Surgeon perception is not reliable at preventing and detecting screw stripping at clinical torque levels in synthetic cancellous bone. Less aggressive insertion or standardized methods of insertion may improve the stability of nonlocking screw and plate constructs.
The ability of surgeons to optimize screw insertion torque in nonlocking fixation constructs is important for stability, particularly in osteoporotic and cancellous bone. This study evaluated screw torque applied by surgeons during simulated cancellous fixation. It evaluated the frequency that synthetic cancellous bone were stripped by the surgeon, factors associated with bone stripping, and the ability of surgeons to recognize it.
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