Effect of laser shock peening on fatigue life and surface characteristics of stainless steel cortical bone screws.
OBJECTIVE
To investigate the effect of laser shock peening on the fatigue life and surface characteristics of 3.5-mm-diameter cortical bone screws.


METHODS
32 stainless steel, 3.5-mm-diameter cortical bone screws.


METHODS
Screws were randomly assigned to an untreated control group or 2 power-density treatment groups, 6 gigawatts (GW)/cm2 and 8.5 GW/cm2, for laser shock peening. Number of cycles to failure and findings on scanning electron microscopy-assisted morphometric evaluation, including the mode of failure, surface debris, surface damage, and thread deformation, were compared between control and treated screws.


RESULTS
The 6 GW/cm2 treated screws had a significant (11%) improvement in fatigue life, compared with untreated control screws. The 8.5 GW/cm2 treated screws had a significant (20%) decrease in fatigue life, compared with control screws. A mild but significant increase in thread deformation was evident in all treated screws, compared with control screws. The 8.5 GW/cm2 treated screws had significantly more surface irregularities (elevations and pits), compared with control or 6 GW/cm2 treated screws.


CONCLUSIONS
A modest positive increase in fatigue strength was produced by this design of laser shock peening on the midshaft of cortical bone screws. High laser shock peening power densities were detrimental, decreasing screw fatigue strength probably resulting from structural damage. Greater fatigue life of cortical bone screws can be generated with laser shock peening and could reduce screw breakage as a cause of implant failure; however, future studies will be necessary to address biocompatibility, alternative cleaning techniques, alterations in screw strength and pullout characteristics, and effects on susceptibility to corrosion.
O'Sullivan
Christopher B
CB
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.
Bertone
Alicia L
AL
Litsky
Alan S
AS
Robertson
James T
JT
D000704:Analysis of Variance; D001863:Bone Screws; D019544:Equipment Failure Analysis; D007834:Lasers; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D013193:Stainless Steel / Q000528:radiation effects
D013193:Stainless Steel