make inexpensive coil forms

    Science.gov (United States)

    Aucoin, G.; Rosenthal, C.

    1978-01-01

    Standard nylon screws act as coil form copper wire laid down in spiral thread. Completed coil may be bonded to printed-circuit board. However, it is impossible to tune coil by adjusting spacing between windings, technique sometimes used with air-core coils.

  1. A phenomenological study on twin screw extruders

    NARCIS (Netherlands)

    Janssen, L.P.B.M.

    1976-01-01

    Although more and more twin screw extruders are being used in the polymer industry, the theoretical background is relatively undeveloped. The literature abounds in contradictions and often informs the reader that all extrusion problems can be solved if a certain new design is considered. The develop

  2. Spinal pedicle screw planning using deformable atlas registration

    Science.gov (United States)

    Goerres, J.; Uneri, A.; De Silva, T.; Ketcha, M.; Reaungamornrat, S.; Jacobson, M.; Vogt, S.; Kleinszig, G.; Osgood, G.; Wolinsky, J.-P.; Siewerdsen, J. H.

    2017-04-01

    Spinal screw placement is a challenging task due to small bone corridors and high risk of neurological or vascular complications, benefiting from precision guidance/navigation and quality assurance (QA). Implicit to both guidance and QA is the definition of a surgical plan—i.e. the desired trajectories and device selection for target vertebrae—conventionally requiring time-consuming manual annotations by a skilled surgeon. We propose automation of such planning by deriving the pedicle trajectory and device selection from a patient’s preoperative CT or MRI. An atlas of vertebrae surfaces was created to provide the underlying basis for automatic planning—in this work, comprising 40 exemplary vertebrae at three levels of the spine (T7, T8, and L3). The atlas was enriched with ideal trajectory annotations for 60 pedicles in total. To define trajectories for a given patient, sparse deformation fields from the atlas surfaces to the input (CT or MR image) are applied on the annotated trajectories. Mean value coordinates are used to interpolate dense deformation fields. The pose of a straight trajectory is optimized by image-based registration to an accumulated volume of the deformed annotations. For evaluation, input deformation fields were created using coherent point drift (CPD) to perform a leave-one-out analysis over the atlas surfaces. CPD registration demonstrated surface error of 0.89  ±  0.10 mm (median  ±  interquartile range) for T7/T8 and 1.29  ±  0.15 mm for L3. At the pedicle center, registered trajectories deviated from the expert reference by 0.56  ±  0.63 mm (T7/T8) and 1.12  ±  0.67 mm (L3). The predicted maximum screw diameter differed by 0.45  ±  0.62 mm (T7/T8), and 1.26  ±  1.19 mm (L3). The automated planning method avoided screw collisions in all cases and demonstrated close agreement overall with expert reference plans, offering a potentially valuable tool in support

  3. Atlantoaxial stabilization using multiaxial C-1 posterior arch screws.

    Science.gov (United States)

    Donnellan, Michael B; Sergides, Ioannis G; Sears, William R

    2008-12-01

    The authors present a novel technique of atlantoaxial fixation using multiaxial C-1 posterior arch screws. The technique involves the insertion of bilateral multiaxial C-1 posterior arch screws, which are connected by crosslinked rods to bilateral multiaxial C-2 pars screws. The clinical results are presented in 3 patients in whom anomalies of the vertebral arteries, C-1 lateral masses, and/or posterior arch of C-1 presented difficulty using existing fixation techniques with transarticular screws, C-1 lateral mass screws, or posterior wiring. The C-1 posterior arch screws achieved solid fixation and their insertion appeared to be technically less demanding than that of transarticular or C-1 lateral mass screws. This technique may reduce the risk of complications compared with existing techniques, especially in patients with anatomical variants of the vertebral artery, C-1 lateral masses, or C-1 posterior arch. This technique may prove to be an attractive fixation option in patients with normal anatomy.

  4. Rotational Efficiency of Photo-Driven Archimedes Screws for Micropumps

    Directory of Open Access Journals (Sweden)

    Chih-Lang Lin

    2015-06-01

    Full Text Available In this study, we characterized the rotational efficiency of the photo-driven Archimedes screw. The micron-sized Archimedes screws were fabricated using the two-photon polymerization technique. Free-floating screws trapped by optical tweezers align in the laser irradiation direction and rotate spontaneously. The influences of the screw pitch and the number of screw blades have been investigated in our previous studies. In this paper, the blade thickness and the central rod of the screw were further investigated. The experimental results indicate that the blade thickness contributes to rotational stability, but not to rotational speed, and that the central rod stabilizes the rotating screw but is not conducive to rotational speed. Finally, the effect of the numerical aperture (NA of the optical tweezers was investigated through a demonstration. The NA is inversely proportional to the rotational speed.

  5. A Review of Screw Conveyors Performance Evaluation During Handling Process

    Directory of Open Access Journals (Sweden)

    Hemad Zareiforoush

    2010-04-01

    Full Text Available This paper reviews recent work on screw conveyors performance evaluation during handling process, especially in the case of agricultural grains and bulk materials. Experimental work has been mainly carried out to determine a range of parameters, such as auger dimension, screw rotational speed, screw clearance, conveyor intake length and conveying angle for horizontal, inclined and vertical screw conveyors. Several measurement techniques including theoretical models and DEM have been utilized to study the screw conveyors performance. However, each of these techniques is limited in its application. Difficulties in representing vortex motion and interactions among conveying grains and between the particles and screw rotating flight have so far limited the success of advanced modeling. Further work is needed to be conducted on screw augers performance to understand and improve the agricultural grains and bulk materials handling process.

  6. Resorbable poly(D,L)lactide plates and screws for osteosynthesis of condylar neck fractures in sheep.

    Science.gov (United States)

    Rasse, Michael; Moser, Doris; Zahl, Christian; Gerlach, Klaus Louis; Eckelt, Uwe; Loukota, Richard

    2007-01-01

    We made osteotomies in the condylar neck in 12 adult sheep to simulate fractures, and joined the two ends with 2 poly(D,L)lactide (PDLLA) plates and 8 PDLLA screws 2mm in diameter. The animals were killed after 2, 6, and 12 months and bony healing was assessed macroscopically and histologically. The plates and screws remained intact and there was no displacement of the bony ends. The degrading plates, which were still visible in the specimens after 6 months, had been replaced by bone. At 12 months the PDLLA had been resorbed with no foreign body reaction and no resorption of underlying bone. The articular discs showed no signs of degeneration.

  7. Alveolar bone preservation subsequent to miniscrew implant placement in a canine model

    DEFF Research Database (Denmark)

    Melsen, Birte; Huja, Sarandeep; Chien, Hua-Hong

    2015-01-01

    on the control side. The bone volume within the cylinders was quantified. An insertion of a dental implant was simulated bilaterally at the insertion site. The height of the clinical crown and the alveolar crest were determined on both sides. The bone turnover was assessed histomorphometrically on un...... across the healing alveolar process results in increased density not only adjacent to the screws, but also in the region where a potential dental implant would be inserted. In humans, the insertion of transcortical screws may maintain bone when for various reasons insertion of a permanent dental implant......-decalcified bucco-lingual sections stained with basic fuchsine and toluidine blue. RESULTS: Comparison of the two sides revealed a significant difference both with regard to the bone volume and morphology. The transcortical screw caused an increase in bone density and less ridge atrophy. When simulating a dental...

  8. [Fractures of carpal bones].

    Science.gov (United States)

    Lögters, T; Windolf, J

    2016-10-01

    Fractures of the carpal bones are uncommon. On standard radiographs fractures are often not recognized and a computed tomography (CT) scan is the diagnostic method of choice. The aim of treatment is to restore pain-free and full functioning of the hand. A distinction is made between stable and unstable carpal fractures. Stable non-displaced fractures can be treated conservatively. Unstable and displaced fractures have an increased risk of arthritis and non-union and should be stabilized by screws or k‑wires. If treated adequately, fractures of the carpal bones have a good prognosis. Unstable and dislocated fractures have an increased risk for non-union. The subsequent development of carpal collapse with arthrosis is a severe consequence of non-union, which has a heterogeneous prognosis.

  9. Impact of screw elements on continuous granulation with a twin-screw extruder.

    Science.gov (United States)

    Djuric, Dejan; Kleinebudde, Peter

    2008-11-01

    The influence of different screw element types on wet granulation process with a twin-screw extruder was investigated. Lactose granules were prepared with different screw configurations such as conveying, combing mixer and kneading elements. The use of kneading blocks led to an almost complete agglomeration of lactose, whereas kneading and combing mixer elements resulted in smaller granules in comparison. Granule porosity varied between 17.4% and 50.6%. Granule friability values ranged from 1.2% to 38.5%. Conveying elements led to the most porous and friable granules, whereas kneading blocks produced the densest and least friable granules. Combing mixer elements produced granules with median properties. A linear correlation between granule porosity and the natural logarithm of granule friability was detected. Flowability of granules was also influenced by the element type. Compressed granules with higher granule porosities resulted in tablets with higher tensile strength values and vice versa. Twin-screw extruders proved to be a versatile tool for wet granulation. By the choice of a suitable screw element granule and tablet characteristics were influenced.

  10. Analysis of Modeling Parameters on Threaded Screws.

    Energy Technology Data Exchange (ETDEWEB)

    Vigil, Miquela S. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Brake, Matthew Robert [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Vangoethem, Douglas [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-06-01

    Assembled mechanical systems often contain a large number of bolted connections. These bolted connections (joints) are integral aspects of the load path for structural dynamics, and, consequently, are paramount for calculating a structure's stiffness and energy dissipation prop- erties. However, analysts have not found the optimal method to model appropriately these bolted joints. The complexity of the screw geometry cause issues when generating a mesh of the model. This paper will explore different approaches to model a screw-substrate connec- tion. Model parameters such as mesh continuity, node alignment, wedge angles, and thread to body element size ratios are examined. The results of this study will give analysts a better understanding of the influences of these parameters and will aide in finding the optimal method to model bolted connections.

  11. Translaminar facetal screw (magerl′s fixation

    Directory of Open Access Journals (Sweden)

    Rajasekaran S

    2005-01-01

    Full Text Available Translaminar facet screw fixation (TLFS achieves stabilization of the vertebral motion segment by screws inserted at the base of the spinous process, through the opposite lamina, traversing the facet joint, and ending in the base of the transverse process. It is simple, does not require any specialized equipment, and has the advantages of being a procedure of lesser magnitude, lesser operative time, less cost and few complication rate. Recently there is growing interest in this technique to augment the anterior lumbar fusions to achieve global fusion less invasively. In this review article, we discuss the clinical and biomechanical considerations, surgical technique, indications, contraindications and recent developments of TLFS fixation in lumbar spine fusion.

  12. Twin screw granulation - review of current progress.

    Science.gov (United States)

    Thompson, M R

    2015-01-01

    Twin screw granulation (TSG) is a new process of interest to the pharmaceutical community that can continuously wet granulate powders, doing so at lower liquid concentrations and with better product consistency than found by a high shear batch mixer. A considerable body of research has evolved over the short time since this process was introduced but generally with little comparison of results. A certain degree of confidence has been developed through these studies related to how process variables and many attributes of machinery configuration will affect granulation but some major challenges still lay ahead related to scalability, variations in the processing regimes related to degree of channel fill and the impact of wetting and granulation of complex powder formulations. This review examines the current literature for wet granulation processes studied in twin screw extrusion machinery, summarizing the influences of operational and system parameters affecting granule properties as well as strives to provide some practical observations to newly interested users of the technique.

  13. Technical and clinical outcome of percutaneous CT fluoroscopy-guided screw placement in unstable injuries of the posterior pelvic ring

    Energy Technology Data Exchange (ETDEWEB)

    Strobl, Frederik F.; Haeussler, Sophia M.; Paprottka, Philipp M.; Hoffmann, Ralf-Thorsten; Reiser, Maximilian F.; Trumm, Christoph G. [Institute for Clinical Radiology, Munich (Germany); Pieske, Oliver [Ludwig-Maximilians-University Hospital Munich, Department of Trauma Surgery, Munich (Germany)

    2014-08-15

    To evaluate technical success, complications, and effective dose in patients undergoing CT fluoroscopy-guided iliosacral screw placement for the fixation of unstable posterior pelvic ring injuries. Our retrospective analysis includes all consecutive patients with vertical sacral fractures and/or injury of the iliosacral joint treated with CT fluoroscopy-guided screw placement in our department from 11/2005 to 03/2013. Interventions were carried out under general anesthesia and CT fluoroscopy (10-20 mAs; 120 kV; 16- or 128-row scanner, Siemens Healthcare, Erlangen, Germany). Technical outcome, major and minor complications, and effective patient dose were analyzed. We treated 99 consecutive patients (mean age 53.1 ± 21.7 years, 50 male, 49 female) with posterior pelvic ring instability with CT fluoroscopy-guided screw placement. Intervention was technically successful in all patients (n = 99). No major and one minor local complication occurred (1 %, secondary screw dislocation). General complications included three cases of death (3 %) due to pulmonary embolism (n = 1), hemorrhagic shock (n = 1), or cardiac event (n = 1) during a follow-up period of 30 days. General complications were not related to the intervention. Mean effective patient radiation dose per intervention was 12.28 mSv ± 7.25 mSv. Mean procedural time was 72.1 ± 37.4 min. CT fluoroscopy-guided screw placement for the treatment of posterior pelvic ring instabilities can be performed with high technical success and a low complication rate. This method provides excellent intrainterventional visualization of iliac and sacral bones, as well as the sacral neuroforamina for precise screw placement by applying an acceptable effective patient dose. (orig.)

  14. Atypical dento-alveolar fracture fixed with screws: a technical note.

    Science.gov (United States)

    Shinohara, Elio Hitoshi; Vieira, Eduardo Hochuli; Júnior, Idelmo Rangel Garcia; Pires-Soubhia, Ana Maria; Martini, Marcelo Zillo

    2010-08-01

    Dento-alveolar process fracture is an important and common event in the dental office practice usually managed under the well-established protocols, but sometimes this kind of lesion is evaluated in the hospital emergency rooms without attention to the dental injuries. In this type of trauma, the time between the injury and the definitive resolution is essential for the treatment success, usually 1 h in cases of dento-alveolar fractures (tooth and alveolar bone). This paper describes the management of a patient with unusual dento-alveolar fracture caused by gunshot and treated using screw fixation.

  15. Evaluation of Occipitocervical Arthrodesis Rates with Screw-based Fixation and Osteoinductive Fusion Adjuncts.

    Science.gov (United States)

    Stone, Jeremy G; Panczykowski, David M; Tempel, Zachary J; Tormenti, Matthew; Kanter, Adam S; Okonkwo, David O

    2015-09-01

    Occipitocervical (OC) instability may be associated with neurologic impairment and even death. There is a paucity of research on the rate of arthrodesis utilizing modern screw-based constructs coupled with adjuvant osteoinductive agents. We reviewed our experience with OC constructs and compared the fusion rate, functional outcome, and rate of adverse events between recombinant human bone morphogenetic protein (BMP)-2, autologous iliac crest bone graft (ICBG), a combination of BMP and ICBG, and local bone autograft alone. We performed a retrospective cohort analysis of all adult admissions for operative treatment of OC instability utilizing segmental screw-based constructs for OC arthrodesis between January 2003 and September 2012. Data concerning demographic characteristics, diagnostic and procedural details, radiographic pathology, and clinical course were abstracted from medical records. The primary end point was evidence of stable fixation and osseous union on either dynamic lateral radiographs or computed tomography (CT) imaging at most recent follow-up. Secondary end points included functional outcome as determined by Nurick scale and Neck disability index (NDI) at ≥ 1year postoperation, as well as perioperative morbidity and mortality at 30 days and 3 months. During the study period, 94 patients (mean age: 62 ± 18 years) underwent OC fixation with segmental screw-based constructs. The four fusion adjunct cohorts analyzed included local autograft alone (32%), ICBG (41%), BMP (14%), or a combination of ICBG and BMP (14%). Notably, demineralized bone matrix was also used in 61% of cases overall, but its use did not differ significantly among the four cohorts (p = 0.28). Median radiographic follow-up was 6 months postoperatively (range: 1.5-54 months). Clinical outcomes were assessed at a median postoperative follow-up of 45 months (range: 12-87 months). Overall, radiographic evidence of arthrodesis was present in 83% of patients assessed and was

  16. Applied anatomy of the lower cervical pedicle screw insertion

    Institute of Scientific and Technical Information of China (English)

    LI Xing-guo; LIU Zong-liang; HE Yun; ZHAO Yan; ZOU Zhi-rong; ZHANG Peng; LUO Ji-hong; GUO Yong-fu; ZHANG Yang-jie; ZHANG Yu-ran

    2007-01-01

    process was observed on all lateral masses (50 sides ). The internal and external position of the entrance point could depend on anatomic landmarks: the lateral edge of the lateral fovea of the articular process. The horizontal length between the lateral fovea of the articular process and the entrance point was (3.14 ± 1.45 ) mm. 4 ) The diameter of pedicle screw,about (2.78 ± 1.71 ) mm, was the transverse diameter of the cancellous bone of the greatest narrow part of the cervical pedicle.Conclusions: The median point between the superior edge and the inferior edge of the base of the posterior tubercle of the transverse process, the lateral fovea of the articular process, and the triangular sulcule between the base of the posterior tubercle of the transverse process and the anterolateral edge of inferior articular process, are easy to be exposed and identified in surgical operation. The pedicle screw can be precisely inserted through this method.

  17. MOVING SCREW DISLOCATION IN CUBIC QUASICRYSTAL

    Institute of Scientific and Technical Information of China (English)

    ZHOU Wang-min; SONG Yu-hai

    2005-01-01

    The elasticity theory of the dislocation of cubic quasicrystals is developed.The governing equations of anti-plane elasticity dynamics problem of the quasicrystals were reduced to a solution of wave equations by introducing displacement functions,and the analytical expressions of displacements, stresses and energies induced by a moving screw dislocation in the cubic quasicrystalline and the velocity limit of the dislocation were obtained. These provide important information for studying the plastic deformation of the new solid material.

  18. In vitro evaluation of force-expansion characteristics in a newly designed orthodontic expansion screw compared to conventional screws

    Directory of Open Access Journals (Sweden)

    Oshagh Morteza

    2009-01-01

    Full Text Available Objective : Expansion screws like Hyrax, Haas and other types, produce heavy interrupted forces which are unfavorable for dental movement and could be harmful to the tooth and periodontium. The other disadvantage of these screws is the need for patient cooperation for their regular activation. The purpose of this study was to design a screw and compare its force- expansion curve with other types. Materials and Methods : A new screw was designed and fabricated in the same dimension, with conventional types, with the ability of 8 mm expansion (Free wire length: 12 mm, initial compression: 4.5 mm, spring wire diameter: 0.4 mm, spring diameter: 3 mm, number of the coils: n0 ine, material: s0 tainless steel. In this in vitro study, the new screw was placed in an acrylic orthodontic appliance, and after mounting on a stone cast, the force-expansion curve was evaluated by a compression test machine and compared to other screws. Results : Force-expansion curve of designed screw had a flatter inclination compared to other screws. Generally it produced a light continuous force (two to 3.5 pounds for every 4 mm of expansion. Conclusion : In comparison with heavy and interrupted forces of other screws, the newly designed screw created light and continuous forces.

  19. Research and application of absorbable screw in orthopedics: a clinical review comparing PDLLA screw with metal screw in patients with simple medial malleolus fracture

    Institute of Scientific and Technical Information of China (English)

    TANG Jin; HU Jin-feng; GUO Wei-chun; YU Ling; ZHAO Sheng-hao

    2013-01-01

    Objective:To observe the therapeutic effect of absorbable screw in medial malleolus fracture and discuss its clinical application in orthopedics.Methods:A total of 129 patients with simple medial malleolus fracture were studied.Among them,64 patients were treated with poly-D,L-lactic acid (PDLLA) absorbable screws,while the others were treated with metal screws.All the patients were followed up for 12-20 months (averaged 18.4 months) and the therapeutic effect was evaluated according to the American Orthopaedic Foot and Ankle Society clinical rating systems.Results:In absorbable screw group,we obtained excellent and good results in 62 cases (96.88%); in steel screw group,61 cases (93.85%) achieved excellent and good results.There was no significant difference between the two groups.Conclusion:In the treatment of malleolus fracture,absorbable screw can achieve the same result compared with metal screw fixation.Absorbable screw is preferred due to its advantages of safety,cleanliness and avoiding the removal procedure associated with metallic implants.

  20. Tissue reaction to implants of different metals: A study using guide wires in cannulated screws

    Directory of Open Access Journals (Sweden)

    DM Devine

    2009-10-01

    Full Text Available Cannulated screws, along with guide wires, are typically used for surgical fracture treatment in cancellous bone. Breakage or bending deformation of the guide wire is a clinical concern. Mechanically superior guide wires made of Co-Cr alloys such as MP35N and L605 may reduce the occurrence of mechanical failures when used in combination with conventional (316L stainless steel cannulated screws. However the possibility of galvanic or crevice corrosion and adverse tissue reaction, exists when using dissimilar materials, particularly in the event that a guide wire breaks, and remains in situ. Therefore, we designed an experiment to determine the tissue reaction to such an in vivo environment. Implant devices were designed to replicate a clinical situation where dissimilar metals can form a galvanic couple. Histological and SEM analyses were used to evaluate tissue response and corrosion of the implants. In this experiment, no adverse in vivo effects were detected from the use of dissimilar materials in a model of a broken guide wire in a cannulated screw.

  1. An accuracy study of computer-planned implant placement in the augmented maxilla using osteosynthesis screws.

    Science.gov (United States)

    Verhamme, L M; Meijer, G J; Soehardi, A; Bergé, S J; Xi, T; Maal, T J J

    2017-04-01

    Previous research on the accuracy of flapless implant placement of virtually planned implants in the augmented maxilla revealed unfavourable discrepancies between implant planning and placement. By using the osteosynthesis screws placed during the augmentation procedure, the surgical template could be optimally stabilized. The purpose of this study was to validate this method by evaluating its clinically relevant accuracy. Twelve consecutive fully edentulous patients with extreme resorption of the maxilla were treated with a bone augmentation procedure. Virtual implant planning was performed and a surgical template was manufactured. Subsequently, six implants were installed using the surgical template, which was only supported by the osteosynthesis screws. Implant deviations between planning and placement were calculated. A total of 72 implants were installed. Mean deviations found in the mesiodistal direction were 0.817mm at the implant tip and 0.528mm at the implant shoulder. The angular deviation was 2.924°. In the buccolingual direction, a deviation of 1.038mm was registered at the implant tip and 0.633mm at the implant shoulder. The angular deviation was 3.440°. This study showed that implant placement in the augmented maxilla using a surgical template supported by osteosynthesis screws is accurate.

  2. Insertion torques influenced by bone density and surface roughness of HA–TiO{sub 2} coatings

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, T.; Chen, Y.; Nie, X., E-mail: xnie@uwindsor.ca

    2013-12-31

    Bio-ceramic TiO{sub 2} coatings containing calcium (Ca) and phosphorous (P) were deposited onto Ti–6Al–4V alloy screws using plasma electrolytic oxidation (PEO) processes in an alkaline electrolyte with hydroxyapatite (HA) suspension. Coating on each screw had different surface roughness and morphology. Insertion torque (IT) of the coated screws in low (10 pcf, pounds per cubic feet), medium–high (20 pcf), and high (40 pcf) density of artificial bones was measured in comparison with that of the uncoated and sandblasted screws having similar surface roughness. Higher insertion torques and final seating torques were obtained in the coated screws which may result in less micro-movement during the primary implantation stage and thus lower the risk of implant failure. Scanning electron microscopy (SEM) analysis indicated that all coatings still adhesively remained on the screw surfaces after inserted into the bones with different densities. The relationship between coefficient of friction and surface roughness was also addressed to better understand the results of insertion torque. It was found that a lower density bone (similar to aged bone) would need a surface-rougher coated screw to achieve a high torque while a high density bone can have a wide range of selections for surface roughness of the screw. - Highlights: • The insertion torque of PEO-coated screws is higher than machined and sandblasting implants. • Lower density bone needs a rougher coated implant to increase the insertion torque. • The composite HA–TiO{sub 2} coating could benefit dental implants in both primary and secondary stability stages.

  3. Bone Biopsy

    Science.gov (United States)

    ... News Physician Resources Professions Site Index A-Z Bone Biopsy Bone biopsy uses a needle and imaging ... the limitations of Bone Biopsy? What is a Bone Biopsy? A bone biopsy is an image-guided ...

  4. Finite Element Analysis of Reciprocating Screw for Injection Molding Machine

    Directory of Open Access Journals (Sweden)

    Nagsen B. Nagrale

    2011-06-01

    Full Text Available This paper deals with, the solution of problem occurred for reciprocating screw of Injection molding machine. It identifies and solves the problem by using the modeling and simulation techniques. The problem occurred in the reciprocating screw of machine which was wearing of threads due to affect of temperature of mold materials(flow materials i.e. Nylon, low density polypropylene, polystyrene, PVC etc., The main work was to model the components of machine with dimensions, assemble those components and then simulate the whole assembly for rotation of the screw. The modeling software used is PRO-E wildfire 4.0 for modeling the machine components like body, movable platen, fixed platen, barrel, screw, nozzle, etc. The analysis software ANSYS is used to analyze the reciprocating screws. The objectives involved are:- • To model all the components using modeling software Pro-E 4.0 • To assemble all the components of the machine in the software. • To make the assembly run in Pro-E software.• Analysis of screw of machine using Ansys 11.0 software. • To identify the wearing of threads and to provide the possible solutions.This problem is major for all industrial injection molding machines which the industries are facing and they need the permanent solution, so if the better solution is achieved then the industries will think for implementing it. The industries are having temporary solution but it will affect the life of the screw, because the stresses will be more in machined screw on lathe machine as compared to normal screw. Also if the screw will fail after some years of operation, the new screw available in the market will have the same problem. Also the cost associated with new screw and its mounting is much more as it is the main component of machine.

  5. Economics of water injected air screw compressor systems

    OpenAIRE

    Madhav, K. V.; Kovacevic, A.

    2015-01-01

    There is a growing need for compressed air free of entrained oil to be used in industry. In many cases it can be supplied by oil flooded screw compressors with multi stage filtration systems, or by oil free screw compressors. However, if water injected screw compressors can be made to operate reliably, they could be more efficient and therefore cheaper to operate. Unfortunately, to date, such machines have proved to be insufficiently reliable and not cost effective. This paper describes an in...

  6. Discrete element modelling of screw conveyor-mixers

    Directory of Open Access Journals (Sweden)

    Jovanović Aca

    2015-01-01

    Full Text Available Screw conveyors are used extensively in food, plastics, mineral processing, agriculture and processing industries for elevating and/or transporting bulk materials over short to medium distances. Despite their apparent simplicity in design, the transportation action is very complex for design and constructors have tended to rely heavily on empirical performance data. Screw conveyor performance is affected by its operating conditions (such as: the rotational speed of the screw, the inclination of the screw conveyor, and its volumetric fill level. In this paper, horizontal, several single-pitch screw conveyors with some geometry variations in screw blade was investigated for mixing action during transport, using Discrete Element Method (DEM. The influence of geometry modifications on the performance of screw conveyor was examined, different screw designs were compared, and the effects of geometrical variations on mixing performances during transport were explored. During the transport, the particle tumbles down from the top of the helix to the next free surface and that segment of the path was used for auxiliary mixing action. The particle path is dramatically increased with the addition of three complementary helices oriented in the same direction as screw blades (1458.2 mm compared to 397.6 mm in case of single flight screw conveyor Transport route enlarges to 1764.4 mm, when installing helices oriented in the opposite direction from screw blades. By addition of straight line blade to single flight screw conveyor, the longest particle path is being reached: 2061.6 mm [Projekat Ministarstva nauke Republike Srbije, br. TR-31055

  7. Tangential View and Intraoperative Three-Dimensional Fluoroscopy for the Detection of Screw-Misplacements in Volar Plating of Distal Radius Fractures

    Directory of Open Access Journals (Sweden)

    Rausch

    2015-06-01

    Full Text Available Background Volar locking plate fixation has become the gold standard in the treatment of unstable distal radius fractures. Juxta-articular screws should be placed as close as possible to the subchondral zone, in an optimized length to buttress the articular surface and address the contralateral cortical bone. On the other hand, intra-articular screw misplacements will promote osteoarthritis, while the penetration of the contralateral bone surface may result in tendon irritations and ruptures. The intraoperative control of fracture reduction and implant positioning is limited in the common postero-anterior and true lateral two-dimensional (2D-fluoroscopic views. Therefore, additional 2D-fluoroscopic views in different projections and intraoperative three-dimensional (3D fluoroscopy were recently reported. Nevertheless, their utility has issued controversies. Objectives The following questions should be answered in this study; 1 Are the additional tangential view and the intraoperative 3D fluoroscopy useful in the clinical routine to detect persistent fracture dislocations and screw misplacements, to prevent revision surgery? 2 Which is the most dangerous plate hole for screw misplacement? Patients and Methods A total of 48 patients (36 females and 13 males with 49 unstable distal radius fractures (22 x 23 A; 2 x 23 B, and 25 x 23 C were treated with a 2.4 mm variable angle LCP Two-Column volar distal radius plate (Synthes GmbH, Oberdorf, Switzerland during a 10-month period. After final fixation, according to the manufactures' technique guide and control of implant placement in the two common perpendicular 2D-fluoroscopic images (postero-anterior and true lateral, an additional tangential view and intraoperative 3D fluoroscopic scan were performed to control the anatomic fracture reduction and screw placements. Intraoperative revision rates due to screw misplacements (intra-articular or overlength were evaluated. Additionally, the number of

  8. Bone Densitometry (Bone Density Scan)

    Science.gov (United States)

    ... News Physician Resources Professions Site Index A-Z Bone Densitometry (DEXA) Bone densitometry, also called dual-energy ... limitations of DEXA Bone Densitometry? What is a Bone Density Scan (DEXA)? Bone density scanning, also called ...

  9. 椎弓根螺钉内固定材料置入并植骨融合后路矫正治疗重度僵硬性青少年特发性脊柱侧凸20例%Posterior correction using pedicle screw fixation combined with bone grafting and fusion for treatment of severe and rigid adolescent idiopathic scoliosis in 20 cases

    Institute of Scientific and Technical Information of China (English)

    臧危平; 刘祖德; 李展春; 冯宇; 张磊

    2008-01-01

    主弯平均Cobb角从术前的82°(75o~ 92o)矫正到31°(22°~37°),平均矫正率为62%.③双肩高度差及住院时间:术后脊柱侧位片均显示患者胸腰椎基本恢复正常后凸及前凸,平均双肩高度差为7.5 mm(0~11 mm),患者住院日为8~11 d, 平均9 d.④随访结果:所有患者均获术后4年随访,所有侧凸主弯矫正角度未发生丢失,固定节段全部融合,无断钉、断棒发生.结论:单纯后路椎弓根螺钉内固定材料置入并植骨融合术能有效治疗主弯在75o~92o,柔韧性≥ 20%的重度僵硬性青少年特发性脊柱侧凸.%BACKGROUND: Traditional anterior release followed by posterior correction and fusion is frequently used to treat severe and rigid adolescent idiopathic scoliosis, which is considered as Cobb angle of the major curve > 65° and flexibility < 34.5%; however, there are a great majority of complications. Whether isolated posterior correction using pedicle screw fixation combining with bone grafting and fusion may provide better effects on severe and rigid adolescent idiopathic scoliosis needs to be further studied.OBJECTIVE: To evaluate isolated posterior correction using pedicle screw fixation combining with bone grafting and fusion for the treatment of severe and rigid adolescent idiopathic scoliosis. DESIGN: Case analysis.SETTING: Department of Orthopaedics, Renji Hospital, Medical College of Shanghai Jiao Tong University.PARTICIPANTS: Twenty patients with severe and rigid adolescent idiopathic scoliosis, including 8 males and 12 females, were selected from Department of Orthopaedics, Renji Hospital, Medical College of Shanghai Jiaotong University from June 1999 to August 2005. They were 12-18 years old, and the mean age was 14.6 years. All patients were finally diagnosed as X-ray of whole spine. According to King-Moe criteria, patients were classified into type Ⅰ(n =4), type Ⅱ(n =6), type Ⅲ (n =5), type Ⅳ(n =3) and type Ⅴ(n =2). Before surgery, mean Cobb angle of the major curve was 82

  10. Fluid Flow Phenomenon in a Three-Bladed Power-Generating Archimedes Screw Turbine

    OpenAIRE

    2016-01-01

    Experimental studies of the Archimedes screw turbine are applied as a micro hydro power plant for low head focused on the fluid flow. Fluid flow on a screw turbine is not completely filled water flow there is still a free surface between the water fluid and atmospheric air. Except the screw geometry, the turbine screw free surface allows the flow phenomena that are important in the process of turbine screw power generation. The Archimedes screw turbine main driving force is the fl...

  11. C1 posterior arch screw as an auxiliary anchor in posterior reconstruction for atlantoaxial dislocation associated with type II odontoid fracture: a case report and review of the literature

    OpenAIRE

    Nagoshi, Narihito; Suda, Kota; Morita, Tomonori; MATSUMOTO, Satoko; Iimoto, Seiji; Yasui, Keigo; Komatsu, Miki; Kobayashi, Yosuke; Minami, Akio; Toyama, Yoshiaki; Matsumoto, Morio; Nakamura, Masaya

    2014-01-01

    Abtract Introduction Although pedicle or lateral mass screws are usually chosen to fix atlantoaxial (C1-C2) instability, there is an increased risk for vertebral artery (VA) injury when used in patients with bone or arterial anomalies or osteoporotic bone. Here we report the C1 posterior arch screw as a new technique for upper cervical fixation. Case description A 90-year-old man complained of upper cervical pain after falling in his house. The initial computed tomography (CT) scan showed C1-...

  12. A universal pedicle screw and V-rod system for lumbar isthmic spondylolysis: a retrospective analysis of 21 cases.

    Directory of Open Access Journals (Sweden)

    Xiong-sheng Chen

    Full Text Available OBJECTIVE: To investigate the surgical outcome of a universal pedicle screw-V rod system and isthmic bone grafting for isthmic spondylolysis. METHODS: Twenty-four patients with isthmic spondylolysis at L5 and grade 0-I spondylolisthesis (Meyerding classification received isthmic bone graft and stabilization using the universal pedicle screw-V rod system. Back pain was evaluated using the visual analog scale (VAS and time to bone healing, improvement in spondylolisthesis and intervertebral space height at L5/S1 and L4/L5 were assessed. RESULTS: Twenty-one patients were followed up for 24 months and included in the analysis. Back pain was markedly improved at 3 months postoperatively with a statistical difference in VAS scores compared with preoperative VAS scores (P<0.001. The VAS scores were 0 to 3 at 6 months postoperatively in all patients and no back pain was reported in all patients except 2 patients who complained of back pain after prolonged sitting. X-ray examination showed a bone graft healing time of 3 to 12 months. Grade I spondylolisthesis improved to grade 0 in 4 patients and no noticeable change was observed in the remaining 17 cases. The intervertebral space height at L5/S1 was statistically increased (P<0.05 while no statistically significant change was seen at L4/L5. There was no statistically significant difference in the ROM of the intervertebral disks of L5/S1 and L4/5 before and after surgery. CONCLUSIONS: The universal pedicle screw-V rod system and isthmic bone grafting directly repairs isthmic spondylolysis and reduces back pain, prevents anterior displacement of the diseased segment and maintains intervertebral space height, thus offering a promising alternative to current approaches for isthmic spondylolysis.

  13. Wet granulation in a twin-screw extruder: implications of screw design.

    Science.gov (United States)

    Thompson, M R; Sun, J

    2010-04-01

    Wet granulation in twin-screw extrusion machinery is an attractive technology for the continuous processing of pharmaceuticals. The performance of this machinery is integrally tied to its screw design yet little fundamental knowledge exists in this emerging field for granulation to intelligently create, troubleshoot, and scale-up such processes. This study endeavored to systematically examine the influence of different commercially available screw elements on the flow behavior and granulation mechanics of lactose monohydrate saturated at low concentration (5-12%, w/w) with an aqueous polyvinyl-pyrrolidone binder. The results of the work showed that current screw elements could be successfully incorporated into designs for wet granulation, to tailor the particle size as well as particle shape of an agglomerate product. Conveying elements for cohesive granular flows were shown to perform similar to their use in polymer processing, as effective transport units with low specific mechanical energy input. The conveying zones provided little significant change to the particle size or shape, though the degree of channel fill in these sections had a significant influence on the more energy-intensive mixing elements studied. The standard mixing elements for this machine, kneading blocks and comb mixers, were found to be effective for generating coarser particles, though their mechanisms of granulation differed significantly.

  14. Tibial inlay press-fit fixation versus interference screw in posterior cruciate ligament reconstruction

    Directory of Open Access Journals (Sweden)

    Max Ettinger

    2013-11-01

    Full Text Available Reconstruction of the posterior cruciate ligament (PCL by a tibial press-fit fixation of the patellar tendon with an accessory bone plug is a promising approach because no foreign materials are required. Until today, there is no data about the biomechanical properties of such press-fit fixations. The aim of this study was to compare the biomechanical qualities of a bone plug tibial inlay technique with the commonly applied interference screw of patellar tendon PCL grafts. Twenty patellar tendons including a bone block were harvested from ten human cadavers. The grafts were implanted into twenty legs of adult German country pigs. In group P, the grafts were attached in a press-fit technique with accessory bone plug. In group S, the grafts were fixed with an interference screw. Each group consisted of 10 specimens. The constructs were biomechanically analyzed in cyclic loading between 60 and 250 N for 500 cycles recording elongation. Finally, ultimate failure load and failure mode were analyzed. Ultimate failure load was 598.6±36.3 N in group P and 653.7±39.8 N in group S (not significant, P>0.05. Elongation during cyclic loading between the 1st and the 20th cycle was 3.4±0.9 mm for group P and 3.1±1 mm for group S. Between the 20th and the 500th cycle, elongation was 4.2±2.3 mm in group P and 2.5±0.9 mm in group S (not significant, P>0.05. This is the first study investigating the biomechanical properties of tibial press-fit fixation of the patellar tendon with accessory bone plug in posterior cruciate ligament reconstruction. The implant-free tibial inlay technique shows equal biomechanical characteristics compared to an interference screw fixation. Further in vivo studies are desirable to compare the biological behavior and clinical relevance of this fixation device.

