中国骨伤2024,Vol.37Issue(1) :57-60.DOI:10.12200/j.issn.1003-0034.20221010

三枚交叉桥架埋头钉与锁定接骨板固定MasonⅢ型桡骨头骨折稳定性的有限元分析

Finite element analysis of the stability of Mason type Ⅲ radial head fracture fixed with three cross-bridge headless compression screw and locking plate

殷浩 李燕 赵改 谢杰 宁仁德 周恩昌
中国骨伤2024,Vol.37Issue(1) :57-60.DOI:10.12200/j.issn.1003-0034.20221010

三枚交叉桥架埋头钉与锁定接骨板固定MasonⅢ型桡骨头骨折稳定性的有限元分析

Finite element analysis of the stability of Mason type Ⅲ radial head fracture fixed with three cross-bridge headless compression screw and locking plate

殷浩 1李燕 1赵改 1谢杰 1宁仁德 1周恩昌2
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作者信息

  • 1. 安徽医科大学第三附属医院骨科,安徽 合肥 230061
  • 2. 山东省聊城市第二医院骨科,山东 临清 252600
  • 折叠

摘要

目的:利用有限元方法比较3枚交叉桥架埋头钉和锁定接骨板(锁定钢板)固定MasonⅢ型桡骨头骨折的生物力学稳定性.方法:利用逆向建模技术,将1例25岁健康男性青年桡骨CT数据及内固定数据导入相关软件,分别建立MasonⅢ型桡骨头骨折的3枚交叉桥架构型埋头钉与锁定钢板的三维有限元模型,对桡骨头进行100N轴向加载,比较两组模型最大位移、内固定上最大Von Mises应力及应力分布等指标.结果:3枚交叉桥架埋头钉组和锁定钢板组最大位移分别为0.069 mm和0.087 mm,内固定上Von Mises应力峰值分别为18.59 MPa和31.85 MPa,3枚交叉桥架埋头钉组应力分布更加均匀.结论:两种内固定方式均能提供良好的固定强度,3枚交叉桥架埋头钉较锁定钢板固定方式更具稳定性,应力分布更均匀.

Abstract

Objective To compare the biomechanical stability of three cross-bridge headless compression screws and lock-ing plates in the fixation of Mason type Ⅲ radial head fractures by finite element method.Methods Using reverse modeling technology,the radial CT data and internal fixation data of a healthy 25-year-old male were imported into the relevant software.Three-dimensional finite element model of 3 cross-bridge headless compression screws and locking plates for Mason Ⅲ radial head fractures were established,and the radial head was loaded with 100 N axial loading.The maximum displacement,maxi-mum Von Mises stress and stress distribution of the two groups were compared.Results The maximum displacements of the three cross-bridge screws group and locking plate group were 0.069 mm and 0.087 mm respectively,and the Von Mises stress peaks were 18.59 MPa and 31.85 MPa respectively.The stress distribution of the three screws group was more uniform.Con-clusion Both internal fixation methods can provide good fixation effect.CoMPared with the locking plate fixation method,the 3 cross-bridge headless compression screws fixation is more stable and the stress distribution is more uniform.

关键词

桡骨头骨折/埋头钉/锁定钢板/有限元分析

Key words

Radial head fracture/Headless compression screw/Locking plate/Finite element analysis

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基金项目

安徽省医疗卫生重点专科建设项目支持(2022-105-26)

出版年

2024
中国骨伤
中国中西医结合学会,中国中医研究院

中国骨伤

CSTPCDCSCD
影响因子:1.876
ISSN:1003-0034
参考文献量6
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