SavedAdd your journal

Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2015 / Cilt: 26 - Sayı: 3

İntrapelvik asetabulum cerrahisi: Plak tespitinin pozisyonlandırılması osteosentezin stabilitesinde bir rol oynar mı?

Intrapelvic acetabulum surgery: does the positioning of the plate fixation play a role in the stability of the osteosynthesis?

Károly VÁRADİ
Gergely SZTRİNKAİ
Benjámin MADARÁSZ
Gergely ZOLTÁN
Tamás BODZAY
Tamás GÁL
Pages
126–130
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The position of the plate fixation does not affect the stability of the osteosynthesis and in cases of simple fracture patterns, fixation using two plates does not provide more stability than one plate alone

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to investigate whether positioning of the plate fixation plays a role in the stability of the osteosynthesis.
📊
Key Findings & Data:In all cases, 3-3 screws were inserted on both ends of the plate to fix the fracture.
💡
Conclusion & Impact:Conclusion: The position of the plate fixation does not affect the stability of the osteosynthesis and in cases of simple fracture patterns, fixation using two plates does not provide more stability than one plate alone
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to investigate whether positioning of the plate fixation plays a role in the stability of the osteosynthesis. Materials and methods: We used finite element modelling to model an anterior pillar fracture and a T-type fracture of the acetabulum. Fracture fixation was carried out in three different variations: cranially positioned plate, medially positioned plate, and a combination of the two methods. In all cases, 3-3 screws were inserted on both ends of the plate to fix the fracture. Results: In both fractures, nearly the same amount of displacement was detected in the fracture gap using a cranially positioned or medially positioned plate, and the amount of displacement was not less when using both plates simultaneously. Conclusion: The position of the plate fixation does not affect the stability of the osteosynthesis and in cases of simple fracture patterns, fixation using two plates does not provide more stability than one plate alone

Özet

Amaç: Bu çalışmada plak tespitinin pozisyonlandırılmasının osteosentezin stabilitesinde bir rol oynayıp oynamadığı araştırıldı. Gereç ve yöntemler: Asetabulumun anterior kolon kırığı ve T-tipi kırığının örneklendirilmesi için sonlu elemanlar modeli kullanıldı. Kırık tespiti üç farklı varyasyonda gerçekleştirildi: kraniyal pozisyonlu plak, medial pozisyonlu plak ve iki yöntemin bir kombinasyonu. Kırığı tespit etmek için tüm olgularda plağın iki ucuna 3-3 vidalar yerleştirildi. Bulgular: Her iki kırıkta kraniyal pozisyonlu veya medial pozisyonlu plak kullanıldığında kırık aralığında neredeyse aynı miktarda kayma saptandı ve iki plak eşzamanlı kullanıldığında kayma miktarı daha az değildi. Sonuç: Plak tespitinin pozisyonu osteosentezin stabilitesini etkilememekte ve basit kırık paternlerinde iki plak kullanılan tespit tek bir plaktan daha fazla stabilite sağlamamaktadır.

🔖

Cite This Article

VÁRADİ, K., SZTRİNKAİ, G., MADARÁSZ, B., ZOLTÁN, G., BODZAY, T., GÁL, T. (2022). İntrapelvik asetabulum cerrahisi: Plak tespitinin pozisyonlandırılması osteosentezin stabilitesinde bir rol oynar mı?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 26 - Sayı: 3, 126–130. https://ajindex.com/articles/498563

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg [Am] 1964;46:1615-46
  2. Hirvensalo E, Lindahl J, Böstman O. A new approach to the internal fixation of unstable pelvic fractures. Clin Orthop Relat Res 1993;297:28-32
  3. Keel MJ, Ecker TM, Cullmann JL, Bergmann M, Bonel HM, Büchler L, et al. The Pararectus approach for anterior intrapelvic management of acetabular fractures: an anatomical study and clinical evaluation. J Bone Joint Surg [Br] 2012;94:405-11
  4. Bodzay T, Sztrinkai G, Pajor S, Gál T, Jónás Z, Erdös P, et al. Does surgically fixation of pubic fracture increase the stability of the operated posterior pelvis? Eklem Hastalik Cerrahisi 2014;25:91-5
  5. Anderson AE, Peters CL, Tuttle BD, Weiss JA. Subject-specific finite element model of the pelvis: development, validation and sensitivity studies. J Biomech Eng 2005;127:364-73
  6. Abé H, Hayashi K, Sato M, editors. Data book on mechanical properties of living cells, tissues, and organs. New York: Springer Verlag; 1996
  7. Bodzay T, Szita J, Manó S, Kiss L, Jónás Z, Frenyó S, et al. Biomechanical comparison of two stabilization techniques for unstable sacral fractures. J Orthop Sci 2012;17:574-9
  8. Szita J. Treatment of pelvic injuries. In: Cziffer E, editor. Operatíve Treatment of the Fractures (in Hungarian). Budapest: Springer Hungarica; 1997. p. 417-25
  9. Ragnarsson B, Olerud C, Olerud S. Anterior square-plate fixation of sacroiliac disruption. 2-8 years follow-up of 23 consecutive cases. Acta Orthop Scand 1993;64:138-42
  10. Shim VB, Böshme J, Vaitl P, Josten C, Anderson IA. An efficient and accurate prediction of the stability of percutaneous fixation of acetabular fractures with finite element simulation. J Biomech Eng 2011;133:094501
  11. Yildirim A, Alemdaroglu K, Yüksel H, Öken Ö, Ucaner A. Finite element analysis of the stability of transverse acetabular fractures in standing and sitting positions by different fixation options. Injury 2013;44:S8-S9.