  15. Immediate loading of titanium hexed screw-type implants in the edentulous patient: case report.

    Science.gov (United States)

    Calvo, M P; Muller, E; Garg, A K

    2000-01-01

    Histologic and histomorphometric studies in both animals and humans have shown that more rapid and greater bone-to-implant contact can be achieved with implants that incorporate certain surface characteristics compared with the original machined-surface implants. Such findings are significant because various implant designs may allow the fixtures to sufficiently resist functional loading sooner than originally thought. The case report presented here indicates that immediate loading of hexed titanium screw-type implants in the anterior mandible can lead to successful osseointegration and clinical outcome. The number of implants placed, their distribution, and the type of rigid connection are critical considerations for immediate loading. A bone height that can accommodate dental implants > or = 10 mm long is recommended. Biomechanically, the implants to be immediately loaded must be stable and resistant to macromovement to ensure good osseointegration.

  16. Comparison between Bilateral C2 Pedicle Screwing and Unilateral C2 Pedicle Screwing, Combined with Contralateral C2 Laminar Screwing, for Atlantoaxial Posterior Fixation

    OpenAIRE

    Miyakoshi, Naohisa; HONGO, MICHIO; Kobayashi, Takashi; Suzuki, Tetsuya; Abe, Eiji; Shimada, Yoichi

    2014-01-01

    Study Design A retrospective study. Purpose To compare clinical and radiological outcomes between bilateral C2 pedicle screwing (C2PS) and unilateral C2PS, combined with contralateral C2 laminar screwing (LS), for posterior atlantoaxial fixation. Overview of Literature Posterior fixation with C1 lateral mass screwing (C1LMS) and C2PS (C1LMS-C2PS method) is an accepted procedure for rigid atlantoaxial stabilization. However, conventional bilateral C2PS is not always allowed in this method due ...

  17. MANAGEMENT OF DISTAL FEMORAL FRACTURES USING DYNAMIC CONDYLAR SCREWS

    Directory of Open Access Journals (Sweden)

    Ambrish

    2015-11-01

    Full Text Available BACKGROUND Fractures of distal end of femur are complex injuries which are difficult to manage & are unstable and comminuted. Despite advances in implants treatment of distal femoral fractures remains a challenge. AIMS This study was done to analyze the functional outcome & complications associated with surgical management of fractures of distal end of femur in adults using Dynamic Condylar Screw (DCS. SETTINGS & DESIGN It was a prospective clinical study done at BMCH, Chitradurga. METHODS The present study included 25 patients with 13 Supracondylar and 12 Intercondylar fractures of femur. They were operated after stabilization using Dynamic Condylar Screw. RESULTS The study showed maximum presentation between 4th and 5th decade with mean age of 39.2 years with sex incidence of 11.5:1 (M:F. Mode of injury was RTA in 17, simple fall in 5, fall from height in 2 and assault in 1 patient. Patients presented to hospital within 0 to 4 days of injury. Left side was involved in 12 and right side in 13 cases. There were 9-A1, 3-A2, 1-A3, 2-C1, 8-C2 and 2-C3 fractures. Six patients had compound fracture. Patients were operated from 3 days to 40 days after admission at an average of 12.36 days. Results were found to be excellent in 8, good in 9, moderate in 3 and poor in 5 patients. Complication in form of valgus angulation, shortening, splintering of proximal femoral fragment, deep infection, Implant failure and lateral angulation at fracture site, Non-union with deep infection were noticed. Average range of knee flexion was 1040 and average time to radiological union was 13.42 weeks. CONCLUSION This study showed that DCS is a good method of treating closed type A1, A2, A3, C1 and C2 fractures. Type C3 and compound fractures treated by this method had more poor results. DCS provides rigid fixation and good purchase in osteoporotic bone. Early mobilization prevents knee stiffness.

  18. Better Axial Stiffness of a Bicortical Screw Construct Compared to a Cable Construct for Comminuted Vancouver B1 Proximal Femoral Fractures.

    Science.gov (United States)

    Griffiths, Jamie T; Taheri, Arash; Day, Robert E; Yates, Piers J

    2015-12-01

    The aim of this study was to biomechanically evaluate the Locking attachment plate (LAP) construct in comparison to a Cable plate construct, for the fixation of periprosthetic femoral fractures after cemented total hip arthroplasty. Each construct incorporated a locking compression plate with bi-cortical locking screws for distal fixation. In the Cable construct, 2 cables and 2 uni-cortical locking screws were used for proximal fixation. In the LAP construct, the cables were replaced by a LAP with 4 bi-cortical locking screws. The LAP construct was significantly stiffer than the cable construct under axial load with a bone gap (P=0.01). The LAP construct offers better axial stiffness compared to the cable construct in the fixation of comminuted Vancouver B1 proximal femoral fractures.

  19. The Influence of implant geometry and surface composition on bone response

    NARCIS (Netherlands)

    Al Farraj Aldosari, A.; Anil, S.; Alasqah, M.; Wazzan, K.A. Al; Jetaily, S.A. Al; Jansen, J.A.

    2014-01-01

    OBJECTIVES: The implant design and surface modification are independent conditions that can alter the implant bone response. The objective of this study is to compare the bone response to roughened tapered and cylindrical screw-type implants with and without hydroxyapatite (HA) surface coating in th

  20. Reliability of predictors for screw cutout in intertrochanteric hip fractures

    NARCIS (Netherlands)

    K.M.J. de Bruijn (Kirstin); D. den Hartog (Dennis); W.E. Tuinebreijer (Wim); G.R. Roukema (Gert)

    2012-01-01

    textabstractBackground: Following internal fixation of intertrochanteric hip fractures, tip apex distance, fracture classification, position of the screw in the femoral head, and fracture reduction are known predictors for screw cutout, but the reliability of these measurements is unknown. We invest

  1. Intermaxillary Fixation Screw Morbidity in Treatment of Mandibular Fractures

    DEFF Research Database (Denmark)

    Florescu, Vlad-Andrei; Kofod, Thomas; Pinholt, Else Marie

    2016-01-01

    PURPOSE: The aim of the present retrospective study was to investigate the morbidity of screws used for intermaxillary fixation (IMF) in the treatment of mandibular fractures. A review of the published data was also performed for a comparison of outcomes. Our hypothesis was that the use of screws...

  2. KINEMATICS OF 3-DOF PYRAMID MANIPULATOR BY PRINCIPAL SCREWS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Kinematics of a 3-RPS parallel pyramid manipulator are investigated by principal screw. Firstly, the principal screws are identified by quadric degeneration. The planar conics representing the relations between the pitches and the three linear inputs are described, and the three-dimensional distribution of the axes of all the twists is illustrated. Finally, a numerical example is given successfully.

  3. [Loosening of a Calcaneo-Stop Screw after Trampolining].

    Science.gov (United States)

    Trieb, K; Fingernagel, T; Petershofer, A; Hofstaetter, S G

    2015-06-01

    Flexible flatfoot is a common malalignment in the paediatric population. Arthroereisis with a calcaneo-stop screw is an effective surgical procedure for treating juvenile flexible flatfoot after conservative measures have been fully exploited. In the present report, we describe the case of a loosening of a calcaneo-stop screw in a 12-year-old youth after excessive trampolining.

  4. OPTIMAL DISTAL SCREW ALIGNMENT IN THE GAMMA NAIL

    Institute of Scientific and Technical Information of China (English)

    Ching-KongChao; Chun-ChingHsiao; Po-QuangChen

    2002-01-01

    The effect of stress distribution due to the changes of the distal screw alignment in relation to the Gamma nail and the femoral shaft is thoroughly studied in this paper. Failure of the Gamma nail composite occurs through the cranial aperture of the distal screws and the insertion hole for the lag screw due to nonunion, delayed-union and continued weight-bearing. A three-dimensional finite element model was used to study the fractured femur, the Gamma nail, the lag screw and the distal locking screws. The first and the second distal screws were inserted into the Gamma nail in four different configurations. We found that the stress of the Gamma nail composite was substantially reduced with the two screws configured in the anterior to posterior direction. This alignment can bear greater loading in the more demanding fracture types. In the subtrochanteric fracture or the comminuted fractures at the proximal femur, the optimal alignment of the two distal screws was in the anterior to posterior direction.

  5. Determination of the of rate cross slip of screw dislocations

    DEFF Research Database (Denmark)

    Vegge, Tejs; Rasmussen, Torben; Leffers, Torben;

    2000-01-01

    The rate for cross slip of screw dislocations during annihilation of screw dipoles in copper is determined by molecular dynamics simulations. The temperature dependence of the rate is seen to obey an Arrhenius behavior in the investigated temperature range: 225-375 K. The activation energy...

  6. A four lumen screwing device for multiparametric brain monitoring.

    Science.gov (United States)

    Feuerstein, T H; Langemann, H; Gratzl, O; Mendelowitsch, A

    2000-01-01

    We describe multiparametric monitoring in severe head trauma using a new screwing device. Our aim was to create a screw which would make the implantation of the probes and thus multiparametric monitoring easier. The new screw allows us to implant 3 probes (microdialysis, Paratrend and an intracranial pressure device) through one burr hole. The screw has four channels, the fourth being for ventricular drainage. We monitored 13 patients with severe head trauma (GCS = 3-8) for up to 7 days. Brain tissue pO2, pCO2, pH, and temperature were measured on-line with the Paratrend 7 machine. The microdialytic parameters glucose, lactate, pyruvate and glutamate were determined semi on-line with a CMA 600 enzymatic analyser. There were no complications in any of the patients that could be ascribed to the screw.

  7. On Helical Projection and Its Application in Screw Modeling

    Directory of Open Access Journals (Sweden)

    Riliang Liu

    2014-04-01

    Full Text Available As helical surfaces, in their many and varied forms, are finding more and more applications in engineering, new approaches to their efficient design and manufacture are desired. To that end, the helical projection method that uses curvilinear projection lines to map a space object to a plane is examined in this paper, focusing on its mathematical model and characteristics in terms of graphical representation of helical objects. A number of interesting projective properties are identified in regard to straight lines, curves, and planes, and then the method is further investigated with respect to screws. The result shows that the helical projection of a cylindrical screw turns out to be a Jordan curve, which is determined by the screw's axial profile and number of flights. Based on the projection theory, a practical approach to the modeling of screws and helical surfaces is proposed and illustrated with examples, and its possible application in screw manufacturing is discussed.

  8. The Analysis of Soil Resistance During Screw Displacement Pile Installation

    Directory of Open Access Journals (Sweden)

    Krasinski Adam

    2015-02-01

    Full Text Available The application of screw displacement piles (SDP is still increasing due to their high efficiency and many advantages. However, one technological problem is a serious disadvantage of those piles. It relates to the generation of very high soil resistance during screw auger penetration, especially when piles are installed in non-cohesive soils. In many situations this problem causes difficulties in creating piles of designed length and diameter. It is necessary to find a proper method for prediction of soil resistance during screw pile installation. The analysis of screw resistances based on model and field tests is presented in the paper. The investigations were carried out as part of research project, financed by the Polish Ministry of Science and Higher Education. As a result of tests and analyses the empirical method for prediction of rotation resistance (torque during screw auger penetration in non-cohesive subsoil based on CPT is proposed.

  9. The Analysis of Soil Resistance During Screw Displacement Pile Installation

    Science.gov (United States)

    Krasinski, Adam

    2015-02-01

    The application of screw displacement piles (SDP) is still increasing due to their high efficiency and many advantages. However, one technological problem is a serious disadvantage of those piles. It relates to the generation of very high soil resistance during screw auger penetration, especially when piles are installed in non-cohesive soils. In many situations this problem causes difficulties in creating piles of designed length and diameter. It is necessary to find a proper method for prediction of soil resistance during screw pile installation. The analysis of screw resistances based on model and field tests is presented in the paper. The investigations were carried out as part of research project, financed by the Polish Ministry of Science and Higher Education. As a result of tests and analyses the empirical method for prediction of rotation resistance (torque) during screw auger penetration in non-cohesive subsoil based on CPT is proposed.

  10. Nanoscale characterization of bone-implant interface and biomechanical modulation of bone ingrowth

    Energy Technology Data Exchange (ETDEWEB)

    Clark, Paul A. [Tissue Engineering Laboratory MC 841, Departments of Anatomy and Cell Biology, Bioengineering, and Orthodontics, University of Illinois at Chicago, Chicago, 801 South Paulina Street, Illinois 60612 (United States)]. E-mail: pclark4@gmail.com; Clark, Andrew M. [Tissue Engineering Laboratory MC 841, Departments of Anatomy and Cell Biology, Bioengineering, and Orthodontics, University of Illinois at Chicago, Chicago, 801 South Paulina Street, Illinois 60612 (United States); Rodriguez, Anthony [Tissue Engineering Laboratory MC 841, Departments of Anatomy and Cell Biology, Bioengineering, and Orthodontics, University of Illinois at Chicago, Chicago, 801 South Paulina Street, Illinois 60612 (United States); Hussain, Mohammad A. [Tissue Engineering Laboratory MC 841, Departments of Anatomy and Cell Biology, Bioengineering, and Orthodontics, University of Illinois at Chicago, Chicago, 801 South Paulina Street, Illinois 60612 (United States); Mao, Jeremy J. [Tissue Engineering Laboratory MC 841, Departments of Anatomy and Cell Biology, Bioengineering, and Orthodontics, University of Illinois at Chicago, Chicago, 801 South Paulina Street, Illinois 60612 (United States)]. E-mail: jmao2@uic.edu

    2007-04-15

    Bone-implant interface is characterized by an array of cells and macromolecules. This study investigated the nanomechancial properties of bone-implant interface using atomic force microscopy in vitro, and the mechanical modulation of implant bone ingrowth in vivo using bone histomorphometry. Upon harvest of screw-type titanium implants placed in vivo in the rabbit maxilla and proximal femur for 4 weeks, nanoindentation was performed in the bone-implant interface at 60-{mu}m intervals radially from the implant surface. The average Young's Moduli (E) of the maxillary bone-implant interface was 1.13 {+-} 0.27 MPa, lacking significant differences at all intervals. In contrast, an increasing gradient of E was observed radially from the femur bone-implant interface: 0.87 {+-} 0.25 MPa to 2.24 {+-} 0.69 MPa, representing significant differences among several 60-{mu}m intervals. In a separate experiment, bone healing was allowed for 6 weeks for proximal femur implants. The right femoral implant received axial cyclic loading at 200 mN and 1 Hz for 10 min/d over 12 days, whereas the left femoral implant served as control. Cyclic loading induced significantly higher bone volume, osteoblast numbers per endocortical bone surface, mineral apposition rate, and bone formation rate than controls. These data demonstrate nanoscale and microscale characterizations of bone-implant interface, and mechanical modulation of bone ingrowth surrounding titanium implants.

  11. Asymmetric distribution in twin screw granulation.

    Science.gov (United States)

    Chan Seem, Tim; Rowson, Neil A; Gabbott, Ian; de Matas, Marcel; Reynolds, Gavin K; Ingram, Andy

    2016-09-01

    Positron Emission Particle Tracking (PEPT) was successfully employed to validate measured transverse asymmetry in material distribution in the conveying zones of a Twin Screw Granulator (TSG). Flow asymmetry was established to be a property of the granulator geometry and dependent on fill level. The liquid distribution of granules as a function of fill level was determined. High flow asymmetry at low fill level negatively affects granule nucleation leading to high variance in final uniformity. Wetting of material during nucleation was identified as a critical parameter in determining final granule uniformity and fill level is highlighted as a crucial control factor in achieving this. Flow asymmetry of dry material in conveying zones upstream of binder fluid injection leads to poor non-uniform wetting at nucleation and results in heterogeneous final product. The granule formation mechanism of 60°F kneading blocks is suggested to be primarily breakage of agglomerates formed during nucleation. Optimisation of screw configuration would be required to provide secondary growth. This work shows how fill dependent flow regimes affect granulation mechanisms.

  12. Supermassive screwed cosmic string in dilaton gravity

    Energy Technology Data Exchange (ETDEWEB)

    Bezerra, V B [Departamento de Fisica, Universidade Federal da ParaIba, 58059-970, Joao Pessoa, PB (Brazil); Ferreira, Cristine N [Nucleo de Fisica, Centro Federal de Educacao Tecnologica de Campos, Rua Dr Siqueira, 273-Parque Dom Bosco, 28030-130, Campos dos Goytacazes, RJ (Brazil); Cuesta, H J Mosquera [Instituto de Cosmologia, Relatividade e AstrofIsica (ICRA-BR), Centro Brasileiro de Pesquisas Fisicas, Rua Dr Xavier Sigaud 150, Urca 22290-180, Rio de Janeiro, RJ (Brazil)

    2006-06-21

    The early universe might have undergone phase transitions at energy scales much higher than the one corresponding to the grand unified theories (GUT) scales. At these higher energy scales, the transition at which gravity separated from all other interactions, the so-called Planck era, more massive strings called supermassive cosmic strings could have been produced, with energy of about 10{sup 19} GeV. The dynamics of strings formed with this energy scale cannot be described by means of the weak-field approximation, as in the standard procedure for ordinary GUT cosmic strings. As suggested by string theories, at this extreme energy, gravity may be transmitted by some kind of scalar field (usually called the dilaton) in addition to the tensor field of Einstein's theory of gravity. It is then permissible to tackle the issue regarding the dynamics of supermassive cosmic strings within this framework. With this aim, we obtain the gravitational field of a supermassive screwed cosmic string in a scalar-tensor theory of gravity. We show that for the supermassive configuration, exact solutions of scalar-tensor screwed cosmic strings can be found in connection with the Bogomol'nyi limit. We show that the generalization of Bogomol'nyi arguments to the Brans-Dicke theory is possible when torsion is present and we obtain an exact solution in this supermassive regime, with the dilaton solution obtained by consistency with internal constraints.

  13. Painful knee joint after ACL reconstruction using biodegradable interference screws- SPECT/CT a valuable diagnostic tool? A case report

    Directory of Open Access Journals (Sweden)

    Hirschmann Michael T

    2010-09-01

    Full Text Available Abstract With the presented case we strive to introduce combined single photon emission computerized tomography and conventional computer tomography (SPECT/CT as new diagnostic imaging modality and illustrate the possible clinical value in patients after ACL reconstruction. We report the case of a painful knee due to a foreign body reaction and delayed degradation of the biodegradable interference screws after ACL reconstruction. The MRI showed an intact ACL graft, a possible tibial cyclops lesion and a patella infera. There was no increased fluid collection within the bone tunnels. The 99mTc-HDP-SPECT/CT clearly identified a highly increased tracer uptake around and within the tibial and femoral tunnels and the patellofemoral joint. On 3D-CT out of the SPECT/CT data the femoral graft attachment was shallow (50% along the Blumensaat's line and high in the notch. At revision arthroscopy a diffuse hypertrophy of the synovium, scarring of the Hoffa fat pad and a cyclops lesion of the former ACL graft was found. The interference screws were partially degraded and under palpation and pressure a grey fluid-like substance drained into the joint. The interference screws and the ACL graft were removed and an arthrolysis performed. In the case presented it was most likely a combination of improper graft placement, delayed degradation of the interference screws and unknown biological factors. The too shallow and high ACL graft placement might have led to roof impingement, chronic intraarticular inflammation and hence the delayed degradation of the screws. SPECT/CT has facilitated the establishment of diagnosis, process of decision making and further treatment in patients with knee pain after ACL reconstruction. From the combination of structural (tunnel position in 3D-CT and metabolic information (tracer uptake in SPECT/CT the patient's cause of the pain was established.

  14. Evaluation of a prototype correction algorithm to reduce metal artefacts in flat detector computed tomography of scaphoid fixation screws

    Energy Technology Data Exchange (ETDEWEB)

    Filli, Lukas; Finkenstaedt, Tim; Andreisek, Gustav; Guggenberger, Roman [University Hospital of Zurich, Department of Diagnostic and Interventional Radiology, Zurich (Switzerland); Marcon, Magda [University Hospital of Zurich, Department of Diagnostic and Interventional Radiology, Zurich (Switzerland); University of Udine, Institute of Diagnostic Radiology, Department of Medical and Biological Sciences, Udine (Italy); Scholz, Bernhard [Imaging and Therapy Division, Siemens AG, Healthcare Sector, Forchheim (Germany); Calcagni, Maurizio [University Hospital of Zurich, Division of Plastic Surgery and Hand Surgery, Zurich (Switzerland)

    2014-12-15

    The aim of this study was to evaluate a prototype correction algorithm to reduce metal artefacts in flat detector computed tomography (FDCT) of scaphoid fixation screws. FDCT has gained interest in imaging small anatomic structures of the appendicular skeleton. Angiographic C-arm systems with flat detectors allow fluoroscopy and FDCT imaging in a one-stop procedure emphasizing their role as an ideal intraoperative imaging tool. However, FDCT imaging can be significantly impaired by artefacts induced by fixation screws. Following ethical board approval, commercially available scaphoid fixation screws were inserted into six cadaveric specimens in order to fix artificially induced scaphoid fractures. FDCT images corrected with the algorithm were compared to uncorrected images both quantitatively and qualitatively by two independent radiologists in terms of artefacts, screw contour, fracture line visibility, bone visibility, and soft tissue definition. Normal distribution of variables was evaluated using the Kolmogorov-Smirnov test. In case of normal distribution, quantitative variables were compared using paired Student's t tests. The Wilcoxon signed-rank test was used for quantitative variables without normal distribution and all qualitative variables. A p value of < 0.05 was considered to indicate statistically significant differences. Metal artefacts were significantly reduced by the correction algorithm (p < 0.001), and the fracture line was more clearly defined (p < 0.01). The inter-observer reliability was ''almost perfect'' (intra-class correlation coefficient 0.85, p < 0.001). The prototype correction algorithm in FDCT for metal artefacts induced by scaphoid fixation screws may facilitate intra- and postoperative follow-up imaging. (orig.)

  15. A finite element analysis of the pelvic reconstruction using fibular transplantation fixed with four different rod-screw systems after transplantation fixed with four different rod-screw systems after type Ⅰ resection

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Background The pelvis often needs to be reconstructed after bone tumor resection.A major challenge here for the orthopedic surgeons is to choose a method that gives the best performance which depends upon its biomechanical properties.In this study,a 3-dimensional finite element analysis(FEA)was used to analyze the biomechanical properties of reconstructed pelvis using fibula transplant fixed by four commonly used rod-screw systems.Methods A total pelvic finite-element model including the lumbar-sacral spine and proximal femur was constructed based on the geometry of CT image from a healthy volunteer.Three-dimensional finite element models of different implants including fibula,rod and screw were simulated using ways of solid modeling.Then various reconstructed finite element models were assembled with different finite element implant model and type Ⅰ resected pelvic finite element model.The load of 500 N was imposed vertically onto the superior surface of L3 vertebral body,and the pelvis was fixed in bilateral leg standing positions.FEA was performed to account for the stress distribution on the bones and implants.The pelvis displacement of the different rod-screw fixation methods and the maximum equivalent stress(max EQV)on all nodes and element were figured out to evaluate the advantages and disadvantages of different reconstructive methods.Results Stress concentration in the fibula transplant was extremely high in the reconstructed pelvis,but could be substantially decreased by internal fixation,which partially transferred the stress from the fibula to the rod-screw systems.High stress concentration was also found in the implants,especially in the connection sites between screw and rod.Among the four methods of fixation,a double rod system with L5-S1 pedicle and ilium screws(L5-S1 HR)produced the best performance:least stress concentrations and least total displacement.Conclusion According to the stability and stress concentration,the method of L5-S1 HR

  16. Periodontal ligament formation around different types of dental titanium implants. I. The self-tapping screw type implant system

    DEFF Research Database (Denmark)

    Warrer, K; Karring, T; Gotfredsen, K

    1993-01-01

    The aim of this study was to determine if a periodontal ligament can form around self-tapping, screw type titanium dental implants. Implants were inserted in contact with the periodontal ligament of root tips retained in the mandibular jaws of 7 monkeys. In each side of the mandible, 1 premolar......, a periodontal ligament can form on self-tapping, screw type titanium dental implants in areas where a void is present between the surrounding bone and the implant at the time of insertion....... and 2 molars were removed in such a manner that in approximately half the cases, the root tips were retained. Following healing, the experimental areas were examined on radiographs, and sites were selected for the insertion of the implants, so that every second implant would have a close contact...

  17. Optimization of Twin-Screw Superchargers for Combined Compressor - Expander Performance (SCREW); Optimierung von Schraubenladern fuer den kombinierten Verdichtungs- und Expansionsbetrieb (SCREW)

    Energy Technology Data Exchange (ETDEWEB)

    Romba, M. [Dortmund Univ. (Germany). Fachgebiet Fluidenergiemaschinen

    2005-07-01

    During the last years the use of mechanical superchargers has gained increasing interest in a bid to combine attractive emission- and fuel consumption values with dynamic driving performance. Based on an analysis of available supercharging systems the development potential of twin screw superchargers is assessed. A concept using inlet slide valves is developed which allows at the same time to control the mass flow delivered by the supercharger and achieve an expansion of the transported charge under part load conditions when the delivered pressure is lower than ambient pressure, achieving a reduction in necessary shaft power or even the delivery of shaft power. To distinguish it from conventional superchargers the new device is called ''SCREW'' - screw type machine with compressor respectively expander working mode. The effect of several design parameters on the SCREW'S performance is evaluated by extensive simulation calculations, showing that a suitable design varies considerably from conventional supercharger designs and that a significant amount of further research, especially covering the development of rotor profiles suited for the specific task, is still needed to fully utilize the concept's potential. As a proof of concept prototype SCREW'S, based on a conventional twin screw supercharger, have been built and tested. The results obtained made clear the general suitability of the concept but also underlined the shortcomings of the prototype as they had already been predicted by the simulations. (orig.)

  18. Bone within a bone

    Energy Technology Data Exchange (ETDEWEB)

    Williams, H.J.; Davies, A.M. E-mail: wendy.turner@roh.nhs.uk; Chapman, S

    2004-02-01

    The 'bone within a bone' appearance is a well-recognized radiological term with a variety of causes. It is important to recognize this appearance and also to be aware of the differential diagnosis. A number of common conditions infrequently cause this appearance. Other causes are rare and some remain primarily of historical interest, as they are no longer encountered in clinical practice. In this review we illustrate some of the conditions that can give the bone within a bone appearance and discuss the physiological and pathological aetiology of each where known.

  19. Pedicle screw fixation for thoracolumbar fracture with spinal cord injury:a comparison of the selective injury segment and the whole bone graft fusion%椎弓根置钉修复胸腰椎骨折合并脊髓损伤:选择性损伤节段及全部固定节段植骨融合的比较

    Institute of Scientific and Technical Information of China (English)

    史晓林; 张昊; 刘磊; 史晓东; 金晓宁; 刘清阁; 袁伟东

    2016-01-01

    BACKGROUND:Spinal canal decompression is needed in posterior pedicle screw fixation surgery for thoracolumbar burst fractures combine with spinal cord injury. The structure of posterior spine is often damaged. The posterolateral bone fusion in al fixed segment is stil the main surgery. In order to further reduce fusion segment and maintain motor unit, it is necessary to perform selective segmental bone graft fusion during fixation and decompression. OBJECTIVE: To discuss the advantages of selective posterolateral vertebral fusion for thoracolumbar fracture with spinal injury through comparing with posterolateral vertebral fusion. METHODS: Data of 83 thoracolumbar burst fracture cases, who received posterior lumbar decompression and short segment fixation with pedicle screws and bone graft through injured vertebra from January 2006 to July 2013, were analyzed retrospectively. According to fusion segments, above patients were divided into selective posterolateral vertebral fusion group (n=42) and the whole posterolateral vertebral fusion group (n=41). Perioperative index, internal fixation, vertebral height loss rate, Cobb angle, spinal nerve recovery and Oswestry Disability Index were compared between the two groups. RESULTS AND CONCLUSION:(1) Al cases were folowed up for 25-32 months. (2) There was no statistical significance in operation time, intraoperative blood loss and ambulation time between the two groups (P > 0.05). Postoperative drainage volume was less in the selective posterolateral vertebral fusion group than in the whole posterolateral vertebral fusion group (P 0.05). (4) There was no significant difference in fusion rate at 6 months after treatment between the two groups (P > 0.05). Fusion was achieved in both groups before removal of the fixator. (5) Spinal nerve recovery was found after treatment in both groups. No significant difference in Oswestry Disability Index was detected in final folow-up (P > 0.05). (6) Results verified that compared with

  20. Design and fabrication of a low-frequency (1-3 MHz) ultrasound transducer for accurate placement of screw implants in the spine

    Science.gov (United States)

    Manbachi, Amir; Lee, Mike; Foster, F. Stuart; Ginsberg, Howard J.; Cobbold, Richard S. C.

    2014-03-01

    In 2012 approximately 800,000 spinal fusion surgeries were performed in the United States, requiring the insertion of screws into the pedicles. Their exact placement is critical and made complex due to limited visibility of the spine, continuous bleeding in the exposed regions, and variability in morphologies. The alarmingly high rate of screw misplacements (up to 20%) reported in the literature is of major concern since such misplacements can place the surrounding vital structures at risk. A potential guidance method for determining the best screw trajectory is by the use of real-time ultrasound imaging similar to that used for intravascular imaging. An endovascular transducer could be inserted into the pedicle to image the anatomy from within and identify bone boundaries. A major challenge of imaging within bone is high signal attenuation. The rapid increase of attenuation with frequency requires much lower frequencies (1-3 MHz) than those used in intravascular imaging. This study describes the custom design and fabrication of 2 MHz ultrasound probes (3.5 mm diameter/ 11 Fr) for pedicle screw guidance. Three transducer designs are explored to provide improved sensitivity and signal to noise ratio, compared to the previously tested transducer within the pedicle. Experimental measurements are compared with the results obtained using various simulation tools. The work reported in this paper represents the first stage in our ultimate goal of developing a 32- element phased array that is capable of generating a radial B-mode image.

  1. Engineering Aspects of Single- and Twin-screw Extrusion-cooking of Biopolymers

    NARCIS (Netherlands)

    Zuilichem, D.J. van; Stolp, W.; Janssen, L.P.B.M.

    1983-01-01

    A survey is given of the properties of single- and twin-screw extruders. The influence on the design of the different leakage gaps existing in co-rotating, counter-rotating, self-wiping, twin-screw extruders and single-screw equipment is discussed. The mixing effects in single- and twin-screw equipm

  2. Economics of water injected air screw compressor systems

    Science.gov (United States)

    Venu Madhav, K.; Kovačević, A.

    2015-08-01

    There is a growing need for compressed air free of entrained oil to be used in industry. In many cases it can be supplied by oil flooded screw compressors with multi stage filtration systems, or by oil free screw compressors. However, if water injected screw compressors can be made to operate reliably, they could be more efficient and therefore cheaper to operate. Unfortunately, to date, such machines have proved to be insufficiently reliable and not cost effective. This paper describes an investigation carried out to determine the current limitations of water injected screw compressor systems and how these could be overcome in the 15-315 kW power range and delivery pressures of 6-10 bar. Modern rotor profiles and approach to sealing and cooling allow reasonably inexpensive air end design. The prototype of the water injected screw compressor air system was built and tested for performance and reliability. The water injected compressor system was compared with the oil injected and oil free compressor systems of the equivalent size including the economic analysis based on the lifecycle costs. Based on the obtained results, it was concluded that water injected screw compressor systems could be designed to deliver clean air free of oil contamination with a better user value proposition than the oil injected or oil free screw compressor systems over the considered range of operations.

  3. Positioning of pedicle screws in adolescent idiopathic scoliosis using electromyography

    Directory of Open Access Journals (Sweden)

    Bruno Moreira Gavassi

    2015-06-01

    Full Text Available OBJECTIVE: To analyze the occurrence of poor positioning of pedicle screws inserted with the aid of intraoperative electromyographic stimulation in the treatment of Adolescent Idiopathic Scoliosis (AIS.METHODS: This is a prospective observational study including all patients undergoing surgical treatment for AIS, between March and December 2013 at a single institution. All procedures were monitored by electromyography of the inserted pedicle screws. The position of the screws was evaluated by assessment of postoperative CT and classified according to the specific AIS classification system.RESULTS: Sixteen patients were included in the study, totalizing 281 instrumented pedicles (17.5 per patient. No patient had any neurological deficit or complaint after surgery. In the axial plane, 195 screws were found in ideal position (69.4% while in the sagittal plane, 226 screws were found in ideal position (80.4%. Considering both the axial and the sagittal planes, it was observed that 59.1% (166/281 of the screws did not violate any cortical wall.CONCLUSION: The use of pedicle screws proved to be a safe technique without causing neurological damage in AIS surgeries, even with the occurrence of poor positioning of some implants.

  4. AXIS侧板钢板螺钉内固定系统对下颈椎骨折脱位后颈髓功能恢复作用%Effect of AXIS lateral mass screw- plate internal fixation system on functional recovery of spinal cord in fracture of lower cervical vertebrae

    Institute of Scientific and Technical Information of China (English)

    昌耘冰; 尹庆水; 夏虹; 吴增晖; 徐国洲; 张余; 权日; 章凯

    2003-01-01

    AIM:To evaluate the methods and results of the AXIS lateral mass screw- plate system in the treating of lower cervical spine injury.METHODS:29 cases of lower cervical vertebrae injury were fixed with AXIS system.All of them were followed- up for more than 1 year.RESULTS:All cases had a good bone union without malformation.We found no complication of the injury to the vertebral arteries or nerves.There was no loosening of the plate and screw. CONCLUSION:AXIS lateral mass screw- plate system has the characteristic of stable,simple and safe and is suitable for the treatment of lower cervical spine injury.

  5. Preliminary Design on Screw Press Model of Palm Oil Extraction Machine

    Science.gov (United States)

    Firdaus, Muhammad; Salleh, S. M.; Nawi, I.; Ngali, Z.; Siswanto, W. A.; Yusup, E. M.

    2017-01-01

    The concept of the screw press is to compress the fruit bunch between the main screw and travelling cones to extract the palm oil. Visual inspection, model development and simulation of screw press by using Solidworks 2016 and calculation of design properties were performed to support the investigation. The project aims to analyse different design of screw press which improves in reducing maintenance cost and increasing lifespan. The currently existing of screw press can endure between 500 to 900 hours and requires frequent maintenance. Different configurations have been tried in determination of best design properties in screw press. The results specify that screw press with tapered inner shaft has more total lifespan (hours) compared existing screw press. The selection of the screw press with tapered inner shaft can reduce maintenance cost and increase lifespan of the screw press.

  6. Simulation and analysis of resin flow in injection machine screw

    Institute of Scientific and Technical Information of China (English)

    Ling-feng LI; Samir MEKID

    2008-01-01

    A method with simulation and analysis of the resin flow in a screw is presented to ease the control of some problems that may affect the efficiency and the quality of the product among existing screws in an injection machine. The physical model of a screw is established to represent the stress, the strain, the relationship between velocity and stress, and the temperature of the cells. In this paper, a working case is considered where the velocity and the temperature distributions at any section of the flow are obtained. The analysis of the computational results shows an ability to master various parameters depending on the specifications.

  7. Noninvasive method for retrieval of broken dental implant abutment screw

    Directory of Open Access Journals (Sweden)

    Jagadish Reddy Gooty

    2014-01-01

    Full Text Available Dental implants made of titanium for replacement of missing teeth are widely used because of ease of technical procedure and high success rate, but are not free of complications and may fail. Fracturing of the prosthetic screw continues to be a problem in restorative practice and great challenge to remove the fractured screw conservatively. This case report describes and demonstrates the technique of using an ultrasonic scaler in the removal of the fracture screw fragment as a noninvasive method without damaging the hex of implants.

  8. Electromagnetic Lead Screw for Potential Wave Energy Application

    DEFF Research Database (Denmark)

    Lu, Kaiyuan; Wu, Weimin

    2014-01-01

    This paper presents a new type electromagnetic lead screw (EMLS) intended for wave energy application. Similar to the mechanical lead screw, this electromagnetic version can transfer slow linear motion to high-rotational motion, offering gearing effects. Compared with the existing pure magnetic...... lead screw (MLS) employing permanent magnets only, the new EMLS proposed uses dc current to provide the required helical-shape magnetic field, offering a much simpler, robust structure compared with the MLS. The working principle and the performances of this EMLS are analyzed in this paper. Comparison...

  9. 3D CFD analysis of a twin screw expander

    OpenAIRE

    Kovacevic, A.; S Rane

    2013-01-01

    Twin screw machines can be used as expanders for variety of applications. This paper describes how the performance of an oil free twin screw air expander of 3/5 lobe configuration was estimated by use of full 3D Computational Fluid Dynamics (CFD) applying a procedure similar to that used for screw compressors. The grid generator SCORG© was employed for pre-processing of the moving domains between the rotors while the stationary grids for the ports were derived from a commercial grid generator...

  10. A power recirculating test rig for ball screw endurance tests

    Directory of Open Access Journals (Sweden)

    Giberti Hermes

    2016-01-01

    Full Text Available A conceptual design of an innovative test rig for endurance tests of ball screws is presented in this paper. The test rig layout is based on the power recirculating principle and it also allows to overtake the main critical issues of the ball screw endurance tests. Among these there are the high power required to make the test, the lengthy duration of the same and the high loads between the screw and the frame that holds it. The article describes the test rig designed scheme, the kinematic expedients to be adopted in order to obtain the required performance and functionality and the sizing procedure to choose the actuation system.

  11. Test Research on Special Sucker Rod for Screw Pump

    Institute of Scientific and Technical Information of China (English)

    Zhang Mingyi; Chen Mingzhan; Li Zhi

    2006-01-01

    @@ According to the statistics of straight thread sucker rods' application in screw pump in Daqing Oilfield before2000, the proportion of sucker rods' yearly breakaway reached to 41.6%, taking up 70% of the total wells that were checked. Thus it can be seen that the rods breakaway problem was becoming the main barrier restricting screw pump large-scale population and application. Since then,the development work on the special sucker rods for screw pump had been carried on. Through the analysis on the failure position and failure form of the sucker rods',the following conclusions arepresented:

  12. Migration of polyethylene fixation screw after total knee arthroplasty.

    Science.gov (United States)

    Cho, Woo-Shin; Youm, Yoon-Seok

    2009-08-01

    Duracon (Howmedica, Rutherford, NJ) posterior stabilized total knee system has a snap fit locking mechanism of a tibial polyethylene, including an additional locking screw for further fixation of polyethylene. We report 13 cases of locking screw migration from tibial component after Duracon posterior stabilized primary total knee arthroplasty. Among 13 knees, screw migration in 10 asymptomatic cases was incidentally detected during regular follow-up, and they were just observed in the outpatient clinic. Only 3 knees had moderate pain, swelling, and instability, and revision was done on 2 of 3 knees.

