Influence of screw type on obtained contact area and contact force in a cadaveric subtalar arthrodesis model.

Abstract:

:The purpose of this study was to compare the compression effect of the 7.0-AO screw and the 6.5 mm Ideal Compression Screw (I.CO.S.) screw in an in vitro subtalar arthodesis model. Six fresh-frozen, human cadaver foot specimens were obtained for analysis. The subtalar joint was opened laterally without affecting the articular surfaces. ATekscan 5051 sensor with a maximum pressure of 250 PSI and a sensel-density of 62 sensel/sq-cm was placed into the joint, which allowed for continuous measurement of the contact area and contact forces achieved by one 7.0 AO-screw, and thereafter by one 6.5 I.CO.S.-screw. When tightening the screw, mean contact area increased by 0.21 cm2 for the AO-screw (p<0.05), and by 0.27 cm2 for the I.CO.S.-screw (p>0.05). When comparing the tightened AO-screw and I.CO.S.-screw, mean contact area increased from 1.40 cm2 to 1.97 cm2 (p<0.05). The mean contact force also increased when tightening the screws. This increase was 7.6 N for the AO-screw (p<0.05) and 14.8 N for the I.CO.S.-screw (p>0.05). When comparing the tightened AO-screw and I.CO.S.-screw, mean contact force increased from 54.9 N to 81.7 N (p<0.05). The obtained results have shown that the design of the screw influences the achieved compression force. The superior compression of the I.CO.S.-screw might be explained by the better gripping and additional compression mechanism of its head. The shape of the head of the cannulated AO-screw, in contrast, may be critical to resist against the weak cortical bone of the calcaneus, i.e. it can sink into soft bone resulting in a loss of compression force.

journal_name

Foot Ankle Int

authors

Hintermann B,Valderrabano V,Nigg B

doi

10.1177/107110070202301102

keywords:

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

986-91

issue

11

eissn

1071-1007

issn

1944-7876

journal_volume

23

pub_type

杂志文章
  • Lambrinudi arthrodesis with posterior tibialis transfer in adult drop-foot.

    abstract:BACKGROUND:The adult drop-foot is one of the most disabling disorders that affects gait and quality of life. Despite orthoses and orthopaedic shoes, the disability often progresses. We have used the Lambrinudi arthrodesis to correct the bony component of drop-foot in association with a posterior tibial tendon transfer ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0030

    authors: Elsner A,Barg A,Stufkens SA,Hintermann B

    更新日期:2010-01-01 00:00:00

  • Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy.

    abstract:BACKGROUND:To assess the efficacy of surgical correction of stage II tibial tendon deficiency with medial translational calcaneus osteotomy and flexor digitorum longus tendon transfer to the navicular, the authors retrospectively reviewed results of treatment of stage II posterior tibial tendon deficiency in 129 patien...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500701

    authors: Myerson MS,Badekas A,Schon LC

    更新日期:2004-07-01 00:00:00

  • Safe Zone for Neural Structures in Medial Displacement Calcaneal Osteotomy: A Cadaveric and Radiographic Investigation.

    abstract:BACKGROUND:We aimed to define reference lines on standard lateral ankle radiographs that could be used intraoperatively to minimize iatrogenic nerve injury risk in medial displacement calcaneal osteotomy. METHODS:Forty cadaveric specimens were used. In 20 specimens, the sural, medial plantar (MP), and lateral plantar ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715595696

    authors: Talusan PG,Cata E,Tan EW,Parks BG,Guyton GP

    更新日期:2015-12-01 00:00:00

  • Ankle stability in simulated lateral ankle ligament injuries.

    abstract:BACKGROUND:We performed a laboratory-based study of the ankle-hindfoot complex in normal cadaveric ankles with simulated lateral ankle ligament injuries, utilizing an ankle stability testing device. The ankle stability testing device distinguished between intact, injury to anterior talofibular ligament (ATFL) and combi...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0531

    authors: Fujii T,Kitaoka HB,Watanabe K,Luo ZP,An KN

    更新日期:2010-06-01 00:00:00

  • Comparison of results of retrocalcaneal decompression for retrocalcaneal bursitis and insertional achilles tendinosis with calcific spur.

