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An Anesthesia, Surgery, and Harvest Method for the Evaluation of Transpedicular Screws Using an In Vivo Porcine Lumbar Spine Model
Published on: May 31, 2017
Manual extraction is superior to power tools when removing stripped titanium locking screws
N Nizaj1, C Muhammed Shamseer1, A N Sukesh2
1Junior Resident, Department of Orthopaedics, VPS Lakeshore Hospital, Kochi 682040, Kerala, India.
Manual extraction of stripped titanium locking screws using a T handle is more effective than using a power tool. This method achieved a 92% success rate, compared to 60% with power tools, due to better haptic feedback.
Area of Science:
- Orthopedic surgery
- Biomaterials engineering
Background:
- Titanium locking screws can seize and strip, making removal challenging.
- Extraction screws are used for removing damaged screws, with manual and powered methods available.
Purpose of the Study:
- To compare the effectiveness of manual versus powered extraction of stripped titanium locking screws.
Main Methods:
- Fifty stripped 3.5 mm titanium locking screws in saw bone models were divided into two groups.
- Group 1: 25 screws removed with a T handle and extraction screw.
- Group 2: 25 screws removed with a power tool and extraction screw.
Main Results:
- Manual extraction with a T handle successfully removed 23 of 25 screws (92%).
- Powered extraction removed 15 of 25 screws (60%).
Conclusions:
- Manual extraction with a T handle is recommended for removing stripped titanium locking screws.
- Haptic feedback during manual extraction improves screw engagement and success rates (p<0.001).
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