Three-dimensional Finite Element Analysis to T-shaped Fracture of Pelvis in Sitting Position_Journal of Biomedical Engineering

Authors：

FANYanping ¹ , LEIJianyin ¹ , LIUHaibo ¹ , LIZhiqiang ¹ , CAIXianhua ² ,  CHENWeiyi ¹

1. Institute of Applied Mechanics and Biomedical Engineering, Taiyuan University of Technology, Taiyuan 030024, China;
2. Department of Orthopedics, Wuhan General Hospital of Guangzhou Military, Wuhan 430070, China;

Corresponding author：

CHENWeiyi, Email: chenweiyi@tyut.edu.cn

Keywords：

pelvis; three-dimensional finite element methods; T-shaped fracture; fixation system

DOI：

10.7507/1001-5515.20150177

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

We developed a three-dimensional finite element model of the pelvis. According to Letournel methods, we established a pelvis model of T-shaped fracture with its three different fixation systems, i.e. double column reconstruction plates, anterior column plate combined with posterior column screws and anterior column plate combined with quadrilateral area screws. It was found that the pelvic model was effective and could be used to simulate the mechanical behavior of the pelvis. Three fixation systems had great therapeutic effect on the T-shaped fracture. All fixation systems could increase the stiffness of the model, decrease the stress concentration level and decrease the displacement difference along the fracture line. The quadrilateral area screws, which were drilled into cortical bone, could generate beneficial effect on the T-type fracture. Therefore, the third fixation system mentioned above (i.e. the anterior column plate combined with quadrilateral area screws) has the best biomechanical stability to the T-type fracture.

Citation： FANYanping, LEIJianyin, LIUHaibo, LIZhiqiang, CAIXianhua, CHENWeiyi. Three-dimensional Finite Element Analysis to T-shaped Fracture of Pelvis in Sitting Position. Journal of Biomedical Engineering, 2015, 32(5): 997-1003. doi: 10.7507/1001-5515.20150177 Copy

