Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers

James Fletcher; Verena Neumann; Juan Silva-Henao; Abigail Burdon; Karen Mys; Vasiliki Panagiotopoulou; Boyko Gueorguiev; R. Geoff Richards; Michael Whitehouse; Ezio Preatoni; H S Gill

doi:10.1038/s41598-022-24646-z

Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers

James Fletcher, Verena Neumann, Juan Silva-Henao, Abigail Burdon, Karen Mys, Vasiliki Panagiotopoulou, Boyko Gueorguiev, R. Geoff Richards, Michael Whitehouse, Ezio Preatoni, H S Gill

Research output: Contribution to journal › Article › peer-review

1 Citation (SciVal)

Abstract

Orthopaedic screws insertion can be trivialised as a simple procedure, however it is frequently performed poorly. Limited work exists defining how well surgeons insert screws or whether augmented screwdrivers can aid surgeons to reduce stripping rates and optimise tightness. We aimed to establish the performance of surgeons inserting screws and whether this be improved with screwdriver augmentation. 302 orthopaedic surgeons tightened 10 non-locking screws to what they determined to be optimum tightness into artificial bone sheets. The confidence in the screw purchase was given (1-10). A further 10 screws were tightened, using an augmented screwdriver that indicated when a predetermined optimum tightness was reached. The tightness for unstripped insertions under normal conditions and with the augmented screwdriver were 81% (95% CI 79-82%)(n=1,275) and 70% (95% CI 69-72%)(n=2,577) (p

Original language	English
Article number	20076
Journal	Scientific Reports
Volume	12
Issue number	1
Early online date	22 Nov 2022
DOIs	https://doi.org/10.1038/s41598-022-24646-z
Publication status	Published - 31 Dec 2022

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10.1038/s41598-022-24646-zLicence: CC BY

Cite this

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title = "Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers",

abstract = "Orthopaedic screws insertion can be trivialised as a simple procedure, however it is frequently performed poorly. Limited work exists defining how well surgeons insert screws or whether augmented screwdrivers can aid surgeons to reduce stripping rates and optimise tightness. We aimed to establish the performance of surgeons inserting screws and whether this be improved with screwdriver augmentation. 302 orthopaedic surgeons tightened 10 non-locking screws to what they determined to be optimum tightness into artificial bone sheets. The confidence in the screw purchase was given (1-10). A further 10 screws were tightened, using an augmented screwdriver that indicated when a predetermined optimum tightness was reached. The tightness for unstripped insertions under normal conditions and with the augmented screwdriver were 81% (95% CI 79-82%)(n=1,275) and 70% (95% CI 69-72%)(n=2,577) (p",

author = "James Fletcher and Verena Neumann and Juan Silva-Henao and Abigail Burdon and Karen Mys and Vasiliki Panagiotopoulou and Boyko Gueorguiev and Richards, {R. Geoff} and Michael Whitehouse and Ezio Preatoni and Gill, {H S}",

note = "This study was performed with the assistance of the Royal College of Surgeons of England Surgical Research Fellowship and the AO Foundation. This study was supported by the NIHR Biomedical Research Centre at University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.",

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AU - Fletcher, James

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AU - Silva-Henao, Juan

AU - Burdon, Abigail

AU - Mys, Karen

AU - Panagiotopoulou, Vasiliki

AU - Gueorguiev, Boyko

AU - Richards, R. Geoff

AU - Whitehouse, Michael

AU - Preatoni, Ezio

AU - Gill, H S

N1 - This study was performed with the assistance of the Royal College of Surgeons of England Surgical Research Fellowship and the AO Foundation. This study was supported by the NIHR Biomedical Research Centre at University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.

PY - 2022/12/31

Y1 - 2022/12/31

N2 - Orthopaedic screws insertion can be trivialised as a simple procedure, however it is frequently performed poorly. Limited work exists defining how well surgeons insert screws or whether augmented screwdrivers can aid surgeons to reduce stripping rates and optimise tightness. We aimed to establish the performance of surgeons inserting screws and whether this be improved with screwdriver augmentation. 302 orthopaedic surgeons tightened 10 non-locking screws to what they determined to be optimum tightness into artificial bone sheets. The confidence in the screw purchase was given (1-10). A further 10 screws were tightened, using an augmented screwdriver that indicated when a predetermined optimum tightness was reached. The tightness for unstripped insertions under normal conditions and with the augmented screwdriver were 81% (95% CI 79-82%)(n=1,275) and 70% (95% CI 69-72%)(n=2,577) (p

AB - Orthopaedic screws insertion can be trivialised as a simple procedure, however it is frequently performed poorly. Limited work exists defining how well surgeons insert screws or whether augmented screwdrivers can aid surgeons to reduce stripping rates and optimise tightness. We aimed to establish the performance of surgeons inserting screws and whether this be improved with screwdriver augmentation. 302 orthopaedic surgeons tightened 10 non-locking screws to what they determined to be optimum tightness into artificial bone sheets. The confidence in the screw purchase was given (1-10). A further 10 screws were tightened, using an augmented screwdriver that indicated when a predetermined optimum tightness was reached. The tightness for unstripped insertions under normal conditions and with the augmented screwdriver were 81% (95% CI 79-82%)(n=1,275) and 70% (95% CI 69-72%)(n=2,577) (p

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Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers

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Fellowship for James Fletcher - Optimal surgical techniques to reduce screw failure in fragility fractures

Improving Fracture Fixation - The Role of Insertion Forces on Construct Stability

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Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers

Abstract

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Fingerprint

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Fellowship for James Fletcher - Optimal surgical techniques to reduce screw failure in fragility fractures

Improving Fracture Fixation - The Role of Insertion Forces on Construct Stability

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Dataset for "Augmented screwdrivers can increase the performance of orthopaedic surgeons compared with use of normal screwdrivers"

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