  13. Centrifuging Step-Screw Conveyor for Regolith Project

    Data.gov (United States)

    National Aeronautics and Space Administration — A variety of ISRU operations will utilize lunar regolith as feedstock. The proposed centrifuging step-screw conveyor concept will provide a well controlled robust,...

  14. Screw-matrix method in dynamics of multibody systems

    Science.gov (United States)

    Yanzhu, Liu

    1988-05-01

    In the present paper the concept of screw in classical mechanics is expressed in matrix form, in order to formulate the dynamical equations of the multibody systems. The mentioned method can retain the advantages of the screw theory and avoid the shortcomings of the dual number notation. Combining the screw-matrix method with the tool of graph theory in Roberson/Wittenberg formalism. We can expand the application of the screw theory to the general case of multibody systems. For a tree system, the dynamical equations for each j-th subsystem, composed of all the outboard bodies connected by j-th joint can be formulated without the constraint reaction forces in the joints. For a nontree system, the dynamical equations of subsystems and the kinematical consistency conditions of the joints can be derived using the loop matrix. The whole process of calculation is unified in matrix form. A three-segment manipulator is discussed as an example.

  15. Kinematic analysis of parallel manipulators by algebraic screw theory

    CERN Document Server

    Gallardo-Alvarado, Jaime

    2016-01-01

    This book reviews the fundamentals of screw theory concerned with velocity analysis of rigid-bodies, confirmed with detailed and explicit proofs. The author additionally investigates acceleration, jerk, and hyper-jerk analyses of rigid-bodies following the trend of the velocity analysis. With the material provided in this book, readers can extend the theory of screws into the kinematics of optional order of rigid-bodies. Illustrative examples and exercises to reinforce learning are provided. Of particular note, the kinematics of emblematic parallel manipulators, such as the Delta robot as well as the original Gough and Stewart platforms are revisited applying, in addition to the theory of screws, new methods devoted to simplify the corresponding forward-displacement analysis, a challenging task for most parallel manipulators. Stands as the only book devoted to the acceleration, jerk and hyper-jerk (snap) analyses of rigid-body by means of screw theory; Provides new strategies to simplify the forward kinematic...

  16. Lumbar pedicle screw placement: Using only AP plane imaging

    Directory of Open Access Journals (Sweden)

    Anil Sethi

    2012-01-01

    Conclusion: Placement of pedicle screws under fluoroscopic guidance using AP plane imaging alone with tactile guidance is safe, fast, and reliable. However, a good understanding of the radiographic landmarks is a prerequisite.

  17. The Influence of Partial Knee Replacement Designs on Tensile Strain at Implant-Bone Interface

    Directory of Open Access Journals (Sweden)

    He Wang

    2012-01-01

    Full Text Available Partial knee replacement (PKR results in fast recovery and good knee mechanics and is ideal to treat medial knee osteoarthritis. Cementless PKR depends on bone growing into the implant surface for long-term fixation. Implant loosening may occur due to high tensile strain resulted from large mechanical loads during rehab exercises. The purpose of this study is to investigate whether external fixations such as superior screw and frontal flange could reduce the tensile strain at the implant-bone interface. Three medial PKRs were designed. The first PKR had no external fixations. A superior screw and a frontal flange were then added to the first PKR to form the second and third PKR designs, respectively. Finite element analysis was performed to examine the tensile strain at the implant-bone interface during weight-bearing exercises. The PKR with no external fixations exhibited high tensile strain at the anterior implant-bone interface. Both the screwed and flanged PKRs effectively reduced the tensile strain at the anterior implant-bone interface. Furthermore, the flanged PKR resulted in a more uniform reduction of the tensile strain than the screwed PKR. In conclusion, external fixations are necessary to alleviate tensile strain at the implant-bone interface during knee rehab exercises.

  18. C1-c2 pedicle screw fixation for treatment of old odontoid fractures.

    Science.gov (United States)

    Qi, Lei; Li, Mu; Zhang, Shuai; Si, Haipeng; Xue, Jingsong

    2015-02-01

    Nonunion and C1-C2 instability of odontoid fractures usually result from delayed diagnosis and inappropriate treatment. However, the available treatment options for odontoid fractures remain controversial. The authors evaluated the effectiveness of internal screw fixation via the C1 and C2 pedicle in cases of old odontoid fractures. This retrospective study included 21 patients with old odontoid fractures (13 men and 8 women; mean age, 46.5 years; range, 24-69 years). Internal screw fixation via the C1 and C2 pedicle was performed in all patients. Fracture reduction and C1-C2 fusion were assessed with imaging. The neck pain visual analog scale score and cervical spinal cord functional Japanese Orthopaedic Association score (for those who had cervical spinal cord injury) were used to evaluate the effectiveness of treatment. Postoperative complications were recorded. Postoperative imaging showed that the C1-C2 dislocation was satisfactorily repositioned in all patients. Bone fusion was observed 1 year after surgery in all patients. No loosening or breaking of internal fixation occurred. The preoperative neck pain visual analog scale score was 5.9±1.5 and improved significantly to 1.8±0.8 after surgery (PC2 pedicle was found to be an effective and safe surgical approach for the treatment of old odontoid fractures with C1-C2 dislocation or instability.

  19. Pedicle screw fixation against burst fracture of thoracolumbar vertebrae

    Institute of Scientific and Technical Information of China (English)

    L(U) Fu-xin; HUANG Yong; ZHANG Qiang; SHI Feng-lei; ZHAO Dong-sheng; HU Qiao

    2007-01-01

    Objective: To analyze the application of vertebral pedicle screw fixation in the treatment of burst fracture of thoracolumbar vertebrae.Methods: A total of 48 cases (31 males and 17 females, aged from 18-72 years, mean: 41.3 years) with thoracolumbar vertebrae burst fracture were treated by pedicle screw system since January 2004. According to the AO classification of thoracolumbar vertebrae fracture,there are 36 cases of Type A, 9 of Type B and 3 of Type C.Results: All patients were followed up for 6-25 months (average 12 months ), no secondary nerve root injury, spinal cord injury, loosening or breakage of pedicle screw were observed. The nerve function of 29 patients with cauda equina nerve injury was restored to different degrees. The vertebral body height returned to normal level and posterior process angle was rectified after operation.Conclusions: The vertebral pedicle screw internal fixation was technologically applicable, which can efficiently reposition and stablize the bursting fractured vertabrae,indirectly decompress canalis spinalis, maintain spine stablity, scatter stress of screw system, reduce the risk of loosening or breakage of screw and loss of vertebral height,and prevent the formation of posterior convex after operation.

  20. Rapid prototyping drill guide template for lumbar pedicle screw placement

    Institute of Scientific and Technical Information of China (English)

    LU Sheng; XU Yong-qing; ZHANG Yuan-zhi; LI Yan-bing; SHI Ji-hong; CHEN Guo-ping; CHEN Yu-bing

    2009-01-01

    To develop a novel method of spinal pedical stereotaxy by reverse engineering and rapid prototyping techniques, and to validate its accuracy by experimental and clinical studies. Methods: A 3D reconstruction model for the desired lumbar vertebra was generated by using the Mimics 10.11 software, and the optimal screw size and orientation were determined using the reverse engineering software. Afterwards, a drill template was created by reverse engi-neering principle, whose surface was the antitemplate of the vertebral surface. The drill template and its correspond-ing vertebra were manufactured using the rapid prototyping technique. Results: The accuracy of the drill template was con-firmed by drilling screw trajectory into the vertebral biomodel preoperatively. This method also showed its ability to cus-tomize the placement and size of each screw based on the unique morphology of the lumbar vertebra.The drill tem-plate fits the postural surface of the vertebra very well in the cadaver experiment. Postoperative CT scans for controlling the pedicle bore showed that the personalized template had a high precision in cadaver experiment and clinical application. No misplacement occurred by using the per-sonalized template. During surgery, no additional computer assistance was needed.Conclusions: The authors have developed a novel drill template for lumbar pedicle screw placement with good applicability and high accuracy. The potential use of drill templates to place lumbar pedicle screws is promising. Our methodology appears to provide an accurate technique and trajectory for pedicle screw placement in the lumbar spine.

  1. Robot-assisted Anterior Odontoid Screw Fixation: A Case Report.

    Science.gov (United States)

    Tian, Wei; Wang, Han; Liu, Ya-Jun

    2016-08-01

    Anterior odontoid screw fixation has been proved to be effective but technically challenging because the difficult approach is associated with high risks of screw malposition and damage to surrounding vital structures. Navigation techniques are therefore increasingly being used to improve safety and accuracy. However, no robot-assisted odontoid screw fixation has yet been reported. We here report a 61-year-old woman with a type II dens fracture on whom anterior odontoid screw fixation was performed under the guidance of a newly developed robotic system (TiRobot, co-designed by Beijing Jishuitan Hospital and TINAVI Medical Technologies). One odontoid screw was safely and accurately placed, the calculated deviation between the planned and actual positions being 0.9 mm. No intraoperative complications were identified and the patient was discharged on Day 5. Follow-up studies after 2 weeks showed good clinical and radiological results. We believe this is the first reported case of robot-assisted anterior odontoid screw fixation. We consider that complicated procedures can become feasible, safe and accurate using TiRobot systems.

  2. Bone Markers

    Science.gov (United States)

    ... markers may be seen in conditions such as: Osteoporosis Paget disease Cancer that has spread to the bone (metastatic bone disease) Hyperparathyroidism Hyperthyroidism Osteomalacia in adults and rickets in children—lack of bone mineralization, ...

  3. Bone scan

    Science.gov (United States)

    ... legs, or spine fractures) Diagnose a bone infection (osteomyelitis) Diagnose or determine the cause of bone pain, ... 2015:chap 43. Read More Broken bone Metabolism Osteomyelitis Review Date 12/10/2015 Updated by: Jatin ...

  4. Bone Cancer

    Science.gov (United States)

    Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another ... more common. There are three types of bone cancer: Osteosarcoma - occurs most often between ages 10 and ...

  5. Bone Diseases

    Science.gov (United States)

    Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly ... childhood and your teens, your body adds new bone faster than it removes old bone. After about ...

  6. The Use of Percutaneous Lumbar Fixation Screws for Bilateral Pedicle Fractures with an Associated Dislocation of a Lumbar Disc Prosthesis

    Directory of Open Access Journals (Sweden)

    William D. Harrison

    2013-01-01

    Full Text Available Study Design. Case report. Objective. To identify a safe technique for salvage surgery following complications of total disc replacement. Summary of Background Data. Lumbar total disc replacement (TDR is considered by some as the gold standard for discogenic back pain. Revision techniques for TDR and their complications are in their infancy. This case describes a successful method of fixation for this complex presentation. Methods and Results. A 48-year-old male with lumbar degenerative disc disease and no comorbidities. Approximately two weeks postoperatively for a TDR, the patient represented with acute severe back pain and the TDR polyethylene inlay was identified as dislocated anteriorly. Subsequent revision surgery failed immediately as the polyethylene inlay redislocated intraoperatively. Further radiology identified bilateral pedicle fractures, previously unseen on the plain films. The salvage fusion of L5/S1 reutilized the anterior approach with an interbody fusion cage and bone graft. The patient was then turned intraoperatively and redraped. The percutaneous pedicle screws were used to fix L5 to the sacral body via the paracoccygeal corridor. Conclusion. The robust locking screw in the percutaneous screw allowed a complete fixation of the pedicle fractures. At 3-year followup, the patient has an excellent result and has returned to playing golf.

  7. A STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME OF UNDISPLACED SCAPHOID FRACTURES TREATED WITH PERCUTANEOUS HEADLESS SCREW FIXATION

    Directory of Open Access Journals (Sweden)

    Tarigopula

    2016-04-01

    Full Text Available BACKGROUND Scaphoid is the most commonly fractured carpal bone, accounting for approximately 60% of all carpal fractures. This injury is commonly seen in active young adults after a fall on an outstretched hand. Management of scaphoid fractures is controversial. Displaced scaphoid fractures are associated with risk of non-union and osteonecrosis. Surgical fixation is recommended for displaced scaphoid fractures of proximal pole, fractures with delayed treatment or diagnosis and non-union. Open reduction and internal fixation of acute scaphoid fractures has been reported to give good results in several nonrandomised, retrospective studies. The incidence of complications after operative treatment of non-displaced fractures has decreased with the advent of safer, more reliable implants and percutaneous techniques. CONCLUSION Percutaneous headless screw fixation is a well-documented surgical procedure. Undisplaced scaphoid fractures fixed by percutaneous headless screw fixation yield better results than patients treated conservatively. Good range of motion is achieved after fixation. It relieves pain and functional disability experienced by patients. Patients achieve good range of motion. Trabecular continuity is achieved in most of the patients before 8 weeks. Most of the patients had resumed normal daily activities before 3 months. This study suggests that percutaneous headless screw fixation for undisplaced scaphoid fractures provides satisfactory clinical and radiographic outcomes after an intermediate duration follow-up. Even though the procedure is not free of complications, the overall functional and clinical outcome had shown good results.

  8. Fixation strength of biocomposite wedge interference screw in ACL reconstruction: effect of screw length and tunnel/screw ratio. A controlled laboratory study

    Directory of Open Access Journals (Sweden)

    Herrera Antonio

    2010-06-01

    Full Text Available Abstract Background Primary stability of the graft is essential in anterior cruciate ligament surgery. An optimal method of fixation should be easy to insert and provide great resistance against pull-out forces. A controlled laboratory study was designed to test the primary stability of ACL tendinous grafts in the tibial tunnel. The correlation between resistance to traction forces and the cross-section and length of the screw was studied. Methods The tibial phase of ACL reconstruction was performed in forty porcine tibias using digital flexor tendons of the same animal. An 8 mm tunnel was drilled in each specimen and two looped tendons placed as graft. Specimens were divided in five groups according to the diameter and length of the screw used for fixation. Wedge interference screws were used. Longitudinal traction was applied to the graft with a Servohydraulic Fatigue System. Load and displacement were controlled and analyzed. Results The mean loads to failure for each group were 295,44 N (Group 1; 9 × 23 screw, 564,05 N (Group 2; 9 × 28, 614,95 N (Group 3; 9 × 35, 651,14 N (Group 4; 10 × 28 and 664,99 (Group 5; 10 × 35. No slippage of the graft was observed in groups 3, 4 and 5. There were significant differences in the load to failure among groups (ANOVA/P Conclusions Longer and wider interference screws provide better fixation in tibial ACL graft fixation. Short screws (23 mm do not achieve optimal fixation and should be implanted only with special requirements.

  9. Prediction of Deformity Correction by Pedicle Screw Instrumentation in Thoracolumbar Scoliosis Surgery

    Science.gov (United States)

    Kiriyama, Yoshimori; Yamazaki, Nobutoshi; Nagura, Takeo; Matsumoto, Morio; Chiba, Kazuhiro; Toyama, Yoshiaki

    In segmental pedicle screw instrumentation, the relationship between the combinations of pedicle screw placements and the degree of deformity correction was investigated with a three-dimensional rigid body and spring model. The virtual thoracolumbar scoliosis (Cobb’s angle of 47 deg.) was corrected using six different combinations of pedicle-screw placements. As a result, better correction in the axial rotation was obtained with the pedicle screws placed at or close to the apical vertebra than with the screws placed close to the end vertebrae, while the correction in the frontal plane was better with the screws close to the end vertebrae than with those close to the apical vertebra. Additionally, two screws placed in the convex side above and below the apical vertebra provided better correction than two screws placed in the concave side. Effective deformity corrections of scoliosis were obtained with the proper combinations of pedicle screw placements.

  10. The influence of screw configuration on the pretreatment performance of a continuous twin screw-driven reactor (CTSR).

    Science.gov (United States)

    Choi, Chang Ho; Um, Byung-Hwan; Oh, Kyeong Keun

    2013-03-01

    A combination of a continuous twin screw-driven reactor (CTSR) and a dilute acid pretreatment was used for the pretreatment of biomass with a high cellulose content and high monomeric xylose hydrolyzate. With the newly modified CTSR screw configuration (Config. 3), the influences of the screw rotational speed (30-60 rpm), of the pretreatment conditions such as acid concentration (1-5%) and reaction temperature (160-175 °C) at the operating condition of biomass feeding rate (1.0 g/min) and acid feeding rate (13.4 mL/min) on the pretreatment performance were investigated. The cellulose content in the pretreated rape straw was 67.1% at the following optimal conditions: barrel temperature of 165 °C, acid concentration of 3.0% (w/v), and screw rotational speed of 30 rpm. According to the three screw configurations, the glucose yields from enzymatic hydrolysis were 70.1%, 72.9%, and 78.7% for screw Configs. 1, 2, and 3, respectively.

  11. Investigation of an 11mm diameter twin screw granulator: Screw element performance and in-line monitoring via image analysis.

    Science.gov (United States)

    Sayin, Ridade; Martinez-Marcos, Laura; Osorio, Juan G; Cruise, Paul; Jones, Ian; Halbert, Gavin W; Lamprou, Dimitrios A; Litster, James D

    2015-12-30

    As twin screw granulation (TSG) provides one with many screw element options, characterization of each screw element is crucial in optimizing the screw configuration in order to obtain desired granule attributes. In this study, the performance of two different screw elements - distributive feed screws and kneading elements - was studied in an 11 mm TSG at different liquid-to-solid (L/S) ratios. The kneading element configuration was found to break large granules more efficiently, leading to narrower granule size distributions. While pharmaceutical industry shifts toward continuous manufacturing, inline monitoring and process control are gaining importance. Granules from an 11 mm TSG were analysed using the Eyecon™, a real-time high speed direct imaging system, which has been used to capture accurate particle size distribution and particle count. The size parameters and particle count were then assessed in terms of their ability to be a suitable control measure using the Shewhart control charts. d10 and particle count were found to be good indicators of the change in L/S ratio. However, d50 and d90 did not reflect the change, due to their inherent variability even when the process is at steady state.

  12. Ipsilateral pedicle screw placement with contralateral percutaneous facet screws: Early results with an alternative in lumbar arthrodesis

    Directory of Open Access Journals (Sweden)

    Richard B Rhiew

    2009-03-01

    Full Text Available Richard B Rhiew, Sunil Manjila, Andrew M Lozen, David Hong, Murali Guthikonda, S S RengacharyDepartment of Neurosurgery, Wayne State University, Detroit, MI, USAAbstract: Transforaminal lumbar interbody fusion (TLIF is a widely used method of surgical treatment for a variety of lumbar spinal disorders. Bilateral transpedicular instrumentation is routinely used in conjunction with an interbody graft to provide additional stability. In this technical note, we describe our fusion construct using ipsilateral pedicle screw placement on the side of TLIF and contralateral facet screw placement. We performed this construct at six levels in four patients. Suggested advantages include: low morbidity, small incision and lower cost. Outcomes parameters included radiographic evidence of solid union at four months and improvement in Oswestry Disability Index. A mean improvement from a preoperative score of 73 to 26 after surgery was observed at one-year follow-up. There were no instrument-related complications. In conclusion, this hybrid screw system minimizes contralateral dissection and is an attractive alternative to standard bilateral pedicle screw fixation.Keywords: TLIF, facet screw, pedicle screw, lumbar spine fusion

  13. Maxillo Mandibular Fixation in Edentulous Scenarios: Combined MMF Screws and Gunning Splints.

    Science.gov (United States)

    Chaudhary, Zainab; Sharma, Rakesh; Krishnan, Sriram

    2014-06-01

    A fracture of the maxillary or mandibular bone requires the afflicted to undergo a maxillo mandibular fixation for the establishment of pre traumatic occlusion. This process is quiet tedious and consumes a considerable period of time before any surgical procedure can commence. Such a situation can be complicated in case the individual with maxillomandibular fracture has sparse or absent dentition; for such cases a splint is fabricated or an erstwhile existing denture is used for maintaining a vertical jaw proportion. Stabilizing such splints to the jaw requires various invasive approaches that can bring into harm's way, adjacent soft tissue vital structures. We describe here an innovative technique combining the time tested method of the "gunning splint" and the advanced minimally invasive MMF screws for obtaining closed reduction in edentulous jaw fractures.

  14. Helical Screw Expander Evaluation Project. Final report

    Energy Technology Data Exchange (ETDEWEB)

    McKay, R.

    1982-03-01

    A functional 1-MW geothermal electric power plant that featured a helical screw expander was produced and then tested in Utah in 1978 to 1979 with a demonstrated average performance of approximately 45% machine efficiency over a wide range of test conditions in noncondensing operation on two-phase geothermal fluids. The Project also produced a computer-equipped data system, an instrumentation and control van, and a 1000-kW variable load bank, all integrated into a test array designed for operation at a variety of remote test sites. Additional testing was performed in Mexico in 1980 under a cooperative test program using the same test array, and machine efficiency was measured at 62% maximum with the rotors partially coated with scale, compared with approximately 54% maximum in Utah with uncoated rotors, confirming the importance of scale deposits within the machine on performance. Data are presented for the Utah testing and for the noncondensing phases of the testing in Mexico. Test time logged was 437 hours during the Utah tests and 1101 hours during the Mexico tests.

  15. PEACH POMACE PROCESSING USING TWIN SCREW EXTRUSION

    Directory of Open Access Journals (Sweden)

    Preetam Sarkar

    2014-02-01

    Full Text Available Fruit by-products have found limited applications in the food industry. They have been primarily used as animal feed, applied to agricultural land for soil amendment or composted and applied to farms for growing crops. Some of these disposal methods are not environment friendly, while others are costly. This study was undertaken to examine the possibility of utilizing peach pomace as a source of soluble dietary fiber in expanded extruded food products. Peach pomace was combined with rice flour at four different levels. The four blends were mixed, dried to a moisture level of 13.5% (w/w and ground to flour. These blends were extruded in a twin-screw extruder (Clextral EV-25 at a feed flow rate of 15 kg/h. The extruded products were analyzed for physical and textural properties. The apparent and true densities for the extrudates decreased from 183.93 to 133.94 kg/m3 and 1275.31 to 1171.2 kg/m3, respectively. A linear increase in extrudate porosity (85.11-88.54% and radial expansion ratio (13.5-19.3 and a steady decrease in breaking strength (104-50.74 kPa were observed with increasing peach pomace level in the blends. This study demonstrates the potential of extrusion processing as a tool for fruit by-product utilization, which will not only enhance consumption of soluble dietary fiber but will also increase the overall fruit utilization.

  16. Bone reactions adjacent to titanium implants subjected to static load. A study in the dog (I)

    DEFF Research Database (Denmark)

    Gotfredsen, K; Berglundh, T; Lindhe, J

    2001-01-01

    The aim of the study was to evaluate the effect of lateral static load induced by an expansion force on the bone/implant interface and adjacent peri-implant bone. In 3 beagle dogs, the 2nd, 3rd and 4th mandibular premolars were extracted bilaterally. Twelve weeks later 8 implants of the ITI Dental...... Implant System were placed in each dog. Crowns connected in pairs were screwed on the implants 12 weeks after implant installation. The connected crowns contained an orthodontic expansion screw yielding 4 loading units in each dog. Clinical registrations, standardized radiographs and fluorochrome labeling...... were carried out during the 24-week loading period. Biopsies were harvested and processed for ground sectioning. The sections were subjected to histological examination. No evident marginal bone loss was observed at either test or control sites. The bone density and the mineralized bone-to-implant...

  17. Sacroiliac secure corridor: analysis for safe insertion of iliosacral screws

    Directory of Open Access Journals (Sweden)

    Henrique Alves Cruz

    2013-08-01

    Full Text Available OBJECTIVE: Posterior pelvic lesions, especially of the sacral-iliac joint, have high mortality and morbidity risks. Definitive fixation is necessary for the joint stabilization, and one option is the sacral percutaneous pinning with screws. Proximity to important structures to this region brings risks to the fixation procedure; therefore, it is important to know the tridimensional anatomy of the pelvis posterior region. Deviations of the surgeon's hand of four degrees may target the screws to those structures; dimorphisms of the upper sacrum and a poor lesion reduction may redound in a screw malpositioning. This study is aimed to evaluate the dimensions of a safe surgical corridor for safe sacroiliac screw insertion and relations with age and sex of the patients. METHOD: One hundred randomly selected pelvis CTs of patients with no pelvic diseases, seen at a tertiary care teaching Hospital. Measurements were made by computer and the safest area for screw insertion was calculated by two methods. The results were expressed in mm (not in degrees, in order to be a further surgical reference. RESULTS: There was a significant size difference in the analyzed sacral vertebra, differing on a wider size in men than in women. There was no significant statistical difference between vertebral size and age. By both methods, a safe area for screw insertion could be defined. CONCLUSION: Age does not influence the width of the surgical corridor. The surgeon has a safe corridor considered narrower when inserting screws in a female pelvis than when in a male one. However, as the smallest vertebra found (feminine was considered for statics, it was concluded that this corridor is 20 mm wide in any direction, taking as a reference the centrum of the vertebra.

  18. Studies on positive conveying in helically channeled single screw extruders

    Directory of Open Access Journals (Sweden)

    L. Pan

    2012-07-01

    Full Text Available A solids conveying theory called double-flight driving theory was proposed for helically channeled single screw extruders. In the extruder, screw channel rotates against static barrel channel, which behaves as cooperative embedded twin-screws for the positive conveying. They turn as two parallel arc plates, between which an arc-plate solid-plug was assumed. By analyzing the forces on the solid-plug in the barrel channel and screw channel, the boundary conditions when the solid-plug is waived of being cut off on barrel wall, were found to have the capacity of the positive conveying. Experimental data were obtained using a specially designed extruder with a helically channeled barrel in the feeding zone and a pressure-adjustable die. The effects of the barrel channel geometry and friction coefficients on the conveying mechanism were presented and compared with the experimental results. The simulations showed that the positive conveying could be achieved after optimizing extruder designs. Compared with the traditional design with the friction-drag conveying, the throughput is higher while screw torque and energy consumption are decreased. Besides, the design criteria of the barrel channel were also discussed.

  19. Numerical simulation of a twin screw expander for performance prediction

    Science.gov (United States)

    Papes, Iva; Degroote, Joris; Vierendeels, Jan

    2015-08-01

    With the increasing use of twin screw expanders in waste heat recovery applications, the performance prediction of these machines plays an important role. This paper presents a mathematical model for calculating the performance of a twin screw expander. From the mass and energy conservation laws, differential equations are derived which are then solved together with the appropriate Equation of State in the instantaneous control volumes. Different flow processes that occur inside the screw expander such as filling (accompanied by a substantial pressure loss) and leakage flows through the clearances are accounted for in the model. The mathematical model employs all geometrical parameters such as chamber volume, suction and leakage areas. With R245fa as working fluid, the Aungier Redlich-Kwong Equation of State has been used in order to include real gas effects. To calculate the mass flow rates through the leakage paths formed inside the screw expander, flow coefficients are considered as constant and they are derived from 3D Computational Fluid Dynamic calculations at given working conditions and applied to all other working conditions. The outcome of the mathematical model is the P-V indicator diagram which is compared to CFD results of the same twin screw expander. Since CFD calculations require significant computational time, developed mathematical model can be used for the faster performance prediction.

  20. Numerical and experimental study of an Archimedean Screw Generator

    Science.gov (United States)

    Dellinger, G.; Garambois, P.-A.; Dufresne, M.; Terfous, A.; Vazquez, J.; Ghenaim, A.

    2016-11-01

    Finding new, safe and renewable energy is becoming more and more of a priority with global warming. One solution that is gaining popularity is the Archimedean Screw Generator (ASG). This kind of hydroelectric plant allows transforming potential energy of a fluid into mechanical energy and is convenient for low-head hydraulic sites. As it is a new and growing technology, there are few references dealing with their design and performance optimization. The present contribution proposes to investigate experimentally and numerically the ASG performances. The experimental study is performed for various flow conditions and a laboratory scale screw device installed at the fluid mechanics laboratory of the INSA of Strasbourg. The first results show that the screw efficiencies are higher than 80% for various hydraulic conditions. In order to study the structure of 3D turbulent flows and energy losses in a screw, the 3D Navier Stokes equations are solved with the k-w SST turbulence model. The exact geometry of the laboratory-scale screw was used in these simulations. Interestingly, the modeled values of efficiency are in fairly good agreement with experimental results while any friction coefficient is involved.

  1. Percutaneous Iliac Screws for Minimally Invasive Spinal Deformity Surgery

    Directory of Open Access Journals (Sweden)

    Michael Y. Wang

    2012-01-01

    Full Text Available Introduction. Adult spinal deformity (ASD surgeries carry significant morbidity, and this has led many surgeons to apply minimally invasive surgery (MIS techniques to reduce the blood loss, infections, and other peri-operative complications. A spectrum of techniques for MIS correction of ASD has thus evolved, most recently the application of percutaneous iliac screws. Methods. Over an 18 months 10 patients with thoracolumbar scoliosis underwent MIS surgery. The mean age was 73 years (70% females. Patients were treated with multi-level facet osteotomies and interbody fusion using expandable cages followed by percutaneous screw fixation. Percutaneous iliac screws were placed bilaterally using the obturator outlet view to target the ischial body. Results. All patients were successfully instrumented without conversion to an open technique. Mean operative time was 302 minutes and the mean blood loss was 480 cc, with no intraoperative complications. A total of 20 screws were placed successfully as judged by CT scanning to confirm no bony violations. Complications included: two asymptomatic medial breaches at T10 and L5, and one patient requiring delayed epidural hematoma evacuation. Conclusions. Percutaneous iliac screws can be placed safely in patients with ASD. This MIS technique allows for successful caudal anchoring to stress-shield the sacrum and L5-S1 fusion site in long-segment constructs.

  2. Treatment of scaphoid waist fractures with the HCS screw

    Directory of Open Access Journals (Sweden)

    Gehrmann, Sebastian V.

    2014-11-01

    Full Text Available The aim of the study was to evaluate the clinical results of the Headless Compression Screw (HCS, Synthes when used for treatment of acute scaphoid waist fractures. The new screw design generates interfragmentary compression with use of a compression sleeve. Twenty-one patients were treated for acute scaphoid waist fractures type B2 with HCS screws. The average time to the final follow-up examination was 12.8 months. All 21 fractures united after a mean time of 7.2 weeks. The mean DASH score was 7.1. The average motion of the wrist in extension was 61°, flexion was 46°, radial abduction reached 25° and the ulnar abduction was 31°. The maximally achieved grip strength was 86% compared to the uninjured side. Treatment of type B2 scaphoid fractures with the Headless Compression Screw showed good functional and radiographic results. The results are similar to those identified using other screw fixation systems.

  3. Screw dislocations in GaN grown by different methods

    Energy Technology Data Exchange (ETDEWEB)

    Liliental-Weber, Z.; Zakharov, D.; Jasinski, J.; O' Keefe, M.A.; Morkoc, H.

    2003-05-27

    A study of screw dislocations in Hydride-Vapor-Phase-Epitaxy (HVPE) template and Molecular-Beam-Epitaxy (MBE) over-layers was performed using Transmission Electron Microscopy (TEM) in plan-view and in cross-section. It was observed that screw dislocations in the HVPE layers were decorated by small voids arranged along the screw axis. However, no voids were observed along screw dislocations in MBE overlayers. This was true both for MBE samples grown under Ga-lean and Ga-rich conditions. Dislocation core structures have been studied in these samples in the plan-view configuration. These experiments were supported by image simulation using the most recent models. A direct reconstruction of the phase and amplitude of the scattered electron wave from a focal series of high-resolution images was applied. It was shown that the core structures of screw dislocations in the studied materials were filled. The filed dislocation cores in an MBE samples were stoichiometric. However, in HVPE materials, single atomic columns show substantial differences in intensities and might indicate the possibility of higher Ga concentration in the core than in the matrix. A much lower intensity of the atomic column at the tip of the void was observed. This might suggest presence of lighter elements, such as oxygen, responsible for their formation.

  4. Screw theoretic view on dynamics of spatially compliant beam

    Institute of Scientific and Technical Information of China (English)

    Xi-lun DING; J.M.SELIG

    2010-01-01

    Beams with spatial compliance can be deformed as bending in a plane,twisting,and extending.In terms of the screw theory on rigid body motions,the concept of"deflection screw"is introduced,a spatial compliant beam theory via the deflection screw is proposed,and the spatial compliance of such a beam system is presented and analysed based on the material theory and fundamental kinematic assumptions.To study the dynamics of the spatially compliant beam,the potential energy and the kinetic energy of the beam are discussed by using the screw theory to obtain the Lagrangian.The Rayleigh-Ritz method is used to compute the vibrational frequencies based on discussions of boundary conditions and shape functions.The eigenfrequencies of the beam with spatial compliance are compared with those of individual deformation cases,pure bending,extension,or torsion.Finally,dynamics of a robot with two spatial compliant links and perpendicular joints is studied using the spatial compliant beam theory.Coupling between the joint rigid body motions and the deformations of spatial compliant links can easily be found in dynamic simulation.The study shows the effectiveness of using the screw theory to deal with the problems of dynamic modeling and analysis of mechanisms with spatially compliant links.

  5. Application of C2 Transpedicular Screw Fixation Combined with C3 Lateral Mass Screw Plate Fixation in Posterior Treatment of Old Hangman's Fracture%经后路C2椎弓根C3侧块短节段固定治疗陈旧性枢椎椎弓骨折

    Institute of Scientific and Technical Information of China (English)

    曹成刚; 梁益建; 何睿; 石化洋; 曾勇; 陈伶

    2012-01-01

    Objective To approach the therapeutic effect of C2 transpedicular screw fixation combined with C3 lateral mass screw plate fixation on old Hangman' s fracture. Methods Nine patients with old Hangman' s fracture were treated with C2 transpedicular screw fixation combined with C3 lateral mass screw plate fixation as well as bone gr'aft fusion in our hospital from 2002. Results A mean follow-up time was 8 months(6 to 15 months). All cases got bony union. No infection, neurological deficits, or other complications were found. Conclusion It can be an effective and simple way to treat old Hangman' s fracture with C2 transpedicular screw fixation combined with C3 lateral mass screw plate fixation, which can ultimately preserve the cervical function.%目的 探讨经后路C2椎弓根C3侧块短节段内固定治疗陈旧性枢椎椎弓骨折(Hangman骨折)的疗效.方法 2002年以来9例陈旧性Hangman骨折采用经后路C2椎弓根C3侧块短节段固定,植骨融合治疗.结果 所有患者随访6~15个月,平均8个月.所有患者均骨性愈合,未出现感染、神经损伤等并发症.结论 经后路C2椎弓根C3侧块短节段内固定治疗陈旧性Hangman骨折是一种安全有效并能最大程度保留患者颈部功能的方法.

  6. Bone Densitometry (Bone Density Scan)

    Science.gov (United States)

    ... of DXA Bone Densitometry? What is a Bone Density Scan (DXA)? Bone density scanning, also called dual-energy x-ray absorptiometry ( ... is today's established standard for measuring bone mineral density (BMD). An x-ray (radiograph) is a noninvasive ...

  7. Screw Performance Degradation Assessment Based on Quantum Genetic Algorithm and Dynamic Fuzzy Neural Network

    Directory of Open Access Journals (Sweden)

    Xiaochen Zhang

    2015-01-01

    Full Text Available To evaluate the performance of ball screw, screw performance degradation assessment technology based on quantum genetic algorithm (QGA and dynamic fuzzy neural network (DFNN is studied. The ball screw of the CINCINNATIV5-3000 machining center is treated as the study object. Two Kistler 8704B100M1 accelerometers and a Kistler 8765A250M5 three-way accelerometer are installed to monitor the degradation trend of screw performance. First, screw vibration signal features are extracted both in time domain and frequency domain. Then the feature vectors can be obtained by principal component analysis (PCA. Second, the initialization parameters of the DFNN are optimized by means of QGA. Finally, the feature vectors are inputted to DFNN for training and then get the screw performance degradation model. The experiment results show that the screw performance degradation model could effectively evaluate the performance of NC machine screw.

  8. FEM evaluation of cemented-retained versus screw-retained dental implant single-tooth crown prosthesis

    Science.gov (United States)

    Cicciu, Marco; Bramanti, Ennio; Matacena, Giada; Guglielmino, Eugenio; Risitano, Giacomo

    2014-01-01

    Prosthetic rehabilitation of partial or total edentulous patients is today a challenge for clinicians and dental practitioners. The application of dental implants in order to recover areas of missing teeth is going to be a predictable technique, however some important points about the implant angulation, the stress distribution over the bone tissue and prosthetic components should be well investigated for having final long term clinical results. Two different system of the prosthesis fixation are commonly used. The screw retained crown and the cemented retained one. All of the two restoration techniques give to the clinicians several advantages and some disadvantages. Aim of this work is to evaluate all the mechanical features of each system, through engineering systems of investigations like FEM and Von Mises analyses. The FEM is today a useful tool for the prediction of stress effect upon material and biomaterial under load or strengths. Specifically three different area has been evaluated through this study: the dental crown with the bone interface; the passant screw connection area; the occlusal surface of the two different type of crown. The elastic features of the materials used in the study have been taken from recent literature data. Results revealed an adequate response for both type of prostheses, although cemented retained one showed better results over the occlusal area. PMID:24955150

  9. FEM evaluation of cemented-retained versus screw-retained dental implant single-tooth crown prosthesis.

    Science.gov (United States)

    Cicciu, Marco; Bramanti, Ennio; Matacena, Giada; Guglielmino, Eugenio; Risitano, Giacomo

    2014-01-01

    Prosthetic rehabilitation of partial or total edentulous patients is today a challenge for clinicians and dental practitioners. The application of dental implants in order to recover areas of missing teeth is going to be a predictable technique, however some important points about the implant angulation, the stress distribution over the bone tissue and prosthetic components should be well investigated for having final long term clinical results. Two different system of the prosthesis fixation are commonly used. The screw retained crown and the cemented retained one. All of the two restoration techniques give to the clinicians several advantages and some disadvantages. Aim of this work is to evaluate all the mechanical features of each system, through engineering systems of investigations like FEM and Von Mises analyses. The FEM is today a useful tool for the prediction of stress effect upon material and biomaterial under load or strengths. Specifically three different area has been evaluated through this study: the dental crown with the bone interface; the passant screw connection area; the occlusal surface of the two different type of crown. The elastic features of the materials used in the study have been taken from recent literature data. Results revealed an adequate response for both type of prostheses, although cemented retained one showed better results over the occlusal area.

