Subscribe to RSS
DOI: 10.1055/s-0041-1735551
Influence of Screw-Hole Defect Size on the Biomechanical Properties of Feline Femora in an Ex Vivo Model
Funding This work was supported by the Sydney University clinical residency research programme.Abstract
Objective The study aims to evaluate the biomechanical properties of feline femora with craniocaudal screw-hole defects of increasing diameter, subjected to three-point bending and torsion to failure at two different loading rates.
Study Design Eighty femoral pairs were harvested from adult cat cadavers. For each bending and torsional experiment, there were five groups (n = 8 pairs) of increasing craniocaudal screw-hole defects (intact, 1.5 mm, 2.0 mm, 2.4 mm, 2.7mm). Mid-diaphyseal bicortical defects were created with an appropriate pilot drill-hole and tapped accordingly. Left and right femora of each pair were randomly assigned to a destructive loading protocol at low (10 mm/min; 0.5 degrees/s) or high rates (3,000 mm/min; 90 degrees/s) respectively. Stiffness, load/torque-to-failure, energy-to-failure and fracture morphology were recorded.
Results Defect size to bone diameter ratio was significantly different between defect groups within bending and torsional experiments respectively (intact [0%; 0%], 1.5 mm [17.8%; 17.1%], 2.0 mm [22.8%; 23.5%], 2.4 mm [27.8%; 27.6%], 2.7 mm [31.1%; 32.4%]) (p < 0.001). No significant differences in stiffness and load/torque-to-failure were noted with increasing deficit sizes in all loading conditions. Screw-hole (2.7 mm) defects up to 33% bone diameter had a maximum of 20% reduction in bending and torsional strength compared with intact bone at both loading rates. Stiffness and load/torque-to-failure in both bending and torsion were increased in bones subjected to higher loading rates (p < 0.001).
Conclusion Screw-hole defects up to 2.7 mm did not significantly reduce feline bone failure properties in this ex vivo femoral study. These findings support current screw-size selection guidelines of up to 33% bone diameter as appropriate for use in feline fracture osteosynthesis.
Note
The study has been presented as a scientific abstract at the European College of Veterinary Surgeons Virtual Resident's Forum 2020: Small Animal Orthopaedics.
Authors' Contribution
Q.J.H. and T.W. contributed to the study conception, study design, acquisition of data and data analysis and interpretation. E.H. contributed to the statistical data analysis and interpretation. K.J. and W.W. contributed to the study conception, study design, data analysis and interpretation. All authors drafted, revised and approved the manuscript prior to submission.
Publication History
Received: 10 November 2020
Accepted: 27 July 2021
Article published online:
06 September 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Schrader SC. Orthopedic surgery. In: Sherding RG. ed. The Cat: Diseases and Clinical Management. New York: Churchill Livingstone; 1994: 1649-1709
- 2 Voss K, Montavon PM. Fractures. In: Montavon PM, Voss K, Langley-Hobbs SJ. eds. Feline Orthopedic Surgery and Musculoskeletal Disease. London: Saunders Elsevier; 2009: 129-152
- 3 DeCamp CE, Johnston SA, Dejardin LM, Schaefer SL. Brinker, Piermattei and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 5th edition.. Missouri: Elsevier Inc.; 2016: 24-152
- 4 Gibson TWG, Moens NMM, Runciman RJ, Holmberg DL, Monteith GM. The biomechanical properties of the feline femur. Vet Comp Orthop Traumatol 2008; 21 (04) 312-317
- 5 Edgerton BC, An KN, Morrey BF. Torsional strength reduction due to cortical defects in bone. J Orthop Res 1990; 8 (06) 851-855
- 6 Ho KWK, Gilbody J, Jameson T, Miles AW. The effect of 4 mm bicortical drill hole defect on bone strength in a pig femur model. Arch Orthop Trauma Surg 2010; 130 (06) 797-802
- 7 Burchardt H, Busbee III GA, Enneking WF. Repair of experimental autologous grafts of cortical bone. J Bone Joint Surg Am 1975; 57 (06) 814-819
- 8 Massie AM, Kapatkin AS, Garcia TC, Guzman DSM, Chou PY, Stover SM. Effects of hole diameter on torsional mechanical properties of the rabbit femur. Vet Comp Orthop Traumatol 2019; 32 (01) 51-58
- 9 Eglseder WA. Principles of fixation. In: Eglseder WA. ed. Atlas of Upper Extremity Trauma: A Clinical Perspective. New York: Springer International Publishing; 2018: 17-31
- 10 Wang X, Mabrey JD, Agrawal CM. An interspecies comparison of bone fracture properties. Biomed Mater Eng 1998; 8 (01) 1-9
- 11 Marturello DM, Wei F, Déjardin LM. Characterization of the torsional structural properties of feline femurs and surrogate bone models for mechanical testing of orthopedic implants. Vet Surg 2019; 48 (02) 229-236
- 12 Shah KM, Goh JC, Karunanithy R, Low SL, Das De S, Bose K. Effect of decalcification on bone mineral content and bending strength of feline femur. Calcif Tissue Int 1995; 56 (01) 78-82
