Biomechanical comparison of a transiliac internal fixator and two iliosacral screws in transforaminal sacral fractures: a finite element analysis

• Autorzy: Salasek M. , Jansova M. , Křen J. , Pavelka T. , Weisova D.

Identyfikatory

DOI

10.5277/ABB-00054-2014-02

• Języki publikacji: EN

Abstrakty

EN

Purpose: Vertically unstable sacral transforaminal fractures can be stabilized with a transiliac internal fixator (TIFI) or two iliosacral screws (IS). This study was designed to compare stiffness between TIFI and IS. Methods: Using CT images finite element model of the pelvis was developed. Denis II type fracture was simulated and fixed either with TIFI or two IS. The sacral base was loaded vertically (250–500 N), displacement magnitudes on medial and lateral fracture surface and the maximum bone stress were calculated. The intact pelvis was used as a reference. Stiffness was determined by linear regression of load and displacement, computed stiffness ratio %. The von Mises stress was expressed as % ratio, evaluation of colour mapping was made. Results: The mean stiffness ratio medially in TIFI was 75.22%, in IS 46.54% ( p = 0.00005), laterally in TIFI 57.88%, in IS 44.74% ( p = 0.03996). The von Mises stress ratio of TIFI was 139.27%, of IS 565.35% ( p < 0.00001). Conclusions: Significantly higher stiffness and lower stress were found in TIFI model. TIFI provides a lower risk of over-compression of the fracture line in comparison with IS. TIFI thus exhibits superiority for fixation of transforaminal fractures, particularly with comminutive zone.

Słowa kluczowe

EN

finite element analysis; transiliac internal fixator; iliosacral screw; pelvic ring; transforaminal fracture

PL

analiza MES; stabilizator; biomechanika

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2015
• Tom: Vol. 17, no. 1
• Strony: 39--49
• Opis fizyczny: Bibliogr. 21 poz., rys., tab., wykr.

Twórcy

autor

Salasek M.

• Department of Orthopaedics and Traumatology, Faculty of Medicine of Charles University and Faculty Hospital in Plzeň, Czech Republic
• Department of Mechanics, Faculty of Applied Sciences and New Technologies for Information Society of West Bohemian University in Plzeň, Czech Republic.

autor

Jansova M.

• Department of Mechanics, Faculty of Applied Sciences and New Technologies for Information Society of West Bohemian University in Plzeň, Czech Republic.

autor

Křen J.

• Department of Mechanics, Faculty of Applied Sciences and New Technologies for Information Society of West Bohemian University in Plzeň, Czech Republic

autor

Pavelka T.

• Department of Orthopaedics and Traumatology, Faculty of Medicine of Charles University and Faculty Hospital in Plzeň, Czech Republic

autor

Weisova D.

• Department of Orthopaedics and Traumatology, Faculty of Medicine of Charles University and Faculty Hospital in Plzeň, Czech Republic
• Department of Mechanics, Faculty of Applied Sciences and New Technologies for Information Society of West Bohemian University in Plzeň, Czech Republic.

Bibliografia

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