1.	周东生,王先泉,王伯珉,等.前后联合入路治疗复杂髋臼骨折[J].中国矫形外科杂志,2004,6(3):170.
2.	HARRIS A M, ALTHAUSEN P, KELLAM J F, et al. Simultaneous anterior and posterior approaches for complex acetabular fractures[J]. J Orthop Trauma, 2008, 22(7):494-497.
3.	吴咏德,蔡贤华,刘曦明,等.前路钛板加方形区螺钉治疗髋臼双柱骨折的坐位生物力学分析[J].创伤外科杂志,2013,15(2):152-156.
4.	吴咏德.前路特殊塑形钛板加方形区螺钉治疗髋臼双柱骨折的生物力学研究[D].广州:南方医科大学,2013.
5.	SENEGAS J, LIORZOU G, YATES M. Complex acetabular fractures:a transtrochanteric lateral surgical approach[J]. Clin Orthop Relat Res, 1980(151):107-114.
6.	REINERT C M, BOSSE M J, POKA A, et al. A modified extensile exposure for the treatment of complex or malunited acetabular fractures[J]. J Bone Joint Surg Am, 1988, 70(3):329-337.
7.	LETOURNEL E. The treatment of acetabular fractures through the ilioinguinal approach[J]. Clin Orthop Relat Res, 1993, (292):62-76.
8.	蔡贤华,吴咏德,刘曦明,等.前路钛板加方形区螺钉治疗髋臼双柱骨折的站立位力学分析[J].中国矫形外科杂志,2013,21(6):595-601.
9.	PETSATODIS G, ANTONARAKOS P, CHALIDIS B A, et al. Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2-10 years[J]. Injury, 2007, 38(3):334-343.
10.	李全,张治宇,郑龙坡,等.骶骨次全切除术后骨盆有限元模型的建立及验证[J].中国组织工程研究与临床康复,2008,12(44):8649-8652.
11.	徐成,阮狄克,丁宇,等.力学载荷对骨力学性能影响的研究进展[J].解剖与临床,2009,14(4):286-288.
12.	马如宇,铁瑛,薛文东,等.基于螺旋CT构建人体骨盆三维有限元模型[J].医用生物力学,2004,19(3):180-183.
13.	PHILLIPS A T, PANKAJ P, HOWIE C R, et al. Finite element modelling of the pelvis:inclusion of muscular and ligamentous boundary conditions[J]. Med Eng Phys, 2007, 29(7):739-748.
14.	高应超,郭征,付军,等.坐位骨盆的三维有限元分析[J].中国组织工程研究与临床康复,2011,15(22):3997-4001.
15.	李正东,邹冬华,刘宁国,等.人体骨盆有限元模型的建立及其在法医学鉴定中的应用价值[J].法医学杂志,2010,26(6):406-412.
16.	李霞,阮世捷,李海岩.人体面骨三维有限元模型重构及碰撞分析[J].微计算机信息,2007,23(34):277-278, 299.
17.	PEDERSEN D R, BRAND R A, DAVY D T. Pelvic muscle and acetabular contact forces during gait[J]. J Biomech, 1997, 30(9):959-965.
18.	姬涛,高相飞,郭卫,等.骨盆环三维有限元模型的建立[J].中国组织工程研究与临床康复,2009,13(9):1625-1628.
19.	BORAIAH S, RAGSDALE M, ACHOR T, et al. Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures[J]. J Orthop Trauma, 2009, 23(4):243-248.
20.	BOCCACCIO A, KELLY D J, PAPPALETTERE C. A mechano-regulation model of fracture repair in vertebral bodies[J]. J Orthop Res, 2011, 29(3):433-443.
21.	杨洪武,王黎明,郑圣鼐,等.髋臼T形骨折内固定稳定性及生物力学研究[J].中华实验外科杂志,2003,20(11):1050.
22.	李力更,安志刚,郑煦光,等.198例复杂髋臼骨折的手术治疗[J].中国矫形外科杂志,2010,18(18):1570-1572.
23.	王文志,吕廷灼,冯世庆.髋臼骨折的手术治疗进展[J].中国矫形外科杂志,2010,(16):1363-1364.
24.	黄进成,刘曦明,蔡贤华,等.累及方形区的髋臼骨折有限元建模及固定方法比较[C]//第三届全军创伤骨科学术大会.漳州:2015:1.
25.	BROLIN K, HALLDIN P. Development of a finite element model of the upper cervical spine and a parameter study of ligament characteristics[J]. Spine (Phila Pa 1976), 2004, 29(4):376-385.
26.	张先龙,戴克戎,汤亭亭.应力松弛接骨板对骨折愈合影响的实验研究[J].上海医学,2000,23(12):734-737.

