锁定钢板内置和外置固定SandersⅡ型跟骨骨折的三维有限元分析

doi:10.13418/j.issn.1001-165x.2014

Abstract

Abstract:

Objective　To compare the biomechanical properties of the calcaneal fractures of Sanders type Ⅱ fixed with locking plates in the internal and external position using finite element(FE) analysis, and therefore to provide theoretic reference for clinic application. 　Methods　3D FE model of the calcaneal fractures of Sanders type Ⅱ fixed with locking plates in the internal and external position was constructed. The two fixation models were loaded under the same condition，and 1inear finite element analysis was carried out．The stress distribution in the two fixation models was calculated respectively.　Results 　Under the neutral position load the maximum displacement of the fracture lines in the two fixation models were less than fracture lines displacement requirement greater than 1 mm;the peak value of the maximum principle stress of the calcaneus in the two fixation models,located mainly around the cortical bones of calcaneal tuberosity, were less than the yield strength of 95 Mpa; the peak value of the maximum principle stress of the locking plate in the two fixation models, mainly located in the middle section of the locking plate, were less than the internal fixation failure strength of 225 MPa.　Conclusion　The biomechanical stability is satisfactory for the treatment of the calcaneal fractures of Sanders type Ⅱ fixed with locking plates in the internal and external position.The latter have potential application in clinic compared with the former in the treatment of calcaneal fractures of Sanders type Ⅱ.

Key words: Calcaneus, Fractures, Finite element analysis, Locking plate

CLC Number:

R687.3

YANG Pan, ZHANG Ying, LIU Jian, XIAO Jin, XIE Lin-Jiang. Finite element analysis of the calcaneal fractures of Sanders type Ⅱ fixed with locking plates in the internal and external position[J]. Chinese Journal Of Clinical Anatomy, 2014, 32(6): 716-720.

References

[1] 张国柱,蒋协远,王满宜.外置解剖型跟骨锁定钢板治疗跟骨骨折的初步报告
[J].中华创伤骨科杂志,2010,12(8):741-745.

[2] 陈剑,丁晓，史风雷,等. 小切口跟骨锁定钢板外置治疗跟骨骨折
[J].中医正骨,2013,25(4):49-50.

[3] Illert T, Rammelt S, Drewes T, et al. Stability of locking and non-locking plates in an osteoporotic calcaneal fracturemodel
[J]. Foot Ankle Int,2011,32(3):307-313.

[4] Sitthiseripratip K，Van Oosterwyck H，Vander Sloten J，et a1．Finite element study of trochanteric gamma nail for trochanterie fracture
[J]．Med Eng Phys, 2003,25(2):99-106．

[5] Kobayashi E，Wang TJ，Doi H，et a1．Mechanical properties and corrosion resistance of Ti-6A1-7Nb alloy dental castings
[J]．J Mater SciMater Med, 1998,9(10):567-574．

[6] 王一民, 张晟,王博炜，等.锁定钢板固定Sanders Ⅳ型跟骨骨折的有限元分析
[J].中华创伤骨科杂志, 2013,15(3):225-229.

[7] 郭宗慧，庞清江，刘江涛，等.载距突螺钉内固定治疗SandersⅡ型跟骨骨折的生物力学研究
[J].中华骨科杂志，2013，33(4):331-335.

[8] Mesfar W, Shirazi-Adl A. Computational biomechanics of knee joint in open kinetic chain extension exercises
[J]. Comput Methods Biomech Biomed Engin, 2008,11(1):55-61.

[9] Zelle J, Van der Zanden AC, De Waal Malefijt M,et al.Biomechanical analysis of posterior cruciate ligament retaining high-flexion total knee arthroplasty
[J].Clin Biomech(Bristol, Avon),2009,24(10):842-829.

[10] 黄海晶, 马信龙, 马剑雄, 等. 正常与畸形愈合跟骨应力分布的比较研究
[J].中华骨科杂志, 2013,33(4):336-341.

[11]Potter MQ, Nunley JA. Long-term functional outcomes after operative treatment for intra-articular fractures of the Calcaneus
[J]. J Bone Joint Surg Am, 2009,91(8):1854-1860.

[12]Dickenson RP, Hutton WC, Stott JR. The mechanical properties of bone in osteoporosis
[J].J Bone Joint Surg Br,1981,63B(2):233-238.

