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Article

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Title

Effect of screw angulation on the bending performance of polyaxial locking interfaces: a micro-CT evaluation

Authors

[ 1 ] Instytut Technologii Mechanicznej, Wydział Inżynierii Mechanicznej, Politechnika Poznańska | [ 2 ] Instytut Mechaniki Stosowanej, Wydział Inżynierii Mechanicznej, Politechnika Poznańska | [ P ] employee | [ S ] student

Scientific discipline (Law 2.0)

[2.9] Mechanical engineering

Year of publication

2023

Published in

Scientific Reports

Journal year: 2023 | Journal volume: vol. 13

Article type

scientific article

Publication language

english

Abstract

EN Polyaxial locking plates rely on a specific thread-to-thread interface of the screw head and the plate hole. The objective of this study was to evaluate the mechanical performance of single screw interfaces when inserted off-axis and to establish correlations between those parameters and the engagement of the screw head and the plate hole thread. Three polyaxial locking screw systems were inserted into the corresponding plates at various angles (0°, 5°, 10°, and 15° off-axis). The screws were tested until failure. A micro-CT was performed to examine the interface between the plate hole and the screw head. The standard insertion at 0° sustained the greatest maximum bending strength without relocation in the screw hole. Screws inserted at 15° showed a significant reduction in force of up to 44%, 55% and 57%, respectively. Micro-CT analysis of the interface showed a significant loss of thread engagement for off-axis insertion. Polyaxial plates offer additional advantages for off-axis placement of screws. However, this flexibility is related to a significant decrease in both thread engagement and bending strength compared to monoaxial insertion. Regardless the insertion angle, the loss of stability is comparable when screws are placed off-axis. Surgeons are advised to consider off-axis insertion as a salvage option, providing access to better bone stock.

Date of online publication

08.12.2023

Pages (from - to)

21740-1 - 21740-8

DOI

10.1038/s41598-023-48791-1

URL

https://www.nature.com/articles/s41598-023-48791-1

Comments

Article Number: 21740

License type

CC BY (attribution alone)

Open Access Mode

open journal

Open Access Text Version

final published version

Date of Open Access to the publication

at the time of publication

Ministry points / journal

140

Impact Factor

4,6 [List 2022]

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