  10. Bone marrow aspiration

    Science.gov (United States)

    Iliac crest tap; Sternal tap; Leukemia - bone marrow aspiration; Aplastic anemia - bone marrow aspiration; Myelodysplastic syndrome - bone marrow aspiration; Thrombocytopenia - bone marrow aspiration; Myelofibrosis - bone marrow aspiration

  11. Instantaneous screws of weight-bearing knee: what can the screws tell us about the knee motion.

    Science.gov (United States)

    Wolf, Alon

    2014-07-01

    There are several ways to represent a given object's motion in a 3D space having 6DOF i.e., three translations and three rotations. Some of the methods that are used are mathematical and do not provide any geometrical insight into the nature of the motion. Screw theory is a mathematical, while at the same time, geometrical method in which the 6DOF motion of an object can be represented. We describe the 6DOF motion of a weight-bearing knee by its screw parameters, that are extracted from 3D Optical Reflective motion capture data. The screw parameters which describe the transformation of the shank with respect to the thigh in each two successive frames, is represented as the instantaneous screw axis of the motion given in its Plücker line coordinate, along with its corresponding pitch and intensity values. Moreover, the Striction curve associated with the motion provides geometrical insight into the nature of the motion and its repeatability. We describe the theoretical background and demonstrate what the screw can tell us about the motion of healthy subjects' knee.

  12. Odontoid screw fixation for fresh and remote fractures

    Directory of Open Access Journals (Sweden)

    Rao Ganesh

    2005-01-01

    Full Text Available Fractures of the odontoid process are common, accounting for 10% to 20% of all cervical spine fractures. Odontoid process fractures are classified into three types depending on the location of the fracture line. Various treatment options are available for each of these fracture types and include application of a cervical orthosis, direct anterior screw fixation, and posterior cervical fusion. If a patient requires surgical treatment of an odontoid process fracture, the timing of treatment may affect fusion rates, particularly if direct anterior odontoid screw fixation is selected as the treatment method. For example, type II odontoid fractures treated within the first 6 months of injury with direct anterior odontoid screw fixation have an 88% fusion rate, whereas fractures treated after 18 months have only a 25% fusion rate. In this review, we discuss the etiology, biomechanics, diagnosis, and treatment (including factors affecting fusion such as timing and fracture orientation options available for odontoid process fractures.

  13. Error Analysis of Robotic Assembly System Based on Screw Theory

    Institute of Scientific and Technical Information of China (English)

    韩卫军; 费燕琼; 赵锡芳

    2003-01-01

    Assembly errors have great influence on assembly quality in robotic assembly systems. Error analysis is directed to the propagations and accumula-tions of various errors and their effect on assembly success.Using the screw coordinates, assembly errors are represented as "error twist", the extremely compact expression. According to the law of screw composition, relative position and orientation errors of mating parts are computed and the necessary condition of assembly success is concluded. A new simple method for measuring assembly errors is also proposed based on the transformation law of a screw.Because of the compact representation of error, the model presented for error analysis can be applied to various part- mating types and especially useful for error analysis of complexity assembly.

  14. Optically driven Archimedes micro-screws for micropump application.

    Science.gov (United States)

    Lin, Chih-Lang; Vitrant, Guy; Bouriau, Michel; Casalegno, Roger; Baldeck, Patrice L

    2011-04-25

    Archimedes micro-screws have been fabricated by three-dimensional two-photon polymerization using a Nd:YAG Q-switched microchip laser at 532nm. Due to their small sizes they can be easily manipulated, and made to rotate using low power optical tweezers. Rotation rates up to 40 Hz are obtained with a laser power of 200 mW, i.e. 0.2 Hz/mW. A photo-driven micropump action in a microfluidic channel is demonstrated with a non-optimized flow rate of 6 pL/min. The optofluidic properties of such type of Archimedes micro-screws are quantitatively described by the conservation of momentum that occurs when the laser photons are reflected on the helical micro-screw surface.

  15. Augmentation of Pedicle Screw Fixation with Calcium Phosphate Cement

    Institute of Scientific and Technical Information of China (English)

    YANG Shu-hua; FU De-hao; LI Jin; XU Wei-hua; YANG Cao; YE Zhe-wei; ZUO Xiao-yan

    2004-01-01

    To determine whether a biodegradable calcium phosphate cement(CPC) provides significant augmentation of pedicle screw fixation or not,an in vitro biomechanical study was carried out to evaluate the biomechanical effect of CPC in the restoration and augmentation of pedicle screw fixation.Axial pullout test and cyclic bending resistance test were employed in the experiment,and polymethylmethacrylate (PMMA) was chosen as control.The results demonstrate that the pullout strengths following CPC restoration and augmentation are 74% greater on an average than those of the control group,but less than those of PMMA restoration group and augmentation group respectively (increased by 126% versus control).In cyclic bending resistance test,the CPC augmented screws are found to withstand a greater number of cycles or greater loading with less displacement before loosening,but the augmentation effect of PMMA is greater than that of CPC.

  16. Femoral stiffness after osteosynthesis of a subcapital osteotomy in osteoporotic bone: an in-vitro comparison of nine fixation methods.

    Science.gov (United States)

    Hernefalk, L; Messner, K

    1995-01-01

    Restitution of normal bone mechanics after osteosynthesis of a proximal femoral fracture in the elderly is assumed to be a prerequisite for optimal healing. To find the most appropriate fixation device for this purpose, the stiffness of 79 cadaver femora from donors with a history of osteoporosis was measured during axial loading before and after a subcapital osteotomy stabilized with one of nine different osteosynthesis devices. Only an osteotomy stabilized with an experimental device consisting of 2 von Bahr screws (Ericsson AB, Göteborg, Sweden) supported by acrylic cement gave similar mean values as the intact femur. A femur stabilized with the Deyerle device (Biomet, Bridge End, Wales, U.K.), with cannulated screws type Uppsala (Olmed AB, Uppsala, Sweden), or with von Bahr screws had an approximately 20-30% lower stiffness than tested intact. However, these devices provided a higher femoral stiffness than the hook-pin technique type LiH (Söderström AB, Gothenburg, Sweden), cannulated screws (Smith & Nephew, Memphis, TN, U.S.A.), a sliding screw plate (Smith & Nephew), a compression screw with variable length (Biomet), or an experimental screw providing expansion and compression. Despite attempted compression of the osteotomy by some of the devices, all of the commercially available devices resulted in a decrease of femoral stiffness after fixation, which may adversely influence the healing of femoral neck fractures in the elderly. Only a combination of screws and bone cement resulted in normal femoral stiffness, probably because of better device anchorage in the osteoporotic cancellous bone. However, this combination might have the potential risk of vascular damage.

  17. Comparison of magnesium alloys and poly-l-lactide screws as degradable implants in a canine fracture model.

    Science.gov (United States)

    Marukawa, Eriko; Tamai, Masato; Takahashi, Yukinobu; Hatakeyama, Ichiro; Sato, Masaru; Higuchi, Yusuke; Kakidachi, Hiroshi; Taniguchi, Hirofumi; Sakamoto, Takamitsu; Honda, Jun; Omura, Ken; Harada, Hiroyuki

    2016-10-01

    The aims of this study were to evaluate in vivo the biological responses to implants composed of biodegradable anodized WE43 (containing magnesium yttrium, rare earth elements and zirconium; Elektron SynerMag®) magnesium alloy, monolithic WE43 magnesium alloy and poly-l-lactic acid (PLLA), which are commonly used materials in clinic settings, and to evaluate the effectiveness of the materials as bone screws. The effectiveness of the magnesium alloy implants in osteosynthesis was evaluated using a bone fracture model involving the tibia of beagle dogs. For the monolithic WE43 implants, radiological, and histological evaluation revealed that bone trabeculae around the implanted monolithic WE43 decreased because of an inflammatory response. However, there was no damage due to hydrogen gas or inflammatory response in the bone tissue around the anodized WE43 implants. After 4 weeks, all the PLLA implants (n = 3) had broken but the WE43 implants had not (n = 6). These results suggest that the WE43 implants had sufficient strength to fix bone fractures at load-bearing sites in orthopedic and oral maxillofacial surgery. Therefore, these biodegradable magnesium alloys are good candidates for replacing biodegradable polymers. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 1282-1289, 2016.

  18. Free-hand thoracic pedicle screws placed by neurosurgery residents: a CT analysis

    OpenAIRE

    Wang, Vincent Y.; Chin, Cynthia T.; Lu, Daniel C.; Smith, Justin S.; Chou, Dean

    2010-01-01

    Free-hand thoracic pedicle screw placement is becoming more prevalent within neurosurgery residency training programs. This technique implements anatomic landmarks and tactile palpation without fluoroscopy or navigation to place thoracic pedicle screws. Because this technique is performed by surgeons in training, we wished to analyze the rate at which these screws were properly placed by residents by retrospectively reviewing the accuracy of resident-placed free-hand thoracic pedicle screws u...

  19. A locked hip screw-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft.

    Science.gov (United States)

    Alho, A; Ekeland, A; Grøgaard, B; Dokke, J R

    1996-01-01

    Twenty-seven patients with complex femoral fractures (combined shaft and proximal femoral fractures) were treated with a modified Grosse-Kempf slotted locking nail (cephalomedullary nail), wherein two screws were inserted in the hip. Four types of complex, multifocal femoral fractures were represented in the series. Eleven of the femoral shaft fractures were secondary to a previous, internally fixed, not yet united hip fracture (type I). Ten comminuted peritrochanteric fractures occurred in normal bone (type II). Three similar fractures were pathologic because of metastasis. Two patients had an ipsilateral fracture of the femoral shaft and the trochanteric area (type III), and one of the shaft and the femoral neck (type IV). Locking was made static in 24 cases. Additional cerclage wiring was used in three type II fractures. Five complications were as follows: one cutting out of a screw in the femoral head, two fractures of the nail, one deep venous thrombosis, and one wound hematoma. Reoperations were two salvage operations using a new nail and one evacuation of hematoma. One patient with multiple injuries and four elderly patients died within 2 months. Eighteen patients with fractures in normal bone were followed for a median of 20 (6 to 37) months. All fractures united. Two nails were removed. The end result was excellent in ten patients, good in seven, and fair in one (2-cm shortening and 20-degree external rotation). We conclude that a locked intramedullary construct with locking screws in femoral neck and distal femur controls a complex fracture situation well.

  20. Screw-in forces during instrumentation by various file systems

    Science.gov (United States)

    2016-01-01

    Objectives The purpose of this study was to compare the maximum screw-in forces generated during the movement of various Nickel-Titanium (NiTi) file systems. Materials and Methods Forty simulated canals in resin blocks were randomly divided into 4 groups for the following instruments: Mtwo size 25/0.07 (MTW, VDW GmbH), Reciproc R25 (RPR, VDW GmbH), ProTaper Universal F2 (PTU, Dentsply Maillefer), and ProTaper Next X2 (PTN, Dentsply Maillefer, n = 10). All the artificial canals were prepared to obtain a standardized lumen by using ProTaper Universal F1. Screw-in forces were measured using a custom-made experimental device (AEndoS-k, DMJ system) during instrumentation with each NiTi file system using the designated movement. The rotation speed was set at 350 rpm with an automatic 4 mm pecking motion at a speed of 1 mm/sec. The pecking depth was increased by 1 mm for each pecking motion until the file reach the working length. Forces were recorded during file movement, and the maximum force was extracted from the data. Maximum screw-in forces were analyzed by one-way ANOVA and Tukey's post hoc comparison at a significance level of 95%. Results Reciproc and ProTaper Universal files generated the highest maximum screw-in forces among all the instruments while M-two and ProTaper Next showed the lowest (p < 0.05). Conclusions Geometrical differences rather than shaping motion and alloys may affect the screw-in force during canal instrumentation. To reduce screw-in forces, the use of NiTi files with smaller cross-sectional area for higher flexibility is recommended. PMID:27847752

  1. The best location for proximal locking screw for femur interlocking nailing: A biomechanical study

    Directory of Open Access Journals (Sweden)

    Ahmet A Karaarslan

    2016-01-01

    Conclusion: According to our findings, there is twice as much difference in locking screw bending resistance between these two application levels. To avoid proximal locking screw deformation, locking screws should be placed in the level of the lesser trochanter in nailing of 1/3 middle and distal femur fractures.

  2. Posterior cervical spine arthrodesis with laminar screws: a report of two cases

    Directory of Open Access Journals (Sweden)

    Sugimoto,Yoshihisa

    2007-04-01

    Full Text Available We performed fixation using laminar screws in 2 patients in whom lateral mass screws, pedicle screws or transarticular screws could not be inserted. One was a 56-year-old woman who had anterior atlantoaxial subluxation (AAS. When a guide wire was inserted using an imaging guide, the hole bled massively. We thought the re-insertion of a guide wire or screw would thus increase the risk of vascular injury, so we used laminar screws. The other case was an 18-year-old man who had a hangman fracture. Preoperative magnetic resonance angiography showed occlusion of the left vertebral artery. A laminar screw was inserted into the patent side (i.e., the right side of C2. Cervical pedicle screws are the most biomechanically stable screws. However, their use carries a high risk of neurovascular complications during screw insertion, because the cervical pedicle is small and is adjacent laterally to the vertebral artery, medially to the spinal cord, and vertically to the nerve roots. Lateral mass screws are also reported to involve a risk of neurovascular injuries. The laminar screw method was thus thought to be useful, since arterial injuries could thus be avoided and it could also be used as a salvage modality for the previous misinsertion.

  3. 46 CFR 154.524 - Piping joints: Welded and screwed couplings.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Piping joints: Welded and screwed couplings. 154.524... Equipment Cargo and Process Piping Systems § 154.524 Piping joints: Welded and screwed couplings. Pipe... warmer. (d) Screwed couplings are allowed for instrumentation and control piping that meets §...

  4. Biological and biomechanical evaluation of interface reaction at conical screw-type implants

    Directory of Open Access Journals (Sweden)

    Seper László

    2006-02-01

    Full Text Available Abstract Background Initial stability of the implant is, in effect, one of the fundamental criteria for obtaining long-term osseointegration. Achieving implant stability depends on the implant-bone relation, the surgical technique and on the microscopic and macroscopic morphology of the implant used. A newly designed parabolic screw-type dental implant system was tested in vivo for early stages of interface reaction at the implant surface. Methods A total of 40 implants were placed into the cranial and caudal part of the tibia in eight male Göttinger minipigs. Resonance frequency measurements (RFM were made on each implant at the time of fixture placement, 7 days and 28 days thereafter in all animals. Block biopsies were harvested 7 and 28 days (four animals each following surgery. Biomechanical testing, removable torque tests (RTV, resonance frequency analysis; histological and histomorphometric analysis as well as ultrastructural investigations (scanning electron microscopy (SEM were performed. Results Implant stability in respect to the measured RTV and RFM-levels were found to be high after 7 days of implants osseointegration and remained at this level during the experimented course. Additionally, RFM level demonstrated no alteration towards baseline levels during the osseointegration. No significant increase or decrease in the mean RFM (6029 Hz; 6256 Hz and 5885 Hz after 0-, 7- and 28 days were observed. The removal torque values show after 7 and 28 days no significant difference. SEM analysis demonstrated a direct bone to implant contact over the whole implant surface. The bone-to-implant contact ratio increased from 35.8 ± 7.2% to 46.3 ± 17.7% over time (p = 0,146. Conclusion The results of this study indicate primary stability of implants which osseointegrated with an intimate bone contact over the whole length of the implant.

  5. FUNCTIONAL OUTCOME OF ARTHROSCOPY ASSISTED ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE PATELLAR TENDON BONE AUTOGRAFT

    Directory of Open Access Journals (Sweden)

    Vinod Kumar

    2015-04-01

    Full Text Available INTRODUCTION: The anterior cruciate ligament (ACL is one of the most frequently injured ligaments in the human body. 1 The Anterior Cruciate ligament (ACL is the primary stabilizer of the knee and prevents the knee against anterior translation. 2 It is also important in counteracting rotational and valgus stress. 1 The middle third of the patellar tendon autograft for ACL reconstruction can be readily procured and firmly fixed. 3 It can tolerate the loads produced by an intensive rehabilitation programme. 3 Fixation of bone plugs using interference screws provides sufficient stability to meet the demand of a vigorous postoperative protocol. 3 It remains the gold standard for ACL reconstruction. 3 This study is to assess the functional outcome of arthroscopy assisted anterior cruciate ligament reconstruction using bone patellar tendon bone autograft. METHODS: This study was conducted in Kempegowda Institute of Medical Sciences Hospital from November 2012 to April 2014. During this period 20 cases of adult patients with ACL deficient patients were selected according to the inclusion criteria. Study aims to assess the functional outcome of arthroscopy assisted anterior cruciate ligament reconstruction using bone - patellar tendon - bone autograft in terms of range of motion, postoperative knee stability, graft site morbidity and subjective knee functions. RESULTS: Results of our study showed that arthroscopy assisted anterior cruciate ligament reconstruction with bone - patellar tendon - bone autograft could effectively improve knee stability and functions after surgery without any complication. CONCLUSION : Arthroscopy assisted anterior cruciate l igament reconstruction with bone - patellar tendon - bone autograft is an excellent treatment option for anterior cruciate ligament deficient knees. It provides a stable knee and reduces postoperative morbidity and enables early rehabilitation. The functional outcome of arthroscopy assisted anterior

  6. Postoperative evaluation of the position of interference screws, boneblocks and ligamentum patellae autografts in anterlor cruciate ligament replacement; Evaluierung von Knochenblockposition, Interferenzschraubenlage und Ersatzplastik des vorderen Kreuzbandes nach Ligamentum patellae-Transplantat mittels CT

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, R, [Leipzig Univ. (Germany). FUSt 8/Radiologie; Kolbus, F.; Brueckner, B. [Leipzig Univ. (Germany). Abt. 2/Chirurgie des Bundeswehrkrankenhauses Leipzig

    2000-06-01

    Purpose: Evaluation of arthroscopically assisted reconstruction of the anterior cruciate ligament using ligamentum patellae autografts in the bone-tendon-bone technique with special regard to the position of blocks and interference screws. Material and methods: In a prospective study 28 patients were included after undergoing arthroscopic anterior cruciate ligament replacement surgery. Data thus obtained were correlated with the postoperatively determined functional parameters of the affected joint. Results: Interference screws, bone-blocks and ligamentous transplants could be well imaged using CT. In a comparison of our data with clinical results there was a statistically highly significant correlation between clinical outcome and the position of bone-blocks and interference screws in the tibia. Angles between screw and bone-block exceeding a standard deviation led to significantly worse results, while a divergence in femoral angles did not lead to significantly worse results. (orig./AJ) [German] Ziel: Evaluation der arthroskopischen Ersatzplastik des vorderen Kreuzbandes unter besonderer Beruecksichtigung der Lage der Knochenbloecke, Interferenzschrauben und Bohrkanaele mittels CT und Vergleich der radiologischen Daten mit klinischen und funktionellen Parametern. Material und Methodik: In einer prospektiven Studie wurden 28 Patienten nach arthroskopischer Ersatzplastik des vorderen Kreuzbandes mittels Lig. patellae-Transplantat im CT untersucht. Anschliessend erfolgte die Pruefung der Korrelation mit postoperativ erhobenen klinisch-funktionellen Parametern des Kniegelenks. Ergebnisse: Die Interferenzschrauben, Bohrkanaele und Knochenbloecke sowie das Transplantat konnten in allen Faellen gut dargestellt werden. Bei einem Vergleich unserer Daten mit den klinischen Untersuchungsergebnissen der Chirurgen zeigte sich ein statistisch hochsignifikanter Zusammenhang mit den Winkeldivergenzen zwischen Interferenzschraube und Bohrkanal im Bereich der Tibia. Divergenzen

  7. Role of rod diameter in comparison between only screws versus hooks and screws in posterior instrumentation of thoracic curve in idiopathic scoliosis.

    Science.gov (United States)

    Lamartina, Claudio; Petruzzi, Maria; Macchia, Marcello; Stradiotti, Paola; Zerbi, Alberto

    2011-05-01

    Since the introduction of Cotrel-Dubousset instrumentation in 1984, the correction techniques in scoliosis surgery have changed from Harrington principles of concave distraction to segmental realignment to a variety of possibilities including the rod rotation manoeuvres, and to segmental approximation via cantilever methods. Additionally, pedicle screw utilization in lumbar curves enhanced correction and stabilization of various deformities, and various studies have strongly supported the clinical advantages of lumbar pedicle screws versus conventional hook instrumentation. Pedicle screw constructs have become increasingly popular in the treatment of patients with spinal deformity. When applied to adolescent idiopathic scoliosis patients, pedicle screw fixation has demonstrated increased corrective ability compared with traditional hook/hybrid instrumentation. In our study, we do a retrospective review of idiopathic scoliosis patients (King 2-Lenke 1 B/C) treated with a selective thoracic posterior fusion using an all-screw construct versus a hybrid (pedicle screws and hooks) construct and, compare the percentage of correction of the scoliotic curves obtained with screws alone and screws and hooks. Special attention was given to the rod diameter and correction technique. Our results show that the percentage of correction of idiopathic thoracic scoliosis is similar when treating the scoliosis with rods and screws alone or with rods, screws and hooks; therefore, we and the majority of authors in the literature do not consider the rod section. This can be an important parameter in the evaluation of the superiority of treatment with screws only or screws and hooks. In our study, even if not of statistical significance, the better thoracic curve correction obtained with the hybrid group should be ascribed to the fact that in this group mostly 6 mm rods were used.

  8. STRUCTURE SYNTHESIS OF 4-DOF PARALLEL ROBOT MECHANISMS BASED ON SCREW THEORY

    Institute of Scientific and Technical Information of China (English)

    Fang Hairong; Fang Yuefa; Guo Sheng

    2004-01-01

    Structural synthesis for 4-DOF parallel manipulators using screw theory is systematically studied. Motion properties and constraint conditions of 4-DOF parallel manipulators according to the relationship between screw and reciprocal screw are analyzed. Mathematical expressions for constraint screws and twist screws of moving platform are constructed, and all possible limbs, which provide one or more force constraints, are enumerated. Finally, a parallel manipulator with 3-rotation-DOF and 1-translation-DOF is used as an example to describe the synthesis procedure for symmetrical and non-symmetrical 4-DOF parallel manipulators.

  9. Use of computational fluid dynamics simulations for design of a pretreatment screw conveyor reactor.

    Science.gov (United States)

    Berson, R Eric; Hanley, Thomas R

    2005-01-01

    Computational fluid dynamics simulations were employed to compare performance of various designs of a pretreatment screw conveyor reactor. The reactor consisted of a vertical screw used to create cross flow between the upward conveying solids and the downward flow of acid. Simulations were performed with the original screw design and a modified design in which the upper flights of the screw were removed. Results of the simulations show visually that the modified design provided favorable plug flow behavior within the reactor. Pressure drop across the length of the reactor without the upper screws in place was predicted by the simulations to be 5 vs 40 kPa for the original design.

  10. Effects of lag screw design and lubrication on sliding in trochanteric nails.

    Science.gov (United States)

    Kummer, Frederick J

    2010-01-01

    This study compared the sliding characteristics of three lag screw designs used with trochanteric nails and determined the effects of lubrication on sliding. They were tested by an established method to measure initiation and ease of lag screw sliding. These tests were then repeated with calf serum lubrication. There were significant differences (p Lubrication did not affect either parameter. Lag screw design aspects, such as diameter and, particularly, surface finish, affect sliding. Due to the small contact area between the lag screw and nail creating high interface stresses, lubrication had no effect on lag screw sliding.

  11. A technique for the management of screw access opening in cement-retained implant restorations

    Directory of Open Access Journals (Sweden)

    Hamid Kermanshah

    2014-01-01

    Full Text Available Introduction: Abutment screw loosening has been considered as a common complication of implant-supported dental prostheses. This problem is more important in cement-retained implant restorations due to their invisible position of the screw access opening. Case Report: This report describes a modified retrievability method for cement-retained implant restorations in the event of abutment screw loosening. The screw access opening was marked with ceramic stain and its porcelain surface was treated using hydrofluoric acid (HF, silane, and adhesive to bond to composite resin. Discussion: The present modified technique facilitates screw access opening and improves the bond between the porcelain and composite resin.

  12. Covering the screw-access holes of implant restorations in the esthetic zone: a clinical report.

    Directory of Open Access Journals (Sweden)

    Abolfazl Saboury

    2014-12-01

    Full Text Available Screw-retained implant restorations have an advantage of predictable retention as well as retrievability, and obviate the risk of excessive sub-gingival cement commonly associated with cement retained implant restorations. Screw-retained restorations generally have screw access holes, which can compromise esthetics and weaken the porcelain around the holes. The purpose of this study is to describe the use of a separate overcasting crown design to cover the screw access hole of implant screw-retained prosthesis for improved esthetics.

  13. Kinematics Analysis Based on Screw Theory of a Humanoid Robot

    Institute of Scientific and Technical Information of China (English)

    MAN Cui-hua; FAN Xun; LI Cheng-rong; ZHAO Zhong-hui

    2007-01-01

    A humanoid robot is a complex dynamic system for its idiosyncrasy. This paper aims to provide a mathematical and theoretical foundation for the design of the configuration, kinematics analysis of a novel humanoid robot. It has a simplified configuration and design for entertainment purpose. The design methods, principle and mechanism are discussed. According to the design goals of this research, there are ten degrees of freedom in the two bionic arms.Modularization, concurrent design and extension theory methods were adopted in the configuration study and screw theory was introduced into the analysis of humanoid robot kinematics. Comparisons with other methods show that: 1) only two coordinates need to be established in the kinematics analysis of humanoid robot based on screw theory; 2) the spatial manipulator Jacobian obtained by using twist and exponential product formula is succinct and legible; 3) adopting screw theory to resolve the humanoid robot arms kinematics question can avoid singularities; 4) using screw theory can solve the question of specification insufficiency.

  14. [Posterior atlantoaxial fixation using vertex multiaxial screw system].

    Science.gov (United States)

    Zhong, Dejun; Song, Yueming

    2007-06-01

    This study aims to assess the effectiveness and advantages of Vertex multiaxial screw system in use for stabilizing the atlanto-axial junction. The entry point of the atlas was located 18-20 mm lateral to the midline and 2.0 mm superior to the inferior border of posterior arch, and the direction of screw was chosen to be about 10 degrees medial to the sagittal plane and about 5 degrees cephalad to the transverse plane. In odontoid vertebra (C2), the direction of the drill bit was guided directly by the medial and superior aspect of the individual C2 pedicle. All screws were placed properly without incidence of nerve or blood vessel injury, and no complication appeared in operation and after surgery. All cases were followed up for an average of 9 months, all cases achieved well reposition and fixation of atlantoaxial joint, average JOA grade was 9.6 before preoperation and 15.9 after operation. Fixation of the atlantoaxial complex using Vertex multiaxial screw system seemed to be a reliable technique and should be considered a good alternative in atlantoaxial fusion. The technique could be used in young patiens.

  15. Kinematics of a Hybrid Manipulator by Means of Screw Theory

    Energy Technology Data Exchange (ETDEWEB)

    Gallardo-Alvarado, J [Department of Mechanical Engineering, Instituto Tecnologico de Celaya (Mexico)

    2005-11-15

    In this work the kinematics of a hybrid manipulator, namely a fully parallel-serial manipulator, with a particular topology is approached by means of the theory of screws. Given the length of the six independent limbs, the forward position analysis of the mechanism under study, indeed the computation of the resulting pose, position and orientation, of the end-platform with respect to the fixed platform, is carried out in closed-form solution. Therefore conveniently this initial analysis avoids the use of a numerical technique such as the Newton-Raphson method. Writing in screw form the reduced acceleration state of the translational platform, with respect to the fixed platform, a simple expression for the computation of the acceleration of the translational platform is derived by taking advantage of the properties of reciprocal screws, via the Klein form, a bilinear symmetric form of the Lie algebra e(3). Following a similar procedure, a simple expression for the computation of the angular acceleration of the end-platform, with respect to the translational platform, is easily derived. Naturally, as an intermediate step, this contribution also provides the forward and inverse velocity analyses of the chosen parallel-serial manipulator. Finally, in order to prove the versatility of the expressions obtained via screw theory for solving the kinematics, up to the acceleration analysis, of the proposed spatial mechanism, a numerical example is solved with the help of commercial computer codes.

  16. Optimisation of acoustic silencer for the screw compressor system

    NARCIS (Netherlands)

    Swamy, M.; Lier, L.J. van; Smeulers, J.P.M.

    2014-01-01

    In one of the screw compressor system, designed silencer was not optimal. A great challenge was the large variation in operating conditions, especially the variation of the molecular weight of the gas. There was need to optimize the silencer. This paper describes the acoustic modelling tools to opti

  17. Granulation of increasingly hydrophobic formulations using a twin screw granulator.

    Science.gov (United States)

    Yu, Shen; Reynolds, Gavin K; Huang, Zhenyu; de Matas, Marcel; Salman, Agba D

    2014-11-20

    The application of twin screw granulation in the pharmaceutical industry has generated increasing interest due to its suitability for continuous processing. However, an understanding of the impact of formulation properties such as hydrophobicity on intermediate and finished product quality has not yet been established. Hence, the current work investigated the granulation behaviour of three formulations containing increasing amounts of hydrophobic components using a Consigma™-1 twin screw granulator. Process conditions including powder feed rate, liquid to solid ratio, granulation liquid composition and screw configuration were also evaluated. The size of the wet granules was measured in order to enable exploration of granulation behaviour in isolation without confounding effects from downstream processes such as drying. The experimental observations indicated that the granulation process was not sensitive to the powder feed rate. The hydrophobicity led to heterogeneous liquid distribution and hence a relatively large proportion of un-wetted particles. Increasing numbers of kneading elements led to high shear and prolonged residence time, which acted to enhance the distribution of liquid and feeding materials. The bimodal size distributions considered to be characteristic of twin screw granulation were primarily ascribed to the breakage of relatively large granules by the kneading elements.

  18. Are inclined screw blades for vertical grain augers advantageous?

    NARCIS (Netherlands)

    Rademacher, F.J.C.

    1978-01-01

    Due to modern technology, screw blades are often manufactured by rolling them out of one single strip of steel. When simultaneously some blade inclination is applied, less residual stresses and/or larger possible ratios between outer and shaft diameter are claimed by some manufacturers, which seems

  19. 21 CFR 888.3070 - Pedicle screw spinal system.

    Science.gov (United States)

    2010-04-01

    ... treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and... conditions are significant mechanical instability or deformity of the thoracic, lumbar, and sacral spine... screw spinal system because this is a technically demanding procedure presenting a risk of...

  20. Residence time distribution in twin-screw extruders.

    NARCIS (Netherlands)

    Jager, T.

    1992-01-01

    For the twin-screw extruders used in the food industry at short time high temperature processes the knowledge of their reactor properties is incomplete for mass- and heat flow. Therefore each process change such as: scale-up or product development requires a great number of measurements before an ac

  1. Coupled Thermodynamic Behavior of New Screw Compressors Rotors Profile

    Directory of Open Access Journals (Sweden)

    Arístides Rivera Torres

    2010-05-01

    Full Text Available The article displays an evaluation of the thermodynamic behavior of screw compressor rotors with new profiles, obtained with the help of the Scorpath 2000 software. This allows predicting precisely the operation of the compressor, as well as its thermodynamic evaluation, under equal conditions, with the work of other compressors fitted with rotor profiles of other kinds.

  2. Sacroiliac screw fixation: A mini review of surgical technique

    Directory of Open Access Journals (Sweden)

    Hernando Raphael Alvis-Miranda

    2014-01-01

    Full Text Available The sacral percutaneous fixation has many advantages but can be associated with a significant exposure to X-ray radiation. Currently, sacroiliac screw fixation represents the only minimally invasive technique to stabilize the posterior pelvic ring. It is a technique that should be used by experienced surgeons. We present a practical review of important aspects of this technique.

  3. Sacroiliac screw fixation: A mini review of surgical technique

    Science.gov (United States)

    Alvis-Miranda, Hernando Raphael; Farid-Escorcia, Hector; Alcalá-Cerra, Gabriel; Castellar-Leones, Sandra Milena; Moscote-Salazar, Luis Rafael

    2014-01-01

    The sacral percutaneous fixation has many advantages but can be associated with a significant exposure to X-ray radiation. Currently, sacroiliac screw fixation represents the only minimally invasive technique to stabilize the posterior pelvic ring. It is a technique that should be used by experienced surgeons. We present a practical review of important aspects of this technique. PMID:25336831

  4. Ankle fusion using a 2-incision, 3-screw technique

    NARCIS (Netherlands)

    R.P.M. Hendrickx; G.M.M.J. Kerkhoffs; S.A.S. Stufkens; C.N. van Dijk; R.K. Marti

    2011-01-01

    Reliable fusion and optimal correction of the alignment of the ankle joint using a 2-incision, 3-screw technique. Symptomatic osteoarthritis of the ankle joint after insufficient other treatment, severe deformity of the osteoarthritic ankle joint, or salvation procedure after failed arthroplasty. Ac

  5. Atomistic simulations of jog migration on extended screw dislocations

    DEFF Research Database (Denmark)

    Vegge, T.; Leffers, T.; Pedersen, O.B.;

    2001-01-01

    We have performed large-scale atomistic simulations of the migration of elementary jogs on dissociated screw dislocations in Cu. The local crystalline configurations, transition paths. effective masses. and migration barriers for the jogs are determined using an interatomic potential based on the...

  6. Design of a magnetic lead screw for wave energy conversion

    DEFF Research Database (Denmark)

    Holm, Rasmus Koldborg; Berg, Nick Ilsoe; Walkusch, Morten

    2013-01-01

    This paper deals with the development of a magnetic lead screw (MLS) for wave energy conversion. Initially, a brief state of the art regarding linear permanent-magnet generators and MLSs is given, leading to an introduction of the MLS and a presentation of the results from a finite-element analysis...

  7. Ready to Use Tissue Construct for Military Bone & Cartilage Trauma

    Science.gov (United States)

    2014-10-01

    supplied cell- permeable green fluorescent dye (Ex/Em = 488/518 nm) and propidium iodide (PI), a cell non- permeable red fluorescent dye (Ex/Em = 488/615...fixation is commonly used for forearm bone fractures. For femur and tibia, intramedullary nailing is a common choice of internal fixation. For the...humerus, both plate and screws and intramedullary nailing are used. However, for skeletal defects following resection of malignant tumors, intramedullary

  8. Outcomes of osteoporotic trochanteric fractures treated with cement-augmented dynamic hip screw

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar Gupta

    2012-01-01

    Full Text Available Background: Dynamic hip screw (DHS has been the standard treatment for stable trochanteric fracture patterns, but complications of lag screw cut out from a superior aspect, due to inadequate bone anchorage, occur frequently in elderly osteoporotic patients. Polymethylmethacrylate (PMMA has been used as an augmentation tool to facilitate fixation stability in cadaveric femora for biomechanical studies and in pathological fractures. However, there are very few reports on the utilization of PMMA cement to prevent these complications in fresh intertrochanteric fractures. A prospective study was conducted to evaluate the outcome and efficacy of PMMA augmented DHS in elderly osteoporotic patients with intertrochanteric fractures. Materials and Methods: The study included 64 patients (AO type31-A2.1 in eight, A2.2 in 29, A2.3 in 17 patients, and 31-A3.1 in five, A3.2 in three, and A3.3 in two patients with an average age of 72 years (60 − 94 years of which 60 were available for final followup. PMMA augmentation of DHS was performed in all cases by injecting PMMA cement into the femoral head with a custommade gun designed by the authors. The clinical outcome was rated as per the Salvati and Wilson scoring system at the time of final followup of one year. Results were graded as excellent (score > 31, good (score 24 − 31, fair (score 16 − 23, and poor (score < 16. Results: Fracture united in all patients and the average time to union was 13.8 weeks (range 12 − 16 weeks. At an average followup of 18 months (range 12 − 24 months, no incidence of varus collapse or superior screw cut out was observed in any of the patients in spite of weightbearing ambulation from the early postoperative period. There was no incidence of avascular necrosis (AVN or cement penetration into the joint in our series. Most of the patients were able to regain their prefracture mobility status with a mean hip pain score of 8.6. Conclusion: Cement augmentation of DHS appears

  9. The general theory of blade screws including propellers, fans, helicopter screws, helicoidal pumps, turbo-motors, and different kinds of helicoidal blades

    Science.gov (United States)

    De Bothezat, George

    1920-01-01

    Report presents a theory which gives a complete picture and an exact quantitative analysis of the whole phenomenon of the working of blade screws, but also unites in a continuous whole the entire scale of states of work conceivable for a blade screw. Chapter 1 is devoted to the establishment of the system of fundamental equations relating to the blade screw. Chapter 2 contains the general discussion of the 16 states of work which may establish themselves for a blade screw. The existence of the vortex ring state and the whirling phenomenon are established. All the fundamental functions which enter the blade-screw theory are submitted to a general analytical discussion. The general outline of the curve of the specific function is examined. Two limited cases of the work of the screw, the screw with a zero constructive pitch and the screw with an infinite constructive pitch, are pointed out. Chapter 3 is devoted to the study of the propulsive screw or propeller. (author)

  10. Osteogenesis and Morphology of the Peri-Implant Bone Facing Dental Implants

    Directory of Open Access Journals (Sweden)

    Marco Franchi

    2004-01-01

    Full Text Available This study investigated the influence of different implant surfaces on peri-implant osteogenesis and implant face morphology of peri-implant tissues during the early (2 weeks and complete healing period (3 months. Thirty endosseous titanium implants (conic screws with differently treated surfaces (smooth titanium = SS, titanium plasma sprayed = TPS, sand-blasted zirconium oxide = Zr-SLA were implanted in femur and tibiae diaphyses of two mongrel sheep. Histological sections of the implants and surrounding tissues obtained by sawing and grinding techniques were observed under light microscopy (LM. The peri-implant tissues of other samples were mechanically detached from the corresponding implants to be processed for SEM observation. Two weeks after implantation, we observed osteogenesis (new bone trabeculae around all implant surfaces only where a gap was present at the host bone-metal interface. No evident bone deposition was detectable where threads of the screws were in direct contact with the compact host bone. Distance osteogenesis predominated in SS implants, while around rough surfaces (TPS and Zr-SLA, both distance and contact osteogenesis were present. At SEM analysis 2 weeks after implantation, the implant face of SS peri-implant tissue showed few, thin, newly formed, bone trabeculae immersed in large, loose, marrow tissue with blood vessels. Around the TPS screws, the implant face of the peri-implant tissue was rather irregular because of the rougher metal surface. Zr-SLA screws showed more numerous, newly formed bone trabeculae crossing marrow spaces and also needle-like crystals in bone nodules indicating an active mineralising process. After 3 months, all the screws appeared osseointegrated, being almost completely covered by a compact, mature, newly formed bone. However, some marrow spaces rich in blood vessels and undifferentiated cells were in contact with the metal surface. By SEM analysis, the implant face of the peri

  11. A rationale method for evaluating unscrewing torque values of prosthetic screws in dental implants

    Directory of Open Access Journals (Sweden)

    Felipe Miguel Saliba

    2011-02-01

    Full Text Available OBJECTIVES: Previous studies that evaluated the torque needed for removing dental implant screws have not considered the manner of transfer of the occlusal loads in clinical settings. Instead, the torque used for removal was applied directly to the screw, and most of them omitted the possibility that the hexagon could limit the action of the occlusal load in the loosening of the screws. The present study proposes a method for evaluating the screw removal torque in an anti-rotational device independent way, creating an unscrewing load transfer to the entire assembly, not only to the screw. MATERIAL AND METHODS: Twenty hexagonal abutments without the hexagon in their bases were fixed with a screw to 20 dental implants. They were divided into two groups: Group 1 used titanium screws and Group 2 used titanium screws covered with a solid lubricant. A torque of 32 Ncm was applied to the screw and then a custom-made wrench was used for rotating the abutment counterclockwise, to loosen the screw. A digital torque meter recorded the torque required to loosen the abutment. RESULTS: There was a significant difference between the means of Group 1 (38.62±6.43 Ncm and Group 2 (48.47±5.04 Ncm, with p=0.001. CONCLUSION: This methodology was effective in comparing unscrewing torque values of the implant-abutment junction even with a limited sample size. It confirmed a previously shown significant difference between two types of screws.

