Comparison of insertion time, pull-out strength, and screw-media interface area of customized pedicle screw with different core and thread design against commercial pedicle screw: a pilot study on Indonesian Population

Objective This research aimed to developing customized pedicle screw based on Indonesian vertebral anatomy and compare the insertion time, pull-out strength, and screw-media interface area of different screw design. We have developed 3 different types of pedicle screws (v-thread cylinder-core, square-thread cylinder-core and square-thread conical-core). The thread diameter was calculated from pedicle width of Indonesian population (6 mm). We used commercially available pedicle screw as control group (6.2 mm). Result The insertion time were significantly difference between v-thread cylinder-core pedicle screw (22.94 s) with commercially available pedicle screw (15.86 s) (p < 0.05). The pull-out strength was significantly difference between commercially available pedicle screw (408.60 N) with square-thread conical pedicle screw (836.60 N) (p < 0.05). The square-thread conical-core group have the highest interface area (1486.21 mm2). The data comparison showed that the square-thread conical-core customized pedicle screw group has comparable insertion time and has better pull-out strength than commercially available pedicle screw.

The effect of cement augmentation on pedicle screw fixation under various load cases

Aims Anchorage of pedicle screw rod instrumentation in the elderly spine with poor bone quality remains challenging. Our study aims to evaluate how the screw bone anchorage is affected by screw design, bone quality, loading conditions, and cementing techniques. Methods Micro-finite element (µFE) models were created from micro-CT (μCT) scans of vertebrae implanted with two types of pedicle screws (L: Ennovate and R: S4). Simulations were conducted for a 10 mm radius region of interest (ROI) around each screw and for a full vertebra (FV) where different cementing scenarios were simulated around the screw tips. Stiffness was calculated in pull-out and anterior bending loads. Results Experimental pull-out strengths were excellently correlated to the µFE pull-out stiffness of the ROI (R2 > 0.87) and FV (R2 > 0.84) models. No significant difference due to screw design was observed. Cement augmentation increased pull-out stiffness by up to 94% and 48% for L and R screws, respectively, but only increased bending stiffness by up to 6.9% and 1.5%, respectively. Cementing involving only one screw tip resulted in lower stiffness increases in all tested screw designs and loading cases. The stiffening effect of cement augmentation on pull-out and bending stiffness was strongly and negatively correlated to local bone density around the screw (correlation coefficient ( R) = -0.95). Conclusion This combined experimental, µCT and µFE study showed that regional analyses may be sufficient to predict fixation strength in pull-out and that full analyses could show that cement augmentation around pedicle screws increased fixation stiffness in both pull-out and bending, especially for low-density bone. Cite this article: Bone Joint Res 2021;10(12):797–806.

Archimedes Screw Design: An Analytical Model for Rapid Estimation of Archimedes Screw Geometry

In designing Archimedes screws, determination of the geometry is among the fundamental questions that may affect many aspects of the Archimedes screw powerplant. Most plants are run-of-river and highly depend on local flow duration curves that vary from river to river. An ability to rapidly produce realistic estimations for the initial design of a site-specific Archimedes screw plant helps to facilitate and accelerate the optimization of the powerplant design. An analytical method in the form of a single equation was developed to rapidly and easily estimate the Archimedes screw geometry for a specific site. This analytical equation was developed based on the accepted, proved or reported common designs characteristics of Archimedes screws. It was then evaluated by comparison of equation predictions to existing Archimedes screw hydropower plant installations. The evaluation results indicate a high correlation and reasonable relative difference. Use of the equation eliminates or simplifies several design steps and loops and accelerates the development of initial design estimations of Archimedes screw generators dramatically. Moreover, it helps to dramatically reduce one of the most significant burdens of small projects: the nonscalable initial investigation costs and enables rapid estimation of the feasibility of Archimedes screw powerplants at many potential sites.

Design and Fabrication of Wheelchair into Foldable Bed

In this paper lead screw mechanism is used to convert a wheelchair into bed and vice versa. When lead screw mechanism is operated, the foot rest which is downward goes till the level of seat of wheelchair and simultaneously the back support goes down to the same level making, its stretcher and vice versa, when it is converted into wheelchair from stretcher. Below the seat, a defecation system has been provided which is detachable and is operated by sliding mechanism. It is designed and fabricated in such a way that it can be used in hospitals as well as for personal use at home. Below the seat, a defecation system has been provided which is detachable and is operated by sliding mechanism. Also, obstacle avoiding sensor i.e., ultrasonic sensor is used to know if any obstacle will come in front of wheelchair, siren bell will ring. Keywords: Fabrication, Hospital, Mobility Aid, Lead Screw, Design, Wiper Motor, Wheelchair, Battery

Proposal for an Adaptive Bone Screw Design Based on FEA Studies Exemplified by Pedicle Screw

This paper presents a proposal for a density-adaptive design of bone screws using pedicle screws for spinal fixations as an example. The basis is the analysis and categorization of currently available variants of bone screws, which differ in principle in their thread design because of different application areas (cortical or cancellous bone). These screw variants are investigated in FEA simulations for pullout and bending with regard to occurring stresses. A corresponding simulation model is presented for this purpose. The precise design models for these screws are generated in a CAD system using a self-developed configuration tool. Based on the FEA evaluation, the proposal for a new pedicle screw design, consisting of several thread types merged into each other, is described in detail. By integrating different thread types over the shaft, the respective properties of the bone can thus be optimally utilized.

Stability and success rate of dual-thread miniscrews:

ABSTRACT Objectives To date, the clinical stability of dual-thread orthodontic miniscrews has not been studied. This study aimed to compare the primary stability and long-term clinical success rate of dual-thread and cylindrical orthodontic miniscrews and to examine the association between various clinical factors and the success rate of miniscrews. Materials and Methods A total of 145 cylindrical and 135 dual-thread miniscrews were inserted in the maxillary and mandibular buccal alveolar areas of 142 patients. The torque and Periotest (Siemens, Bensheim, Germany) values were recorded during insertion and removal. The effect of clinical variables such as sex, age, screw design, jaw, side of placement, root proximity, and site of placement on the success rate was examined using logistic regression analysis. Results There was no statistically significant difference (P = .595) in the overall clinical success rate between the two designs, with an overall success rate of 82.1% and 84.4% for the cylindrical and dual-thread miniscrews, respectively. Age and screw-root proximity were significantly associated with failure (P &lt; .05). Conclusions The dual-thread miniscrews did not show superior long-term stability and clinical success rate as compared with the cylindrical miniscrews. The results of this study suggest that patient age and screw-root proximity influence the clinical success rate of miniscrews.