{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:52:22Z","timestamp":1788223942104,"version":"build-2803163510"},"reference-count":13,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study evaluated whether the addition of a nitinol staple-plate to a single cannulated screw increased the mechanical stability for a talonavicular fixation construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty matched pairs of cadaveric feet were randomized to fusion with either a single 5.5-mm cannulated screw or a screw and a plate with 2 screws and a slot with an 18-mm nitinol staple. After in situ fusion procedure, the talonavicular joint complex was dissected free and the ends were embedded in epoxy. The specimens were then cyclically loaded on a servohydraulic load frame (1000 cycles at 20 N, increasing at intervals of 20 N until failure), half of them for cantilever bending and the other half for torsion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the bending arm of the study, the staple-plate group showed significantly higher stiffness, failure load, and cycles to failure. In the torsion arm of the study, the staple-plate group also had higher cycles to failure, stiffness in external rotation, and torque to failure. No significant difference was noted in stiffness in internal rotation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We found a significant increase in stability of the talonavicular joint when a nitinol staple-plate construct was placed to augment a single cannulated screw for the purpose of a talonavicular fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>This information may be helpful to surgeons in implant selection for this common arthrodesis procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100720942468","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T03:58:27Z","timestamp":1597204707000},"page":"1427-1431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Staple-Plate Plus Screw vs Screw Alone in Talonavicular Arthrodesis: A Cadaveric Biomechanical Study"],"prefix":"10.1177","volume":"41","author":[{"given":"Joseph T.","family":"O\u2019Neil","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooyan","family":"Abbasi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent G.","family":"Parks","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3525-1136","authenticated-orcid":false,"given":"Stuart D.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"bibr1-1071100720942468","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199702000-00012"},{"key":"bibr2-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200110000-00007"},{"key":"bibr3-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200803"},{"key":"bibr4-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100406"},{"key":"bibr5-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110078200300210"},{"key":"bibr6-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601701102"},{"key":"bibr7-1071100720942468","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2009-0150"},{"key":"bibr8-1071100720942468","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0244"},{"key":"bibr9-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300603"},{"key":"bibr10-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601701209"},{"key":"bibr11-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(98)80024-0"},{"issue":"5","key":"bibr12-1071100720942468","first-page":"445","volume":"34","author":"Rosenfeld JF","year":"2005","journal-title":"Am J Orthop"},{"key":"bibr13-1071100720942468","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199309000-00044"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100720942468","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100720942468","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100720942468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:23:41Z","timestamp":1777411421000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100720942468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,12]]},"references-count":13,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1177\/1071100720942468"],"URL":"https:\/\/doi.org\/10.1177\/1071100720942468","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,12]]}}}