Finite element analysis of the plate-screw system for quadrilateral area in the treatment of anterior column and posterior hemi-transverse acetabular fractures
Author:
Affiliation:
1.General Hospital of Central Theater Command of PLA;2.Department of Graduate School, Tianjin Medical University
Fund Project:
The Technological Innovation Projects of Hubei Province (2017ACA099)
[Objective] To study the biomechanical stability of the second generation dynamic anterior plate-screw system for quadrilateral area (DAPSQ) in treating anterior column and posterior hemi-transverse(ACPHT) acetabular fractures by using the finite element method. [Methods] Using finite element software to build the pelvis model of ACPHT acetabular fractures. And three groups of internal fixation models were respectively built: Group A was fixed by the second generation DAPSQ. Group B and Group C were respectively fixed by dual-column titanium plates and an anterior column titanium plate combined with a posterior column lag screw.Compare the stress distribution 、the average displacement of nodes on fracture lines and the stress shielding rate between groups under 600 N of physiological load imitating standing position. [Results]The maximum stress exhibited a sequence of Group A(52.50MPa)>Group B(42.76 MPa)>Group C(37.69 MPa).The average displacement of nodes on fracture lines was ranked in the sequence of Group A0.05), while the difference between Group C and Group A or Group C and Group B were both statistically significant (P<0.05).[Conclusion] The second generation DAPSQ has quite comparable biomechanical stability to dual-column titanium plates and is superior to an anterior column titanium plate combined with a posterior column lag screw in the treatment of ACPHT acetabular fractures.