[13]Buckley R，T0ugII S，McCormack R，et a1．Operative compared with nonoperative treatment of displaced intra-acticular calcaneal fractures：a prospective,randomized,controlled multicenter tfial
[J]．J Bone Joint Surg Am，2002,84(10):1733-1744．

[14]Harvey EJ, Grujic L, Early JS，et a1．Morbidity associated with ORIF of intra-articular calcaneus fractures nsins a lateral approach
[J]．Foot Ankle Int, 200l,22(11):868-873．

[15]Kloen P. Supercutaneous plating: use of a locking compression plate as an external fixator
[J].J Orthop Trauma,2009,23(1):72-75.

[16]Zhang G, Jiang X, Wang M. External fixation with supercutaneous calcaneal locking plate for displaced intra-articular calcaneal fractures
[J]. Foot Ankle Int, 2012,33(12):1113-1118.

Finite element analysis of the calcaneal fractures of Sanders type Ⅱ fixed with locking plates in the internal and external position

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[2]	Zhang Yue, Cai Xingbo, Zhang Bihuan, Wang Bin, Xu Yongqing. A review of biomechanical studies of wrist after total wrist arthroplasty [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 112-114.
[3]	Hong Liting , Meng Qingguo, Wu Jianhui, Xu Lingyan, Gao Runze, Zhai Lidong. Finite element analysis of different forms of intravesical prostatic protrusion [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 459-464.
[4]	Liu Yu, Gu Sanjun, Xu Yaozeng, Li Haifeng, Wei Changbao, Yin Qin . Reason and strategies of intraoperative complications of minimally invasive hip arthroplasty using SuperPATH approach in the treatment of elderly patients with femoral neck fracture [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 465-469.
[5]	Lin Wenjie, Sun Xin, Huang Wenhua, Wei Bo, Lin Tao, Liang Zhenming, Zhong Huan, Zhang Xin, Ouyang Hanbin. Biomechanical analysis of hindfoot joint after ankle arthrodesis [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 212-217.
[6]	Cai Hao, Zhou Haibo, Yu Jiahuan, Hu Kai, Meng Hongming, Shou Zeyu, Chen Chun, Bai Zhibiao. Finite element analysis and comparison of the models of patellar transverse fracture fixed with hollow screw combined with “8” and “0” tension band wire internal fixation [J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 454-459.
[7]	Tong Ling, Xu Yangyang, Wang Yidan, Ma Yuan, Wang Haiyan, Li Xiaohe. Finite element analysis of anterior cervical micro-memory compression alloy plate [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 320-326.
[8]	Yu Tieqiang, ZuoYuming, Wang Yueguang, Lian Xiaojing, Li Fei, Wan Guangliang, Li Xiaoliang. Treatment of supracondylar fracture of humerus with pulseless hands in children [J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 85-88.
[9]	Xu Fusheng, Zhang Wei, Niu Fei, Cheng Anyuan, Xia Ping. Fracture classification for distal pole of patella fractures based on CT [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 646-648.
[10]	Li Yu, Ma Jianwen, Huang Yong. Clinical effect of Kirschner wire loop plate and anatomical locking plate combined with ligaments suspended for the treatment of Neer IIb distal clavicle fracture [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 711-715.
[11]	Hu Xiunian, Liu Hui, Zhan Peng, Chen Rijiang, Liao Yuanjun, Lan Weibin, Qiu Hanmin, Chen Dongfeng. Comparison of the effect of ankle screw fixation in different directions after ankle fracture [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 716-720.
[12]	Wei Mingjie, Xu Yujian, Wu Yipeng, Wang Teng, Wu Huan, Yuan Libo, Tang Wenbao, Guo Xiaojv, Xu Yongqing. Stress distribution of the scapholunate interosseous ligament under different load conditions on the wrist [J]. Chinese Journal of Clinical Anatomy, 2021, 39(5): 586-592.
[13]	Wu Xiaowei, Li Jianyi, Du Bingran, Yang Qiaohua, Fan Tiancheng, Li Lutao. Finite element model construction and analysis of mild adolescent idiopathic scoliosis in adolescents [J]. Chinese Journal of Clinical Anatomy, 2021, 39(4): 443-448.
[14]	ZHANG Xu-lin, XU Yong-qing, HE Xiao-qing, MAO Yu-chi, YANG Ling-jian, YUAN Li-bo. Finite element analysis of three internal fixation methods for scaphoid waist fracture [J]. Chinese Journal of Clinical Anatomy, 2019, 37(5): 553-558.
[15]	LIU Xue-guang, SUN Zhen-zhong, SONG Sheng, ZHUANG Yin, DU Shi-hao, HAN Xiao-fei. Effect of treatment of femoral neck fracture nonunion by percutaneous compression plate combined with ascending branch of lateral femoral circumflex artery iliac flap in young adults [J]. Chinese Journal of Clinical Anatomy, 2019, 37(5): 559-562.