  12. Screw Remaining Life Prediction Based on Quantum Genetic Algorithm and Support Vector Machine

    Directory of Open Access Journals (Sweden)

    Xiaochen Zhang

    2017-01-01

    Full Text Available To predict the remaining life of ball screw, a screw remaining life prediction method based on quantum genetic algorithm (QGA and support vector machine (SVM is proposed. A screw accelerated test bench is introduced. Accelerometers are installed to monitor the performance degradation of ball screw. Combined with wavelet packet decomposition and isometric mapping (Isomap, the sensitive feature vectors are obtained and stored in database. Meanwhile, the sensitive feature vectors are randomly chosen from the database and constitute training samples and testing samples. Then the optimal kernel function parameter and penalty factor of SVM are searched with the method of QGA. Finally, the training samples are used to train optimized SVM while testing samples are adopted to test the prediction accuracy of the trained SVM so the screw remaining life prediction model can be got. The experiment results show that the screw remaining life prediction model could effectively predict screw remaining life.

  13. Biomechanical Evaluation of Plate Versus Lag Screw Only Fixation of Distal Fibula Fractures.

    Science.gov (United States)

    Misaghi, Amirhossein; Doan, Josh; Bastrom, Tracey; Pennock, Andrew T

    2015-01-01

    Traditional fixation of unstable Orthopaedic Trauma Association type B/C ankle fractures consists of a lag screw and a lateral or posterolateral neutralization plate. Several studies have demonstrated the clinical success of lag screw only fixation; however, to date no biomechanical comparison of the different constructs has been performed. The purpose of the present study was to evaluate the biomechanical strength of these different constructs. Osteotomies were created in 40 Sawbones(®) distal fibulas and reduced using 1 bicortical 3.5-mm stainless steel lag screw, 2 bicortical 3.5-mm lag screws, 3 bicortical 3.5-mm lag screws, or a single 3.5-mm lag screw coupled with a stainless steel neutralization plate with 3 proximal cortical and 3 distal cancellous screws. The constructs were tested to determine the stiffness in lateral bending and rotation and failure torque. No significant differences in lateral bending or rotational stiffness were detected between the osteotomies fixed with 3 lag screws and a plate. Constructs fixed with 1 lag screw were weaker for both lateral bending and rotational stiffness. Osteotomies fixed with 2 lag screws were weaker in lateral bending only. No significant differences were found in the failure torque. Compared with lag screw only fixation, plate fixation requires larger incisions and increased costs and is more likely to require follow-up surgery. Despite the published clinical success of treating simple Orthopaedic Trauma Association B/C fractures with lag screw only fixation, many surgeons still have concerns about stability. For noncomminuted, long oblique distal fibula fractures, lag screw only fixation techniques offer construct stiffness similar to that of traditional plate and lag screw fixation.

  14. Accuracy of robot-assisted pedicle screw placement for adolescent idiopathic scoliosis in the pediatric population.

    Science.gov (United States)

    Macke, Jeremy J; Woo, Raymund; Varich, Laura

    2016-06-01

    This is a retrospective review of pedicle screw placement in adolescent idiopathic scoliosis (AIS) patients under 18 years of age who underwent robot-assisted corrective surgery. Our primary objective was to characterize the accuracy of pedicle screw placement with evaluation by computed tomography (CT) after robot-assisted surgery in AIS patients. Screw malposition is the most frequent complication of pedicle screw placement and is more frequent in AIS. Given the potential for serious complications, the need for improved accuracy of screw placement has spurred multiple innovations including robot-assisted guidance devices. No studies to date have evaluated this robot-assisted technique using CT exclusively within the AIS population. Fifty patients were included in the study. All operative procedures were performed at a single institution by a single pediatric orthopedic surgeon. We evaluated the grade of screw breach, the direction of screw breach, and the positioning of the patient for preoperative scan (supine versus prone). Of 662 screws evaluated, 48 screws (7.2 %) demonstrated a breach of greater than 2 mm. With preoperative prone position CT scanning, only 2.4 % of screws were found to have this degree of breach. Medial malposition was found in 3 % of screws, a rate which decreased to 0 % with preoperative prone position scanning. Based on our results, we conclude that the proper use of image-guided robot-assisted surgery can improve the accuracy and safety of thoracic pedicle screw placement in patients with adolescent idiopathic scoliosis. This is the first study to evaluate the accuracy of pedicle screw placement using CT assessment in robot-assisted surgical correction of patients with AIS. In our study, the robot-assisted screw misplacement rate was lower than similarly constructed studies evaluating conventional (non-robot-assisted) procedures. If patients are preoperatively scanned in the prone position, the misplacement rate is further

  15. The prognostic value of tip-to-apex distance (TAD index) in intertrochanteric fractures fixed by dynamic hip screw.

    Science.gov (United States)

    Sedighi, Ali; Sales, Jafar Ganjpour; Alavi, Sahar

    2012-11-01

    Intertrochanteric fractures (ITFs) are the most common type of fractures requiring surgical intervention. They also have the highest surgical mortality among orthopedic operations. Among the many different techniques used for fixation of this type of fracture, use of the Dynamic Hip Screw (DHS) has gained wide acceptance. This current study was designed to assess positive predictive value of tip-to-apex distance (TAD) index in the prognosis of patients treated with DHS. The study was designed according to a descriptive-analytic protocol, made up of 100 cases of ITFs caused by falling, treated in the Shohada Orthopedic Center, Tabriz, Iran. All patients underwent lateral and antero-posterior hip X-ray to measure TAD index. The cohort was followed for three months after DHS placement. Of a total of 100 cases (53 male, 47 female) with a mean age of 76.7 years (range 29-100 years), 43% had grade 4, 29% grade 3, 21% grade 5, 5% grade 2 and 2% grade 6 osteoporosis. The screw position was postero-inferior in 57%, central in 40% and superior in 3% of patients. Minimum and maximum TAD index were 20 and 28 mm, respectively. Mean TAD was 23.5 mm. There were no post-operative complications in 84% of cases. Screw failure was the most common complication in the remaining 16% of patients. The study shows a statistically significant correlation between TAD index and cut-off rate in patients with intertrochanteric fractures of femoral bone treated by DHS. This validates the use of TAD index in determining the prognosis of patients treated by DHS.

  16. Posterior Titanium Screw Fixation without Debridement of Infected Tissue for the Treatment of Thoracolumbar Spontaneous Pyogenic Spondylodiscitis

    Science.gov (United States)

    Iacoangeli, Maurizio; Nasi, Davide; Nocchi, Niccolo; Di Rienzo, Alessandro; di Somma, Lucia; Colasanti, Roberto; Vaira, Carmela; Benigni, Roberta; Liverotti, Valentina; Scerrati, Massimo

    2016-01-01

    Study Design Retrospective study. Purpose The aim of our study was to analyze the safety and effectiveness of posterior pedicle screw fixation for treatment of pyogenic spondylodiscitis (PSD) without formal debridement of the infected tissue. Overview of Literature Posterior titanium screw fixation without formal debridement of the infected tissue and anterior column reconstruction for the treatment of PSD is still controversial. Methods From March 2008 to June 2013, 18 patients with PSD underwent posterior titanium fixation with or without decompression, according to their neurological deficit. Postero-lateral fusion with allograft transplantation alone or bone graft with both the allogenic bone and the autologous bone was also performed. The outcome was assessed using the visual analogue scale (VAS) for pain and the Frankel grading system for neurological status. Normalization both of C-reactive protein (CRP) and erythrocyte sedimentation rate was adopted as criterion for discontinuation of antibiotic therapy and infection healing. Segmental instability and fusion were also analyzed. Results At the mean follow-up time of 30.16 months (range, 24–53 months), resolution of spinal infection was achieved in all patients. The mean CRP before surgery was 14.32±7.9 mg/dL, and at the final follow-up, the mean CRP decreased to 0.5±0.33 mg/dL (p <0.005). Follow-up computed tomography scan at 12 months after surgery revealed solid fusion in all patients. The VAS before surgery was 9.16±1.29 and at the final follow-up, it improved to 1.38±2.03, which was statistically significant (p <0.05). Eleven patients out of eighteen (61.11%) with initial neurological impairment had an average improvement of 1.27 grades at the final follow-up documented with the Frankel grading system. Conclusions Posterior screw fixation with titanium instrumentation was safe and effective in terms of stability and restoration of neurological impairment. Fixation also rapidly reduced back pain

  17. Application of USS screw rods system in the reconstruction of the stability of the lumbar sacrum after resection of sacrum tumor%骶骨肿瘤切除后腰骶关节稳定性重建中 USS钉棒系统的应用

    Institute of Scientific and Technical Information of China (English)

    颉强; 王臻; 王岭; 郭征; 刘继中; 戴先文

    2002-01-01

    Objective To introduce one operation method applied with USS (universal spine system) screw rods system for the reconstruction of the stability of the lumbar sacrum after resection of sacrum tumor and discuss indications and feasibility of the operation method.Methods 5 patients with sacrum tumor had accepted the clinical treatment of USS.Resect the sacrum tumor,insert pedicle screw into the normal pedicles (L3 or L4 or L5)above the region of laminectomy routinely,fix lower screw in the iliac plane,put metal rods,plant bone and put transverse links. Results There was no recurrence of sacrum tumor by MRI examination after 1~ 12 months follow up.The preoperative pain of lumbar- sacrum joint and roots of the spinal nerves relieved significantly.The patients turned to normal weight loading and movement.There were no fractures of the screw and rods and motion of the screw.X- ray examination hasn't found increase of screw passage,pelvic decrease, and L5 sinking.Conclusion The operation method applied with USS screw- rods system for the reconstruction of the stability of the lumbar- sacrum can reduce postoperative pain,promote early postoperative activity,and prevent pathologic fracture and paraplegia.

  18. PROSPECTS OF USE OF RELATIVE SCREW AND COMBINED REELS FOR MIXING BULKS

    Directory of Open Access Journals (Sweden)

    Marchenko A. Y.

    2015-11-01

    Full Text Available The article reveals a possibility of using equipment based on relative screw and combined drums for mixing of bulks. Change of relative positioning of flat elements of sidewalls of internal surfaces in relative screw drums allows operating the difficult and spatial movement of streams of bulks. In relative screw drums we have developed effective processes of mixing and sets of the equipment, which are characterized by that fact the difficult and spatial screw movement taking place in relative screw drums is dismembered on rather simple, in the kinematic relation, in the movements. The difficult and spatial screw movement with a big amplitude of 15-1000 mm and more, in the offered equipment constructions on the basis of relative screw or combined drums, is reported to bulks by elements of the relative screw or combined drums of various parameters and configurations which becomes complicated also screw lines on perimeter of a relative screw drum with various number of calling and the directions from each other or rounds of the springs fixed in the relative combined drums

  19. Determination of Screw and Nail Withdrawal Resistance of Some Important Wood Species

    Directory of Open Access Journals (Sweden)

    Alper Aytekin

    2008-04-01

    Full Text Available In this study, screw and nail withdrawal resistance of fir (Abies nordmanniana, oak (Quercus robur L. black pine (Pinus nigra Arnold and Stone pine (Pinus pinea L. wood were determined and compared. The data represent the testing of withdrawal resistance of three types of screws as smart, serrated and conventional and common nails. The specimens were prepared according to TS 6094 standards. The dimensions of the specimens were 5x5x15cm and for all of the directions. Moreover, the specimens were conditioned at ambient room temperature and 65±2% relative humidity. The screws and nails were installed according to ASTM-D 1761 standards. Nail dimensions were 2.5mm diameter and 50 mm length, conventional screws were 4x50mm, serrated screws were 4x45mm and smart screws were 4x50mm. Results show that the maximum screw withdrawal resistance value was found in Stone pine for the serrated screw. There were no significant differences between Stone pine and oak regarding screw withdrawal resistance values. Conventional screw yielded the maximum screw withdrawal resistance value in oak, followed by Stone pine, black pine and fir. Oak wood showed the maximum screw withdrawal resistance value for the smart screw, followed by Stone pine, black pine, and fir. Oak wood showed higher nail withdrawal resistances than softwood species. It was also determined that oak shows the maximum nail withdrawal resistance in all types. The nail withdrawal resistances at the longitudinal direction are lower with respect to radial and tangential directions.

  20. Sinusfloor elevation and grafting with autogenous iliac crest bone.

    Science.gov (United States)

    van den Bergh, J P; ten Bruggenkate, C M; Krekeler, G; Tuinzing, D B

    1998-12-01

    Insufficient bone height in the posterior area of the maxilla, due to expansion of the maxillary sinus and atrophic reduction of the alveolar process of the maxilla, represents a contra-indication for insertion of dental implants. This anatomic problem can, in many cases, be solved by augmentation of the floor of the maxillary sinus. This surgical technique was introduced by Tatum. The so-called top hinge door method creates a new floor of the maxillary sinus at a more cranial level. Underneath this new floor the existing space is filled with a bone graft. Implantation in the alveolar process with increased bone height allows insertion of dental implants. This sinus grafting technique was used in the present study. In total, 62 sinusfloor elevations were performed with cancellous iliac bone grafts in 42 patients. In those 62 augmented sinuses, 161 ITI screw type implants were inserted. The follow-up was 1-6 years after implantation. In 2 cases infections occurred. One implant needed an extended integration time. No implants were lost. The ITI solid screw implant appears to be a suitable implant following sinusfloor elevation operations, due to its rough surface, its shape and the size of the thread. The sinusfloor elevation procedure with autogenous cancellous bone graft appears to be a valuable and reliable pre-implantological procedure, provided a proper pre-operative investigation and careful surgery are performed. This procedure allows dental implant placement with a high success rate.

  1. Bone cutting.

    Science.gov (United States)

    Giraud, J Y; Villemin, S; Darmana, R; Cahuzac, J P; Autefage, A; Morucci, J P

    1991-02-01

    Bone cutting has always been a problem for surgeons because bone is a hard living material, and many osteotomes are still very crude tools. Technical improvement of these surgical tools has first been their motorization. Studies of the bone cutting process have indicated better features for conventional tools. Several non-conventional osteotomes, particularly ultrasonic osteotomes are described. Some studies on the possible use of lasers for bone cutting are also reported. Use of a pressurised water jet is also briefly examined. Despite their advantages, non-conventional tools still require improvement if they are to be used by surgeons.

  2. A Biomechanical Study Comparing Helical Blade with Screw Design for Sliding Hip Fixations of Unstable Intertrochanteric Fractures

    Directory of Open Access Journals (Sweden)

    Qiang Luo

    2013-01-01

    Full Text Available Dynamic hip screw (DHS is a well-established conventional implant for treating intertrochanteric fracture. However, revision surgery sometimes still occurs due to the cutting out of implants. A helical blade instead of threaded screw (DHS blade was designed to improve the fixation power of the osteoporotic intertrochanteric fracture. In this study, the biomechanical properties of DHS blade compared to the conventional DHS were evaluated using an unstable AO/OTA 31-A2 intertrochanteric fracture model. Fifty synthetic proximal femoral bone models with such configuration were fixed with DHS and DHS blade in five different positions: centre-centre (CC, superior-centre (SC, inferior-center (IC, centre-anterior (CA, and centre-posterior (CP. All models had undergone mechanical compression test, and the vertical and rotational displacements were recorded. The results showed that DHS blade had less vertical or rotational displacement than the conventional DHS in CC, CA, and IC positions. The greatest vertical and rotational displacements were found at CP position in both groups. Overall speaking, DHS blade was superior in resisting vertical or rotational displacement in comparison to conventional DHS, and the centre-posterior position had the poorest performance in both groups.

  3. Modeling the Parker instability in a rotating plasma screw pinch

    CERN Document Server

    Khalzov, I V; Katz, N; Forest, C B; 10.1063/1.3684240

    2012-01-01

    We analytically and numerically study the analogue of the Parker (magnetic buoyancy) instability in a uniformly rotating plasma screw pinch confined in a cylinder. Uniform plasma rotation is imposed to create a centrifugal acceleration, which mimics the gravity required for the classical Parker instability. The goal of this study is to determine how the Parker instability could be unambiguously identified in a weakly magnetized, rapidly rotating screw pinch, in which the rotation provides an effective gravity and a radially varying azimuthal field is controlled to give conditions for which the plasma is magnetically buoyant to inward motion. We show that an axial magnetic field is also required to circumvent conventional current driven magnetohydrodynamic (MHD) instabilities such as the sausage and kink modes that would obscure the Parker instability. These conditions can be realized in the Madison Plasma Couette Experiment (MPCX). Simulations are performed using the extended MHD code NIMROD for an isothermal...

  4. Analysis of Eyring-Powell Fluid in Helical Screw Rheometer

    Directory of Open Access Journals (Sweden)

    A. M. Siddiqui

    2014-01-01

    Full Text Available This paper aims to study the flow of an incompressible, isothermal Eyring-Powell fluid in a helical screw rheometer. The complicated geometry of the helical screw rheometer is simplified by “unwrapping or flattening” the channel, lands, and the outside rotating barrel, assuming the width of the channel is larger as compared to the depth. The developed second order nonlinear differential equations are solved by using Adomian decomposition method. Analytical expressions are obtained for the velocity profiles, shear stresses, shear at wall, force exerted on fluid, volume flow rates, and average velocity. The effect of non-Newtonian parameters, pressure gradients, and flight angle on the velocity profiles is noticed with the help of graphical representation. The observation confirmed the vital role of involved parameters during the extrusion process.

  5. Analysis of Eyring-Powell fluid in helical screw rheometer.

    Science.gov (United States)

    Siddiqui, A M; Haroon, T; Zeb, M

    2014-01-01

    This paper aims to study the flow of an incompressible, isothermal Eyring-Powell fluid in a helical screw rheometer. The complicated geometry of the helical screw rheometer is simplified by "unwrapping or flattening" the channel, lands, and the outside rotating barrel, assuming the width of the channel is larger as compared to the depth. The developed second order nonlinear differential equations are solved by using Adomian decomposition method. Analytical expressions are obtained for the velocity profiles, shear stresses, shear at wall, force exerted on fluid, volume flow rates, and average velocity. The effect of non-Newtonian parameters, pressure gradients, and flight angle on the velocity profiles is noticed with the help of graphical representation. The observation confirmed the vital role of involved parameters during the extrusion process.

  6. HA/UHMWPE Nanocomposite Produced by Twin-screw Extrusion

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    The HA/UHMWPE nanocomposite is compounded by twin-screw extrusion of the HA and UHMWPE powder mixture in paraffin oil and then compression molded to a sheet form. TGA measurement shows the HA weight loss after processing is about 1%-2% . FTIR spectra indicate the paraffin oil residue is trivial and UHMWPE is not oxidized. SEM reveals the HA nano particles are homogeneously dispersed by twin- screw extrusion and the inter-particle spaces are penetrated with UHMWPE fibrils by swelling treatment. HRTEM image indicates the HA particles and UHMWPE are intimately contacted by mechanical interlocking. Compared with the unfilled UHMWPE, stiffness of the composite with the HA volume fraction 0.23 was significantly enhanced to 9 times without detriment of the yield strength and the ductility.

  7. Numerical Simulation and Performance Analysis of Twin Screw Air Compressors

    Directory of Open Access Journals (Sweden)

    W. S. Lee

    2001-01-01

    Full Text Available A theoretical model is proposed in this paper in order to study the performance of oil-less and oil-injected twin screw air compressors. Based on this model, a computer simulation program is developed and the effects of different design parameters including rotor profile, geometric clearance, oil-injected angle, oil temperature, oil flow rate, built-in volume ratio and other operation conditions on the performance of twin screw air compressors are investigated. The simulation program gives us output variables such as specific power, compression ratio, compression efficiency, volumetric efficiency, and discharge temperature. Some of the above results are then compared with experimentally measured data and good agreement is found between the simulation results and the measured data.

  8. Accuracy of spinal navigation for Magerl-screws

    CERN Document Server

    Herz, T

    2001-01-01

    Study design: assessment of the accuracy of frameless stereotactic navigation at the second cervical vertebra. Objectives: to assess the influence of the protocol of preoperative CT-scan and the registration technique on the accuracy of navigation for implanting Magerl-screws. Summary of background data: the use of navigation systems for implanting Magerl-screws could help to decrease the risk of complications and to reduce the required skin incision. Two parameters conceivably affecting the accuracy are the protocol of the preoperative CT-scan and the registration technique. Methods: four cervical spine segments of human cadavers were scanned with two different protocols (3 mm slice thickness/2 mm table increment, 1 mm slice thickness/1 mm table increment). Registration was performed either based on anatomical landmarks or using a specially designed percutaneous registration device. For the accuracy-check, the pointer tip was exactly placed on markers. The distance between the pointer and the marker displaye...

  9. Twin screw two-phase expanders in large chiller units

    Energy Technology Data Exchange (ETDEWEB)

    Smith, I.K.; Stosic, N.; Aldis, C.A.; Kovacevic, A. [City Univ., Dept. of Mechanical Engineering and Aeronautics, London (United Kingdom)

    1999-07-01

    An investigation was carried out to determine the feasibility of the use of a twin screw expander as a throttle valve replacement in a 500 ton chiller. The aim was to produce a demonstration unit with an overall machine adiabatic efficiency of not less that 70%. The efficiency target was effectively met but further analytical work is needed to predict mass flow rates reliably and hence the exact machine size required when refrigerant enters the expander as subcooled liquid. (Author)

  10. The human sacrum and safe approaches for screw placement.

    Science.gov (United States)

    Arman, Candan; Naderi, Sait; Kiray, Amaç; Aksu, Funda Taştekin; Yilmaz, Hakan Sinan; Tetik, Süleyman; Korman, Esin

    2009-08-01

    The human sacrum is the target of lumbosacral instrumentation and decompression procedures. Such surgical interventions require detailed knowledge of the anatomy of the human sacrum. The aim of this study was to measure surgically relevant parameters. Several factors, including the one-piece composition of the sacrum, the angles of the sacral pedicles and the anteroposterior diameter of the sacral vertebral bodies distinguish the sacrum from other parts of spine. Thirty-two measurements of shape, angles and distances between parts were taken of the sacra of 100 adult West Anatolian people using a Vernier caliper accurate to 0.1 mm and goniometer. According to this morphometric study, when measured from the sagittal, the S1 facet angle was measured as 35.71 degrees +/-9.59 and 34.70 degrees +/-9.66, the sacral pedicle anteromedial screw trajectory angle was 35.65 degrees +/-4.73 and 31.95 degrees +/-3.95 and the anterolaterally oriented sacral wing screw trajectory angle was 32.65 degrees +/-3.51 and 29.10 degrees +/-3.14, on the right and left sides, respectively. The distance of the midline oriented S1 pedicle screw was 51.12 mm and 51.26 mm on the right and left side, respectively. The distance for sacral wing oriented screw placement was 50.13 mm and 50.46 mm on the right and left side, respectively. The anteroposterior and transverse diameter of the sacral spinal canal were 21.81 mm and 31.31 mm, respectively. Thus, this study describes anatomical specifications of the sacrum. These defined morphometric details should be taken into consideration during surgical procedures. This study also describes anatomical landmarks which will allow injury of the sacrum during surgery to be avoided.

  11. Fluid Flow Phenomenon in a Three-Bladed Power-Generating Archimedes Screw Turbine

    Directory of Open Access Journals (Sweden)

    Tineke Saroinsong

    2016-05-01

    Full Text Available Experimental studies of the Archimedes screw turbine are applied as a micro hydro power plant for low head focused on the fluid flow. Fluid flow on a screw turbine is not completely filled water flow there is still a free surface between the water fluid and atmospheric air. Except the screw geometry, the turbine screw free surface allows the flow phenomena that are important in the process of turbine screw power generation. The Archimedes screw turbine main driving force is the fluid-gravity weight, which is affected by the inflow depth, inflow velocity and the turbine shaft’s slope. The dimensionless parameter Froude number (Fr is connected to analyze the screw turbine efficiency. The purpose of this study is to figure out the fluid flow role when power generated by a three blades Archimedes screw turbine observed visualized, and also observed the turbine rotation and torque. The observed parameters are varied in inflow depth as the characteristic length (y of Froude Number, inflow velocity (co, and the turbine shaft slope (α. The screw turbine model, were made under a laboratory scale and made from acrylic material. The geometric form is the three bladed screws which have seven screw respectively, the number of helix turns is 21, the angle of screw blade is 30°, radius ratio of 0.54 with a pitch distance of 2,4 Ro. The result from this study revealed a phenomenon of fluid flow between the screw blades a whirlpool wave occurs or vortex due to the linear momentum in a form of the hydrostatic force against the blade screw which occurs in two opposite directions and the effect of the turbine shaft angular momentum. The vortex would affect the screw turbine power generation process as most of the kinetic energy that goes into the screw turbine sucked into the vortex between the screw blades, but this phenomenon can be reduced by reducing the turbine shaft slope. The highest turbine efficiency of 89% occurred in the turbine shaft’s slope of 25

  12. Comparative study of the Ender method and Dynamic Hip Screw stabilization in the treatment of intertrochanteric fractures of the femur.

    Science.gov (United States)

    Walo, Roman; Semenowicz, Jacek; Grabowski, Marcin; Komarek, Marcin; Czuma, Przemysław

    2003-02-28

    Background. The aim of this retrospective study was to compare the results of two fixation devices (Ender rods in 118 patients and dynamic hip screw in 98 patients) for treatment of intertrochateric fractures of the hip. Material and methods. The two treatment groups were similar with respect to important preoperative variables such as age, coexisting disseases, bone quality and incidence of stable and unstable fractures. The following outcomes were assessed: quality of reduction, length of hospital stay, early mortality, reoperations, persistent pain at a knee or hip, decrease in range of motion of the knee and leg shortening. Results and conclusions. The subgroup analysis showed higher incidence of complications in patients with unstable type of fracture treated with Ender nailing. These complications included mainly valgus angulation and malrotation of the fracture, need for a secondary procedure due to loss of stabilization and knee pain. Intramedullary stabilization with Ender rods is not recommended in treatment of unstable intertrochanteric fractures of the femur.

  13. INVESTIGATION ON KANE DYNAMIC EQUATIONS BASED ON SCREW THEORY FOR OPENCHAIN MANIPULATORS

    Institute of Scientific and Technical Information of China (English)

    LIU Wu-fa; GONG Zhen-bang; WANG Qin-que

    2005-01-01

    First, screw theory, product of exponential formulas and Jacobian matrix are introduced. Then definitions are given about active force wrench, inertial force wrench, partial velocity twist, generalized active force, and generalized inertial force according to screw theory. After that Kane dynamic equations based on screw theory for open-chain manipulators have been derived. Later on how to compute the partial velocity twist by geometrical method is illustrated. Finally the correctness of conclusions is verified by example.

  14. 3D CFD analysis of an oil injected twin screw expander

    OpenAIRE

    Papeš, Iva; Degroote, Joris; Vierendeels, Jan

    2014-01-01

    Small scale Organic Rankine Cycle (ORC) systems have a big potential for waste heat recovery in the market. Due to the smaller volume flows inside these systems, non-conventional expansion technologies such as screw expanders become more interesting. Recent economic studies have shown the important role of screw machines in such cycles. However, in order to get a better understanding of the expansion behaviour in an ORC, appropriate simulation models of screw expanders are necessary. The flow...

  15. Screw in the aorta: minimally invasive graft replacement for chronic aortic erosion by spinal instrument.

    Science.gov (United States)

    Fukuda, Wakako; Aoki, Chikashi; Daitoku, Kazuyuki; Taniguchi, Satoshi; Fukuda, Ikuo

    2013-01-01

    Intra-and early post-operative aortic injury by pedicle screw is not a rare complication in orthopedic surgery, but aortic penetration by a screw head over a long time period is considered as an uncommon case. There are various surgical management options for thoracic aortic injury caused by malpositioned spinal instruments. We report a case of a patient who underwent minimally invasive graft replacement of the descending thoracic artery for pedicle screw penetration.

  16. Accuracy and complications of transpedicular C2 screw placement without the use of spinal navigation.

    Science.gov (United States)

    Mueller, Christian-Andreas; Roesseler, Lukas; Podlogar, Martin; Kovacs, Attlila; Kristof, Rudolf Andreas

    2010-05-01

    The objective of the study was to describe the technique, accuracy of placement and complications of transpedicular C2 screw fixation without spinal navigation. Patients treated by C2 pedicle screw fixations were identified from the surgical log book of the department. Clinical data were extracted retrospectively from the patients' charts. Pedicle screw placement accuracy was assessed on postoperative CT scans according to Gertzbein and Robbins (GRGr). A total of 27 patients were included in the study. The mean age of the patients was 56 +/- 22.0 years; 51.9% of them were female. As much as 17 patients suffered from trauma, 5 of degenerative disease, 3 of inflammations and 2 of metastatic disease. A total of 47 C2 transpedicular screw fixations were performed. The canulated screws were inserted under visual control following the preparation of the superior surface of the isthmus and of the medial surface of the pedicles of the C2. Intraoperative fluoroscopy was additionally used. The postoperative CT findings showed in 55.3% GRGr 1, in 27.7% GRGr 2, in 10.6% GRGr 3, and in 6.3% GRGr 4 pedicle screw insertion accuracy. Screw insertions GRGr 5 were not observed. Screw malpositioning (i.e., GRGr 3 and 4) was significantly associated with thin (C2 fractures. In the three patients with screw insertions GRGr 4, postoperative angiographies were performed to exclude vertebral artery affections. In one of these three cases, the screw caused a clinically asymptomatic vertebral artery compression. Hardware failures did not occur. In one patient, postoperative pneumonia resulted in the death of the patient. Careful patient selection and surgical technique is necessary to avoid vertebral artery injury in C2 pedicle screw fixation without spinal navigation. A slight opening of the vertebral artery canal (Gertzbein and Robbins grade C2 pedicle screw insertions.

  17. Accuracy and safety of pedicle screw placement in neuromuscular scoliosis with free-hand technique.

    Science.gov (United States)

    Modi, Hitesh N; Suh, Seung Woo; Fernandez, Harry; Yang, Jae Hyuk; Song, Hae-Ryong

    2008-12-01

    It is a retrospective analytic study of 1,009 transpedicular screws (689 thoracic and 320 lumbosacral), inserted with free-hand technique in neuromuscular scoliosis using postoperative CT scan. The aim of paper was to determine the accuracy and safety of transpedicular screw placement with free-hand technique in neuromuscular scoliosis and to compare the accuracy at different levels in such population. All studies regarding accuracy and safety of pedicle screw in scoliosis represent idiopathic scoliosis using various techniques such as free-hand, navigation, image intensifier, etc., for screw insertion. Anatomies of vertebrae and pedicle are distorted in scoliosis, hence accurate and safe placement of pedicle screw is prerequisite for surgery. Between 2004 and 2006, 37 consecutive patients, average age 20 years (9-44 years), of neuromuscular scoliosis were operated with posterior pedicle screw fixation using free-hand technique. Accuracy of pedicle screws was studied on postoperative CT scan. Placement up to 2 mm medial side and 4 mm lateral side was considered within-safe zone. Of the 1,009 screws, 273 screws were displaced medially, laterally or on the anterior side showing that 73% screws (68% in thoracic and 82.5% in lumbar spine) were accurately placed within pedicle. Considering the safe zone, 93.3% (942/1009, 92.4% in thoracic and 95.3% in lumbar spine) of the screws were within the safe zone. Comparing accuracy according to severity of curve, accuracy was 75% in group 1 (curve 90 degrees) with a safety of 94.8 and 91.2%, respectively (P = 0.35). Comparing the accuracy at different thoracic levels, it showed 67, 64 and 72% accuracy in upper, middle and lower thoracic levels with safety of 96.6, 89.2 and 93.1%, respectively, exhibiting no statistical significant difference (P = 0.17). Pedicle screw placement in neuromuscular scoliosis with free-hand technique is accurate and safe as other conditions.

  18. Twin screw wet granulation: the study of a continuous twin screw granulator using Positron Emission Particle Tracking (PEPT) technique.

    Science.gov (United States)

    Lee, Kai T; Ingram, Andy; Rowson, Neil A

    2012-08-01

    In this paper, Positron Emission Particle Tracking (PEPT) techniques are utilised to track the trajectory of single particles through the mixing and conveying zones of a Twin Screw Granulator (TSG). A TSG consisting of conveying zones and mixing zones is used in this study. The mixing zones are arranged with kneading discs at an angle of 30°, 60° or 90°. Experiments were carried out using different mixing configurations with various screw speed and total mass flow rate. The PEPT data obtained were then utilised to obtain the residence time distribution (RTD) and the Peclet number in an attempt to gain some insight into the mixing of the process. The fill level of the granulator was also estimated to study the mechanism of granulation. As might be expected, it was shown that the residence time of the granulation process increases with decreasing screw speed. It also increases with increasing angle of the arrangement of kneading blocks in the mixing zones, but will decreases when powder feed rate is increased. The fill level of the mixing zone in particular increases when the screw speed decreases or when powder feed rate increases. Furthermore, the fill level of the granulator will increase when the mixing zone configuration changes from 30° to 90°. It is shown that the granulator is never fully filled, even using 90° mixer elements implying limited compaction which may explain why the granules produced are porous compared with those from a high shear mixer. Interestingly, the RTD analysis reveals that the extent of axial mixing in the mixing zone of the granulator does not change significantly for different configurations and process conditions. There is evidence of a tail in the RTD which implies some material hold up and channelling.

  19. A novel osteogenesis technique: The expansible guided bone regeneration

    Directory of Open Access Journals (Sweden)

    Osama Zakaria

    2012-12-01

    Full Text Available Guided bone regeneration is a unique osteogenesis technique that requires a barrier membrane under periosteum to create space for bone regeneration. However, creating sizeable spaces is clinically not commonly feasible. A titanium plate and a thin silicone membrane were surgically layered on each calvaria of eight rabbits. Then, the periphery of the silicone membrane was fixed by a plastic ring to the underlying bone using titanium micro screws. After 1 week, a 5-mm-length titanium screw was used to elevate the titanium plate, which in turn elevated the silicone membrane together with overlying soft tissue in a rate of 1 mm/day for 5 days to create a secluded space. Animals were killed at 2 months (n = 4, group 1 and 4 months (n = 4, group 2 after the elevation. Histological and microradiographical analyses demonstrated creation of an amount of de novo bone formation (68.2 ± 22 mm3 in group 1 and 70.3 ± 14 mm3 in group 2 in the sizeable created spaces (207.1 ± 31 mm3 in group 1 and 202 ± 21 mm3 in group 2 without exposure of the device. This novel osteogenesis technique, “expansible guided bone regeneration,” created a substantial in vivo incubator without applying growth factors or osteoprogenitor cells. Creating a growing space over the secluded surface allowed the development of normal biological healing process occurring on the bone surface into a regenerative process, generating bone outside the genetically determined skeletal bone. This technique is a new tissue engineering approach stimulating endogenous tissue repair without applying cells or factors exogenously.

  20. 螺旋输送机螺旋体优化设计%Optimization Design of Screw in Screw Conveyor

    Institute of Scientific and Technical Information of China (English)

    王铁流; 郭晓梅; 陈仙明

    2012-01-01

    The process of finite element analysis and optimization design of screw for screw conveyor with the Pro/Engineer is discussed, the main steps and methods are also introduced. Subject to the requirements of the structural parameters and design objectives, the optimal design is realized efficiently and rapidly. A practical method is improved for the design quality of screw.%应用Pro/Engineer软件,研究了螺旋输送机螺旋体的有限元分析和优化设计方法和过程,介绍了设计过程的主要步骤和方法.在满足结构参数和设计目标要求的前提下,快捷、有效地实现了优化设计,提高了设计质量,为螺旋体的设计提供了一种有效的方法.

