Summary
The pin-bone interface is critical in maintaining a stable external skeletal fixator
to allow bony union and prevent complications related to loose pins (3, 7, 13, 14,
16, 17). Threaded pins have increased pull-out strength in comparison to smooth pins
and have improved the bone-pin interface (1, 2, 4, 12, 16, 21). Pull-out strengths
were compared between smooth Kirschner size pins and Imex™ Miniature Interface Fixation
Half Pins in a polyurethane foam bone model. The negative profile end threaded pins
had significantly higher pull-out strengths (p <0.001) than smooth pins. Increasing
the diameter of the pin and the length of engagement also increased the pull-out strengths
of both pin types. Improving the pull-out strength of pins should minimize morbidity
of external skeletal fixators used in repair of mandibular/maxillary fractures or
long bone repairs on small and exotic patients.
Keywords
External Skeletal Fixator - Negative Profile Pins - Kirschner Wires - Polyurethane
Foarri