PMID- 9449177 OWN - NLM STAT- MEDLINE DCOM- 19980224 LR - 20191024 IS - 0161-3499 (Print) IS - 0161-3499 (Linking) VI - 27 IP - 1 DP - 1998 Jan-Feb TI - Biomechanical comparison of the Herbert and AO cortical bone screws for compression of an equine third carpal bone dorsal plane slab osteotomy. PG - 49-55 AB - OBJECTIVE: To assess feasibility of insertion of 4.5-mm Herbert cannulated bone screws (HS) using fluoroscopic guidance and compare the mechanical shear strength of these HS and 4.5-mm AO cortical bone screws (AO) for fixation of dorsal plane slab osteotomies in equine cadaver third carpal bones (C3). ANIMALS OR SAMPLE POPULATION: Eight equine cadavers. METHODS: Bone mineral composition and density of contralateral C3 were confirmed to be equivalent using dual-energy x-ray absorptiometry. A standard 10-mm C3 slab osteotomy was reduced using HS or AO instrumentation under fluoroscopic guidance. Specimens were loaded in shear until failure, using a materials testing apparatus. RESULTS: HS and AO instrumentation allowed accurate reconstruction of the osteotomy, but there was difficulty encountered seating the HS proximal self-tapping threads. There was no significant difference in maximal load to failure, stiffness, or mode of failure of constructs created with the HS and AO screws. CONCLUSIONS: Use of 4.5-mm HS for repair of C3 radial facet, dorsal plane slab fractures may result in a mechanically comparable fixation to a repair using a 4.5-mm AO. Equine dorsal C3 may be too dense, however, to allow placement of the proximal self tapping threads of the HS without potentially excessive application of torque to the screw itself. CLINICAL RELEVANCE: Dorsal plane, radial facet slab fractures of the equine C3 are a significant clinical problem. Accurate reconstruction and stabilization are necessary for return to athletic function. FAU - Murray, R C AU - Murray RC AD - Centre for Equine Studies, Suffolk, England. FAU - Gaughan, E M AU - Gaughan EM FAU - Debowes, R M AU - Debowes RM FAU - Hoskinson, J J AU - Hoskinson JJ LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Vet Surg JT - Veterinary surgery : VS JID - 8113214 SB - IM MH - Absorptiometry, Photon/veterinary MH - Animals MH - Bone Density/physiology MH - Bone Screws/*veterinary MH - Cadaver MH - Carpus, Animal/diagnostic imaging/physiology/*surgery MH - Female MH - Fluoroscopy/methods/veterinary MH - Horses/*surgery MH - Male MH - Osteotomy/methods/*veterinary MH - Surgical Equipment/veterinary EDAT- 1998/02/04 00:00 MHDA- 1998/02/04 00:01 CRDT- 1998/02/04 00:00 PHST- 1998/02/04 00:00 [pubmed] PHST- 1998/02/04 00:01 [medline] PHST- 1998/02/04 00:00 [entrez] AID - S0161349998000052 [pii] AID - 10.1111/j.1532-950x.1998.tb00097.x [doi] PST - ppublish SO - Vet Surg. 1998 Jan-Feb;27(1):49-55. doi: 10.1111/j.1532-950x.1998.tb00097.x.