---
_id: '15164'
abstract:
- lang: eng
text: Primary implant stability, which refers to the stability of the implant during
the initial healing period is a crucial factor in determining the long-term success
of the implant and lays the foundation for secondary implant stability achieved
through osseointegration. Factors affecting primary stability include implant
design, surgical technique, and patient-specific factors like bone quality and
morphology. In vivo, the cyclic nature of anatomical loading puts osteosynthesis
locking screws under dynamic loads, which can lead to the formation of micro cracks
and defects that slowly degrade the mechanical connection between the bone and
screw, thus compromising the initial stability and secondary stability of the
implant. Monotonic quasi-static loading used for testing the holding capacity
of implanted screws is not well suited to capture this behavior since it cannot
capture the progressive deterioration of peri‑implant bone at small displacements.
In order to address this issue, this study aims to determine a critical point
of loss of primary implant stability in osteosynthesis locking screws under cyclic
overloading by investigating the evolution of damage, dissipated energy, and permanent
deformation. A custom-made test setup was used to test implanted 2.5 mm locking
screws under cyclic overloading test. For each loading cycle, maximum forces and
displacement were recorded as well as initial and final cycle displacements and
used to calculate damage and energy dissipation evolution. The results of this
study demonstrate that for axial, shear, and mixed loading significant damage
and energy dissipation can be observed at approximately 20 % of the failure force.
Additionally, at this load level, permanent deformations on the screw-bone interface
were found to be in the range of 50 to 150 mm which promotes osseointegration
and secondary implant stability. This research can assist surgeons in making informed
preoperative decisions by providing a better understanding of the critical point
of loss of primary implant stability, thus improving the long-term success of
the implant and overall patient satisfaction.
acknowledgement: The authors declare no conflict of interest related to this study.
This project was funded by the Gesellschaft fuer Forschungsfoerderung Niederoesterreich
m.b.H. Life Science Call 2017 Grant No. LS17004 and Science call 2019 Dissertationen
Grant No. SC19014. No ethical approval was required for this study.
article_number: '104143'
article_processing_charge: Yes (in subscription journal)
article_type: original
author:
- first_name: Juan D.
full_name: Silva-Henao, Juan D.
last_name: Silva-Henao
- first_name: Sophie
full_name: Schober, Sophie
id: 80b0a0ef-4b9f-11ec-b119-8d9d94c4a1d8
last_name: Schober
- first_name: Dieter H.
full_name: Pahr, Dieter H.
last_name: Pahr
- first_name: Andreas G.
full_name: Reisinger, Andreas G.
last_name: Reisinger
citation:
ama: Silva-Henao JD, Schober S, Pahr DH, Reisinger AG. Critical loss of primary
implant stability in osteosynthesis locking screws under cyclic overloading. Medical
Engineering and Physics. 2024;126. doi:10.1016/j.medengphy.2024.104143
apa: Silva-Henao, J. D., Schober, S., Pahr, D. H., & Reisinger, A. G. (2024).
Critical loss of primary implant stability in osteosynthesis locking screws under
cyclic overloading. Medical Engineering and Physics. Elsevier. https://doi.org/10.1016/j.medengphy.2024.104143
chicago: Silva-Henao, Juan D., Sophie Schober, Dieter H. Pahr, and Andreas G. Reisinger.
“Critical Loss of Primary Implant Stability in Osteosynthesis Locking Screws under
Cyclic Overloading.” Medical Engineering and Physics. Elsevier, 2024. https://doi.org/10.1016/j.medengphy.2024.104143.
ieee: J. D. Silva-Henao, S. Schober, D. H. Pahr, and A. G. Reisinger, “Critical
loss of primary implant stability in osteosynthesis locking screws under cyclic
overloading,” Medical Engineering and Physics, vol. 126. Elsevier, 2024.
ista: Silva-Henao JD, Schober S, Pahr DH, Reisinger AG. 2024. Critical loss of primary
implant stability in osteosynthesis locking screws under cyclic overloading. Medical
Engineering and Physics. 126, 104143.
mla: Silva-Henao, Juan D., et al. “Critical Loss of Primary Implant Stability in
Osteosynthesis Locking Screws under Cyclic Overloading.” Medical Engineering
and Physics, vol. 126, 104143, Elsevier, 2024, doi:10.1016/j.medengphy.2024.104143.
short: J.D. Silva-Henao, S. Schober, D.H. Pahr, A.G. Reisinger, Medical Engineering
and Physics 126 (2024).
date_created: 2024-03-24T23:00:58Z
date_published: 2024-04-01T00:00:00Z
date_updated: 2025-09-04T13:11:03Z
day: '01'
ddc:
- '610'
department:
- _id: PreCl
doi: 10.1016/j.medengphy.2024.104143
external_id:
isi:
- '001219145400001'
pmid:
- '38621845'
file:
- access_level: open_access
checksum: 974acbf2731e7382dcf5920ac762e551
content_type: application/pdf
creator: dernst
date_created: 2024-03-25T08:29:52Z
date_updated: 2024-03-25T08:29:52Z
file_id: '15177'
file_name: 2024_MedEngineeringPhysics_SilvaHenao.pdf
file_size: 10039402
relation: main_file
success: 1
file_date_updated: 2024-03-25T08:29:52Z
has_accepted_license: '1'
intvolume: ' 126'
isi: 1
language:
- iso: eng
license: https://creativecommons.org/licenses/by/4.0/
month: '04'
oa: 1
oa_version: Published Version
pmid: 1
publication: Medical Engineering and Physics
publication_identifier:
eissn:
- 1873-4030
issn:
- 1350-4533
publication_status: published
publisher: Elsevier
quality_controlled: '1'
scopus_import: '1'
status: public
title: Critical loss of primary implant stability in osteosynthesis locking screws
under cyclic overloading
tmp:
image: /images/cc_by.png
legal_code_url: https://creativecommons.org/licenses/by/4.0/legalcode
name: Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
short: CC BY (4.0)
type: journal_article
user_id: 317138e5-6ab7-11ef-aa6d-ffef3953e345
volume: 126
year: '2024'
...