    abstract::Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, ti...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110070002100802

    authors: Watson AD,Anderson RB,Davis WH

    更新日期:2000-08-01 00:00:00

  • Does Revascularization Prior to Foot and Ankle Surgery Reduce the Incidence of Surgical Site Infection (SSI)?

    abstract:RECOMMENDATION:Several studies support the effect of peripheral vascular disease (PVD) on wound healing and surgical site infection (SSI). Despite this, there have been no specific studies proving the beneficial effect of revascularization on SSI prior to operative intervention in the setting of traumatic or elective f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719859343

    authors: Heidari N,Charalambous A,Kwok I,Vris A,Li Y

    更新日期:2019-07-01 00:00:00

  • Single-photon-emission computed tomography in painful total ankle replacements.

    abstract:BACKGROUND:The use of single-photon-emission computed tomography (SPECT) in identifying unexplained pain in the foot and ankle has been described, where other imaging modalities have failed. The investigation of a painful total ankle replacement (TAR) is difficult, often not delineating a definitive cause. Our aim in t...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715573050

    authors: Mason LW,Wyatt J,Butcher C,Wieshmann H,Molloy AP

    更新日期:2015-06-01 00:00:00

  • Osteolytic changes after polyglycolide pin fixation in chevron osteotomy.

    abstract::Absorbable polyglycolide pins were used for fixation of 94 chevron osteotomies in 70 patients at the Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, between 1986 and 1992. Postoperative osteolytic changes around the degrading pin occurred in 21 of 94 (22%) metatarsal heads. In 17 of ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800105

    authors: Pelto-Vasenius K,Hirvensalo E,Vasenius J,Rokkanen P

    更新日期:1997-01-01 00:00:00

  • Preoperative footbaths reduce bacterial colonization of the foot.

    abstract:BACKGROUND:Previous studies have demonstrated higher infection rates following elective procedures on the foot and ankle compared with procedures involving other areas of the body. Previous studies also have documented the difficulty of eliminating bacteria from the forefoot prior to surgery. The purpose of the present...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,随机对照试验

    doi:10.3113/FAI.2009.0860

    authors: Ng AB,Adeyemo FO,Samarji R

    更新日期:2009-09-01 00:00:00

  • Popliteal fossa neural blockade as the sole anesthetic technique for outpatient foot and ankle surgery.

    abstract::Foot and ankle operations are being performed with greater frequency as outpatient procedures. Although the surgical procedure remains the same whether the operation is done in an inpatient or an outpatient setting, the anesthesia and postoperative analgesia are greatly affected when patients must be discharged soon a...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100107

    authors: Hansen E,Eshelman MR,Cracchiolo A 3rd

    更新日期:2000-01-01 00:00:00

  • Vertical shear fractures of the medial malleolus: a biomechanical study of five internal fixation techniques.

    abstract::Fifty embalmed human tibias were osteotomized to create a simulated vertical shear (supination-adduction) fracture of the medial malleolus and were stabilized using one of five internal fixation techniques. In offset axial testing, which simulated supination-adduction loading, the fixation strength of tibias stabilize...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079401500905

    authors: Toolan BC,Koval KJ,Kummer FJ,Sanders R,Zuckerman JD

    更新日期:1994-09-01 00:00:00

  • Poor agreement between prospective and retrospective assessment of hallux surgery using the AOFAS Hallux Scale.

    abstract:BACKGROUND:Retrospective assessment of preoperative status is common in nonprospective study designs. The aim of this study was to test the hypothesis that prospective and retrospective evaluations of the preoperative patient condition in hallux surgery gives equal results and therefore can be used interchangeably. ME...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502601211

    authors: Schneider W,Knahr K

    更新日期:2005-12-01 00:00:00

  • Distal fibular length needed for ankle stability.

    abstract:BACKGROUND:The fibula is commonly used for bone grafts. Previous clinical and biomechanical studies have suggested that the length of the residual portion of the distal part of the fibula has an important effect on the long-term stability of the ankle joint. However, we cannot find clear-cut guidelines for the amount o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602700306

    authors: Uchiyama E,Suzuki D,Kura H,Yamashita T,Murakami G

    更新日期:2006-03-01 00:00:00

  • Intraosseous and extraosseous arterial anatomy of the adult navicular.

    abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0857

    authors: McKeon KE,McCormick JJ,Johnson JE,Klein SE

    更新日期:2012-10-01 00:00:00

  • Salvage of avascular necrosis of the talus by combined ankle and hindfoot arthrodesis without structural bone graft.

    abstract:BACKGROUND:Osteonecrosis of the talus is a well-recognized pathology, which can result in significant hindfoot collapse resulting in poor function and pain. Treatment with intramedullary tibiotalocalcaneal arthrodesis (IMTCA) using a retrograde intramedullary nail is widely utilized for severe concomitant tibiotalar an...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100714558506

    authors: Tenenbaum S,Stockton KG,Bariteau JT,Brodsky JW

    更新日期:2015-03-01 00:00:00

  • Analysis of the Effect of Tibial Stem Length on Coronal Plane Deformity of the Tibial Component in Total Ankle Arthroplasty.

    abstract:BACKGROUND:Coronal plane deformity is common in patients who undergo total ankle arthroplasty. The correction of this deformity is paramount to the long-term survival of the implant. Coronal plane correction is achieved with soft tissue balancing and, in some part, is maintained through articular geometry constraint. T...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719862744

    authors: Berlet GC,Langan TM,Jamieson MD,Ferrucci AM

    更新日期:2019-10-01 00:00:00

  • Return to Sports and Activity After Total Ankle Arthroplasty and Arthrodesis: A Systematic Review.

    abstract:BACKGROUND:There is no consensus regarding participation in sports and recreational activities following total ankle replacement (TAR) and ankle arthrodesis (AA). This systematic review summarizes the evidence on return to sports and activity after operative management with either TAR or AA for ankle osteoarthritis (OA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720927706

    authors: Johns WL,Sowers CB,Walley KC,Ross D,Thordarson DB,Jackson JB,Gonzalez TA

    更新日期:2020-08-01 00:00:00

  • Computer Assisted Surgery (CAS) guided arthrodesis of the foot and ankle: an analysis of accuracy in 100 cases.

    abstract:BACKGROUND:Computer Assisted Surgery (CAS) has shown the potential to increase the accuracy of surgical procedures in different fields of orthopedic surgery. The clinical experiences of 100 cases with CAS guided arthrodeses were evaluated. MATERIALS AND METHODS:Two navigation systems were used (VectorVision/Navivision...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2008.1235

    authors: Richter M,Zech S

    更新日期:2008-12-01 00:00:00

  • Prognostic value of four classifications of calcaneal fractures.

    abstract:BACKGROUND:The purpose of this study was to assist surgeons treating calcaneal fractures in choosing the most predictive fracture classification and clinical outcome tool. MATERIALS AND METHODS:For 152 patients (189 calcaneal fractures; average followup, 9.9 years), all fractures were classified in accordance with the...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2009.0229

    authors: Rubino R,Valderrabano V,Sutter PM,Regazzoni P

    更新日期:2009-03-01 00:00:00

  • Change in the First Cuneiform-Second Metatarsal Distance After Simulated Ligamentous Lisfranc Injury Evaluated by Weightbearing CT Scans.

    abstract:BACKGROUND:This study aimed to investigate the widening between the first cuneiform (C1) and second metatarsal (M2) in a Lisfranc ligamentous complex (LLC) joint injury model subjected to successive ligament dissections evaluated by weightbearing computed tomography (CT) scans. METHODS:Twenty-four intact cadaveric fee...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720938331

    authors: Sripanich Y,Weinberg M,Krähenbühl N,Rungprai C,Saltzman CL,Barg A

    更新日期:2020-11-01 00:00:00

  • Functional outcome after modified Blair tibiotalar arthrodesis for talar osteonecrosis.

    abstract:BACKGROUND:Osteonecrosis of the talar body is a challenging problem for both patient and surgeon. One reconstruction option is an arthrodesis of the tibia to the talar neck, as described by Blair, which has the theoretical advantages of salvaging some hindfoot height and motion of the subtalar joint. A few case series ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401005

    authors: Van Bergeyk A,Stotler W,Beals T,Manoli A 2nd

    更新日期:2003-10-01 00:00:00

  • Effect of elastic taping on postural control deficits in subjects with healthy ankles, copers, and individuals with functional ankle instability.

