title: [Biomechanical properties of bioabsorbable cannulated screws for surgical fixation of dislocated epiphysiolysis capitis femoris].
abstract: Bioabsorbable materials are well suited for fixation of slipped capital femoral epiphysis (SCFE) as they are resorbable, compatible with magnetic resonance imaging, and well tolerated by the pediatric population. We compared cannulated 4.5-mm bioabsorbable screws made of self-reinforced polylevolactic acid (SR-PLLA) to cannulated 4.5-mm steel and titanium screws for their resistance to shear stress and ability to generate compression in a polyurethane foam model of SCFE fixation. The maximum shear stress resisted by the three screw types was similar (SR-PLLA 371 +/- 146, steel 442 +/- 43, titanium 470 +/- 91 MPa, NS). The maximum compression generated by both the SR-PLLA screw (68.5 +/- 3.3 N) and the steel screw (63.3 +/- 5.9 N) was greater than that for the titanium screw (3.0 +/- 1.4 N, p < 0.05). These data suggest that cannulated SR-PLLA screws have sufficient biomechanical strength to be used in the treatment of SCFE.
authors.affiliation: Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg. markus.kroeber@ok.uni-heidelberg.de
authors.forename: M W
authors.initials: MW
authors.lastname: Kröber
authors.forename: D
authors.initials: D
authors.lastname: Rovinsky
authors.forename: J
authors.initials: J
authors.lastname: Lotz
authors.forename: C
authors.initials: C
authors.lastname: Carstens
authors.forename: N Y
authors.initials: NY
authors.lastname: Otsuka
mesh_terms: D020341:Absorbable Implants; D001696:Biomechanical Phenomena; D001863:Bone Screws; D004839:Epiphyses, Slipped / Q000601:surgery*; D004867:Equipment Design; D005270:Femur Head / Q000601:surgery*; D006801:Humans; D019344:Lactic Acid / Q000031:analogs & derivatives; D011108:Polymers; D013232:Steel; D014025:Titanium
chemical_list: D011108:Polymers; C445939:polylevolactic acid; D013232:Steel; D019344:Lactic Acid; D014025:Titanium