Supported by grants from IMEX™ Inc., Longview, TX and The Comparative Orthopaedic Laboratory, University of Missouri-Columbia, Columbia, MO.
In Vitro Evaluation of Screws and Suture Anchors in Metaphyseal Bone of the Canine Tibia
Article first published online: 26 JAN 2005
Volume 34, Issue 5, pages 499–508, September 2005
How to Cite
Robb, J. L., Cook, J. L. and Carson, W. (2005), In Vitro Evaluation of Screws and Suture Anchors in Metaphyseal Bone of the Canine Tibia. Veterinary Surgery, 34: 499–508. doi: 10.1111/j.1551-2916.2005.00069.x-i1
- Issue published online: 24 OCT 2005
- Article first published online: 26 JAN 2005
- Submitted October 2004; Accepted February 2005
- suture anchor;
- biomechanical testing;
- cancellous screw;
- cortical screw;
- IMEX™ anchors;
- Kevlar suture;
- Ethibond suture;
Objective— To compare ease of insertion, load to failure, and mode of failure of cortical and cancellous screws, BoneBiter™, IMEX™, and TwinFix™ suture anchors in canine metaphyseal tibial bone.
Study Design— Experimental biomechanical study.
Animals— Canine cadaveric tibias.
Methods— One investigator inserted all anchors and subjectively evaluated ease of placement. Anchor systems were loaded to failure along axis of insertion with audio–video recording to determine failure mode.
Results— BoneBiter™ was the most difficult anchor to insert successfully. Mean±SD loads to failure were cancellous screw (711±193 N), IMEX™ 4.7 mm 18 g wire (661±163 N), IMEX™ 4.0 mm 18 g wire (661±165 N), cortical screw (635±184 N), BoneBiter™#5 Kevlar suture (393± 109 N), and TwinFix™ 5.0 mm #2 polyester (267±73 N). No significant differences were noted among the cortical screw, cancellous screw, IMEX™ 4.7 and 4.0 mm, all of which were significantly (P<.001) greater than BoneBiter™ and TwinFix™. Failure modes were pullout of bone, suture–wire breakage, eyelet breakage, or no failure to 1000 N: screws (18,0,0,2), IMEX™ (18,1,1,0), BoneBiter™ (2,8,0,0), and TwinFix™ (0,10,0,0).
Conclusions— Fixation devices were user friendly, with the exception of BoneBiter™. Mode of failure is dependent on suture material and anchor design. Cortical and cancellous screws, and IMEX™ anchors with 18 g wire have significantly greater load to failure compared with BoneBiter™ and TwinFix™ suture anchors.
Clinical Relevance— Based on load to failure, ease of use, design characteristics, and cost, IMEX™ anchors may have advantages over other comparable soft tissue fixation devices.