- 13 Norrdin RW, Simske SJ, Gaarde S, Schwardt JD, Thrall MA. Bone changes in mucopolysaccharidosis VI in cats and the effects of bone marrow transplantation: mechanical testing of long bones. Bone 1995; 17 (05) 485-489
- 14 Ayers RA, Miller MR, Simske SJ, Norrdin RW. Correlation of flexural structural properties with bone physical properties: a four species survey. Biomed Sci Instrum 1996; 32: 251-260
- 15 Alford JW, Bradley MP, Fadale PD, Crisco JJ, Moore DC, Ehrlich MG. Resorbable fillers reduce stress risers from empty screw holes. J Trauma 2007; 63 (03) 647-654
- 16 Brooks DB, Burstein AH, Frankel VH. The biomechanics of torsional fractures. The stress concentration effect of a drill hole. J Bone Joint Surg Am 1970; 52 (03) 507-514
- 17 Johnson BA, Fallat LM. The effect of screw holes on bone strength. J Foot Ankle Surg 1997; 36 (06) 446-451
- 18 Olcay E, Allahverd İE, Gülmez T, Olgun ErdİKmen D, Ermutlu CŞ, Mutlu Z. Evaluation of the effects of holes of various sizes on fracture rates in sheep femurs. Kafkas Univ Vet Fak Derg 2013; 19 (Suppl-A): A49-A53
- 19 Schnabl E, Bockstahler B. Systematic review of ground reaction force measurements in cats. Vet J 2015; 206 (01) 83-90
- 20 Zhang Z, Yu H, Yang J, Wang L, Yang L. How cat lands: insights into contribution of the forelimbs and hindlimbs to attenuating impact force. Chin Sci Bull 2014; 59 (26) 3325-3332
- 21 Bertocci G, Thompson A, Pierce MC. Femur fracture biomechanics and morphology associated with torsional and bending loading conditions in an in vitro immature porcine model. J Forensic Leg Med 2017; 52: 5-11
- 22 An YH, Draughn RA. Mechanical Testing of Bone and the Bone-implant Interface. Florida: CRC Press; 2000: 3-348
- 23 Kulin RM, Jiang F, Vecchio KS. Effects of age and loading rate on equine cortical bone failure. J Mech Behav Biomed Mater 2011; 4 (01) 57-75
- 24 Zdero R, Shah S, Mosli M, Schemitsch EH. The effect of load application rate on the biomechanics of synthetic femurs. Proc Inst Mech Eng H 2010; 224 (4, H4): 599-605
- 25 Kirchner H. Ductility and brittleness of bone. Int J Fract 2006; 139 (03) 509-516
- 26 Silva P, Rosa RC, Shimano AC, Defino HLA. Effect of pilot hole on biomechanical and in vivo pedicle screw-bone interface. Eur Spine J 2013; 22 (08) 1829-1836
- 27 Hipp JA, Edgerton BC, An KN, Hayes WC. Structural consequences of transcortical holes in long bones loaded in torsion. J Biomech 1990; 23 (12) 1261-1268
- 28 Marturello DM, von Pfeil DJF, Déjardin LM. Mechanical comparison of two small interlocking nails in torsion using a feline bone surrogate. Vet Surg 2020; 49 (02) 380-389
- 29 Donnelly E. Methods for assessing bone quality: a review. Clin Orthop Relat Res 2011; 469 (08) 2128-2138
- 30 Lauten SD, Cox NR, Baker GH, Painter DJ, Morrison NE, Baker HJ. Body composition of growing and adult cats as measured by use of dual energy X-ray absorptiometry. Comp Med 2000; 50 (02) 175-183
- 31 Kim Y-S, Han J-J, Lee J, Choi HS, Kim JH, Lee T. The correlation between bone mineral density/trabecular bone score and body mass index, height, and weight. Osteoporos Sarcopenia 2017; 3 (02) 98-103
- 32 Fox MJ, Scarvell JM, Smith PN, Kalyanasundaram S, Stachurski ZH. Lateral drill holes decrease strength of the femur: an observational study using finite element and experimental analyses. J Orthop Surg Res 2013; 8: 29
- 33 El-Ghazali HM, El-Behery EI. Comparative morphological interpretations on the bones of the pelvic limb of New Zealand rabbit (Oryctolagus cuniculus) and domestic cat (Felis domestica). J Adv Vet Anim Res 2018; 5 (04) 410-419
- 34 Steiner M, Volkheimer D, Meyers N. et al. Comparison between different methods for biomechanical assessment of ex vivo fracture callus stiffness in small animal bone healing studies. PLoS One 2015; 10 (03) e0119603-e0119603
- 35 Sebastiani A, Fishbeck DW. Mammalian anatomy: The Cat. 2nd edition.. Colorado: Morton Publishing Company; 2005: 15-50
- 36 Belill KA, Settle TL, Angel CR, Kim S-W, Rothwell SW. Femoral strength after induced lesions in rats (Rattus norvegicus). Comp Med 2014; 64 (03) 186-192
- 37 Kuroiwa Y, Niikura T, Lee SY. et al. Escherichia coli-derived BMP-2-absorbed β-TCP granules induce bone regeneration in rabbit critical-sized femoral segmental defects. Int Orthop 2019; 43 (05) 1247-1253
- 38 Kang Q, An YH, Friedman RJ. Effects of multiple freezing-thawing cycles on ultimate indentation load and stiffness of bovine cancellous bone. Am J Vet Res 1997; 58 (10) 1171-1173
- 39 van Haaren EH, van der Zwaard BC, van der Veen AJ, Heyligers IC, Wuisman PI, Smit TH. Effect of long-term preservation on the mechanical properties of cortical bone in goats. Acta Orthop 2008; 79 (05) 708-716
- 40 Santello M. Review of motor control mechanisms underlying impact absorption from falls. Gait Posture 2005; 21 (01) 85-94