Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure
Background: The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described. Purpose: To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations. Study Design:...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2020-07, Vol.8 (7), p.2325967120931399-2325967120931399 |
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| creator | Frank, Rachel M. Roth, Martina Wijdicks, Coen Abel Fischer, Nicole Costantini, Alberto Di Giacomo, Giovanni Romeo, Anthony A. |
| description | Background:
The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described.
Purpose:
To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations.
Study Design:
Controlled laboratory study.
Methods:
A total of 8 groups (n = 5 specimens per group) were tested at a screw insertion angle of 0°: (1) 3.75-mm single screw, (2) 3.75-mm double screw, (3) 3.75-mm double screw with washers, (4) 3.75-mm double screw with a miniplate, (5) 4.00-mm single screw, (6) 4.00-mm double screw, (7) 4.00-mm double screw with washers, and (8) 4.00-mm double screw with a miniplate. In addition, similar to groups 1 to 3 and 5 to 7, there were 30 additional specimens (n = 5 per group) tested at a screw insertion angle of 15° (groups 9-14). To maintain specimen uniformity, rigid polyurethane foam blocks were used. Testing parameters included a preload of 214 N for 10 seconds, cyclical loading from 184 to 736 N at 1 Hz for 100 cycles, and failure loading at a rate of 15 mm/min until 10 mm of displacement or specimen failure occurred.
Results:
All single-screw constructs and 77% of 15° screw constructs failed before the completion of cyclical loading. Across all groups, group 8 (4.00-mm double screw with miniplate) demonstrated the highest maximum failure load (P < .001). There were no differences in failure loads among specimens with single-screw fixation (groups 1, 5, 9, and 12; P > .05). All specimens in groups 9, 10, 11, 12, 13, and 14 (insertion angle of 15°) had significantly lower maximum failure loads compared with specimens in groups 2, 3, 4, 6, 7, and 8 (insertion angle of 0°) (P < .001 for all).
Conclusion:
These results indicate significantly superior failure loads with the miniplate compared with all other constructs. Across all fixation techniques and screw sizes, constructs with screws inserted at 0° performed better than constructs with screws inserted at 15°.
Clinical Relevance:
The use of a miniplate for coracoid fixation during the Latarjet procedure may provide a more durable construct for the high-demand contact athlete. |
| doi_str_mv | 10.1177/2325967120931399 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7361494</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2325967120931399</sage_id><sourcerecordid>2427301594</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-afd7ccb07d7733039c6f6a43934c225d31b55aeb8153379d7f6d162f48ef2e503</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EolXpnROyxIXLgr-9viCViAJSJCpB4Wg53nHiaHcdbG-h_55NU0qphC9jzTzz2jMvQs8peU2p1m8YZ9IoTRkxnHJjHqHjfarZ5x7fux-h01K2ZD6tpIbrp-iIM02EJOoYTe9iGsBv3Bi96_HZ6PrrEgtOAV_0rgI-j79cjWnEizTsXIYOf491g7-5HNNU8Bef4edcG0NcT_mGLDikjC8L4DjiugG8dNXlLVR8kZOHbsrwDD0Jri9wehtP0OX5-6-Lj83y84dPi7Nl44VitXGh096viO605pxw41VQTnDDhWdMdpyupHSwaqnkXJtOB9VRxYJoITCQhJ-gtwfd3bQaoPMw1ux6u8txcPnaJhftv5Uxbuw6XVnNFRVGzAKvbgVy-jFBqXaIxUPfuxHm8S0TTHNC5Q368gG6TVOe97mnWqGM0LydKXKgfE6lZAh3n6HE7m21D22dW17cH-Ku4Y-JM9AcgOLW8PfV_wr-BnYUqvI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2484694738</pqid></control><display><type>article</type><title>Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Frank, Rachel M. ; Roth, Martina ; Wijdicks, Coen Abel ; Fischer, Nicole ; Costantini, Alberto ; Di Giacomo, Giovanni ; Romeo, Anthony A.</creator><creatorcontrib>Frank, Rachel M. ; Roth, Martina ; Wijdicks, Coen Abel ; Fischer, Nicole ; Costantini, Alberto ; Di Giacomo, Giovanni ; Romeo, Anthony A.</creatorcontrib><description>Background:
The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described.
Purpose:
To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations.
Study Design:
Controlled laboratory study.
Methods:
A total of 8 groups (n = 5 specimens per group) were tested at a screw insertion angle of 0°: (1) 3.75-mm single screw, (2) 3.75-mm double screw, (3) 3.75-mm double screw with washers, (4) 3.75-mm double screw with a miniplate, (5) 4.00-mm single screw, (6) 4.00-mm double screw, (7) 4.00-mm double screw with washers, and (8) 4.00-mm double screw with a miniplate. In addition, similar to groups 1 to 3 and 5 to 7, there were 30 additional specimens (n = 5 per group) tested at a screw insertion angle of 15° (groups 9-14). To maintain specimen uniformity, rigid polyurethane foam blocks were used. Testing parameters included a preload of 214 N for 10 seconds, cyclical loading from 184 to 736 N at 1 Hz for 100 cycles, and failure loading at a rate of 15 mm/min until 10 mm of displacement or specimen failure occurred.
