Evidence map›Paper›PMID 35012556›Full record

ArticleBiomedical engineering online2022

Functionalization of screw implants with superelastic structured Nitinol anchoring elements.

Isabell Hamann, Stefan Schleifenbaum, Christian Rotsch, Welf-Guntram Drossel, Christoph-Eckhard Heyde, Mario Leimert

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 55% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

6 authors at 4 institutions in 1 country.

Isabell HamannFraunhofer Institute for Machine Tools and Forming Technology IWU, 01187, Dresden, Germany. isabell.hamann@iwu.fraunhofer.de.ORCID http://orcid.org/0000-0002-6377-9715
Stefan SchleifenbaumDepartment of Orthopedic Surgery, Traumatology and Plastic Surgery, Leipzig University, 04103, Leipzig, Germany.
Christian RotschFraunhofer Institute for Machine Tools and Forming Technology IWU, 01187, Dresden, Germany.
Welf-Guntram DrosselFraunhofer Institute for Machine Tools and Forming Technology IWU, 01187, Dresden, Germany.
Christoph-Eckhard HeydeDepartment of Orthopedic Surgery, Traumatology and Plastic Surgery, Leipzig University, 04103, Leipzig, Germany.
Mario LeimertSächsische Schweiz Kliniken GmbH, 01855, Sebnitz, Germany.
Fraunhofer Institute for Machine Tools and Forming Technology · DEChemnitz University of Technology · DELeipzig University · DENeurologisches Rehabilitationszentrum Leipzig · DE

Funding

bundesministerium für bildung und forschung 036ZZ1026D
6 · The paper itself

Abstract

backgroundDemographic change is leading to an increase in the number of osteoporotic patients, so a rethink is required in implantology in order to be able to guarantee adequate anchoring stability in the bone. The functional modification of conventional standard screw implants using superelastic, structured Ti6Al4V anchoring elements promises great potential for increasing anchoring stability.

methodsFor this purpose, conventional screw implants were mechanically machined and extended so that structured-superelastic-positionable-Ti6Al4V anchoring elements could be used. The novel implants were investigated with three tests. The setup of the anchoring elements was investigated in CT studies in an artificial bone. In a subsequent simplified handling test, the handling of the functional samples was evaluated under surgical conditions. The anchorage stability compared to standard screw implants was investigated in a final pullout test according to ASTM F543-the international for the standard specification and test methods for metallic medical bone screws.

resultsThe functionalization of conventional screw implants with structured superelastic Ti6Al4V anchoring elements is technically realizable. It was demonstrated that the anchoring elements can be set up in the artificial bone without any problems. The anchorage mechanism is easy to handle under operating conditions. The first simplified handling test showed that at the current point of the investigations, the anchoring elements have no negative influence on the surgical procedure (especially under the focus of screw implantation). Compared to conventional standard screws, more mechanical work is required to remove the functional patterns completely from the bone.

conclusionIn summary, it was shown that conventional standard screw implants can be functionalized with Ti6Al4V-structured NiTi anchoring elements and the new type of screws are suitable for orthopedic and neurosurgical use. A first biomechanical test showed that the anchoring stability could be increased by the anchoring elements.

Indexed as

Bone and BonesBone ScrewsAlloysBiomechanical PhenomenaHumansMaterials TestingAlloysnitinolAdditive manufacturingBiomechanicNitinolScrew implantsSuperelasticity

Identifiers

PMID35012556
PMCPMC8751162
OpenAlexW4225477227

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.