方形区钛板螺钉固定前柱伴后半横行髋臼骨折有限元分析
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1.中国人民解放军中部战区总医院;2.天津医科大学研究生院

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湖北省技术创新专项重大项目(2017ACA099)


Finite element analysis of the plate-screw system for quadrilateral area in the treatment of anterior column and posterior hemi-transverse acetabular fractures
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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)

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    摘要:

    [目的]利用有限元方法研究第二代动力化前路方形区钛板螺钉系统(DAPSQ)固定髋臼前柱伴后半横行骨折(ACPHT)的生物力学稳定性。[方法]通过有限元软件建立髋臼ACPHT骨折的骨盆模型和三组内固定模型:第二代DAPSQ(A组),双柱钛板(B组)及前柱钛板联合后柱拉力螺钉(C组)。模拟站位下加载600N生理载荷,比较各组应力分布情况、骨折线路径上各节点的平均位移及内固定的应力遮挡率。[结果]三组内固定所受最大应力分别为52.50MPa、42.76 MPa、37.69 MPa,A>B>C。三组骨折线路径各节点的平均位移分别为(2.09±0.24)μm、(2.11±0.23)μm、(2.32±0.23)μm, AA>C。且就平均位移与应力遮挡率而言,A与B均无明显统计学差异(P>0.05),C与A、B均有统计学差异(P<0.05)。[结论]第二代DAPSQ在固定髋臼ACPHT骨折时,其生物力学稳定性与双柱钛板相当,并优于前柱钛板联合后柱拉力螺钉。

    Abstract:

    [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.

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  • 收稿日期:2020-11-15
  • 最后修改日期:2021-01-11
  • 录用日期:2021-03-31
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