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Once a screw is over-tightened and the bone thread form is stripped, there are limited means at the surgeon's disposal to rescue the situation, none of them entirely satisfactory.
In 12 of them overdrilling the bone thread of one screw was performed to simulate the poor mechanical properties of osteoporotic bone and the polymer was used in this setting for screw augmentation, furthermore the osteotomy surface was covered with polymer before osteosynthesis to analyze the influence of the material on bone healing.
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However, further studies are needed to investigate the long-term survival of the uncemented Elektra trapezium cup and the potential benefits of alleviating bone threading.
Stripping of the bone threads of the screw hole before the predetermined torque of 3 Nm had been reached occurred during insertion of 21 of 80 (26.3%) cortical screws; 19 of these were located in the LC-DCP and 2 in the LCP constructs (p < 0.001).
This bone will attach to the top of your helmet so it looks like a bone threaded through hair.
The bone-thread interface was stripped in 21 of 80 cortical screws (26.3%) before a pre-set insertion torque of 3 Nm was achieved.
Their results indicated that the holding power of screws is directly correlated to bone density, thread design and number of threads engaging the bone.
The biodegradable magnesium screws were made of pure magnesium, and had a 4-mm-diameter 4-mm-diameter 4-mm-diameterd in distal, and a threaded seCancellousgned to engage the lateral cor-tex of the femur in proximal.
Such bone-purchasing ability is sensitive to bone quality, thread design, and the pilot hole, and is often evaluated by experimental and numerical methods.
In the real situation, the cutting flutes at screw tip and the interfacial friction between bone and thread squeeze the bone chips towards to the uncertain regions, depends on the screw design, bone property, and insertion process.
We did not prepare the trapezium bone by threading before insertion of the cup.
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