1. 周东生,王先泉,王伯珉,等.前后联合入路治疗复杂髋臼骨折[J].中国矫形外科杂志,2004,6(3):170.
2. HARRIS A M, ALTHAUSEN P, KELLAM J F, et al. Simultaneous anterior and posterior approaches for complex acetabular fractures[J]. J Orthop Trauma, 2008, 22(7):494-497.
3. 吴咏德,蔡贤华,刘曦明,等.前路钛板加方形区螺钉治疗髋臼双柱骨折的坐位生物力学分析[J].创伤外科杂志,2013,15(2):152-156.
4. 吴咏德.前路特殊塑形钛板加方形区螺钉治疗髋臼双柱骨折的生物力学研究[D].广州:南方医科大学,2013.
5. SENEGAS J, LIORZOU G, YATES M. Complex acetabular fractures:a transtrochanteric lateral surgical approach[J]. Clin Orthop Relat Res, 1980(151):107-114.
6. REINERT C M, BOSSE M J, POKA A, et al. A modified extensile exposure for the treatment of complex or malunited acetabular fractures[J]. J Bone Joint Surg Am, 1988, 70(3):329-337.
7. LETOURNEL E. The treatment of acetabular fractures through the ilioinguinal approach[J]. Clin Orthop Relat Res, 1993, (292):62-76.
8. 蔡贤华,吴咏德,刘曦明,等.前路钛板加方形区螺钉治疗髋臼双柱骨折的站立位力学分析[J].中国矫形外科杂志,2013,21(6):595-601.
9. PETSATODIS G, ANTONARAKOS P, CHALIDIS B A, et al. Surgically treated acetabular fractures via a single posterior approach with a follow-up of 2-10 years[J]. Injury, 2007, 38(3):334-343.
10. 李全,张治宇,郑龙坡,等.骶骨次全切除术后骨盆有限元模型的建立及验证[J].中国组织工程研究与临床康复,2008,12(44):8649-8652.
11. 徐成,阮狄克,丁宇,等.力学载荷对骨力学性能影响的研究进展[J].解剖与临床,2009,14(4):286-288.
12. 马如宇,铁瑛,薛文东,等.基于螺旋CT构建人体骨盆三维有限元模型[J].医用生物力学,2004,19(3):180-183.
13. PHILLIPS A T, PANKAJ P, HOWIE C R, et al. Finite element modelling of the pelvis:inclusion of muscular and ligamentous boundary conditions[J]. Med Eng Phys, 2007, 29(7):739-748.
14. 高应超,郭征,付军,等.坐位骨盆的三维有限元分析[J].中国组织工程研究与临床康复,2011,15(22):3997-4001.
15. 李正东,邹冬华,刘宁国,等.人体骨盆有限元模型的建立及其在法医学鉴定中的应用价值[J].法医学杂志,2010,26(6):406-412.
16. 李霞,阮世捷,李海岩.人体面骨三维有限元模型重构及碰撞分析[J].微计算机信息,2007,23(34):277-278, 299.
17. PEDERSEN D R, BRAND R A, DAVY D T. Pelvic muscle and acetabular contact forces during gait[J]. J Biomech, 1997, 30(9):959-965.
18. 姬涛,高相飞,郭卫,等.骨盆环三维有限元模型的建立[J].中国组织工程研究与临床康复,2009,13(9):1625-1628.
19. BORAIAH S, RAGSDALE M, ACHOR T, et al. Open reduction internal fixation and primary total hip arthroplasty of selected acetabular fractures[J]. J Orthop Trauma, 2009, 23(4):243-248.
20. BOCCACCIO A, KELLY D J, PAPPALETTERE C. A mechano-regulation model of fracture repair in vertebral bodies[J]. J Orthop Res, 2011, 29(3):433-443.
21. 杨洪武,王黎明,郑圣鼐,等.髋臼T形骨折内固定稳定性及生物力学研究[J].中华实验外科杂志,2003,20(11):1050.
22. 李力更,安志刚,郑煦光,等.198例复杂髋臼骨折的手术治疗[J].中国矫形外科杂志,2010,18(18):1570-1572.
23. 王文志,吕廷灼,冯世庆.髋臼骨折的手术治疗进展[J].中国矫形外科杂志,2010,(16):1363-1364.
24. 黄进成,刘曦明,蔡贤华,等.累及方形区的髋臼骨折有限元建模及固定方法比较[C]//第三届全军创伤骨科学术大会.漳州:2015:1.
25. BROLIN K, HALLDIN P. Development of a finite element model of the upper cervical spine and a parameter study of ligament characteristics[J]. Spine (Phila Pa 1976), 2004, 29(4):376-385.
26. 张先龙,戴克戎,汤亭亭.应力松弛接骨板对骨折愈合影响的实验研究[J].上海医学,2000,23(12):734-737.

Previous Article
Research of Feedback Algorithm and Deformable Model Based on Improved Spring-mass Model

Journal of Biomedical Engineering

Three-dimensional Finite Element Analysis to T-shaped Fracture of Pelvis in Sitting Position

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content