  1. Design of Formed Milling Cutter for Double-Helix Screw Based on Noninstantaneous Envelope Method

    Directory of Open Access Journals (Sweden)

    Yun Li

    2013-01-01

    Full Text Available The design theory and method of formed milling cutter for double-helix screw of progressing cavity pump are presented. Through analyzing the shape and characteristic parameters of double-helix screw, the helicoids equation and axial curve equation of double-helix screw were established. According to the relative position relations between formed milling cutter and double-helix screw in the machining process, the geometric mapping relationship of screw coordinate system and formed milling cutter coordinate system was established by using the coordinate transformation theory. Based on noninstantaneous envelope method and the meshing conditions between formed milling cutter and double-helix screw, the contact line equations were established by minimum value method. By analyzing the machining errors caused by resharpening the formed milling cutter, the tooth back curve equation was established based on spiral of Archimedes, and the profile equation of formed milling cutter with constant back angle was got. On this basis, the formed milling cutter of processing double-helix screw was designed, and the cutter head and tool post were manufactured, respectively. The measuring results have shown that this method can satisfy the requirements of machining accuracy for double-helix screw. So this is an effective method to get formed milling cutter profile for double-helix screw.

  2. Innovative approach in the development of computer assisted algorithm for spine pedicle screw placement.

    Science.gov (United States)

    Solitro, Giovanni F; Amirouche, Farid

    2016-04-01

    Pedicle screws are typically used for fusion, percutaneous fixation, and means of gripping a spinal segment. The screws act as a rigid and stable anchor points to bridge and connect with a rod as part of a construct. The foundation of the fusion is directly related to the placement of these screws. Malposition of pedicle screws causes intraoperative complications such as pedicle fractures and dural lesions and is a contributing factor to fusion failure. Computer assisted spine surgery (CASS) and patient-specific drill templates were developed to reduce this failure rate, but the trajectory of the screws remains a decision driven by anatomical landmarks often not easily defined. Current data shows the need of a robust and reliable technique that prevents screw misplacement. Furthermore, there is a need to enhance screw insertion guides to overcome the distortion of anatomical landmarks, which is viewed as a limiting factor by current techniques. The objective of this study is to develop a method and mathematical lemmas that are fundamental to the development of computer algorithms for pedicle screw placement. Using the proposed methodology, we show how we can generate automated optimal safe screw insertion trajectories based on the identification of a set of intrinsic parameters. The results, obtained from the validation of the proposed method on two full thoracic segments, are similar to previous morphological studies. The simplicity of the method, being pedicle arch based, is applicable to vertebrae where landmarks are either not well defined, altered or distorted.

  3. InterTan钉板系统与空心钉固定Pauwels Ⅲ型股骨颈骨折的有限元分析%InterTan compression hip screw versus three parallel cannulated screws for Pauwels Ⅲ femoral neck fractures: a finite element analysis

    Institute of Scientific and Technical Information of China (English)

    张晟; 王一民; 王博炜; 佟矿; 余斌

    2013-01-01

    of the 3D model of Pauwels Ⅲ femoral neck fracture together with 3D reconstruction of fixation models of InterTan compression hip screw and of three parallel cannulated screws by means of reverse engineering software.With Ansys software,the 3D finite element models were established of the 2 internal fixations,in which axial stresses of 700 N were loaded.We measured and compared respectively the yon Mises stress and displacement distributions in different fixations and on the femurs fixated by the 2 implants,as well as the stress and displacement peak values.Results The stress on the implant was mainly located on the middle of the screw and near the fracture line.The peak stress was higher in the cannulated screw model (116.4 MPa) than in the InterTan compression hip screw versus model (65.7 MPa).The stress on the femur was mainly located on the inside of the proximal end.The peak stress was also higher in the cannulated screw model (27.6 MPa) than in the InterTan compression hip screw versus model (13.2 MPa).In the lnterTan compression hip screw versus model,the implant displacement was vertically downward,with the peak displacement of 0.84 mm at the fixation and 0.76mm at the bone end.In the cannulated screw model,the implant displacement was along the femoral neck,with the peak displacement of 1.49 mm at the fixation and 1.61 mm at the bone end.Conclusions In the treatment of Pauwels Ⅲ femoral neck fracture,the InterTan compression hip screw versus results in even stress distribution and may be superior to the three parallel cannulated screws in the fixation stability.Since InterTan compression hip screw versus fixation can lead to a vertically downward displacement,coxa vara is a complication that should be prevented.Since the three parallel cannulated screws can lead to a displacement along the lateral femoral neck,shortening of the femoral neck should be taken into consideration as a likely complication.

  4. Bone x-ray

    Science.gov (United States)

    ... or broken bone Bone tumors Degenerative bone conditions Osteomyelitis (inflammation of the bone caused by an infection) ... Multiple myeloma Osgood-Schlatter disease Osteogenesis imperfecta Osteomalacia Osteomyelitis Paget disease of the bone Rickets X-ray ...

  5. Percutaneous kyphoplasty combined with the posterior screw-rod system in treatment of osteoporotic thoracolumbar fractures

    Directory of Open Access Journals (Sweden)

    Jiang Wu

    2013-01-01

    Materials and Methods: Twenty six patients (65 years of age or older with the single spine fractures included in study. The preoperative bone mineral density was measured by dual-energy X-ray. The PKP was done in all the cases. Decompression was done if neurological symptoms were present. Results: The results demonstrated osteoporosis with BMD T value ≤ −2.5; injured posterior vertebral body (3 cases had shown the whole damage accompanied by neurological symptoms through X-ray or CT. After 2 days, the remaining patients of back pain symptoms were relieved or disappeared except for three cases of patients with decompression incision. VAS score and Cobb angle changed from preoperative 8.23 ± 0.17 and 28.7 ± 0.33° respectively to postoperative 3.77 ± 0.44 and 3.8 ± 0.2° respectively. Conclusion: Treatment of rupture of the posterior vertebral osteoporotic thoracolumbar fractures by means of kyphoplasty combined with posterior screw-rod system is a safe, effective procedure.

  6. Fixation of metatarsal fracture with bone plate in a dromedary heifer

    Directory of Open Access Journals (Sweden)

    S. Hashmi

    2013-03-01

    Full Text Available An oblique fracture of the distal third of the right metatarsus in a three-year-old dromedary heifer weighing about 300 kilograms was immobilized with a 4.5 mm broad-webbed 12-hole dynamic compression bone plate and two interfragmental compression screws. The animal showed slight lameness after 16 weeks of surgery that disappeared after removal of the plate. The result was quite encouraging and the fracture healed in 16 weeks without major complications. It is concluded that the fracture of this bone can be successfully handled with bone plating at least in young, light weight animals.

  7. Morse taper implants at different bone levels: a finite element analysis of stress distribution

    OpenAIRE

    Toniollo, Marcelo Bighetti; Macedo, Ana Paula; Palhares, Daniel; Calefi, Paulo Linares; Sorgini, Danilo Balero; Mattos, Maria da Gloria Chiarello de

    2012-01-01

    AIM: To explore the biomechanical effects of the different implantation bone levels of Morse taper implants, employing a finite element analysis (FEA). METHODS: Dental implants (TitamaxCM) with 4x13 mm and 4x11 mm, and their respective abutments with 3.5 mm height, simulating a screwed premolar metal-ceramic crown, had their design performed using the software AnsysWorkbench 10.0. They were positioned in bone blocks, covered by 2.5 mm thickness of mucosa. The cortical bone was designed with 1...

  8. Endoscopic transforaminal lumbar decompression, interbody fusion and pedicle screw fixation——a report of 42 cases

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yue; ZHANG Chao; WANG Jian; CHU Tong-wei; LI Chang-qing; ZHANG Zheng-feng; ZHENG Wen-jie

    2008-01-01

    Objective: To evaluate the surgical procedure of endoscopic transforminal discectomy, bone grafting and Dynalok pedicle screw fixation under X-Tube operation system in the treatment of lumbar disc herniation combined with segmental instability and/or pars defected spondylolithesis. Methods: From June 2004 to May 2006, 42 patients with classic features of lumbar disc herniation combined with segmental instability and/or pars defected spondylolithesis underwent endoscopic transforminal lumbar interbody fusion TLIF. Under the guidance of fluoroscopy, a 2.8 to 3.0 cm incision with 4.5 to 5.0 cm apart from the posterior middle line was made on the symptomatic side and the working portal X-Tube was docked unilaterally on the facet joint. A total facetectomy was then performed to expose neural foramina and nerve root. Discectomy and endplate preparation were completed through the tube. A Telamon cage was placed obliquely into the intervertebral space after interbody grafting, and then the Dynalok pedicle screw fixation sys- tem was performed. This procedure was accomplished on the lateral side when it is necessary. Results: Clinical outcomes were determined using the Oswestry Disability Index ODI which revealed that 62.2% of patients got excellent results, 29.2% good and 8.6% fair. The average hospital stay was 12.5 days 5-25 days. Operation time averaged 240 min 110-320 min, blood loss averaged 140 ml 80-420 ml and incision length averaged 3 cm 2.8-3.2 cm. Five patients had complications including wound infection in 1 case, incision dehiscence and focal skin necrosis in 1, progressive radicular pain of contralat-eral leg in 1 and residual radicular numbness after transient radicular pain in 2. Conclusions: This surgical procedure of endoscopic transforminal diskectomy, bone grafting, cage placement and pedicle screw fixation can be effectively accomplished under X-Tube operation system with predominant benefits such as small incision, less stripping of paraspinal muscles

  9. Biomechanical impact of C2 pedicle screw length in an atlantoaxial fusion construct

    Directory of Open Access Journals (Sweden)

    Risheng Xu

    2014-01-01

    Full Text Available Background: Posterior, atlantoaxial (AA fusions of the cervical spine may include either standard (26 mm or short (16 mm C2 pedicle screws. This manuscript focused on an in vitro biomechanical comparison of standard versus short C2 pedicle screws to perform posterior C1-C2 AA fusions. Methods: Twelve human cadaveric spines underwent C1 lateral mass screw and standard C2 pedicle screw (n = 6 versus short C2 pedicle screw (n = 6 fixation. Six additional controls were not instrumented. The peak torque, peak rotational interval, and peak stiffness of the constructs were analyzed to failure levels. Results: The peak torque to construct failure was not statistically significantly different among the control spine (12.2 Nm, short pedicle fixation (15.5 Nm, or the standard pedicle fixation (11.6 Nm, P = 0.79. While the angle at the peak rotation statistically significantly differed between the control specimens (47.7° of relative motion and the overall instrumented specimens (P < 0.001, the 20.7° of relative rotation in the short C2 pedicle screw specimens was not statistically significantly higher than the 13.7° of relative rotation in the standard C2 pedicle screw specimens (P = 0.39. Similarly, although the average stiffness was statistically significantly lower in control group (0.026 Nm/degree versus the overall instrumented specimens (P = 0.001, the standard C2 pedicle screws (2.54 Nm/degree did not differ from the short C2 pedicle screws (1.69 Nm/degree (P = 0.30. Conclusions: Both standard and short C2 pedicle screws allow for equally rigid fixation of C1 lateral mass-C2 AA fusions. Usage of a short C2 pedicle screw may be an acceptable method of stabilization in carefully selected patient populations.

  10. Anatomic Study of Anterior Transdiscal Axial Screw Fixation for Subaxial Cervical Spine Injuries.

    Science.gov (United States)

    Ji, Wei; Zheng, Minghui; Qu, Dongbin; Zou, Lin; Chen, Yongquan; Chen, Jianting; Zhu, Qingan

    2016-08-01

    Anterior transdiscal axial screw (ATAS) fixation is an alternative or supplement to the plate and screw constructs for the upper cervical spine injury. However, no existing literatures clarified the anatomic feasibility of this technique for subaxial cervical spine. Therefore, the objective of this study was to evaluate the anatomical feasibility and to establish guidelines for the use of the ATAS fixation for the subaxial cervical spine injury.Fifty normal cervical spines had radiographs to determine the proposed screw trajectory (the screw length and insertion angle) and the interbody graft-related parameters (the disc height and depth, and the distance between anterior vertebral margin and the screw) for all levels of the subaxial cervical spine. Following screw insertion in 8 preserved human cadaver specimens, surgical simulation and dissection verified the feasibility and safety of the ATAS fixation.Radiographic measurements showed the mean axial screw length and cephalic incline angle of all levels were 41.2 mm and 25.2°, respectively. The suitable depth of the interbody graft was >11.7 mm (the distance between anterior vertebral margin and the screw), but C2-C3, C3-C4, C4-C5, and C5-C6 levels, but impossible at C6-C7 due to the obstacle of the sternum. All screws were placed accurately. None of the screws penetrated into the spinal canal and caused fractures determined by dissecting the specimens.The anterior transdiscal axial screw fixation, as an alternative or supplementary instrumentation for subaxial cervical spine injuries, is feasible and safe with meticulous surgical planning.

  11. Bone pain

    DEFF Research Database (Denmark)

    Frost, Charlotte Ørsted; Hansen, Rikke Rie; Heegaard, Anne-Marie

    2016-01-01

    Skeletal conditions are common causes of chronic pain and there is an unmet medical need for improved treatment options. Bone pain is currently managed with disease modifying agents and/or analgesics depending on the condition. Disease modifying agents affect the underlying pathophysiology...... of the disease and reduce as a secondary effect bone pain. Antiresorptive and anabolic agents, such as bisphosphonates and intermittent parathyroid hormone (1-34), respectively, have proven effective as pain relieving agents. Cathepsin K inhibitors and anti-sclerostin antibodies hold, due to their disease...... modifying effects, promise of a pain relieving effect. NSAIDs and opioids are widely employed in the treatment of bone pain. However, recent preclinical findings demonstrating a unique neuronal innervation of bone tissue and sprouting of sensory nerve fibers open for new treatment possibilities....

  12. Anterior subaxial cervical spine fixation using a plate with single screw per vertebral body: A simple and efficient construct - Clinical series and a cadaver study

    Directory of Open Access Journals (Sweden)

    Vannemreddy Prasad

    2009-01-01

    Full Text Available Objective: To report our experience with a novel construct for traumatic and nontraumatic cervical spine lesions that was validated by biomechanical studies of cadaver cervical spine. Study Design: Consecutive cases of anterior cervical spine fixation performed over six years reviewed for stability offered by a construct comprising of a plate fixed by a single screw to each vertebral body. Setting: A university hospital and a biomechanical lab. Materials and Methods: Data were coded and entered into a statistical worksheet for multivariate analysis. Cadaver spine models applied for biomechanical study of stability. Results: Total of 103 cases reviewed; 86 with single-level disease; traumatic in 66 (64% cases and degenerative in 33 (32% cases, including hard disks, OPLL, and spondylitis (4% with other causes. Fixation was with diskectomy in 59 and with corpectomy in 40. A bone graft was utilized for fusion in 87 and a bone-filled titanium spacer in 13. A single screw was placed in each vertebral body with a locking plate (having linear arrangement of holes. This construct remained strong in 95% of cases at the end of 6-24 months. Five cases failed requiring reoperation. Five patients with cervical spinal cord injury (SCI died. On statistical analysis, construct was stronger with diskectomy compared with corpectomy. Construct used on cadavers confirmed the biomechanical stability in short segment fixation (C5-6. Conclusion: A conservative construct utilizing a single screw per vertebral body and a one-holed plate system appears to be strong enough to afford stability in both traumatic and nontraumatic lesions of subaxial cervical spine, comparable to others.

  13. Morphological character of cervical spine for anterior transpedicular screw fixation

    Directory of Open Access Journals (Sweden)

    Rong-Ping Zhou

    2013-01-01

    Full Text Available Background: Anterior cervical interbody grafts/cages combined with a plate were frequently used in multilevel discectomies/corpectomies. In order to avoid additional posterior stabilization in patients who undergo anterior reconstructive surgery, an anterior cervical transpedicular screw fixation, which offers higher stability is desirable. We investigated in this study the anatomical (morphologic characters for cervical anterior transpedicular screw fixation. Materials and Methods: Left pedicle parameters were measured on computed tomography (CT images based on 36 cervical spine CT scans from healthy subjects. The parameters included outer pedicle width (Distance from lateral to medial pedicle surface in the coronal plane, outer pedicle height (OPH (Distance from upper to lower pedicle surface in the sagittal plane, maximal pedicle axis length (MPAL, distance transverse insertion point (DIP, distance of the insertion point to the upper end plate (DIUP, pedicle sagittal transverse angle (PSTA and pedicle transverse angle (PTA at C3 to C7. Results: The values of outer pedicle width and MPAL in males were larger than in females from C3 to C7. The OPH in males was larger than in females at C3 to C6, but there was no difference at C7. The DIP and PTA were significantly greater in males than in females at C3, but there was no difference in the angle at C4-7. The PSTA was not statistically different between genders at C3, 4, 7, but this value in males was larger than females at C5, 6. The DIUP was significantly greater in males at C3, 4, 6, 7 but was non significant at C5. Conclusions: The placement of cervical anterior transpedicular screws should be individualized for each patient and based on a detailed preoperative planning.

  14. A Technique for Removal of Forearm Dynamic Compression Plate with Stripped Screws: A Report of Three Cases

    Directory of Open Access Journals (Sweden)

    CK Lee

    2009-05-01

    Full Text Available Removal of plates is a procedure commonly performed by orthopaedic surgeons and stripped screws are probably the most common problem encountered during this procedure. Stripped screws are caused by slippage between the screwdriver and the screw. Due to the inherent difficulty in removing such screws, surgeons should be knowledgeable in techniques for their removal and should be equipped with the proper instruments to expedite the procedure. There are few published articles about such techniques. This report describes a technique for removal of plates with stripped screws. The tip of a stripped screw is approached from the far cortex and then reamed with a trephine reamer in the direction of the screw until both cortices are cleared. The plate is then removed with stripped screws attached. All the removals utilizing this technique to date have been successful with no complications, and this method is safe, efficient and technically easy to learn.

  15. New Tools for Computational Geometry and Rejuvenation of Screw Theory

    Science.gov (United States)

    Hestenes, David

    Conformal Geometric Algebraic (CGA) provides ideal mathematical tools for construction, analysis, and integration of classical Euclidean, Inversive & Projective Geometries, with practical applications to computer science, engineering, and physics. This paper is a comprehensive introduction to a CGA tool kit. Synthetic statements in classical geometry translate directly to coordinate-free algebraic forms. Invariant and covariant methods are coordinated by conformal splits, which are readily related to the literature using methods of matrix algebra, biquaternions, and screw theory. Designs for a complete system of powerful tools for the mechanics of linked rigid bodies are presented.

  16. A description of the dynamics of manipulators using screw theory

    Science.gov (United States)

    Akselrod, B. V.

    1985-04-01

    The paper is concerned with the derivation of Lagrange equations of the second kind for a manipulator consisting of N links each of which is coupled with the preceding link (except for the first link, which is coupled with a fixed base) through a single-degree-of-freedom joint. The joints can be translational or rotational; each joint is treated as a rigid body, and the possibility of allowing for elasticity in the hinges and joints is demonstrated. The kinetic energy is determined using the theory of kinematic screws.

  17. Pedicle Screw-Based Posterior Dynamic Stabilization: Literature Review

    Directory of Open Access Journals (Sweden)

    Dilip K. Sengupta

    2012-01-01

    Full Text Available Posterior dynamic stabilization (PDS indicates motion preservation devices that are aimed for surgical treatment of activity related mechanical low back pain. A large number of such devices have been introduced during the last 2 decades, without biomechanical design rationale, or clinical evidence of efficacy to address back pain. Implant failure is the commonest complication, which has resulted in withdrawal of some of the PDS devices from the market. In this paper the authors presented the current understanding of clinical instability of lumbar motions segment, proposed a classification, and described the clinical experience of the pedicle screw-based posterior dynamic stabilization devices.

  18. RESEARCH OF A HIGH EFFICIENCY SLIDING SCREW DRIVER

    Institute of Scientific and Technical Information of China (English)

    Hu Xiaowei; Lu Huailiang; Huang Shuhuai

    2004-01-01

    A high efficiency sliding screw driver is introduced. It can improve driving efficiency obviously. As the material strength of the nut in this structure is low and the nut is the most dangerous part, so it is important to master the structure's characters of deformation and stress. The deformation and stress of this structure are researched by finite element method(FEM), and the changing law of stress concentration coefficient of the structure is gained. So the exact stress of nut teeth with highest load can be calculated directly based on this result.

  19. Confocal laser scanning microscopy in study of bone calcification

    Energy Technology Data Exchange (ETDEWEB)

    Nishikawa, Tetsunari, E-mail: tetsu-n@cc.osaka-dent.ac.jp [Department of Oral Pathology, Osaka Dental University, Osaka (Japan); Kokubu, Mayu; Kato, Hirohito [Department of Oral Pathology, Osaka Dental University, Osaka (Japan); Imai, Koichi [Department of Biomaterials, Osaka Dental University, Osaka (Japan); Tanaka, Akio [Department of Oral Pathology, Osaka Dental University, Osaka (Japan)

    2012-12-01

    Highlights: Black-Right-Pointing-Pointer High-magnification images with depth selection, and thin sections were observed using CLSM. Black-Right-Pointing-Pointer The direction and velocity of calcification of the bone was observed by administration of 2 fluorescent dyes. Black-Right-Pointing-Pointer In dog femora grafted with coral blocks, newly-formed bone was observed in the coral block space with a rough surface. Black-Right-Pointing-Pointer Twelve weeks after dental implant was grafted in dog femora, the space between screws was filled with newly-formed bones. - Abstract: Bone regeneration in mandible and maxillae after extraction of teeth or tumor resection and the use of rough surface implants in bone induction must be investigated to elucidate the mechanism of calcification. The calcified tissues are subjected to chemical decalcification or physical grinding to observe their microscopic features with light microscopy and transmission electron microscopy where the microscopic tissue morphology is significantly altered. We investigated the usefulness of confocal laser scanning microscopy (CLSM) for this purpose. After staggering the time of administration of calcein and alizarin red to experimental rats and dogs, rat alveolar bone and dog femur grafted with coral as scaffold or dental implants were observed with CLSM. In rat alveolar bone, the calcification of newly-formed bone and net-like canaliculi was observed at the mesial bone from the roots progressed at the rate of 15 {mu}m/day. In dog femur grafted with coral, newly-formed bones along the space of coral were observed in an orderly manner. In dog femur with dental implants, after 8 weeks, newly-formed bone proceeded along the rough surface of the implants. CLSM produced high-magnification images of newly-formed bone and thin sections were not needed.

  20. Low Bone Density

    Science.gov (United States)

    ... Information › Bone Density Exam/Testing › Low Bone Density Low Bone Density Low bone density is when your ... compared to people with normal bone density. Detecting Low Bone Density A bone density test will determine ...

  1. Reduction in radiation (fluoroscopy while maintaining safe placement of pedicle screws during lumbar spine fusion

    Directory of Open Access Journals (Sweden)

    Christopher D. Chaput

    2013-01-01

    Full Text Available OBJECTIVE: The purpose of this study is to report the results using PediGuard (electrical conductivity device to reduce radiation exposure while drilling the pilot hole for pedicle screw placement. METHOD: Eighteen patients diagnosed with a degenerative lumbar spine, that required a posterior spinal fusion. Average age of the patients were 55 ± 12 years. Patients received postoperative CT scans of all screws. Scans were reviewed by an independent reviewer grading 'in' 2 mm of breach. In a randomized fashion, the surgeon created pilot holes with either his standard technique or by using the PediGuard. Fluoroscopy was used for each drilling as necessary. Once the pilot hole was created, the surgeon inserted titanium screws into the pedicle pilot holes. A total of 78 screws (39 standard probe and 39 PediGuard were analyzed. RESULTS: 78 screws (39 standard probe and 39 PediGuard were analyzed. No significant difference in breach rate > 2mm by either method (p=1.000, with one screw out in each group. Fluoroscopy shots averaged 5.2 (range, 0 to 15, average decrease of 2.3 (30% per screw in the PediGuard group vs. 7.5 (range, 2 to 17 in the standard group (p< .001. CONCLUSION: This trial to assess pedicle probe location within the pedicle and vertebral body showed the number of fluoroscopy shots were reduced by 30%, compared to a standard probe while maintaining a 97.5% screw placement accuracy.

  2. Application of Richards Sliding Hip Screw in Treatment of Intertrochanteric Femoral Fractures

    Institute of Scientific and Technical Information of China (English)

    PING Jinzhong; SHEN Hongsheng; QIU Song

    2002-01-01

    @@ Richards Sliding Hip Screw is an effective method for the treatment of subtrochanteric and intertrochanteric femoral fractures. We applied the screw to treat the above- mentioned fractures from 1994 and obtained satisfying results in our hospital. All the cases were followed up. We reported it as follows.

  3. Pyrolysis of cassava rhizome in a counter-rotating twin screw reactor unit.

    Science.gov (United States)

    Sirijanusorn, Somsak; Sriprateep, Keartisak; Pattiya, Adisak

    2013-07-01

    A counter-rotating twin screw reactor unit was investigated for its behaviour in the pyrolysis of cassava rhizome biomass. Several parameters such as pyrolysis temperature in the range of 500-700°C, biomass particle size of twin screw reactor was relatively low, whereas the solids content was relatively high, compared to some other reactor configurations.

  4. Complications of pedicle screws in lumbar and lumbosacral fusions in 105 consecutive primary operations

    NARCIS (Netherlands)

    Jutte, PC

    2002-01-01

    Pedicle screw fixation is technically demanding and associated with high complication rates. The aim of this study was to identify and quantify the pedicle screw-related complications in 105 consecutive operations. We retrospectively analysed 105 consecutive primary operations. We found complication

  5. 29 CFR 1926.305 - Jacks-lever and ratchet, screw, and hydraulic.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false Jacks-lever and ratchet, screw, and hydraulic. 1926.305... Power § 1926.305 Jacks—lever and ratchet, screw, and hydraulic. (a) General requirements. (1) The... secured at once. (ii) Hydraulic jacks exposed to freezing temperatures shall be supplied with an...

  6. Robot assisted navigated drilling for percutaneous pedicle screw placement: A preliminary animal study

    Directory of Open Access Journals (Sweden)

    Hongwei Wang

    2015-01-01

    Conclusions: The preliminary study supports the view that computer assisted pedicle screw fixation using spinal robot is feasible and the robot can decrease the intraoperative fluoroscopy time during the minimally invasive pedicle screw fixation surgery. As spine robotic surgery is still in its infancy, further research in this field is worthwhile especially the accuracy of spine robot system should be improved.

  7. Comparison of two-transsacral-screw fixation versus triangular osteosynthesis for transforaminal sacral fractures.

    Science.gov (United States)

    Min, Kyong S; Zamorano, David P; Wahba, George M; Garcia, Ivan; Bhatia, Nitin; Lee, Thay Q

    2014-09-01

    Transforaminal pelvic fractures are high-energy injuries that are translationally and rotationally unstable. This study compared the biomechanical stability of triangular osteosynthesis vs 2-transsacral-screw fixation in the repair of a transforaminal pelvic fracture model. A transforaminal fracture model was created in 10 cadaveric lumbopelvic specimens. Five of the specimens were stabilized with triangular osteosynthesis, which consisted of unilateral L5-to-ilium lumbopelvic fixation and ipsilateral iliosacral screw fixation. The remaining 5 were stabilized with a 2-transsacral-screw fixation technique that consisted of 2 transsacral screws inserted across S1. All specimens were loaded cyclically and then loaded to failure. Translation and rotation were measured using the MicroScribe 3D digitizing system (Revware Inc, Raleigh, North Carolina). The 2-transsacral-screw group showed significantly greater stiffness than the triangular osteosynthesis group (2-transsacral-screw group, 248.7 N/mm [standard deviation, 73.9]; triangular osteosynthesis group, 125.0 N/mm [standard deviation, 66.9]; P=.02); however, ultimate load and rotational stiffness were not statistically significant. Compared with triangular osteosynthesis fixation, the use of 2 transsacral screws provides a comparable biomechanical stability profile in both translation and rotation. This newly revised 2-transsacral-screw construct offers the traumatologist an alternative method of repair for vertical shear fractures that provides biplanar stability. It also offers the advantage of percutaneous placement in either the prone or supine position.

  8. Screw-System-Based Mobility Analysis of a Family of Fully Translational Parallel Manipulators

    Directory of Open Access Journals (Sweden)

    Ernesto Rodriguez-Leal

    2013-01-01

    Full Text Available This paper investigates the mobility of a family of fully translational parallel manipulators based on screw system analysis by identifying the common constraint and redundant constraints, providing a case study of this approach. The paper presents the branch motion-screws for the 3-RP̲C-Y parallel manipulator, the 3-RCC-Y (or 3-RP̲RC-Y parallel manipulator, and a newly proposed 3-RP̲C-T parallel manipulator. Then the paper determines the sets of platform constraint-screws for each of these three manipulators. The constraints exerted on the platforms of the 3-RP̲C architectures and the 3-RCC-Y manipulators are analyzed using the screw system approach and have been identified as couples. A similarity has been identified with the axes of couples: they are perpendicular to the R joint axes, but in the former the axes are coplanar with the base and in the latter the axes are perpendicular to the limb. The remaining couples act about the axis that is normal to the base. The motion-screw system and constraint-screw system analysis leads to the insightful understanding of the mobility of the platform that is then obtained by determining the reciprocal screws to the platform constraint screw sets, resulting in three independent instantaneous translational degrees-of-freedom. To validate the mobility analysis of the three parallel manipulators, the paper includes motion simulations which use a commercially available kinematics software.

  9. Effect of Welding Methods on the Structure and Mechanical Properties of Welded Joints of Screw Piles

    Science.gov (United States)

    Golikov, N. I.; Sidorov, M. M.; Stepanova, K. V.

    2016-11-01

    Mechanical properties and characteristics of the structure of welded joints of screw piles are studied. It is shown that cast tips from steel 25L do not meet the performance specifications for operation in the Northern climatic zone. Quality welded joints of screw piles can be obtained by semiautomatic welding in an environment of CO2 with Sv-08G2S welding wire.

  10. Foreign body reaction after PLC reconstruction caused by a broken PLLA screw.

    Science.gov (United States)

    Kim, Tae-Kwon; Jeong, Tae-Wan; Lee, Dae-Hee

    2014-12-01

    Foreign body reactions may occur in patients who receive bioabsorbable implants during orthopedic surgery for fractures and ligament repair. The authors describe a 34-year-old man who presented with a palpable tender mass on the lateral aspect of the left knee of 1 month's duration. He underwent posterior cruciate ligament and posterolateral corner reconstruction 3 years earlier. Physical examination showed a 1×1-cm soft, nontender mass without localized warmth on the lateral epicondyle of the distal femur. Magnetic resonance imaging showed a broken screw fragment surrounded by a cyst-like mass. Under general anesthesia, the surgeon excised the screw fragment and the fibrotic mass, enclosing it in the subcutaneous tissue at the lateral epicondyle, the site at which a poly-L-lactic acid bioabsorbable screw had been inserted to fix the graft for posterolateral corner reconstruction. Histologic evaluation showed a foreign body reaction to the degraded screw particles. To the authors' knowledge, this report is the first description of a patient presenting with a delayed foreign body reaction to a broken poly-L-lactic acid bioabsorbable screw at the lateral femoral epicondyle after posterolateral corner reconstruction. Because delayed foreign body reactions can occur at any site of poly-L-lactic acid bioabsorbable screw insertion, care should be taken to avoid screw protrusion during ligament reconstruction because it can lead to screw breakage and delayed foreign body reaction.

  11. Determining the residence time distribution of various screw elements in a co-rotating twin-screw extruder by means of fluorescence spectroscopy

    Science.gov (United States)

    Lepschi, Alexander; Gerstorfer, Gregor; Miethlinger, Jürgen

    2015-05-01

    The Residence Time Distribution (RTD) is key to optimizing the mixing ability of an extruder. For both sensitive and reactive materials, it is important to know how long particles remain in the barrel and how long the polymer remains, for instance, in a kneading element. To assess the influence of different screw configurations on the RTD, a low-concentration tracer particle was injected into the feeding section and measured inline by fluorescence spectroscopy1 both inside the barrel and at the extruder exit. The measurements were conducted using polypropylene with different amounts of organic peroxide. Measuring the residence time at various positions along the screw allows the RTD to be determined for just one screw element. Furthermore, we show the influence of different screw configurations on the polydispersity of polypropylene.

  12. Digital placement and clinical application of lumbar pedicle screws based on 3D printing%基于3D打印的腰椎椎弓根螺钉数字化置入及临床应用

    Institute of Scientific and Technical Information of China (English)

    陈宣煌; 许卫红; 黄文华; 林海滨; 张国栋; 吴长福; 陈旭; 余正希

    2015-01-01

    BACKGROUND:3D printing to prepare individualized navigation template-assisted screw placement can elevate screw placement accuracy of spinal pedicle screw,and have good prospects for clinical application.OBJECTIVE:To investigate the method of lumbar pedicle screw navigation placement using digital design of Mimics software combined with 3D printing module,and to explore its feasibility and accuracy.METHODS:From February 2012 to August 2013,a total of 60 patients with lumbar diseases underwent 3D printing module-assisted lumbar pedicle screw navigation placement.Al patients received continuous thin slice CT scan.We colected Dicom format images.Mimics software was used for 3D reconstruction to design screw channel and the supporting column of lumbar pedicle screw placement and to divide strippable bone surface,to design navigation module with screw channel,and then to carry out 3D printing.Navigation module was utilized for navigation screw placement during the surgery.The position and replacement of screw were observed.X-ray and CT scan were applied to assess the outcomes of screw placement.The patients were folowed up for (12.17±3.21) months.Oswestry Disability Index was employed to evaluate the improvement of lumbar function.Japanese Orthopaedic Association (low back pain) scoring system was used to assess the therapeutic effects.RESULTS AND CONCLUSION:253 navigation modules were made and 253 screws were implanted.Screw channel and postoperative bone surrounding the vertebral body were observed,and no breakage was found.Postoperative X-ray and CT scan revealed that the direction of eight pedicle screws was migrated compared with preoperative design,but their positions were stil satisfactory.The placement site,direction and length of 245 pedicle screws were consistent with the desired site,direction and length in Mimics software,with an accuracy of 96.84%.The navigation module was tightly connected to bone structure in front of the corresponding vertebral body

  13. Use of the channel fill level in defining a design space for twin screw wet granulation.

    Science.gov (United States)

    Gorringe, L J; Kee, G S; Saleh, M F; Fa, N H; Elkes, R G

    2017-03-15

    Twin screw wet granulation is a key process in the continuous manufacture of oral solid dosage forms. Previous research has qualitatively suggested that the channel fill level influences the granules produced. In this paper a quantitative measure of the total volumetric fraction of the conveying element channels of the screw filled with powder (φ) was used. Experimental results are shown which demonstrate that very similar particle size distributions can be obtained at the same φ with the same material and screw configuration but radically different solids feed rates and screw speeds. Morphology of the granules also correlates with φ. This is consistent with previous observations in the literature correlating granule attributes with powder feed rate and screw speed but also considers the two parameters in combination. A process design space approach based on φ is proposed. This can be determined empirically, and potentially has value in setting process control strategies, assuring process robustness and allowing process flexibility during the product lifecycle.

  14. Connection of Screw Instability with Electric Current in an Accretion Disc around a Black Hole

    Institute of Scientific and Technical Information of China (English)

    LAN Xiao-Xia; WANG Ding-Xiong; GAN Zhao-Ming

    2005-01-01

    @@ The screw instability of the magnetic field is discussed based on its poloidal configuration generated by a single toroidal electric current flowing in the equatorial plane of a Kerr Mack hole (BH). The rotation of the BH relative to the disc induces an electromotive force, which in turn results in a poloidal electric current. By using Ampere's law, we calculate the toroidal component of the magnetic field and derive a criterion for the screw instability of the magnetic field connecting the rotating BH with its surrounding disc. It is determined that the screw instability is related to two parameters: the radius of the disc and the BH spin. The occurrence of screw instability is depicted in a parameter space. In addition, we discuss the effect of the screw instability on magnetic extraction of energy from the rotating BH.

  15. Biomechanical evaluation on the stability of anterior cervical pedicle screw fixation for osteoporosis%生物力学评价颈椎前路椎弓根螺钉植入骨质疏松椎骨内的稳定性

    Institute of Scientific and Technical Information of China (English)

    李振伟; 向阳明

    2015-01-01

    segments, the stability of fixator and bone graft is poor due to big bone graft span, which may easily cause fusion failure and pseudarthrosis, and impact curative effects. OBJECTIVE:To investigate biomechanical stability of anterior cervical pedicle screw implantation for osteoporosis in the vertebra. METHODS:A total of 12 human cervical vertebrae were col ected, including 6 vertebrae with normal bone density and 6 vertebrae with osteoporosis. Data of 60 vertebra specimens were analyzed. 30 osteoporotic specimens implanted in anterior cervical pedicle screw were set as anterior cervical pedicle screw group. 30 normal specimens implanted in anterior cervical pedicle screw were set as anterior vertebral screw group. According to bone density, 40 vertebrae were col ected in above two groups, and were considered as normal bone mineral density group, instant osteoporosis group, fatigue normal bone mineral density group, and fatigue osteoporosis group (n=10). Bone mineral density of each vertebra was detected using dual-energy X-ray absorptiometry. Biomechanical index of two kinds of screws was detected using ElectroForce 3510 material testing machine. RESULTS AND CONCLUSION:Bone mineral content, vertebral screw pul-out strength, vertebral screw pul-out stiffness, pedicle screw pul-out strength, and pedicle screw pul-out stiffness were significantly higher in the anterior cervical pedicle screw group than in the anterior vertebral screw group (P<0.05). The maximum axial pul-out strength of normal bone mineral density group, instant osteoporosis group, fatigue normal bone mineral density group, and fatigue osteoporosis group was significantly higher than in the anterior vertebral screw group (P<0.05). The results confirmed that osteoporotic vertebral biomechanical performance is more stable in anterior pedicle screws compared with the anterior vertebral screw.

  16. Bone marrow transplant

    Science.gov (United States)

    Transplant - bone marrow; Stem cell transplant; Hematopoietic stem cell transplant; Reduced intensity nonmyeloablative transplant; Mini transplant; Allogenic bone marrow transplant; Autologous bone marrow transplant; Umbilical ...

