Dubberley IIA型肱骨小头骨折内固定的有限元分析
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1.潍坊医学院;2.山东第一医科大学附属中心医院;3.山东交通学院

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Finite element analysis of internal fixation for Dubberley type IIA humeral capitulum fracture
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1.Weifang Medical University;2.Central Hospital Affiliated to Shandong First Medical University;3.Shandong Jiaotong University

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    摘要:

    摘要:[目的] 采用有限元法比较克氏针(Kirschner wire,KW)、Herbert螺钉(Herbert screw,HS)、微钢板(Micro plate,MP)、微钢板+克氏针(MP-KW)、微钢板+Herbert螺钉(MP-HS)的生物力学特点。[方法] 采集志愿者的右肘中立位CT影像数据,运用Mimics、3-matic软件建立Dubberley IIA型肱骨小头骨折模型,在此基础上分别建立KW、HS、MP、MP-KW、MP-HS固定模型,在ANSYS软件中添加不同载荷,分析骨折端位移量及内固定应力分布。[结果] 伸直载荷及屈曲载荷下,骨折端位移量比较由大到小依次为KW模型>HS模型>MP-KW模型 >MP-HS模型,组间比较差异均有统计学意义(P<0.05)。扭转载荷下,位移量比较为KW模型>MP-KW模型>HS模型 >MP-HS模型,差异有统计学意义(P<0.05)。伸直载荷及屈曲载荷下,骨折线处内固定应力由大到小依次为KW模型>HS模型>MP-KW模型 >MP-HS模型,组间比较差异均有统计学意义(P<0.05)。[结论] 对于Dubberley IIA型肱骨小头骨骨折,微钢板+Herbert螺钉可提供更好的生物力学稳定性,可以为骨折提供更好的愈合环境。

    Abstract:

    Abstract:[Objective] To compare the biomechanical characteristics of Kirschner wire (KW), Herbert screw (HS), micro plate (MP), micro plate combined with Kirschner wire (MP-KW), micro plate combined with Herbert screw (MP-HS) by finite element method. [Methods] A volunteer was selected to collect CT image data of the right elbow in the neutral position,and the Dubberley IIA type humeral capitulum fracture model was established by using Mimics and 3-matic software. On this basis, KW, HS, MP, MP-KW and MP-HS fixation models were established respectively. Different loadings were added to ANSYS software to analyze fracture end displacement and stress distribution. [Results] Under extension and buckling loadings, the displacement of fracture end was ranked in the descending order of KW model>HS model>MP-KW model>MP-HS model ,with statistically significant differences among the groups(P<0.05).Under torsional loading, the displacement was ranked in the descending order of KW model>MP-KW model>HS model>MP-HS model, which was statistically significant(P<0.05).Under eextension and buckling loadings, the internal fixation stress at the fracture line arranged up-down in the order of KW model>HS model>MP-KW model>MP-HS model, which was statistically significant(P<0.05). [Conclusion] For Dubberley IIA type humeral capitulum fracture, microplate and Herbert screw can provide better biomechanical stability and better healing environment for fracture.

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  • 收稿日期:2022-11-12
  • 最后修改日期:2023-01-08
  • 录用日期:2023-02-03
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