Biomechanical evaluation of two different screw positions for fusion of the calcaneocuboid joint.

Abstract:

:In triple arthrodesis performed for severe deformity and neuroarthropathy in poorly compliant patients with osteoporotic bone, fixation of the arthrodesis is critical. We biomechanically tested an alternative means of stabilization for calcaneocuboid fusions. In seven matched pairs of fresh-frozen cadaver feet, we removed the soft tissue from around the calcaneocuboid joint, except for the capsule, and we did not resect the articular cartilage. One joint of each pair was fixed with an oblique standard screw, and the contralateral joint was stabilized with an axial screw placed perpendicularly to the joint surface. Testing on an MTS Mini Bionix Test Frame (MTS Systems Corp., Eden Prairie, MN) demonstrated that the axial screw provided significantly higher initial stiffness and maximum load to failure. We concluded that an axial screw provided better fixation of the calcaneocuboid joint.

journal_name

Foot Ankle Int

authors

Kann JN,Parks BG,Schon LC

doi

10.1177/107110079902000107

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

33-6

issue

1

eissn

1071-1007

issn

1944-7876

journal_volume

20

pub_type

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