  17. Posterior thoracic segmental pedicle screw instrumentation: Evolving methods of safe and effective placement

    Directory of Open Access Journals (Sweden)

    Zeiller S

    2005-01-01

    Full Text Available The use of pedicle screw instrumentation in the spine has evolved over the last two decades. The initial use of pedicle screws began in the lumbar spine. As surgeons have become more comfortable with the complex anatomy required for accurate screw placement, the use of pedicle instrumentation has evolved to include their use in the thoracolumbar and thoracic spine. The impetus behind their increased use is a result of the many advantages that pedicle screw anchorage offers over traditional hook and rod constructs. Improved deformity correction and overall construct rigidity are two important advantages of pedicle screw instrumentation due its three-column control over the spinal elements. First, pedicle screw instrumentation obviates the need to place instrumentation within the spinal canal with its inherent risk of neurologic injury. Second, the placement of pedicle screws is independent of facet or laminar integrity and thus has been extremely useful in traumatic, neoplastic, and degenerative conditions. The benefits of pedicle screws in the thoracic spine has been tempered by the potential for catastrophic neurological or soft tissue injuries due to the close proximity of these structures. The narrow and inconsistent shape of the thoracic pedicles, especially in spinal deformity, makes their placement technically challenging. As a result, surgeons have employed a number of techniques to ensure the safe and efficacious placement of thoracic pedicle screws. Detailed anatomic landmarks used to determine pedicle location, intraoperative imaging including navigation, and neurophysiological monitoring are some of the techniques currently used by surgeons. The implementation of these techniques and a thorough understanding of the complex three-dimensional anatomy have allowed surgeons to successfully place thoracic and thoracolumbar pedicle screws.

  18. Energy consumption analysis for a single screw extruder

    Energy Technology Data Exchange (ETDEWEB)

    Deng, Jing; Harkin-Jones, Eileen; Price, Mark; Karnachi, Nayeem [Queen' s Univ., Belfast (United Kingdom). School of Mechanical and Aerospace Engineering; Li, Kang [Queen' s Univ., Belfast (United Kingdom). School of Electronics, Electrical Engineering and Computer Science; Fei, Minrui [Shanghai Univ. (China). School of Mechatronic Engineering and Automation

    2013-07-01

    Polymer extrusion is regarded as an energy intensive production process, the real-time monitoring of both thermal energy and motor drive energy consumption becomes necessary for the development of energy efficient management system. The use of power meter is a simple and easy way to achieve this, however the cost sometimes can be high. Mathematical models based on the process settings provide an affordable alternative, but the resultant models cannot be easily extended to other extruders with different geometry. In this paper, simple and accurate energy real-time monitoring methods are developed for the analysis of energy consumption of the thermal heating and motor drive respectively. This is achieved by looking inside the controller, and use the control variables to calculate the power consumption. The developed methods are then adopted to study the effects of operating settings on the energy efficiency. These include the barrel heating temperature, water cooling temperature, and screw speed. The experimental results on Killion KTS-100 extruder show that the barrel heating temperature has a negative effect on energy efficiency, while the water cooling setting affects the energy efficiency positively but insignificantly. Undoubtedly, screw speed has the most significant effect on energy efficiency.

  19. Analysis of Third-Grade Fluid in Helical Screw Rheometer

    Directory of Open Access Journals (Sweden)

    M. Zeb

    2013-01-01

    Full Text Available The steady flow of an incompressible, third-grade fluid in helical screw rheometer (HSR is studied by “unwrapping or flattening” the channel, lands, and the outside rotating barrel. The geometry is approximated as a shallow infinite channel, by assuming that the width of the channel is large as compared to the depth. The developed second-order nonlinear coupled differential equations are reduced to single differential equation by using a transformation. Using Adomian decomposition method, analytical expressions are calculated for the the velocity profiles and volume flow rates. The results have been discussed with the help of graphs as well. We observed that the velocity profiles are strongly dependant on non-Newtonian parameter (β~, and with the increase in β~, the velocity profiles increase progressively, which conclude that extrusion process increases with the increase in β~. We also observed that the increase in pressure gradients in x- and z-direction increases the net flow inside the helical screw rheometer, which increases the extrusion process. We noticed that the flow increases as the flight angle increase.

  20. Prosopis pubescens (screw bean mesquite) seedlings are hyperaccumulators of copper.

    Science.gov (United States)

    Zappala, Marian N; Ellzey, Joanne T; Bader, Julia; Peralta-Videa, Jose R; Gardea-Torresdey, Jorge

    2013-08-01

    Due to health reasons, toxic metals must be removed from soils contaminated by mine tailings and smelter activities. The phytoremediation potential of Prosopis pubescens (screw bean mesquite) was examined by use of inductively-coupled plasma optical emission spectroscopy. Transmission electron microscopy was used to observe ultrastructural changes of parenchymal cells of leaves in the presence of copper. Elemental analysis was used to localize copper within leaves. A 600-ppm copper sulfate exposure to seedlings for 24 days resulted in 31,000 ppm copper in roots, 17,000 ppm in stems, 11,000 in cotyledons and 20 ppm in the true leaves. For a plant to be considered a hyperaccumulator, the plant must accumulate a leaf-to-root ratio <1. Screw bean mesquite exposed to copper had a leaf-to-root ratio of 0.355 when cotyledons were included. We showed that P. pubescens grown in soil is a hyperaccumulator of copper. We recommend that this plant should be field tested.

  1. Bone mineral content and bone metabolism in young adults with severe periodontitis

    DEFF Research Database (Denmark)

    Wowern von, N.; Westergaard, J.; Kollerup, G.

    2001-01-01

    Bone loss, bone markers, bone metabolism, bone mineral content, osteoporosis, severe periodontitis......Bone loss, bone markers, bone metabolism, bone mineral content, osteoporosis, severe periodontitis...

  2. Biodegradable versus tutanium plates and screws in maxillofacial surgery

    NARCIS (Netherlands)

    van Bakelen, Nicolaas

    2014-01-01

    Nowadays, titanium is regarded as the ‘golden standard’ for fixation of bone segments. It appears to be necessary that titanium is removed following bone healing in a second operation in 5-40% of the cases. Biodegradable fixation systems have been developed to dissolve gradually in the human body in

  3. [Bone transplant].

    Science.gov (United States)

    San Julián, M; Valentí, A

    2006-01-01

    We describe the methodology of the Bone and Soft Tissue Bank, from extraction and storage until use. Since the year 1986, with the creation of the Bone Bank in the University Clinic of Navarra, more than 3,000 grafts have been used for very different types of surgery. Bone grafts can be classified into cortical and spongy; the former are principally used in surgery to save tumour patients, in large post-traumatic reconstructions and in replacement surgery where there are massive bone defects and a structural support is required. The spongy grafts are the most used due to their numerous indications; they are especially useful in filling cavities that require a significant quantity of graft when the autograft is insufficient, or as a complement. They are also of special help in treating fractures when there is bone loss and in the treatment of delays in consolidation and pseudoarthrosis in little vascularized and atrophic zones. They are also used in prosthetic surgery against the presence of cavity type defects. Allografts of soft tissues are specially recognised in multiple ligament injuries that require reconstructions. Nowadays, the most utilised are those employed in surgery of the anterior cruciate ligament although they can be used for filling any ligament or tendon defect. The principal difficulties of the cortical allografts are in the consolidation of the ends with the bone itself and in tumour surgery, given that these are patients immunodepressed by the treatment, the incidence of infection is increased with respect to spongy grafts and soft tissues, which is irrelevant. In short, the increasingly widespread use of allografts is an essential therapeutic weapon in orthopaedic surgery and traumatology. It must be used by expert hands.

  4. Individualized 3D printing navigation template for pedicle screw fixation in upper cervical spine

    Science.gov (United States)

    Guo, Fei; Dai, Jianhao; Zhang, Junxiang; Ma, Yichuan; Zhu, Guanghui; Shen, Junjie; Niu, Guoqi

    2017-01-01

    Purpose Pedicle screw fixation in the upper cervical spine is a difficult and high-risk procedure. The screw is difficult to place rapidly and accurately, and can lead to serious injury of spinal cord or vertebral artery. The aim of this study was to design an individualized 3D printing navigation template for pedicle screw fixation in the upper cervical spine. Methods Using CT thin slices data, we employed computer software to design the navigation template for pedicle screw fixation in the upper cervical spine (atlas and axis). The upper cervical spine models and navigation templates were produced by 3D printer with equal proportion, two sets for each case. In one set (Test group), pedicle screws fixation were guided by the navigation template; in the second set (Control group), the screws were fixed under fluoroscopy. According to the degree of pedicle cortex perforation and whether the screw needed to be refitted, the fixation effects were divided into 3 types: Type I, screw is fully located within the vertebral pedicle; Type II, degree of pedicle cortex perforation is 1 mm or with the poor internal fixation stability and in need of renovation. Type I and Type II were acceptable placements; Type III placements were unacceptable. Results A total of 19 upper cervical spine and 19 navigation templates were printed, and 37 pedicle screws were fixed in each group. Type I screw-placements in the test group totaled 32; Type II totaled 3; and Type III totaled 2; with an acceptable rate of 94.60%. Type I screw placements in the control group totaled 23; Type II totaled 3; and Type III totaled 11, with an acceptable rate of 70.27%. The acceptability rate in test group was higher than the rate in control group. The operation time and fluoroscopic frequency for each screw were decreased, compared with control group. Conclusion The individualized 3D printing navigation template for pedicle screw fixation is easy and safe, with a high success rate in the upper cervical spine

  5. Bone biopsy (image)

    Science.gov (United States)

    A bone biopsy is performed by making a small incision into the skin. A biopsy needle retrieves a sample of bone and it ... examination. The most common reasons for bone lesion biopsy are to distinguish between benign and malignant bone ...

  6. Bone lesion biopsy

    Science.gov (United States)

    Bone biopsy; Biopsy - bone ... needle is gently pushed and twisted into the bone. Once the sample is obtained, the needle is ... sample is sent to a lab for examination. Bone biopsy may also be done under general anesthesia ...

  7. Facts about Broken Bones

    Science.gov (United States)

    ... Room? What Happens in the Operating Room? Broken Bones KidsHealth > For Kids > Broken Bones Print A A ... sticking through the skin . What Happens When a Bone Breaks? It hurts to break a bone! It's ...

  8. Calcium and bones

    Science.gov (United States)

    Bone strength and calcium ... calcium (as well as phosphorus) to make healthy bones. Bones are the main storage site of calcium in ... your body does not absorb enough calcium, your bones can get weak or will not grow properly. ...

  9. Broken Bones (For Parents)

    Science.gov (United States)

    ... Feeding Your 1- to 2-Year-Old Broken Bones KidsHealth > For Parents > Broken Bones Print A A ... bone fragments in place. When Will a Broken Bone Heal? Fractures heal at different rates, depending upon ...

  10. Management of maxillary alveolar bone fracture and severely intruded maxillary central incisor: report of a case.

    Science.gov (United States)

    Yonezawa, Hisanobu; Yanamoto, Souichi; Hoshino, Tomonori; Yamada, Shin-Ichi; Fujiwara, Taku; Umeda, Masahiro

    2013-10-01

    An 11-year-old male who injured his maxilla and right maxillary central incisor and lip during a fall was presented to our hospital. His lower lip and upper gingiva were lacerated with swelling and epistaxis, and he had a maxillary alveolar bone fracture and severe intrusion of the right maxillary central incisor, which had penetrated the floor of the nasal cavity with avulsion. Under local anesthesia, we repositioned the incisor and bone segment and fixed them with a titanium micromesh plate and self-tapping screws and splints. The incisor was also treated by root canal 3 days after the operation and was restored with a crown. We performed root canal filling 1 month later. Five months later, the plate and screws were removed. In prognosis of our case, no symptoms of inflammatory root resorption or ankylosis have observed for more than 1 year and 6 months of follow up based on both clinical and radiographic findings.

  11. 创伤性颈椎不稳后路钉棒固定重建稳定%Stability reconstruction of traumatic cervical vertebra by screw-rod fixation through posterior approach

    Institute of Scientific and Technical Information of China (English)

    周章彦; 朱轶; 谢彬; 林义文

    2012-01-01

    Objective To explore the therapeutic effect on treatment of traumatic instability of cervical vertebra by pedicel screw through posterior approach or screw-rod fixation in lateral mass. Methods 30 patients of traumatic cervical vertebra instability were treated with grafting in cervical spinal lamina or between small joints by posterior transpedicular screw through posterior approach or screw-rod fixation in lateral mass. Results All cervical symptoms disappeared after operation and the damaged neurological function of cervical spinal cord were significantly improved. No complication was found in the follow up visits for 3 ~ 52 ( 10 ± 3. 2 ) months. The recovered cervical vertebra of all patients was of well fused and stable without looseness, fracture of interior fixation or displacement of grafting bone; the fracture was well healing and grafting bone was gradually fused with flexion range of extensible i05°±i0.5°, lateral 80° ±7. 2°, and axial rotation 96° ±9. 3°. Conclusions The treatment of the traumatic cervical vertebra by posterior transpedicular screw through posterior approach or screw-rod fixation in lateral mass reveals good reconstructed stability.%目的 探讨颈后路椎弓根钉或侧块螺钉-棒内固定治疗颈椎创伤性不稳临床效果.方法 对30例创伤性颈椎不稳患者行后路椎弓根钉或侧块螺钉-棒内固定,椎板或小关节间植骨.结果 术后颈部症状完全消失,受损颈髓神经功能明显改善.30例均获随访,时间3~52(10±3.2)个月,未发生并发症.颈椎复位良好,序列稳定;无内固定松动、断裂、植骨块移位;骨折愈合好,植骨渐进融合.颈椎伸屈角度105°±10.5°,侧屈角度80°±7.2°,轴向旋转功能96°±9.3°.结论 颈椎创伤性不稳采用经后路椎弓根钉或侧块螺钉-棒内固定治疗能够达到良好的稳定效果.

  12. Craniofacial vertical bone augmentation: a comparison between 3D printed monolithic monetite blocks and autologous onlay grafts in the rabbit.

    Science.gov (United States)

    Tamimi, Faleh; Torres, Jesus; Gbureck, Uwe; Lopez-Cabarcos, Enrique; Bassett, David C; Alkhraisat, Mohammad H; Barralet, Jake E

    2009-10-01

    Onlay autografting is amongst the most predictable techniques for craniofacial vertical bone augmentation, however, complications related to donor site surgery are common and synthetic alternatives to onlay autografts are desirable. Recent studies have shown that the acidic calcium phosphates, brushite and monetite, are osteoconductive, osteoinductive and resorb faster in vivo than hydroxyapatite. Moreover, they can be 3D printed allowing precise host bone-implant conformation. The objectives of this study were to confirm that craniofacial screw fixation of 3D printed monetite blocks was possible and to compare the resulting vertical bone augmentation with autograft. 3D printed monolithic monetite onlay implants were fixed with osteosynthesis screws on the calvarial bone surface of New Zealand rabbits. After 8 weeks, integration between the implant and the calvarial bone surface was observed in all cases. Histomorphometry revealed that 42% of the monetite was resorbed and that the new bone formed within the implant occupied 43% of its volume, sufficient for immediate dental implant placement. Bone tissue within the autologous onlay occupied 60% of the volume. We observed that patterns of regeneration within the implants differed throughout the material and propose that this was due to the anatomy and blood supply pattern in the region. Rapid prototyped monetite being resorbable osteoconductive and osteoinductive would appear to be a promising biomaterial for many bone regeneration strategies.

  13. A comparison of unilateral and bilateral pedicle screw fixation combined with transforaminal lumbar interbody fusion for lumbar degenerative diseases

    Institute of Scientific and Technical Information of China (English)

    Yang Xiaoming; Wang Hong; Zhao Quanlai; Xu Hongguang; Liu Ping; Jin Yuelong

    2014-01-01

    Background Bilateral transpedicular screw fixation in conjunction with interbody fusion is widely used to treat lumbar degenerative diseases; however,there are some disadvantages of using this fixation system.This study comparatively analyzes the results of unilateral and bilateral pedicle screw fixation combined with transforaminal lumbar interbody fusion (TLIF) for one-level lumbar degenerative diseases.Methods Sixty-six cases with one-level lumbar degenerative diseases were studied.The patients were divided according to surgical approach into a unilateral group (Group A) and a bilateral group (Group B).The patients were evaluated for pain by visual analog scale (VAS) and Oswestry Disability Index (ODI).Operating time,blood loss,duration of hospitalization,and complication rate were also evaluated.Patients were examined at 1,3,6,and 12 months postoperatively and every year thereafter.Results Group A patients' average preoperative VAS and ODI scores were 7.03 ± 0.98 and (64.22±6.38)%,respectively,significantly decreased to 2.91 ± 0.88 and (14.42±2.08)%,respectively,at the last follow-up (P =0.000).In Group B,the average preoperative VAS and ODI scores were 6.79±0.86 and (63.22±4.70)%,respectively,significantly decreased to 3.12±0.96 and (14.62±2.08)%,respectively,at the last follow-up (P=0.000).No significant difference in the duration of hospitalization was found between groups.Operating time and blood loss of (125.9±13.0) minutes and (211.4±28.3) ml,respectively,in Group A were significantly less than (165.2±15.3) minutes and (258.6±18.3) ml,respectively,in Group B (P=-0.000).All patients achieved good bone union and had no pseudarthrosis at the last follow-up.Conclusions There are no clinical differences between unilateral and bilateral pedicle screw fixation combined with TLIF for one-level lumbar degenerative diseases.Unilateral fixation reduces operating time,bleeding,and cost of hospitalization.

  14. Biomechanical Evaluation of the Fixation Methods for Transcondylar Fracture of the Humerus:ONI Plate Versus Conventional Plates and Screws

    Directory of Open Access Journals (Sweden)

    Shimamura,Yasunori

    2010-04-01

    Full Text Available

    We biomechanically evaluated the bone fixation rigidity of an ONI plate (Group I during fixation of experimentally created transcondylar humerus fractures in cadaveric elbows, which are the most frequently observed humeral fractures in the elderly, and compared it with the rigidity achieved by 3 conventional fixation methods:an LCP reconstruction plate 3.5 using a locking mechanism (Group II, a conventional reconstruction plate 3.5 (CRP with a cannulated cancellous screw (Group III, and a CRP with 2 cannulated cancellous screws (CS in a crisscross orientation (Group IV. In the axial loading test, the mean failure loads were:Group I, 98.9+/-32.6;Group II, 108.5+/-27.2;Group III, 50.0+/-7.5;and Group IV, 34.5+/-12.2 (N. Group I fixations failed at a significantly higher load than those of Groups III and IV (p0.05. In the extension loading test, the mean failure loads were:Group I, 34.0+/-12.4;Group II, 51.0+/-14.8;Group III, 19.3+/-6.0;and Group IV, 14.7+/-3.1 (N. Group IV fixations showed a significantly lower failure load than those of Group I (p0.05. The fixation rigidities against mechanical loading by the ONI plate and LCP plate were comparable. These results suggested that an ONI system might be superior to the CRP and CS method, and comparable to the LCP method in terms of fixation rigidity for distal humerus fractures.

  15. Bone densitometry

    DEFF Research Database (Denmark)

    Ravn, Pernille; Alexandersen, P; Møllgaard, A

    1999-01-01

    The bisphosphonates have been introduced as alternatives to hormone replacement therapy (HRT) for the treatment and prevention of postmenopausal osteoporosis. The expected increasing application in at clinical practice demands cost-effective and easily handled methods to monitor the effect on bone...

  16. Occipital condyle screw placement and occipitocervical instrumentation using three-dimensional image-guided navigation.

    Science.gov (United States)

    Le, Tien V; Burkett, Clint; Ramos, Edwin; Uribe, Juan S

    2012-05-01

    Occipital condyle (OC) screws are an alternative cephalad fixation point in occipitocervical fusion. Safe placement of occipital, C1 lateral mass, and C2 pars screws have been described previously, but not OC screws. The craniocervical junction is complex, and a thorough understanding of the anatomy is needed. Three-dimensional (3D) image-guided navigation was used in six patients. There were no complications related to image-guided navigation during the placement of 12 OC screws and we found that this navigation can serve as a useful adjunct when placing an OC screw. Technical considerations of placing OC and C1 lateral mass screws are discussed with particular reference to patient positioning and the StealthStation® S7™ image-guided navigational platform (Medtronic, Minneapolis, MN, USA). The reference arc is attached to the head-clamp and faces forward. The optical camera and monitor are positioned at the head of the table for a direct, non-obstructed line-of-sight. To minimize intersegmental movement, the OC should not be drilled until all other screws have been placed. We conclude that 3D image-guided navigation is a useful adjunct that can be safely and effectively used for placement of instrumentation of the upper cervical spine including the OC.

  17. Investigation of a Ball Screw Feed Drive System Based on Dynamic Modeling for Motion Control

    Directory of Open Access Journals (Sweden)

    Yi-Cheng Huang

    2017-06-01

    Full Text Available This paper examines the frequency response relationship between the ball screw nut preload, ball screw torsional stiffness variations and table mass effect for a single-axis feed drive system. Identification for the frequency response of an industrial ball screw drive system is very important for the precision motion when the vibration modes of the system are critical for controller design. In this study, there is translation and rotation modes of a ball screw feed drive system when positioning table is actuated by a servo motor. A lumped dynamic model to study the ball nut preload variation and torsional stiffness of the ball screw drive system is derived first. The mathematical modeling and numerical simulation provide the information of peak frequency response as the different levels of ball nut preload, ball screw torsional stiffness and table mass. The trend of increasing preload will indicate the abrupt peak change in frequency response spectrum analysis in some mode shapes. This study provides an approach to investigate the dynamic frequency response of a ball screw drive system, which provides significant information for better control performance when precise motion control is concerned.

  18. Experimental investigation of granule size and shape dynamics in twin-screw granulation.

    Science.gov (United States)

    Kumar, Ashish; Vercruysse, Jurgen; Bellandi, Giacomo; Gernaey, Krist V; Vervaet, Chris; Remon, Jean Paul; De Beer, Thomas; Nopens, Ingmar

    2014-11-20

    A twin-screw granulator (TSG), a promising equipment for continuous high shear wet granulation (HSWG), achieves the desired level of mixing by a combination of the appropriate screw configuration and a suitable set of process settings (e.g. feed rate, screw speed, etc.), thus producing a certain granule size and shape distribution (GSSD). However, the primary sizing and shaping mechanism behind the resulting distribution is not well understood due to the opacity of the multiphase system in the granulator. This study experimentally characterised the GSSD dynamics along the TSG barrel length in order to understand the function of individual screw modules and process settings, as well as their interaction. Particle size analysis of granules collected at the outlet of the TSG suggested significant interaction between the process and screw configuration parameters influencing the heterogeneity in the GSSD. By characterising the samples collected along the screw length, a variable influence of the screw modules at different process conditions was observed. At low liquid-to-solid ratio (L/S), the first kneading module seemed to play a significant role in mixing, whereas the second kneading module was found to be more involved in reshaping the granules. At high L/S and high throughput, aggregation mainly took place in the second kneading module changing the GSSD. The results obtained from this study will be further used for the calibration and validation of a mechanistic model and, hence, support future development of a more detailed understanding of the HSWG process in a TSG.

  19. Management of Cannulated Screw Failure and Recurrent SCFE Displacement – Case Report

    Directory of Open Access Journals (Sweden)

    Nathan A Jacobson

    2014-01-01

    Full Text Available Introduction: SCFE occurs in 10 per 100,000 in some regions of the United States with the incidence continuing to increase. Percutaneous screw fixation is a well-accepted treatment for this disorder for over 20 years but management of complications is not well elucidated in the literature. Case Report: We describe a case where a traumatic unstable SCFE that was initially treated with closed reduction and fixation with a single transphyseal screw went on to hardware failure with recurrence of the deformity. The complication was successfully treated with closed reduction and re- cannulating the fractured screw within the epiphysis and extracting it using a conical extraction screw commonly referred to as an “easy out.” Three trans physeal screws were then placed for improved fixation strength. Follow-up at 9 months demonstrates a fused physis and no signs of avascular necrosis of the femoral head. Conclusion: Percutaneous management of SCFE screw breakage is possible utilizing specialized instruments and a precise and gentle manipulation preventing the need for more invasive treatments with their obligatory potential complications profile. Keywords: Hardware Failure, Slip Recurrence, SCFE, Complication, Conical Extraction Screw, Easy Out.

  20. Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures.

    Science.gov (United States)

    Karakasli, Ahmet; Hapa, Onur; Erduran, Mehmet; Dincer, Cemal; Cecen, Berivan; Havitcioglu, Hasan

    2015-01-01

    For talar neck fractures, open reduction and internal fixation have been thought to facilitate revascularization and prevent osteonecrosis. Newer screw systems allow for placement of cannulated headless screws, which provide compression by virtue of a variable pitch thread. The present study compared the biomechanical fixation strength of cannulated headless variable-pitch screw fixation and locking plate fixation. A reproducible talar neck fracture was created in 14 fresh cadaver talar necks. Talar head fixation was then performed using 2 cannulated headless variable-pitch 4-mm/5-mm diameter (4/5) screws (Acutrak; Acumed, Hillsboro, OR) and locking plate fixation. Headless variable-pitch screw fixation had lower failure displacement than did locking plate fixation. No statistically significant differences were found in failure stiffness, yield stiffness (p = .655), yield load (p = .142), or ultimate load between the 2 fixation techniques. Cannulated headless variable-pitch screw fixation resulted in better failure displacement than locking plate fixation in a cadaveric talus model and could be considered a viable option for talus fracture fixation. Headless, fully threaded, variable-pitch screw fixation has inherent advantages compared with locking plate fixation, because it might cause less damage to the articular surface and can compress the fracture for improved reduction. Additionally, plate fixation can increase the risk of avascular necrosis owing to the wider incision and dissection of soft tissues.

  1. Factors influencing success of cement versus screw-retained implant restorations: a clinical review

    Directory of Open Access Journals (Sweden)

    Ahmad Manawar

    2012-10-01

    Full Text Available Aim: As more and more dental practitioners are focusing on implant-supported fixed restorations, some clinicians favor the use of cement retained restorations while others consider screw retained prosthesis to be the best choice. Discussion: In screw-retained restorations, the fastening screw provides a solid joint between the restoration and the implant abutment, while in cement-retained prostheses the restorative screw is eliminated to enhance esthetics, occlusal stability, and passive fit of the restorations. The factors that influence the type of fixation of the prostheses to the implants like passivity of the framework, ease of fabrication, occlusion, esthetics, accessibility, retention and retrievability are discussed in this article with scientific studies demonstrating superior outcomes of one technique over another. Screwretained implant restorations have an advantage of predictable retention, retrievability and lack of potentially retained subgingival cement. However, a few disadvantages exist such as precise placement of the implant for optimal and esthetic location of the screw access hole and obtaining passive fit. On the other hand, cement retained restorations eliminate unesthetic screw access holes, have passive fit of castings, reduced complexity of clinical and lab procedures, enhanced esthetics, reduced cost factors and non disrupted morphology of the occlusal table. Conclusion: This article compares the advantages, potential disadvantages and limitations of screw and cement retained restorations and their specific implications in the most common clinical situation.

  2. Evaluations of Flow and Mixing Efficiency in the Kneading Disks of a Novel Tri-Screw Extruder

    Directory of Open Access Journals (Sweden)

    X. Z. Zhu

    2016-01-01

    Full Text Available The forward or backward stagger angles of the kneading disks have great effects on configures of the special center region along axial length in a novel tri-screw extruder. In this paper, the flow and mixing of a nonNewtonian polyethylene in kneading disks of a tri-screw extruder were simulated using three-dimensional finite element modeling based on mesh superposition technique. Three types of kneading disks, neutral stagger, staggered 30° forward and staggered 30° reverse were considered for the tri-screw extruder. The effects of stagger angles of kneading disks on the flow pattern in the tri-screw extruder were investigated. Moreover, at different stagger angles, the dispersive and distributive mixing efficiencies in the kneading disks of the tri-screw extruder and the twin-screw extruder were calculated and compared by means of mean shear rate, stretching rates, maximal stress magnitudes, mixing index, residence time distribution (RTD and logarithm of area stretch. It is found that increasing the stagger angles decreases the axial velocities of polymer melt in the center region for the tri-screw extruder. The staggered 30° reverse is relatively reasonable for the tri-screw extruder and neutral stagger for the twin-screw extruder for the mixing efficiency. In comparison, the kneading disks in the tri-screw extruder have higher distributive and dispersive mixing efficiencies than those in the twin-screw extruder with the same stagger angles.

  3. A Three-Dimensional Finite Element Study on the Biomechanical Simulation of Various Structured Dental Implants and Their Surrounding Bone Tissues

    OpenAIRE

    Zhang, Gong; Yuan, Hai; Chen, Xianshuai; Wang, Weijun; Chen, Jianyu; Liang, Jimin; Zhang, Peng

    2016-01-01

    Background/Purpose. This three-dimensional finite element study observed the stress distribution characteristics of 12 types of dental implants and their surrounding bone tissues with various structured abutments, implant threads, and healing methods under different amounts of concentrated loading. Materials and Methods. A three-dimensional geometrical model of a dental implant and its surrounding bone tissue was created; the model simulated a screw applied with a preload of 200 N or a torque...

  4. Effect of Calcium Phosphate Coating and rhBMP-2 on Bone Regeneration in Rabbit Calvaria Using Poly(propylene fumarate) Scaffolds

    Science.gov (United States)

    2015-01-07

    13,14], dental implants [15,16] and screws for fracture fixation [17,18]. These coatings provide a bone-like mineral matrix that simulates the in...integration of metallic implants and are currently being investigated to improve the surface bioactivity of polymeric scaffolds. The aim of this study...biphasic calcium phosphate (BCP). In vivo bone regeneration was evaluated by implantation of scaffolds in a critical-sized rabbit cal- varial defect

  5. Management of a Congenitally Missing Lateral Incisor with Orthodontics, Bone Grafting (a New Method and Single-Tooth Implant: A Case Report

    Directory of Open Access Journals (Sweden)

    Hamid Reza Arab

    2014-03-01

    Full Text Available Careful treatment planning, space management, augmentation of bone and attention to the details of implant surgical and prosthetic techniques are important factors when treating anterior maxilla specially replacement of missing teeth. This case report addresses a chair-side ridge augmentation procedure using autograft bone harvested with trephine drills and placed without using screws and the fundamental considerations related to replacement of a congenitally missing lateral incisor by a team approach

  6. Bacterial adherence to titanium, poly-L-lactic acid, and composite hydroxyapatite and poly-L-lactic acid interference screws.

    Science.gov (United States)

    Masini, Brendan D; Stinner, Daniel J; Waterman, Scott M; Wenke, Joseph C; Gerlinger, Tad L

    2012-01-01

    This study investigates a potential site of bacterial adherence, the implant surface, comparing titanium, poly-L-lactic acid (PLLA), and composite hydroxyapatite and poly-L-lactic acid (PLLA-HA) interference screws using a bioluminescent in vitro model. Interference screws of three materials, titanium (Arthrex, Naples, FL), bioabsorbable poly-L-lactic acid (BIORCI, Smith & Nephew, Andover, MA), and bioabsorbable composite hydroxyapatite and poly-L-lactic acid (BIORCI-HA, Smith & Nephew, Andover, MA) were immersed in a broth of bioluminescent Staphylococcus aureus. The screws were irrigated and then imaged with a photon-capturing camera system yielding a total photon count correlating with residual adherent bacteria. The titanium screws had the lowest mean total bacterial counts followed by the PLLA-HA screws and with the PLLA screws having the highest mean total counts. The difference in means between the titanium group and the PLLA group was statistically significant (p bacterial adherence than comparable bioabsorbable PLLA screws.

  7. Implant prosthetic rehabilitation with a free fibula flap and interpositional bone grafting after a mandibulectomy: a clinical report.

    Science.gov (United States)

    Garcia Blanco, M; Ostrosky, M A

    2013-06-01

    This clinical report describes the multidisciplinary treatment of a 16-year-old girl diagnosed with cemento-ossifying fibroma in the mandible. The resection of the lesion and reconstruction with a free osseous fibula flap with microvascular anastomosis was performed. Four months later, interpositional bone grafting of iliac spongy bone was used to gain bone height at the treated site. Twenty-four months later, 5 dental implants were placed. After a 6-month osseointegration period, a partial screw-retained fixed dental prosthesis was fabricated. Prosthodontic planning and treatment considerations are discussed.

  8. Error rate of multi-level rapid prototyping trajectories for pedicle screw placement in lumbar and sacral spine

    Institute of Scientific and Technical Information of China (English)

    Matjaz Merc; Igor Drstvensek; Matjaz Vogrin; Tomaz Brajlih; Tomaz Friedrich; Gregor Recnik

    2014-01-01

    Objective:Free-hand pedicle screw placement has a high incidence of pedicle perforation which can be reduced with fluoroscopy,navigation or an alternative rapid prototyping drill guide template.In our study the error rate of multi-level templates for pedicle screw placement in lumbar and sacral regions was evaluated.Methods:A case series study was performed on 11 patients.Seventy-two screws were implanted using multilevel drill guide templates manufactured with selective laser sintering.According to the optimal screw direction preoperatively defined,an analysis of screw misplacement was performed.Displacement,deviation and screw length difference were measured.The learning curve was also estimated.Results:Twelve screws (17%) were placed more than 3.125 mm out of its optimal position in the centre of pedicle.The tip of the 16 screws (22%) was misplaced more than 6.25 mm out of the predicted optimal position.According to our predefined goal,19 screws (26%) were implanted inaccurately.In 10 cases the screw length was selected incorrectly:1 (1%) screw was too long and 9 (13%) were too short.No clinical signs of neurovascular lesion were observed.Learning curve was insignificantly noticeable (P=0.129).Conclusion:In our study,the procedure of manufacturing and applying multi-level drill guide templates has a 26% chance of screw misplacement.However,that rate does not coincide with pedicle perforation incidence and neurovascular injury.These facts along with a comparison to compatible studies make it possible to summarize that multi-level templates are satisfactorily accurate and allow precise screw placement with a clinically irrelevant mistake factor.Therefore templates could potentially represent a useful tool for routine pedicle screw placement.

  9. Bicortical screw fixation of distal fibula fractures with a lateral plate: an anatomic and biomechanical study of a new technique.

    Science.gov (United States)

    Milner, Brenton F; Mercer, Deana; Firoozbakhsh, Keikhosrow; Larsen, Kenna; Decoster, Thomas A; Miller, Richard A

    2007-01-01

    One of the potential drawbacks of lateral plating of distal fibula fractures is less than satisfactory fixation of unicortical screws commonly placed in the distal fragment to avoid implant penetration of the ankle joint. This study examines the anatomy of the distal fibula, proposes new techniques for bicortical screw fixation and radiographic evaluation of screw placement, and compares pullout strength of unicortical versus bicortical screws in this area. Sixteen pairs of human cadaver feet were used in this study. It was found that a large percentage of the surface area of the distal fibula is nonarticular and that the distal fibula could be divided into 3 zones with distinct anatomic features. Zone I is defined as the distal most 1.5 cm of the fibula, zone II is the next 1 cm of fibula proximal to zone I, and zone III is defined as the fibula above the ankle joint, starting at just over 2.5 cm proximal to the tip of the fibula. We determined a safe corridor for bicortical screw placement by means of a lateral plate in each zone. An improved radiographic view is described for confirmation of extraarticular screw placement. Screw pullout testing was performed on 8 pairs of fresh-frozen human cadaver fibulas. In both zone I and zone II, the bicortical screw fixation was significantly stronger than the unicortical screw fixation. In zone I, the average pullout strength for the bicortical screw fixation was 2.3 times higher than the unicortical screw fixation. In zone II, the average pullout strength for the bicortical screw fixation was 3.3 times higher than the unicortical screw fixation. This study shows that not only is bicortical screw placement in the distal fibula technically feasible, but it is also biomechanically stronger than unicortical placement in this area.

  10. Rotating Optical Tubes: An Archimedes' Screw for Atoms

    CERN Document Server

    Rsheed, Anwar Al; Aldossary, Omar M; Lembessis, Vassilis E

    2016-01-01

    The classical dynamics of a cold atom trapped inside a vertical rotating helical optical tube (HOT) is investigated by taking also into account the gravitational field. The resulting equations of motion are solved numerically. The rotation induces a vertical motion for an atom initially at rest. The motion is a result of the action of two inertial forces, namely the centrifugal force and the Coriolis force. Both inertial forces force the atom to rotate in a direction opposite to that of the angular velocity of the HOT. The frequency and the turning points of the atom's global oscillation can be controlled by the value and the direction of the angular velocity of the HOT. However, at large values of the angular velocity of the HOT the atom can escape from the global oscillation and be transported along the axis of the HOT. In this case, the rotating HOT operates as an Optical Archimedes' Screw (OAS) for atoms.

  11. [Mechanical circulatory assist using a miniaturized Archimedes screw].

    Science.gov (United States)

    von Segesser, L K; Bisang, B; Leskosek, B; Turina, M

    1991-01-01

    An axial flow blood pump (Archimedes screw) for intraarterial left ventricular assist was evaluated in comparison to standard roller pump left heart bypass (LHBP) in 13 bovine experiments (bodyweight 74 +/- 15 kg). Full systemic heparinization (ACT greater than 500 s) was used for LHBP in comparison to limited systemic heparinization (ACT greater than 180 s) for axial. A standard battery of blood samples was taken before and at regular intervals throughout perfusion: (table; see text) Transarterial access and relatively limited blood trauma appear to be the main advantages of the evaluated axial flow blood pump. However, the impossibility to assess the pump flow may be a major problem for the management of the failing left ventricle.

  12. Assessment of a percutaneous iliosacral screw insertion simulator

    CERN Document Server

    Tonetti, J; Girard, P; Dubois, M; Merloz, P; Troccaz, Jocelyne; 10.1016/j.otsr.2009.07.005

    2009-01-01

    BACKGROUND: Navigational simulator use for specialized training purposes is rather uncommon in orthopaedic and trauma surgery. However, it reveals providing a valuable tool to train orthopaedic surgeons and help them to plan complex surgical procedures. PURPOSE: This work's objective was to assess educational efficiency of a path simulator under fluoroscopic guidance applied to sacroiliac joint percutaneous screw fixation. MATERIALS AND METHODS: We evaluated 23 surgeons' accuracy inserting a guide-wire in a human cadaver experiment, following a pre-established procedure. These medical trainees were defined in three prospective respects: novice or skilled; with or without theoretical knowledge; with or without surgical procedure familiarity. Analysed criteria for each tested surgeon included the number of intraoperative X-rays taken in order to achieve the surgical procedure as well as an iatrogenic index reflecting the surgeon's ability to detect any hazardous trajectory at the time of performing said procedu...

