Torque and pullout analysis of six currently available self-tapping and "emergency" screws.

Insertional torque (IT), stripping torque (ST), and uniaxial pullout tests were performed to evaluate the effectiveness of six screw systems (Wurzburg, Techmedica, Synthes, Timesh, Steinhouser, Luhr) in thin porcine rib. The Timesh 2.2-mm self-tapping screw produced the largest insertional and stripping torque of all systems tested as well as the largest difference between the insertional and stripping torque. The Timesh emergency screw also had the largest insertional and stripping torque as well as the largest difference between the insertional and stripping torque. In pullout tests, the Timesh screw was found to be the most retentive. The overall data indicated that the ideal self-tapping screw should have the largest difference possible between drill size and external diameter, a channel, and at least three self-tapping threads for maximum retention.