Results:
All single-screw constructs and 77% of 15° screw constructs failed before the completion of cyclical loading. Across all groups, group 8 (4.00-mm double screw with miniplate) demonstrated the highest maximum failure load (P < .001). There were no differences in failure loads among specimens with single-screw fixation (groups 1, 5, 9, and 12; P > .05). All specimens in groups 9, 10, 11, 12, 13, and 14 (insertion angle of 15°) had significantly lower maximum failure loads compared with specimens in groups 2, 3, 4, 6, 7, and 8 (insertion angle of 0°) (P < .001 for all).
Conclusion:
These results indicate significantly superior failure loads with the miniplate compared with all other constructs. Across all fixation techniques and screw sizes, constructs with screws inserted at 0° performed better than constructs with screws inserted at 15°.
Clinical Relevance:
The use of a miniplate for coracoid fixation during the Latarjet procedure may provide a more durable construct for the high-demand contact athlete.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967120931399</identifier><identifier>PMID: 32704506</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Biomechanics ; Orthopedics ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2020-07, Vol.8 (7), p.2325967120931399-2325967120931399</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020.</rights><rights>The Author(s) 2020. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020 2020 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-afd7ccb07d7733039c6f6a43934c225d31b55aeb8153379d7f6d162f48ef2e503</citedby><cites>FETCH-LOGICAL-c462t-afd7ccb07d7733039c6f6a43934c225d31b55aeb8153379d7f6d162f48ef2e503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361494/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7361494/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21965,27852,27923,27924,44944,45332,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32704506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frank, Rachel M.</creatorcontrib><creatorcontrib>Roth, Martina</creatorcontrib><creatorcontrib>Wijdicks, Coen Abel</creatorcontrib><creatorcontrib>Fischer, Nicole</creatorcontrib><creatorcontrib>Costantini, Alberto</creatorcontrib><creatorcontrib>Di Giacomo, Giovanni</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><title>Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure</title><title>Orthopaedic journal of sports medicine</title><addtitle>Orthop J Sports Med</addtitle><description>Background:
The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described.
Purpose:
To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations.
Study Design:
Controlled laboratory study.
Methods:
A total of 8 groups (n = 5 specimens per group) were tested at a screw insertion angle of 0°: (1) 3.75-mm single screw, (2) 3.75-mm double screw, (3) 3.75-mm double screw with washers, (4) 3.75-mm double screw with a miniplate, (5) 4.00-mm single screw, (6) 4.00-mm double screw, (7) 4.00-mm double screw with washers, and (8) 4.00-mm double screw with a miniplate. In addition, similar to groups 1 to 3 and 5 to 7, there were 30 additional specimens (n = 5 per group) tested at a screw insertion angle of 15° (groups 9-14). To maintain specimen uniformity, rigid polyurethane foam blocks were used. Testing parameters included a preload of 214 N for 10 seconds, cyclical loading from 184 to 736 N at 1 Hz for 100 cycles, and failure loading at a rate of 15 mm/min until 10 mm of displacement or specimen failure occurred.
Results:
All single-screw constructs and 77% of 15° screw constructs failed before the completion of cyclical loading. Across all groups, group 8 (4.00-mm double screw with miniplate) demonstrated the highest maximum failure load (P < .001). There were no differences in failure loads among specimens with single-screw fixation (groups 1, 5, 9, and 12; P > .05). All specimens in groups 9, 10, 11, 12, 13, and 14 (insertion angle of 15°) had significantly lower maximum failure loads compared with specimens in groups 2, 3, 4, 6, 7, and 8 (insertion angle of 0°) (P < .001 for all).
Conclusion:
These results indicate significantly superior failure loads with the miniplate compared with all other constructs. Across all fixation techniques and screw sizes, constructs with screws inserted at 0° performed better than constructs with screws inserted at 15°.
