Vet Comp Orthop Traumatol 2004; 17(03): 156-158
DOI: 10.1055/s-0038-1632805
Brief Communication
Schattauer GmbH

Torque recoil following screw insertion

J. R. Field
1   Orthopaedic Unit, Repatriation General Hospital, Flinders University of South Australia, Australia
› Author Affiliations
Further Information

Publication History

Received 09 June 2003

Accepted 02 February 2004

Publication Date:
08 February 2018 (online)

Summary

Our ability to apply screws in a uniformly reproducible manner using “human torque control” has been shown to be very inconsistent. As a means of reducing this variability, torque-limiting devices are being utilized in select trauma and spinal applications. Cortical, cancellous and pedicle screws are now applied to a set, predetermined level of torque. It has been shown that extraction torque can be a little as 10% at the torque level at the time of application at plate removal 10 weeks after application. Using cadaveric specimens, the current study has evaluated the extraction torque immediately after application to a predetermined level. Regardless of the specimen, or location within the specimen, a significant difference was observed between the set application torque (1.5 Nm) and that obtained at the time of extraction (0.9 Nm). Some values were as low as 33% of the insertion value. This work suggests that in order to standardize interfragmentary compression, or bone plate fixation, we can not rely upon screw torque as the means of defining screw behaviour. Displacement control would appear to be the key to enable adaptation to the differing mechanical and biological nature of the bone and to overcome the recoil observed.

 
  • 1 Cordey J, BA Rahn, SM Perren. Human torque control in the use of bone screws. Current concepts of internal fixation of fractures. Uhthoff HK. (ed). Berlin: Springer; 1980: 235-43.
  • 2 JR Field. Screw torque and interfragmentary compression in equine cadaver longbone fractures. Vet Comp Orthop Traumatol 1993; 06: 163-5.
  • 3 JR Field, McKee S. Screw torque and bone plate fixation to equine cadaver longbones. Vet Comp Orthop Traumatol 1996; 09: 1-3.
  • 4 JR Field, TC Hearn, TD Woodside. The influence of screw torque in the application of bone plates. Vet Comp Orthop Traumatol 2001; 14: 78-83.
  • 5 JR Field, RM Stanley, JJ Costi. Fracture micromotion and screw torque in bone plate fixation. Submitted for publication.
  • 6 DR Carter, EE Shimaoka, WH Harris. Changes in long bone structural properties during the first eight weeks of plate implantation. J Orthop Res 1984; 02: 80-9.
  • 7 Matter P, Brennwald J, SM Perren. The effect of static compression and tension or internal remodelling of cortical bone. Helvetica Chirurgica Acta. 1975 Suppl. 12.