{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:45:22Z","timestamp":1777387522501,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1994,5,1]],"date-time":"1994-05-01T00:00:00Z","timestamp":767750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1994,5]]},"abstract":"<jats:p>Interference screw fixation is frequently used in anterior cruciate ligament reconstruction with the bone-patellar tendon-bone graft. There have been no data available about the influence of screw diameter and insertion torque on primary stability. We designed a cadaveric study using paired knees to analyze the comparative effectiveness of 20-mm long screws of different diam eters (9 mm versus 7 mm) and the significance of torque during screw insertion. Testing to failure was performed in a tensiometer with a crosshead speed of 200 mm\/ min. After slippage of a bone peg in the 7-mm screw specimens, the experiment was repeated in each speci men with a 9-mm screw fixation. Maximum tensile force was greater at the femoral insertion than at the tibial site. Results of refixations with 9-mm screws were only slightly inferior to the original 9-mm screw fixation speci mens. Our results further showed that the torque can be used as a predictor of the stability of the bone block but cannot be used as an indicator for the strength of the reconstruction. The 7-mm screws are not recom mended for tibial fixation. Failed 7-mm screw fixations can be replaced by 9-mm screws and refixations were successful in our study model.<\/jats:p>","DOI":"10.1177\/036354659402200307","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"334-338","source":"Crossref","is-referenced-by-count":123,"title":["Primary Stability of Interference Screw Fixation"],"prefix":"10.1177","volume":"22","author":[{"given":"Dieter","family":"Kohn","sequence":"first","affiliation":[{"name":"Orthopaedic Hospital, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Rose","sequence":"additional","affiliation":[{"name":"Orthopaedic Hospital, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1994,5,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400603"},{"key":"atypb2","unstructured":"Bach BR: Potential pitfalls of Kurosaka screw interference fixation for ACL surgery . Am J Knee Surg 2: 76-82, 1989"},{"key":"atypb3","unstructured":"Bach BR: Arthroscopy-assisted patellar tendon substitution for anterior cruciate ligament insufficiency. Am J Knee Surg 2: 3-20, 1989"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466080-00020"},{"key":"atypb5","doi-asserted-by":"crossref","unstructured":"Chambat P., Pradat E.: Ersatz-Plastik unter arthroskopischer Kontrolle: Technik und vorl\u00e4ufige Mitteilung , in Jakob RP, St\u00e4ubli HU (eds): Kniegelenk und Kreuzb\u00e4nder . Berlin, Springer-Verlag, 1990, pp 465-472","DOI":"10.1007\/978-3-662-08124-2_52"},{"key":"atypb6","unstructured":"Cochran Van BG: A Primer of Orthopaedic Biomechanics. New York , Churchill Livingstone, 1982"},{"key":"atypb7","unstructured":"Daniel DM: Principles of knee ligament surgery, in Daniel DM, Akeson WH, O'Connor JJ (eds): Knee Ligaments: Structure, Function, Injury, and Repair. New York, Raven Press Ltd, 1990, pp 11-29"},{"key":"atypb8","doi-asserted-by":"crossref","unstructured":"Good L., Tarlow SD, Odensten M., et al: Load tolerance, security, and failure modes of fixation devices for synthetic knee ligaments. Clin Orthop 253: 190-196, 1990","DOI":"10.1097\/00003086-199004000-00026"},{"key":"atypb9","unstructured":"Hardin GT, Bach BR Jr: Distal rupture of the infrapatellar tendon after use of its central third for anterior cruciate ligament reconstruction (case report). Am J Knee Surg 5: 140-143, 1992"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00020"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500306"},{"key":"atypb12","unstructured":"Lambert KL, Cunningham RR: Anatomic substitution of the ruptured ACL using a vascularized patellar tendon graft with interference fit fixation, in Feagin JA Jr (ed): The Crucial Ligaments. Diagnosis and Treatment of Ligamentous Injuries about the Knee. 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St. Louis, CV Mosby, 1987, pp 300-301"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400512"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700606"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072020-00015"},{"key":"atypb21","unstructured":"Schabus R.: Die Bedeutung der Augmentation f\u00fcr die Rekonstruktion des vorderen Kreuzbandes . Acta Chir Austr 20: Suppl 76, 1988"},{"key":"atypb22","unstructured":"Schabus R.: Fixation eines Kreuzbandersatzes. Experimentelle mechanische Stabilit\u00e4tspr\u00fcfung am Leichenknie. Unfallchirurg 91: 224-228, 1988"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.3109\/17453676608989401"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072100-00003"},{"key":"atypb25","unstructured":"Thomas ED, Gresham RB: Comparative tensile strength study of fresh-frozen and freeze-dried human fascia lata. 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New York, Raven Press Ltd, 1990, pp 279-289"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659402200307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659402200307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:38:55Z","timestamp":1777369135000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354659402200307"}},"subtitle":["Influence of Screw Diameter and Insertion Torque"],"short-title":[],"issued":{"date-parts":[[1994,5]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1994,5]]}},"alternative-id":["10.1177\/036354659402200307"],"URL":"https:\/\/doi.org\/10.1177\/036354659402200307","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,5]]}}}