Page 176 - IJB-8-4
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Metal 3DP Hybrid Suture Anchor for Osteoporosis
           Table 3. Failure mode of pullout tests under static and after dynamic loads
            Fracture mode                            CSA (Arthex)            HSAWOW                 HSAWW
           Static (7.5 pcf sawbone)








           Fracture mode                                  AP                     AP                    AP
           Static (20 pcf sawbone)








           Fracture mode                                  SB                     AP                    AP
           After dynamic load (7.5 pcf sawbone)








           Fracture mode                                  AP                     AP                    AP
           After dynamic load (20 pcf sawbone)







           Fracture mode                                  SB                     AP                    AP
           SB, Suture broken; AP, Anchor pull out; CSA, Commercial solid anchor

           Table 4. The percentage of the stained area (blue) to the total area along the anchor contour 1 mm outward for the histomorphometrical
           evaluation
            No.                      CSA (Arthex)                 HSA with the wing open               P‑value
           Pig 1                        16.147                           19.934                         <0.05
           Pig 1                        19.243                           17.050                         <0.05
           Pig 2                        20.716                           18.485                         <0.05
           Pig 2                        20.384                           17.394                         <0.05
           Ave±Std                    19.802±2.08                      18.21±1.30
           HSA, Hybrid suture anchor; CSA, Commercial solid anchor

           thirds of the average arm strength of a 20-year-old   anchor, without the wing open, the double-thread design
           adult as the load condition [22] . A dynamic load cycle of   was used to increase the contact area with the cortical
           300 refers to the average number between 107 and 408   bone, thereby increasing failure strength under the same
           load cycles that could induce maximum displacement   5.5-mm diameter compared with the control anchor.
           after surgery [22] .                                Consequently, the failure strength of the newly-designed
               The results of static and dynamic pullout testing   anchor was better after the wings were open because wing
           showed that the failure strength between the new anchor   clamping of the bone increased holding strength. When
           and bone, with or without the wing open, regardless of   compared HSA static failure strength to control group, it
           osteoporotic bone types was higher than that of the control   can be found that the severe osteoporosis folds (2.50 for
           group.  The reason may be that for the newly-designed   with the wing open and 1.95 for without the wing open)

           168                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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