
pmid: 27802926
The purpose of this study was to compare the mechanical properties of an interference screw with an expansion device in anterior cruciate ligament (ACL) reconstruction.A total of 52 porcine tibia and 20 polyurethane foam blocks (0.16g/cm3) were used. Forty pullout tests were carried out to combine the two types of bones - surrogate and porcine - with the two fixation systems: interference screw and expansion device (n=10 per group). Thirty-two cyclic tests (n=8 per group) were carried out with both fixation devices in porcine bone at two different force amplitudes (100N and 200N).Stiffness and load values (mean±SD) at six millimeters of displacement for the expansion device and the interference screw were 74±33N/mm, 318±135N, and 52±28N/mm, 205±70N, respectively, showing a difference in stiffness (P=0.016) and load at six millimeters of displacement (P=0.001). No correlation between insertion torque and the ultimate failure load was found for both fixation devices tested. In cyclic tests, significantly higher (P<0.001) numbers of cycles (mean±SD) were reached with the expansion device (81,014±30,291 at 100N; 13,462±11,351 at 200N) than with the interference screw (15,100±8623 at 100N; 343±113 at 200N) at six millimeters of displacement.The use of an expansion device for ACL reconstructions seemed to be a promising alternative to an interference screw. Insertion torque alone was not a useful predictor of graft fixation strength in ACL reconstructions.
3313 Tecnología e ingeniería mecánicas, Anterior Cruciate Ligament Reconstruction, Tibia, Anterior cruciate ligament (ACL), Swine, Bone Screws, Biomechanical testing, Tendons, Tissue Culture Techniques, ACL reconstruction, Interference screw, Tensile Strength, Materials Testing, Animals, Expansion device
3313 Tecnología e ingeniería mecánicas, Anterior Cruciate Ligament Reconstruction, Tibia, Anterior cruciate ligament (ACL), Swine, Bone Screws, Biomechanical testing, Tendons, Tissue Culture Techniques, ACL reconstruction, Interference screw, Tensile Strength, Materials Testing, Animals, Expansion device
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 6 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
