[Biomechanical evaluation of osteosynthesis with cannulated screws for Ponteau-Colles fractures in a bird model].
BACKGROUND
The use of cannulated screw without protrusive head in Colles fractures could avoid some of the drawbacks of conventional pinning. In order to compare the mechanical resistance of Kirshner wires versus cannulated screws we designed a animal model of Colles fractures and tested three types of osteosynthesis: A: K-wires, B: Herbert cannulated screw, C: specific cannulated screws.


METHODS
After creating a 10 mm defect in three sets of 10 fresh turkey tibia, 3 types of osteosynthesis were done and tested in compression with an Adamel Lhomargy machine: set A: K-wire fixation, set B: Herbert screws fixation and set C: specifics screws fixation.


RESULTS
The compression strength needed for failure of the fixations were: for the K-wires (set A): 52 N +/- 17; for the Herbert screws (set B): 93 N +/- 39; for the specifics screws (set C): 160 N +/- 48; (p < 0.0001).


CONCLUSIONS
The use of an animal model makes the experimentation easier and the sampling more homogeneous. In this model, resistance to compression of the cannulated screw was better than K-wires and the specific cannulated screw better than Herbert screw. Therefore clinical trial of osteosynthesis with cannulated screw in Colles fracture could be considered.
Doursounian
L
L
Service de chirurgie orthopédique traumatologique et réparatrice, hôpital Européen Georges Pompidou, 20, rue Leblanc, 75908 Paris, France.
Werther
J R
JR
Guelmi
K
K
Beccari
R
R
Mazodier
F
F
D000818:Animals; D001696:Biomechanical Phenomena; D001863:Bone Screws / Q000592:standards*; D001864:Bone Wires / Q000592:standards; D003100:Colles' Fracture / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D019245:Compressive Strength; D004195:Disease Models, Animal; D004867:Equipment Design; D004868:Equipment Failure; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D008422:Materials Testing; D011859:Radiography; D014422:Turkeys