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Maintenance of compression with a positional screw vs compression generated with a lag screw

Journal of Orthopaedic Trauma Oct 29, 2019

Srinivasan A, et al. - In six composite cortical bone models, oblique fractures were created in order to ascertain whether a position screw would sustain the interfragmentary compression force achieved by a reduction clamp across an anatomically decreased cortical bone fracture and discover whether this compressive force was comparable to that generated by a lag screw (LS). Across all 12 trials, the mean force of clamp alone was 139.77 N. Across the fracture, the application of an LS raised the compression which was unchanged when the clamp was removed. The position screw had the reverse impact, decreasing compression, and the removal of the clamp additionally diminished the compression. Thus, a reduction clamp would, in the beginning, compress a fracture to an average of 139 N. An LS would notably boost this interfragmentary compression. Moreover, a position screw would not sustain the compression generated by the clamp and, nonetheless, would significantly reduce interfragmentary compression.
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