    abstract:BACKGROUND:Ankle sprains are the most common injury among physically active people, with common sequelae including repeated episodes of giving way, termed functional ankle instability. Copers are a cohort in ankle research comprised of those who have sprained their ankle but have not suffered any further dysfunction. T...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713491076

    authors: Shields CA,Needle AR,Rose WC,Swanik CB,Kaminski TW

    更新日期:2013-10-01 00:00:00

  • Bunion correction using proximal chevron osteotomy: a single-incision technique.

    abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801900703

    authors: Sammarco GJ,Russo-Alesi FG

    更新日期:1998-07-01 00:00:00

  • Influence of Surgeon Volume on Inpatient Complications, Cost, and Length of Stay Following Total Ankle Arthroplasty.

    abstract:BACKGROUND:Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS:A retrospective cohort study of TAA...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100716664871

    authors: Basques BA,Bitterman A,Campbell KJ,Haughom BD,Lin J,Lee S

    更新日期:2016-10-01 00:00:00

  • Achilles tendon tenodesis to prevent heel pad migration in the Syme's amputation.

    abstract::In an attempt to prevent migration of the heel pad, 11 patients underwent a combined Syme's amputation and Achilles tendon tenodesis between December 1989 and April 1992. Ten patients healed the Syme's amputation, and one patient failed to heal the surgical wounds and required a below-knee amputation. In all 10 succes...

    journal_title:Foot & ankle international

    pub_type: 临床试验,杂志文章

    doi:10.1177/107110079401500104

    authors: Smith DG,Sangeorzan BJ,Hansen ST Jr,Burgess EM

    更新日期:1994-01-01 00:00:00

  • The effect of shoe gear on human tibial strains recorded during dynamic loading: a pilot study.

    abstract::The study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain meas...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079601701104

    authors: Milgrom C,Burr D,Fyhrie D,Forwood M,Finestone A,Nyska M,Giladi M,Liebergall M,Simkin A

    更新日期:1996-11-01 00:00:00

  • Forefoot Reconstruction Following Metatarsal Head Resection Arthroplasty With a Plantar Approach-A 20-Year Follow-Up.

    abstract:BACKGROUND:Rheumatoid arthritis (RA) can cause significant forefoot disorders. If forefoot deformity and pain are severe, surgical treatment can be considered. The aim of this study was to analyze the long-term outcomes of surgical forefoot correction per Tillmann, which involves resection of the metatarsal heads throu...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719840814

    authors: Simon MJK,Strahl A,Mussawy H,Rolvien T,Schumacher RF,Seller M,Rüther W

    更新日期:2019-07-01 00:00:00

  • Comparison of MRI and local anesthetic tendon sheath injection in the diagnosis of posterior tibial tendon tenosynovitis.

    abstract:BACKGROUND:The modalities currently available to clinicians to confirm the clinical suspicion of posterior tibial tendinitis include MRI, CT, sonography, tenography, and local anesthetic tendon sheath injections. There are no reports in the literature comparing local anesthetic tendon sheath injection to MRI as tools f...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.1124

    authors: Cooper AJ,Mizel MS,Patel PD,Steinmetz ND,Clifford PD

    更新日期:2007-11-01 00:00:00

  • Fracture of an interphalangeal coalition: a report of two cases.

    abstract::Congenital coalition of the middle and distal phalanges in the fifth toe are common. They have been reported to occur in up to 50% of American and European populations and in up to 73% of people of Japanese descent. Congenital interphalangeal coalition of the other toes is less common. We report two cases of fracture ...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070002100812

    authors: Sammarco GJ,Hockenbury RT

    更新日期:2000-08-01 00:00:00

  • A radiographic technique for the assessment of ankle and midfoot equinus.

    abstract:BACKGROUND:Both clinical and radiographic techniques have been used to evaluate foot and ankle position and orientation. Clinical measurements have been shown to be less reliable than radiographic measurements. Because midfoot equinus deformity may coexist with ankle joint equinus deformity, a radiographic method of se...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070502600312

    authors: Elomrani N,Kasis A,Saleh M

    更新日期:2005-03-01 00:00:00