Evidence map›Paper›PMID 34131183›Full record

ArticleScientific reports2021

Lateral migration resistance of screw is essential in evaluating bone screw stability of plate fixation.

Xiaoreng Feng, Weichen Qi, Teng Zhang, Christian Fang, Hongfeng Liang, Bin Chen, Frankie Leung

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Xiaoreng Feng *Department of Orthopaedics and Traumatology, Queen Mary Hospital, the University of Hong Kong, Pok Fu Lam, Hong Kong, SAR, China.
Weichen Qi *Department of Orthopaedics and Traumatology, Queen Mary Hospital, the University of Hong Kong, Pok Fu Lam, Hong Kong, SAR, China.
Teng ZhangDepartment of Orthopaedics and Traumatology, Queen Mary Hospital, the University of Hong Kong, Pok Fu Lam, Hong Kong, SAR, China.
Christian FangDepartment of Orthopaedics and Traumatology, Queen Mary Hospital, the University of Hong Kong, Pok Fu Lam, Hong Kong, SAR, China.
Hongfeng LiangYangjiang People's Hospital, Yangjiang, 529500, China.
Bin ChenDivision of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China. chb@smu.edu.cn.
Frankie LeungDepartment of Orthopaedics and Traumatology, Queen Mary Hospital, the University of Hong Kong, Pok Fu Lam, Hong Kong, SAR, China. klleunga@hku.hk.
Queen Mary Hospital · CNUniversity of Hong Kong · HKNanfang Hospital · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional evaluation of the stability of bone screws focuses on pullout strength, while neglecting lateral migration resistance. We measured pullout strength and lateral migration resistance of bone screws and determined how these characteristics relate to screw stability of locking plate (LP) and dynamic compression plate (DCP) fixation. Pullout strength and lateral migration resistance of individual bone screws with buttress, square, and triangular thread designs were evaluated in polyurethane foam blocks. The screw types with superior performance in each of these characteristics were selected. LP and DCP fixations were constructed using the selected screws and tested under cyclic craniocaudal and torsional loadings. Subsequently, the association between individual screws' biomechanical characteristics and fixation stability when applied to plates was established. Screws with triangular threads had superior pullout strength, while screws with square threads demonstrated the highest lateral migration resistance; they were selected for LP and DCP fixations. LPs with square-threaded screws required a larger force and more cycles to trigger the same amount of displacement under both craniocaudal and torsional loadings. Screws with triangular and square threads showed no difference in DCP fixation stability under craniocaudal loading. However, under torsional loading, DCP fixation with triangular-threaded screws demonstrated superior fixation stability. Lateral migration resistance is the primary contributor to locking screw fixation stability when applied to an LP in resisting both craniocaudal and torsional loading. For compression screws applied to a DCP, lateral migration resistance and pullout strength work together to resist craniocaudal loading, while pullout strength is the primary contributor to the ability to resist torsional loading.

Indexed as

Mechanical PhenomenaBiomechanical PhenomenaBone DensityBone PlatesBone ScrewsFractures, BoneHumansLumbar VertebraeMaterials TestingSpinal Fusion

Identifiers

PMID34131183
PMCPMC8206340
OpenAlexW3166149608

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.