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Slippage Between Screwdriver and Bone Screw

Authors: Jon Behring; Anders Mølster; Nils Roar Gjerdet;

Slippage Between Screwdriver and Bone Screw

Abstract

Cortical 3.5-mm stainless steel screws with hexagonal heads and corresponding screwdrivers from two manufacturers were investigated. Measurement of dimensions and torsional testing were done to study slippage between the screw and the driver bit. There were only small differences in dimensions between the manufacturers. Ultimate torque values obtained were at the level of 2.7 N-m where reaming of the screw socket took place. Additional rotation resulted in approximately (1/2) of the maximum torque. Subsequent torque testing in the opposite direction, corresponding to removal of the screw, revealed that the torque values were equally low in that direction. Additional insertion and removal of bone screws with hexagonal sockets are hampered after only one episode of slippage. It is justified to consider new shapes of drive bits and corresponding screw head sockets, such as a fluted multiedge configuration.

Keywords

Orthopedic Equipment, Bone Screws, Materials Testing, Equipment Failure, Stainless Steel, Device Removal

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citations
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).
BIP!Citations provided by BIP!
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.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
21
Top 10%
Top 10%
Average
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