A comparative study of tapped and untapped pilot holes for bicortical orthopedic screws - 3D finite element analysis with an experimental test.

A comparative study of tapped and untapped pilot holes for bicortical orthopedic screws - 3D finite element analysis with an experimental test. Biomed Tech (Berl). 2019 Apr 02;: Authors: Ketata H, Affes F, Kharrat M, Dammak M Abstract The aim of this study was to compare the screw-to-bone fixation strength of two insertion techniques: self-tapping screw (STS) and non-self-tapping screw (NSTS). Finite element analysis (FEA) was used for the comparison by featuring three tests (insertion, pull-out and shear) in a human tibia bone model. A non-linear material behavior with ductile damage properties was chosen for the modeling. To validate the numerical models, experimental insertion and pull-out tests were carried out using a synthetic bone. The experimental and numerical results of pull-out tests correlated well. Thread forming was successfully simulated during the insertion process of STS and NSTS. It is demonstrated that the STS generates higher insertion torque, induces a higher amount of stress after the insertion process and relatively more strength under the pull-out and shear tests than the NSTS. However, the NSTS induces more stiffness under the two tests (pull-out and shear) and less damage to the screw-bone interface compared to the STS. It is concluded that the use of STS ensures tighter bony contact and enables higher pull-out strength; however, the use of NSTS improves the stiffness of the fixation and induces less damage ...
Source: Biomedizinische Technik/Biomedical Engineering - Category: Biomedical Engineering Tags: Biomed Tech (Berl) Source Type: research