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

  • Hajer Ketata , Fatma Affes , Mohamed Kharrat EMAIL logo and Maher Dammak
Published/Copyright: April 2, 2019

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 to the cortical bone-screw fixation and thus minimum risk is obtained in terms of bone necrosis.

  1. Author Statement

  2. Research funding: Authors state no funding involved.

  3. Conflict of interest: Authors state no conflict of interest.

  4. Informed consent: Informed consent is not applicable.

  5. Ethical approval: The conducted research is not related to either human or animals use.

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Received: 2018-03-29
Accepted: 2018-12-10
Published Online: 2019-04-02
Published in Print: 2019-09-25

©2019 Walter de Gruyter GmbH, Berlin/Boston

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