  13. Computer-Aided Design System for CP Single-Screw Compressor

    Institute of Scientific and Technical Information of China (English)

    SHEN Jing-feng; YAO Fu-sheng

    2006-01-01

    To design various optimum parameters and simulate the working process of CP single-screw compressor,the Computer-Aided Design(CAD)system for the CP singlescrew compressor has been established.A new method based on computer graphics technology,database technology,object-oriented programming technology,and visual simulation technology has been adopted in this CAD system.The system has integrated solid modeling function with parameterization design function and animator simulation function based on analyzing the working principle of the CP single-screw compressor.The experimental results show fhat the CAD system for the CP single-screw compressor is practical and feasible.

  14. Subtrochanteric femur fracture after removal of screws for femoral neck fracture in a child.

    Science.gov (United States)

    Song, Kwang Soon; Lee, Si Wook

    2015-01-01

    Displaced femoral neck fractures are rare in children and are associated with a high rate of complications. Subtrochanteric fractures after cannulated screw fixation of femoral neck fractures in adults are well recognized, and there are several reports on the topic. However, there are no reports on complications related to hardware or subtrochanteric fractures after removal of the screws in the treatment of femoral neck fractures in children. Here we report the case of a 10-year-old boy who sustained a subtrochanteric fracture after the screw removal and healing that followed a femoral neck fracture.

  15. The use of twin screw extruders for feeding coal against pressures of up to 1500 PSI

    Science.gov (United States)

    Wiedmann, W.; Mack, W. A.

    1977-01-01

    Recent tests with a twin-screw, co-rotating extruder which was successfully used to convey and feed coal against pressures of up to 1500 psi are described. Intermeshing and self-wiping, co-rotating twin-screws give greatly improved conveying and pressure built-up capabilities and avoid hangup and eventual decomposition of coal particles in the screw flights. The conveying action of intermeshing, self-wiping, co-rotating extruder systems approaches that of a positive displacement pump. With this feature, it is possible to maintain very accurate control over all aspects of product conveyance in the extruder, i.e., intake, conveyance and pressure buildup.

  16. Analysis of Indicator Diagrams of a Water Injected Twin-shaft Screw-type Expander

    OpenAIRE

    Nikolov, Alexander; Brümmer, Andreas

    2016-01-01

    Twin-shaft screw-type expanders offer a high potential for energy conversion in the lower and medium power range, for instance as expansion engines in Rankine cycles for exhaust heat recovery. With regard to minimizing internal leakages and lubricating moving machine parts, an auxiliary liquid or liquid working fluid can be fed to the screw expander. In this paper, indicator diagrams of a twin-shaft screw-type expander prototype designed at the Chair of Fluidics at TU Dortmund University are ...

  17. Pedicale screw system plus ACPC perfusion to treat fractures of thoracolumbar vertebrae

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@In recent years the pedicle screw system has been widely used in treating thoracolumbar vertebral fractures. The effect to recover the injured vertebrae height, the spinal physiological curve and to decompress vertebral canal has been confirmed. But the problems of internal fixation bending, loosening and breaking, which result in the loss of the vertebral height and spinal angulation deformity, are quite common and cause a lot of difficulties for surgeons. To solve these problems and decrease the sequelae from treating thoracolumbar vertebrae fractures with vertebral pedicle screw system, we have tried using vertebral pedicle screw system plus ACPC perfusion to treat 18patients with thoracolumbar vertebral fractures.Satisfactory results have been obtained.

  18. Deformations of the spin currents by topological screw dislocation and cosmic dispiration

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jianhua [School of Physics Science, Shaanxi University of Technology, Hanzhong 723000, Shaanxi (China); Ma, Kai, E-mail: makainca@gmail.com [School of Physics Science, Shaanxi University of Technology, Hanzhong 723000, Shaanxi (China); Li, Kang [Department of Physics, Hangzhou Normal University, Hangzhou 310036, Zhejiang (China); Fan, Huawei [School of Physics and Information Technology, Shaanxi Normal University, Xian 710000, Shaanxi (China)

    2015-11-15

    We study the spin currents induced by topological screw dislocation and cosmic dispiration. By using the extended Drude model, we find that the spin dependent forces are modified by the nontrivial geometry. For the topological screw dislocation, only the direction of spin current is bent by deforming the spin polarization vector. In contrast, the force induced by cosmic dispiration could affect both the direction and magnitude of the spin current. As a consequence, the spin-Hall conductivity does not receive corrections from screw dislocation.

  19. Plastification of polymers in twin-screw-extruders: New visualization technic using high-speed imaging

    Energy Technology Data Exchange (ETDEWEB)

    Knieper, A., E-mail: Alexander.Knieper@lbf.fraunhofer.de, E-mail: Christian.Beinert@lbf.fraunhofer.de; Beinert, C., E-mail: Alexander.Knieper@lbf.fraunhofer.de, E-mail: Christian.Beinert@lbf.fraunhofer.de [Group Polymer Processing, Division Plastics, Fraunhofer-Institute LBF (Germany)

    2014-05-15

    The initial melting of the first granules through plastic energy dissipation (PED) at the beginning of the melting zone, in the co-rotating twin-screw extruder is visualized in this work. The visualization was created through the use of a high speed camera in the cross section of the melting zone. The parameters screw speed, granule-temperature, temperature-profile, type of polymer and back pressure were examined. It was shown that the screw speed and the temperature-profile have significant influence on the rate of initial melting.

  20. Demineralized Bone Matrix (DBM) as a Bone Void Filler in Lumbar Interbody Fusion: A Prospective Pilot Study of Simultaneous DBM and Autologous Bone Grafts

    Science.gov (United States)

    Kim, Bum-Joon; Kim, Se-Hoon; Lee, Haebin; Lee, Seung-Hwan; Kim, Won-Hyung; Jin, Sung-Won

    2017-01-01

    Objective Solid bone fusion is an essential process in spinal stabilization surgery. Recently, as several minimally invasive spinal surgeries have developed, a need of artificial bone substitutes such as demineralized bone matrix (DBM), has arisen. We investigated the in vivo bone growth rate of DBM as a bone void filler compared to a local autologous bone grafts. Methods From April 2014 to August 2015, 20 patients with a one or two-level spinal stenosis were included. A posterior lumbar interbody fusion using two cages and pedicle screw fixation was performed for every patient, and each cage was packed with autologous local bone and DBM. Clinical outcomes were assessed using the Numeric Rating Scale (NRS) of leg pain and back pain and the Korean Oswestry Disability Index (K-ODI). Clinical outcome parameters and range of motion (ROM) of the operated level were collected preoperatively and at 3 months, 6 months, and 1 year postoperatively. Computed tomography was performed 1 year after fusion surgery and bone growth of the autologous bone grafts and DBM were analyzed by ImageJ software. Results Eighteen patients completed 1 year of follow-up, including 10 men and 8 women, and the mean age was 56.4 (32–71). The operated level ranged from L3/4 to L5/S1. Eleven patients had single level and 7 patients had two-level repairs. The mean back pain NRS improved from 4.61 to 2.78 (p=0.003) and the leg pain NRS improved from 6.89 to 2.39 (posteoporosis. PMID:28264244

  1. Monoaxial Pedicle Screws Are Superior to Polyaxial Pedicle Screws and the Two Pin External Fixator for Subcutaneous Anterior Pelvic Fixation in a Biomechanical Analysis

    Directory of Open Access Journals (Sweden)

    Rahul Vaidya

    2013-01-01

    Full Text Available Purpose. Comparison of monoaxial and polyaxial screws with the use of subcutaneous anterior pelvic fixation. Methods. Four different groups each having 5 constructs were tested in distraction within the elastic range. Once that was completed, 3 components were tested in torsion within the elastic range, 2 to torsional failure and 3 in distraction until failure. Results. The pedicle screw systems showed higher stiffness (4.008 ± 0.113 Nmm monoaxial, 3.638 ± 0.108 Nmm Click-x; 3.634 ± 0.147 Nmm Pangea than the exfix system (2.882 ± 0.054 Nmm in distraction. In failure testing, monoaxial pedicle screw system was stronger (360 N than exfixes (160 N and polyaxial devices which failed if distracted greater than 4 cm (157 N Click-x or 138 N Pangea. The exfix had higher peak torque and torsional stiffness than all pedicle systems. In torsion, the yield strengths were the same for all constructs. Conclusion. The infix device constructed with polyaxial or monoaxial pedicle screws is stiffer than the 2 pin external fixator in distraction testing. In extreme cases, the use of reinforcement or monoaxial systems which do not fail even at 360 N is a better option. In torsional testing, the 2 pin external fixator is stiffer than the pedicle screw systems.

  2. Odontoid cannulated screw fixation using digital navigation based on three-dimensional printing technique%基于3D打印齿状突空心钉置入的数字化导航

    Institute of Scientific and Technical Information of China (English)

    陈宣煌; 张国栋; 吴长福; 林海滨; 陈旭; 余正希; 孙宇庆

    2015-01-01

    BACKGROUND:Odontoid fracture is very common in cervical spine injuries, the special position of odontoid process, which is adjacent to important anatomic structure, makes screw placement difficult, and a slight discrepancy in position and orientation of the inserted screw leads to a decrease in intensity of internal fixation, even invalid internal fixation. Therefore, it is very necessary to develop an individualized treatment protocol by which screws can be precisely and safely placed and which is worthy of clinical popularization. OBJECTIVE:To study the navigation of Mimics software and three dimensional (3D)-printed module in anterior odontoid cannulated screw fixation and to investigate its feasibility and accuracy. METHODS:Sixteen human cadaveric cervical spines were scanned by a continuous thin-slice CT scanner. Original DICOM CT images were three-dimensional y reconstructed using Mimics software. The screw channel and support column were designed for C2 vertebra odontoid cannulated screw fixation for odontoid fracture. Segmentation of bone surface was performed. Navigation modules with screw channel were built using 3D printing technique. Navigation modules were used to aid screw placement. Screw fitting and placement were evaluated using X-ray and CT scan. RESULTS AND CONCLUSION:Total y 16 navigation modules were built and 22 screws were implanted. During and after screw placement, the cortical bone along screw channel and surrounding the vertebral body was not cracked. Postoperative X-ray and CT scans showed that some factors regarding screw placement such as entry point, orientation and depth of placement were consistent with those ideal factors simulated by Mimics software. The navigation modules were closely attached to the corresponding bony structure in front of the vertebral body, with a satisfactory gomphosis. Screw fitting and stability were good during application. These results verify that with the aid of navigation module, anterior odontoid

  3. Avaliação biomecânica da influência do macheamento e do desenho dos parafusos cervicais Biomechanical evaluation of the influence of cervical screws tapping and design

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    Patrícia Silva

    2009-10-01

    Full Text Available OBJETIVO: Avaliar a influência do desenho do parafuso (autoperfurante e automacheante e do macheamento do orifício-piloto sobre o torque de inserção e a força de arrancamento dos parafusos utilizados para a fixação anterior da coluna cervical. MÉTODO: Quarenta parafusos automacheantes e 20 autoperfurantes foram inseridos em 10 modelos artificiais de osso (blocos de poliuretana e 10 vértebras cervicais de carneiro. Os parâmetros estudados foram o torque de inserção e a força de arrancamento. Foram formados três grupos experimentais de acordo com o tipo de preparo do orifício- piloto e o tipo de parafuso utilizado: grupo I - parafuso automacheante com orifício- piloto perfurado e macheado; grupo II - parafuso automacheante com orifício perfurado e não macheado; grupo III - parafuso autoperfurante sem perfuração prévia do orifício- piloto e sem o macheamento. Nos grupos I e II a perfuração do orifício-piloto foi realizada por meio de broca de 3mm de diâmetro e o macheamento, com 4mm. O torque de inserção foi mensurado durante a implantação dos parafusos e, em seguida, foram realizados ensaios mecânicos em máquina universal de testes para avaliar a força de arrancamento dos parafusos. RESULTADOS: O macheamento e a perfuração do orifício- piloto reduziram significativamente o torque de inserção e a força de arrancamento. CONCLUSÃO: O torque de inserção e a força de arrancamento dos parafusos autoperfurantes foram significativamente maiores quando comparado com os dos parafusos automacheantes inseridos após o macheamento do orifício-piloto.OBJECTIVE: To assess if the screw design (self-drilling/self-tapping and the pilot hole tapping could affect the insertion torque and screw pullout strength of the screw used in anterior fixation of the cervical spine. METHODS: Forty self-tapping screws and 20 self-drilling screws were inserted into 10 models of artificial bone and 10 cervical vertebrae of sheep. The

  4. Novo sistema para acoplamento de parafusos de interferência: ensaio biomecânico de torção New coupling system for interference screws: biomechanical resistance to torsion

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    Aloísio Fernandes Bonavides Júnior

    2011-01-01

    Full Text Available OBJETIVO: Apresentar um novo sistema de acoplamento solidário entre chave e parafuso de interferência, assim como ensaios biomecânicos que avaliem a segurança de sua utilização. MÉTODOS: O novo sistema foi submetido a ensaios biomecânicos de torção. Foram realizados dois tipos de análise: torque máximo de inserção manual dos parafusos em osso bovino; ensaios destrutivos de torção do sistema em máquina INSTRON 55MT. Os mesmos testes foram realizados em um grupo controle utilizando um sistema de acoplamento já disponível no mercado. (Acufex® RESULTADOS: Nos ensaios de inserção em fêmures bovinos as médias de valores aferidos com torquímetro digital foram 1,958 N/m para Acufex® e 2,563 N/m para FMRP. Considerando p0,05. Ao avaliar a deformação angular, não houve diferença significativa entre os grupos de parafuso (p=0,15. CONCLUSÃO: O novo sistema de acoplamento para parafusos de interferência desenvolvido na FMRP-USP revelou resistência à torção comparável a sistema já disponível no mercado e regulamentado para uso internacional.OBJECTIVE: To introduce a new coupling system between screw driver and interference screw, and biomechanical tests that validate the safety of its application. METHODS: The new system was submitted to biomechanical torsion assays. Two types of analysis were performed: maximum torque of manual insertion of the screws into bovine bone; destructive assays of torsion of the system using an INSTRON 55MT machine. The same tests were also performed on a control group, using a commercially available interference screw coupling system (Acufex®. RESULTS: In the tests on manual insertion of screws in bovine femurs, the average values found with a digital torque meter were 1.958 N/m for Acufex® and 2.563 N/m for FMRP. Considering p>0.05, there were no statistical differences between the two groups (p=0.02 in the values for maximum torque of insertion, in the two systems studied. The average

  5. Enhancement of osteogenesis and biodegradation control by brushite coating on Mg-Nd-Zn-Zr alloy for mandibular bone repair.

    Science.gov (United States)

    Guan, Xingmin; Xiong, Meiping; Zeng, Feiyue; Xu, Bin; Yang, Lingdi; Guo, Han; Niu, Jialin; Zhang, Jian; Chen, Chenxin; Pei, Jia; Huang, Hua; Yuan, Guangyin

    2014-12-10

    To diminish incongruity between bone regeneration and biodegradation of implant magnesium alloy applied for mandibular bone repair, a brushite coating was deposited on a matrix of a Mg-Nd-Zn-Zr (hereafter, denoted as JDBM) alloy to control the degradation rate of the implant and enhance osteogenesis of the mandible bone. Both in vitro and in vivo evaluations were carried out in the present work. Viability and adhesion assays of rabbit bone marrow mesenchyal stem cells (rBM-MSCs) were applied to determine the biocompatibility of a brushite-coated JDBM alloy. Osteogenic gene expression was characterized by quantitative real-time polymerase chain reaction (RT-PCR). Brushite-coated JDBM screws were implanted into mandible bones of rabbits for 1, 4, and 7 months, respectively, using 316L stainless steel screws as a control group. In vivo biodegradation rate was determined by synchrotron radiation X-ray microtomography, and osteogenesis was observed and evaluated using Van Gieson's picric acid-fuchsin. Both the naked JDBM and brushite-coated JDBM samples revealed adequate biosafety and biocompatibility as bone repair substitutes. In vitro results showed that brushite-coated JDBM considerably induced osteogenic differentiation of rBM-MSCs. And in vivo experiments indicated that brushite-coated JDBM screws presented advantages in osteoconductivity and osteogenesis of mandible bone of rabbits. Degradation rate was suppressed at a lower level at the initial stage of implantation when new bone tissue formed. Brushite, which can enhance oeteogenesis and partly control the degradation rate of an implant, is an appropriate coating for JDBM alloys used for mandibular repair. The Mg-Nd-Zn-Zr alloy with brushite coating possesses great potential for clinical applications for mandibular repair.

  6. Histological evaluation of the influence of magnetic field application in autogenous bone grafts in rats

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    Ponzoni Deise

    2009-01-01

    Full Text Available Abstract Background Bone grafts are widely used in oral and maxillofacial reconstruction. The influence of electromagnetic fields and magnets on the endogenous stimulation of target tissues has been investigated. This work aimed to assess the quality of bone healing in surgical cavities filled with autogenous bone grafts, under the influence of a permanent magnetic field produced by in vivo buried devices. Methods Metal devices consisting of commercially pure martensitic stainless steel washers and titanium screws were employed. Thirty male Wistar rats were divided into 3 experimental and 3 control groups. A surgical bone cavity was produced on the right femur, and a bone graft was collected and placed in each hole. Two metallic washers, magnetized in the experimental group but not in the control group, were attached on the borders of the cavity. Results The animals were sacrificed on postoperative days 15, 45 and 60. The histological analysis of control and experimental samples showed adequate integration of the bone grafts, with intense bone neoformation. On days 45 and 60, a continued influence of the magnetic field on the surgical cavity and on the bone graft was observed in samples from the experimental group. Conclusion The results showed intense bone neoformation in the experimental group as compared to control animals. The intense extra-cortical bone neoformation observed suggests that the osteoconductor condition of the graft may be more susceptible to stimulation, when submitted to a magnetic field.

  7. [Intra-articular reinforcement of a partially torn anterior cruciate ligament (ACL) using newly developed UHMWPE biomaterial in combination with Hexalon ACL/PCL screws: ex-vivo mechanical testing of an animal knee model].

    Science.gov (United States)

    Fedorová, P; Srnec, R; Pěnčík, J; Dvořák, M; Krbec, M; Nečas, A

    2015-01-01

    PURPOSE OF THE STUDY Recent trends in the experimental surgical management of a partial anterior cruciate ligament (ACL) rupture in animals show repair of an ACL lesion using novel biomaterials both for biomechanical reinforcement of a partially unstable knee and as suitable scaffolds for bone marrow stem cell therapy in a partial ACL tear. The study deals with mechanical testing of the newly developed ultra-high-molecular-weight polyethylene (UHMWPE) biomaterial anchored to bone with Hexalon biodegradable ACL/PCL screws, as a new possibility of intra-articular reinforcement of a partial ACL tear. MATERIAL AND METHODS Two groups of ex vivo pig knee models were prepared and tested as follows: the model of an ACL tear stabilised with UHMWPE biomaterial using a Hexalon ACL/PCL screw (group 1; n = 10) and the model of an ACL tear stabilised with the traditional, and in veterinary medicine used, extracapsular technique involving a monofilament nylon fibre, a clamp and a Securos bone anchor (group 2; n = 11). The models were loaded at a standing angle of 100° and the maximum load (N) and shift (mm) values were recorded. RESULTS In group 1 the average maximal peak force was 167.6 ± 21.7 N and the shift was on average 19.0 ± 4.0 mm. In all 10 specimens, the maximum load made the UHMWPE implant break close to its fixation to the femur but the construct/fixation never failed at the site where the material was anchored to the bone. In group 2, the average maximal peak force was 207.3 ± 49.2 N and the shift was on average 24.1 ± 9.5 mm. The Securos stabilisation failed by pullout of the anchor from the femoral bone in nine out of 11 cases; the monofilament fibre ruptured in two cases. CONCLUSIONS It can be concluded that a UHMWPE substitute used in ex-vivo pig knee models has mechanical properties comparable with clinically used extracapsular Securos stabilisation and, because of its potential to carry stem cells and bioactive substances, it can meet the requirements for

  8. The results of ankle arthrodesis with screws for end stage ankle arthrosis.

    Science.gov (United States)

    Torudom, Yingyong

    2010-02-01

    Aim of this study was to evaluate the results of ankle arthrodesis with screws in patients with ankle arthrosis. The author studied 19 patients (20 feet) who had been treated by ankle arthrodesis with screws from 2003 to 2008. Ten patients were men (11 feet) and nine (9 feet) were women. Their mean age was 56 years (30 to 65), and the average duration of follow-up was four years (2 to 6). Two compression screws were used in all feet. Union was achieved in 19 of the 20 feet (95%). Average scores for pain and clinical condition are increase after operation. One re-operation was performed for nonunion. Author conclude that ankle arthrodesis with screws was effective treatment for ankle arthrosis.

  9. Screw fixation for atlantoaxial dislocation related to Down syndrome in children younger than 5 years.

    Science.gov (United States)

    Ito, Kenyu; Imagama, Shiro; Ito, Zenya; Ando, Kei; Kobayashi, Kazuyoshi; Hida, Tetsuro; Ishikawa, Yoshimoto; Ishiguro, Naoki

    2017-01-01

    The aim of this study was to present cases of upper cervical fixation in Down syndrome patients younger than 5 years. In two cases, C1 lateral mass screws were installed. However, owing to the irreducible atlantoaxial dislocation, the screw backed out and fractured. Therefore, O-C2 fusion was performed. Furthermore, C2 bilateral lamina screws were added to the C2 pedicle screw for reinforcement. C1-C2 fusion is an option for Down syndrome patients younger than 5 years with atlantoaxial dislocation, when the dislocation is reducible. If the dislocation is irreducible, or the implant cannot be firmly secured, the fixation range should be expanded to O-C2 or below.

  10. Gas flow through the clearances of screw spindle vacuum pumps; Gasspaltstroemungen in Schraubenspindel-Vakuumpumpen

    Energy Technology Data Exchange (ETDEWEB)

    Kauder, K.; Wenderott, D. [Dortmund Univ. (Germany). FG Fluidenergiemaschinen

    1998-12-31

    The documentation `Schraubenmaschinen` deals with the subject `screw spindle vacuum pump` for the first time. Therefore, this paper presents the type of maschine `screw spindle vacuum pump`, fixes its limits to the better known screw type compressor and finally classifies it in the crossover of vacuum-technology, characteristic geometry and the numerical simulation. The suggested reflections to choose a proper model of flow are based on the geometry of the screw spindle vacuum pump and fundamentals concerning the vacuum-technology and the state of flow. (orig.) [Deutsch] Die Schriftenreihe `Schraubenmaschinen` behandelt erstmals das Thema `Schraubenspindel-Vakuumpumpe`. Aus diesem Grund stellt der vorliegende Beitrag den Maschinentyp Schraubenspindel-Vakuumpumpe vor, grenzt ihn zur bekannteren Schraubenmaschine ab und ordnet ihn in der Schnittmenge aus Vakuumtechnik, charakteristischer Maschinengeometrie und der Simulation ein. Auf den vakuumtechnischen und stroemungstechnischen Grundlagen sowie geometrischen Betrachtungen basieren die genannten Ueberlegungen zur Auswahl geeigneter Stroemungsmodelle. (orig.)

  11. Extracapsular hip fractures: fixation with a twin hook or a lag screw?

    Science.gov (United States)

    Olsson, O; Ceder, L; Lunsjö, K; Hauggaard, A

    2000-01-01

    The twin hook, which has 2 oppositely directed apical hooks, is an alternative to the lag screw for use with a 'dynamic plate' in the fixation of trochanteric hip fractures. In this prospective study lasting 1 year, 102 consecutive patients with trochanteric hip fractures were treated by 19 surgeons with either a twin hook or a lag screw combined with a conventional sliding hip screw plate or a Medoff sliding plate. Seven intraoperative errors were made with the twin hook but postoperative migration did not differ significantly between the 2 groups. Postoperative fixation failures were equally distributed between the 2 groups. The twin hook provides adequate fixation, which is comparable to that produced by a lag screw.

  12. Magnesium-Based Compression Screws: A Novelty in the Clinical Use of Implants

    Science.gov (United States)

    Seitz, Jan-Marten; Lucas, Arne; Kirschner, Martin

    2016-04-01

    Magnesium alloys are currently subject to much research for use in biodegradable implant applications. The challenge in this field of material development comprises the design of an alloy that provides adequate mechanical and corrosion properties combined with an excellent biocompatibility. While there are many approaches in current literature only one Mg-based application shows the potential to hit the market. MAGNEZIX® Compression Screws are the world's first approved/CE-certified magnesium-based implants designed for use in biodegradable osteosyntheses applications in humans. Therefore, this paper focusses on challenges and current clinical results achieved by means of degradable compression screws. Insights into the screws' process chain and approval processes are given. As these innovative screws have already been on the market for 2 years long-term results based on their use in surgery are discussed.

  13. ADOLESCENT IDIOPATHIC SCOLIOSIS: EVALUATION ON THE EFFECT OF SCREW DENSITY IN THE CORRECTION

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    Enguer Beraldo Garcia

    2016-03-01

    Full Text Available ABSTRACT Objective: The objective was to investigate implant density or the number of screws correlated with the correction of the main curve in patients undergoing surgery for adolescent idiopathic scoliosis (AIS. Methods: We evaluated 112 medical records: 33 patients with screw density of up to 50%, and 79 patients with a density of 100%; all patients underwent surgical correction by posterior approach with transpedicular fixation. Results: In the group of patients with screw density of up to 50% the residual Cobb median was 10°; in the group with 100% density, the median was 7°. Conclusion: Biostatistical analysis showed that the group with up to 50% of screw density presented correction rate of 82.1% and the group with 100% density had correction of about 86.8%. It is therefore concluded that the difference is statistically significant in favor of the fixation with 100% density (p =0.010.

  14. The fluoride coated AZ31B magnesium alloy improves corrosion resistance and stimulates bone formation in rabbit model.

    Science.gov (United States)

    Sun, Wei; Zhang, Guangdao; Tan, Lili; Yang, Ke; Ai, Hongjun

    2016-06-01

    This study aimed to evaluate the effect of fluorine coated Mg alloy and clarify its mechanism in bone formation. We implanted the fluorine coated AZ31B Mg alloy screw (group F) in rabbit mandibular and femur in vivo. Untreated AZ31B Mg alloy screw (group A) and titanium screw (group T) were used as control. Then, scanning electron microscopy, the spectral energy distribution analysis, hard and decalcified bone tissues staining were performed. Immunohistochemistry was employed to examine the protein expressions of bone morphogenetic protein 2 (BMP-2) and collagen type I in the vicinity of the implant. Compared with the group A, the degradation of the alloy was reduced, the rates of Mg corrosion and Mg ion release were slowed down, and the depositions of calcium and phosphate increased in the group F in the early stage of implantation. Histological results showed that fluorine coated Mg alloy had well osteogenic activity and biocompatibility. Moreover, fluoride coating obviously up-regulated the expressions of collagen type I and BMP-2. This study confirmed that the fluorine coating might improve the corrosion resistance of AZ31B Mg alloy and promote bone formation by up-regulated the expressions of collagen type I and BMP-2.

  15. In vivo application of an optical segment tracking approach for bone loading regimes recording in humans: a reliability study.

    Science.gov (United States)

    Yang, Peng-Fei; Sanno, Maximilian; Ganse, Bergita; Koy, Timmo; Brüggemann, Gert-Peter; Müller, Lars Peter; Rittweger, Jörn

    2014-08-01

    This paper demonstrates an optical segment tracking (OST) approach for assessing the in vivo bone loading regimes in humans. The relative movement between retro-reflective marker clusters affixed to the tibia cortex by bone screws was tracked and expressed as tibia loading regimes in terms of segment deformation. Stable in vivo fixation of bone screws was tested by assessing the resonance frequency of the screw-marker structure and the relative marker position changes after hopping and jumping. Tibia deformation was recorded during squatting exercises to demonstrate the reliability of the OST approach. Results indicated that the resonance frequencies remain unchanged prior to and after all exercises. The changes of Cardan angle between marker clusters induced by the exercises were rather minor, maximally 0.06°. The reproducibility of the deformation angles during squatting remained small (0.04°/m-0.65°/m). Most importantly, all surgical and testing procedures were well tolerated. The OST method promises to bring more insights of the mechanical loading acting on bone than in the past.

  16. Development of a novel method for surgical implant design optimization through noninvasive assessment of local bone properties.

    Science.gov (United States)

    Schiuma, D; Brianza, S; Tami, A E

    2011-03-01

    A method was developed to improve the design of locking implants by finding the optimal paths for the anchoring elements, based on a high resolution pQCT assessment of local bone mineral density (BMD) distribution and bone micro-architecture (BMA). The method consists of three steps: (1) partial fixation of the implant to the bone and creation of a reference system, (2) implant removal and pQCT scan of the bone, and (3) determination of BMD and BMA of all implant-anchoring locations along the actual and alternative directions. Using a PHILOS plate, the method uncertainty was tested on an artificial humerus bone model. A cadaveric humerus was used to quantify how the uncertainty of the method affects the assessment of bone parameters. BMD and BMA were determined along four possible alternative screw paths as possible criteria for implant optimization. The method is biased by a 0.87 ± 0.12 mm systematic uncertainty and by a 0.44 ± 0.09 mm random uncertainty in locating the virtual screw position. This study shows that this method can be used to find alternative directions for the anchoring elements, which may possess better bone properties. This modification will thus produce an optimized implant design.

  17. Design of three-dimensional visualization based on the posterior lumbar pedicle screw fixation

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    Kai XU

    2011-09-01

    Full Text Available Objective To establish a three-dimensional visualization model of posterior lumbar pedicle screw fixation.Methods A patient with lumbar intervertebral disc hernia and another patient with compression fracture of lumbar vertebra were involved in the present study.Both patients underwent multi-slice spiral CT scan before and after lumbar pedicle screw fixation.The degree of preoperative vertebral compression,vertebral morphology before and after surgery,postoperative pedicle screw position,and decompression effects were observed.The original data of the multi-slice spiral CT were inputted into the computer.The three-dimensional reconstructed images of the lumbar and implanted screws were obtained using the software Amira 4.1 to show the three-dimensional shape of the lumbar vertebrae before and after surgery and the location of the implanted screws.Results The morphology and structure of the lumbar vertebrae before and after surgery and of the implanted screws were reconstructed using the digital navigation platform.The reconstructed 3D images could be displayed in multicolor,transparent,or arbitrary combinations.In the 3D surface reconstruction images,the location and structure of the implanted screws could be clearly observed,and the decompression of the spinal cord or nerve roots and the severity of the fracture and the compression of lumbar vertebrae could be fully evaluated.The reconstructed images before operation revealed the position of the vertebral pedicles and provided reference for intraoperative localization.Conclusions The three-dimensional computerized reconstructions of lumbar pedicle screw fixation may be valuable in basic research,clinical experiment,and surgical planning.The software Amira is one of the bases of three-dimensional reconstruction.

  18. Mechanical behaviour of aluminum screws. Pt. 2. Cyclic behaviour; Tragfaehigkeit von Aluminiumschrauben. T. 2. Zyklische Tragfaehigkeit

    Energy Technology Data Exchange (ETDEWEB)

    Weber, J.O. [Deutscher Schraubenverband, Hagen (Germany); Marx, T. [Adam Opel AG, Ruesselsheim (Germany); Berger, C. [Zentrum fuer Konstruktionswerkstoffe, Institut fuer Werkstoffkunde der Technischen Universitaet Darmstadt (Germany); Arz, U.

    2011-03-15

    This article is the second part of a description of the mechanical behaviour of aluminum screws. The first part describes the mechanical behaviour under static conditions, while the second part details the cyclic behaviour. An overview of the influences to the cyclic behaviour of high strength aluminum screws made of the wrought alloys EN AW 6013, EN AW 6056 and EN AW 7075 is given. In some cases values for EN AW 6082 are presented.

  19. Pseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture

    Institute of Scientific and Technical Information of China (English)

    Shailendra Singh; Sumit Arora; Ankit Thora; Ram Mohan; Sumit Sural; Anil Dhal

    2013-01-01

    Dynamic hip screw fixation is a commonly performed procedure for internal fixation of intertrochanteric femoral fractures.Arterial injury following the operative fixation is a rare but serious event.We present a patient who developed pseudoaneurysm of profunda femoris artery after internal fixation of intertrochanteric fracture with a dynamic hip screw.The diagnosis was confirmed by angiographic study and it was successfully treated by coil embolization.

  20. Analysis of human mandibular mechanics based on screw theory and in vivo data.

    Science.gov (United States)

    Gal, J A; Gallo, L M; Palla, S; Murray, G; Klineberg, I

    2004-09-01

    In this paper the mechanics of human mandibular function is described in terms of the associated screws. The two distinct, yet related features of jaw mechanics, involving the motion itself as well as the forces, are both functions of the anatomical constraints, namely the contact areas that exist within the temporomandibular joint, and the forces of the muscles and tendons that allow motion to occur. The relationships that exist between these two aspects of jaw-motion are identified in this paper showing that muscle forces can be uniquely represented in terms of the action screw. This new approach to analyzing the mechanics of jaw-motion also incorporates the previously studied motion screw or helical axis. A consistent dynamic model is formulated where the action screw is used to represent the action of the closing muscle forces while the moment arms of the muscle forces are determined about the motion screw representing mandibular kinematics. The action screw formulation is verified using in vivo motion data and MR image information for a single asymptomatic subject. The results confirm the feasibility of the method and its application in dental research. A general increase in the mechanical advantage of most muscles, in the distance between action and motion screws as well as in the expended energy towards the end of the jaw-closing phase was observed. Asymmetries in the distribution of muscle force magnitudes appeared to influence the resultant force and moment of the action screw but had little effect on its spatial location. The method presented is intended to facilitate understanding of mandibular function and dysfunction.

  1. Edge screw withdrawal resistance in conventional particleboard and OSB: Influence of the particles type

    Directory of Open Access Journals (Sweden)

    Miljković Jovan

    2007-01-01

    Full Text Available This research was based on presumption that the changes in size and shape of wood particles are expected to have certain impact on the particleboard quality in general. Since the conventional particleboard (PB and oriented strand board (OSB were built of the quite diverse wood particles, they present interesting specimens in the comparison tests. In this work, the influence of the wood particles type on the edge screw holding performance of conventional particleboard and OSB was investigated. Those tests were obtained with the screw diameters of 4.0 mm, 4.5 mm and 5 mm. Depth of embedment was 30 mm for all tests and with the pilot-hole diameter kept in the range of 80-90% in respect of the screw root diameter. Additional tests of the thickness density profile and tensile strength perpendicular to the surface of the board were conducted. Since the middle layer structure of the particleboard embeds the screw body, both mentioned parameters are considered important in the aspect of the quality of the edge screw holding performance. In order to have further insight into the conformation of the middle layer the image survey was obtained on the split board section presenting the surface of the middle layer. Significant differences in the SWR performance of OSB and PB was recorded at all screw diameters. For the screw withdrawal tests parameters OSB samples showed 56-73% superior mean values then conventional PB. On the other hand, the OSB showed wider dispersions of measured withdrawal forces at all screw diameters, which might present some of the problems in certain engineering and project calculations.

  2. Biomechanical properties of a novel biodegradable magnesium-based interference screw

    Directory of Open Access Journals (Sweden)

    Marco Ezechieli

    2016-06-01

    Full Text Available Magnesium-based interference screws may be an alternative in anterior/posterior cruciate ligament reconstruction. The well-known osteoconductive effects of biodegradable magnesium alloys may be useful. It was the purpose of this study to evaluate the biomechanical properties of a magnesium based interference screw and compare it to a standard implant. A MgYREZr-alloy interference screw and a standard implant (Milagro®; De Puy Mitek, Raynham, MA, USA were used for graft fixation. Specimens were placed into a tensile loading fixation of a servohydraulic testing machine. Biomechanical analysis included pretensioning of the constructs at 20 N for 1 min following cyclic pretensioning of 20 cycles between 20 and 60 N. Biomechanical elongation was evaluated with cyclic loading of 1000 cycles between 50 and 200 N at 0.5 Hz. Maximum load to failure was 511.3±66.5 N for the Milagro® screw and 529.0±63.3 N for magnesium-based screw (ns, P=0.57. Elongations after preload, during cyclical loading and during failure load were not different between the groups (ns, P>0.05. Stiffness was 121.1±13.8 N/mm for the magnesiumbased screw and 144.1±18.4 for the Milagro® screw (ns, P=0.32. MgYREZr alloy interference screws show comparable results in biomechanical testing to standard implants and may be an alternative for anterior cruciate reconstruction in the future.

  3. Selected Methods for Locking Screw Joints, Including the Use of Adhesives, Used in the Helicopter Construction

    Science.gov (United States)

    Rudawska, Anna; Cisz, Sławomir; Warda, Tomasz

    2014-12-01

    The paper presents the problems of preventing screw joints from self-loosening on one of helicopter. The research examines selected locking methods used in aircraft produced by different manufacturers. Experimental tests were performed to investigate the loosening torque of screw joints locked by various devices: cotter pin, locknut, centre punching, self-locking nut and adhesive. A comparative analysis of the investigated locking methods is made with respect to their locking strength and efficiency.

  4. Posterior fixation and fusion with atlas pedicle screw system for upper cervical diseases

    Institute of Scientific and Technical Information of China (English)

    LI Lei; ZHOU Feng-hua; WANG Huan; CUI Shao-qian

    2008-01-01

    Objective: To evaluate the feasibility, safety and efficacy of atlas pedicle screws system fixation and fusion for the treatment of upper cervical diseases. Methods: Twenty-three consecutive patients with up-per cervical disorders requiring stabilization, including 19 cases of atlantoaxial dislocation (4 congenital odontoid disconnections, 6 old odontoid fractures, 4 fresh odontoid fractures of Aderson Ⅱ C, 3 ruptures of the C1 transverse ligament, and 2 fractures ofC1), 2 cases ofC2 tumor (instability after the resection of the tumors), and 2 giant neurilemomas of C2-C3(instabi