An in vivo experimental comparison of stainless steel an titanium Schanz screws for external fixation

Ganser, A; Thompson, RE; Tami, I; Neuhoff, D; Steiner, Adrian (2007). An in vivo experimental comparison of stainless steel an titanium Schanz screws for external fixation. European journal of trauma and emergency surgery, 33(1), pp. 59-68. Heidelberg: Springer-Medizin-Verlag 10.1007/s00068-007-6053-5

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Objective:
To compare the clinical benefits of stainless steel (SS) to titanium (Ti) on reducing pin track irritation/infection and pin loosening during external fracture fixation.

Methods:
A tibial gap osteotomy was created in 17 sheep and stabilized with four Schanz screws of either SS or Ti and an external fixation frame. Over the 12 week observation period, pin loosening was assessed by grading the radiolucency around the pins and measuring the extraction torque on pin removal at sacrifice. Irritation/infection was assessed with weekly clinical pin track grading. A histological analysis of the tissue adjacent to the pin site was made to assess biocompatibility.

Results:
A statistically non-significant trend for less bone resorption around Ti pins was found during the early observation period. However, at sacrifice, there was no difference between the two materials. Also, there was no difference in the extraction torque, and there was similar remodeling and apposition of the bone around the pins. A statistically non-significant trend for more infection about SS pins at sacrifice was found. Histology showed a slightly higher prevalence of reactionary cells in SS samples, but was otherwise not much different than around Ti pins.

Conclusions:
There is no clinically relevant substantial advantage in using either SS or Ti pins on reducing pin loosening or pin track irritation/infection.

Item Type:

Journal Article (Original Article)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Clinic for Ruminants

UniBE Contributor:

Steiner, Adrian

Subjects:

600 Technology > 630 Agriculture

ISSN:

1863-9933

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:57

Last Modified:

05 Dec 2022 14:17

Publisher DOI:

10.1007/s00068-007-6053-5

Web of Science ID:

000256732600010

BORIS DOI:

10.48350/24368

URI:

https://boris.unibe.ch/id/eprint/24368 (FactScience: 49354)

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