Clinical Relevance:
The use of a miniplate for coracoid fixation during the Latarjet procedure may provide a more durable construct for the high-demand contact athlete.</description><subject>Biomechanics</subject><subject>Orthopedics</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kU1vEzEQhi0EolXpnROyxIXLgr-9viCViAJSJCpB4Wg53nHiaHcdbG-h_55NU0qphC9jzTzz2jMvQs8peU2p1m8YZ9IoTRkxnHJjHqHjfarZ5x7fux-h01K2ZD6tpIbrp-iIM02EJOoYTe9iGsBv3Bi96_HZ6PrrEgtOAV_0rgI-j79cjWnEizTsXIYOf491g7-5HNNU8Bef4edcG0NcT_mGLDikjC8L4DjiugG8dNXlLVR8kZOHbsrwDD0Jri9wehtP0OX5-6-Lj83y84dPi7Nl44VitXGh096viO605pxw41VQTnDDhWdMdpyupHSwaqnkXJtOB9VRxYJoITCQhJ-gtwfd3bQaoPMw1ux6u8txcPnaJhftv5Uxbuw6XVnNFRVGzAKvbgVy-jFBqXaIxUPfuxHm8S0TTHNC5Q368gG6TVOe97mnWqGM0LydKXKgfE6lZAh3n6HE7m21D22dW17cH-Ku4Y-JM9AcgOLW8PfV_wr-BnYUqvI</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Frank, Rachel M.</creator><creator>Roth, Martina</creator><creator>Wijdicks, Coen Abel</creator><creator>Fischer, Nicole</creator><creator>Costantini, Alberto</creator><creator>Di Giacomo, Giovanni</creator><creator>Romeo, Anthony A.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure</title><author>Frank, Rachel M. ; Roth, Martina ; Wijdicks, Coen Abel ; Fischer, Nicole ; Costantini, Alberto ; Di Giacomo, Giovanni ; Romeo, Anthony A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-afd7ccb07d7733039c6f6a43934c225d31b55aeb8153379d7f6d162f48ef2e503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biomechanics</topic><topic>Orthopedics</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frank, Rachel M.</creatorcontrib><creatorcontrib>Roth, Martina</creatorcontrib><creatorcontrib>Wijdicks, Coen Abel</creatorcontrib><creatorcontrib>Fischer, Nicole</creatorcontrib><creatorcontrib>Costantini, Alberto</creatorcontrib><creatorcontrib>Di Giacomo, Giovanni</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frank, Rachel M.</au><au>Roth, Martina</au><au>Wijdicks, Coen Abel</au><au>Fischer, Nicole</au><au>Costantini, Alberto</au><au>Di Giacomo, Giovanni</au><au>Romeo, Anthony A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><addtitle>Orthop J Sports Med</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>8</volume><issue>7</issue><spage>2325967120931399</spage><epage>2325967120931399</epage><pages>2325967120931399-2325967120931399</pages><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Background:
The biomechanical properties of coracoid fixation with a miniplate during the Latarjet procedure have not been described.
Purpose:
To determine the biomechanical properties of miniplate fixation for the Latarjet procedure compared with various screw fixation configurations.
Study Design:
Controlled laboratory study.
Methods:
A total of 8 groups (n = 5 specimens per group) were tested at a screw insertion angle of 0°: (1) 3.75-mm single screw, (2) 3.75-mm double screw, (3) 3.75-mm double screw with washers, (4) 3.75-mm double screw with a miniplate, (5) 4.00-mm single screw, (6) 4.00-mm double screw, (7) 4.00-mm double screw with washers, and (8) 4.00-mm double screw with a miniplate. In addition, similar to groups 1 to 3 and 5 to 7, there were 30 additional specimens (n = 5 per group) tested at a screw insertion angle of 15° (groups 9-14). To maintain specimen uniformity, rigid polyurethane foam blocks were used. Testing parameters included a preload of 214 N for 10 seconds, cyclical loading from 184 to 736 N at 1 Hz for 100 cycles, and failure loading at a rate of 15 mm/min until 10 mm of displacement or specimen failure occurred.
Results:
All single-screw constructs and 77% of 15° screw constructs failed before the completion of cyclical loading. Across all groups, group 8 (4.00-mm double screw with miniplate) demonstrated the highest maximum failure load (P < .001). There were no differences in failure loads among specimens with single-screw fixation (groups 1, 5, 9, and 12; P > .05). All specimens in groups 9, 10, 11, 12, 13, and 14 (insertion angle of 15°) had significantly lower maximum failure loads compared with specimens in groups 2, 3, 4, 6, 7, and 8 (insertion angle of 0°) (P < .001 for all).
Conclusion:
These results indicate significantly superior failure loads with the miniplate compared with all other constructs. Across all fixation techniques and screw sizes, constructs with screws inserted at 0° performed better than constructs with screws inserted at 15°.
Clinical Relevance:
The use of a miniplate for coracoid fixation during the Latarjet procedure may provide a more durable construct for the high-demand contact athlete.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32704506</pmid><doi>10.1177/2325967120931399</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Orthopaedic journal of sports medicine, 2020-07, Vol.8 (7), p.2325967120931399-2325967120931399 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Biomechanics Orthopedics Sports medicine |
| title | Biomechanical Analysis of Plate Fixation Compared With Various Screw Configurations for Use in the Latarjet Procedure |
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