Journals / Turkish Journal of Medical Sciences / 2019 / Cilt: 49 - Sayı: 1

A comparative biomechanical analysis of suprapectineal and infrapectineal fixation on acetabular anterior column fracture by finite element modeling

Pages
442–448
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The suprapectineal unlocked method was found to be the most unstable in standingpositions with maximum displacement values of 0.46 mm vertical shear movement in the x-axis, –0.14 mm displacement in the y-axis,and –0.33 mm lateral shear in the z-axis.Conclusion: The infrapectineal unlocked plate supplies the most stable fixation with the least implant stress, contrary to thesuprapectineal unlocked plate, which has the lowest stability and highest implant stresses.

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: The aim of this study is to compare the stability and implant stresses of suprapectineal plate with infrapectineal platein three subconfigurations of the screw types.Materials and methods: The stabilities of different fixation methods were compared by finite element analysis on six models.
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Key Findings & Data:Three-dimensionalfinite element stress analysis was performed by using isotropic materials with a load of 2.3 kN applied at standing positions.
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Conclusion & Impact:The suprapectineal unlocked method was found to be the most unstable in standingpositions with maximum displacement values of 0.46 mm vertical shear movement in the x-axis, –0.14 mm displacement in the y-axis,and –0.33 mm lateral shear in the z-axis.Conclusion: The infrapectineal unlocked plate supplies the most stable fixation with the least implant stress, contrary to thesuprapectineal unlocked plate, which has the lowest stability and highest implant stresses.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: The aim of this study is to compare the stability and implant stresses of suprapectineal plate with infrapectineal platein three subconfigurations of the screw types.Materials and methods: The stabilities of different fixation methods were compared by finite element analysis on six models. Threeinfrapectineal and three suprapectineal models each with locked, unlocked, or combined screws were employed. Three-dimensionalfinite element stress analysis was performed by using isotropic materials with a load of 2.3 kN applied at standing positions. Motion atthe fracture line was measured on four different points located on the pubic and iliac sides of the fracture line.Results: Infrapectineal plate fixation with unlocked screws was found to be the most stable fixation method with 0.006 mm displacementof fragments in all axes at standing positions. The suprapectineal unlocked method was found to be the most unstable in standingpositions with maximum displacement values of 0.46 mm vertical shear movement in the x-axis, –0.14 mm displacement in the y-axis,and –0.33 mm lateral shear in the z-axis.Conclusion: The infrapectineal unlocked plate supplies the most stable fixation with the least implant stress, contrary to thesuprapectineal unlocked plate, which has the lowest stability and highest implant stresses.

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Cite This Article

YILDIRIM, A. Ö., YÜCENS, M., AYDOĞAN, N. H., ALEMDAROĞLU, K. B., İLTAR, S., ÖZMERİÇ, A. (2022). A comparative biomechanical analysis of suprapectineal and infrapectineal fixation on acetabular anterior column fracture by finite element modeling. Turkish Journal of Medical Sciences, Cilt: 49 - Sayı: 1, 442–448. https://ajindex.com/articles/610019

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References (14)

  1. Letournel E. The treatment of acetabular fractures through the ilioinguinal approach. Clin Orthop Relat Res 1993; 292: 62-76
  2. Matta J. Fractures of the acetabulum: accuracy of reduction and clinical results in patients managed operatively within three weeks after the injury. J Bone Joint Surg Am 1996; 78: 1632-1645
  3. Cole JD, Bolhofner BR. Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results. Clin Orthop Relat Res 1994; 305: 112-123
  4. Hirvensalo E, Lindahl J, Kiljunen V. Modified and new approaches for pelvic and acetabular surgery. Injury 2007; 38: 431-441
  5. Kistler BJ, Smithson IR, Cooper SA, Cox JL, Nayak AN, Santoni BG. Are quadrilateral surface buttress plates comparable to traditional forms of transverse acetabular fracture fixation? Clin Orthop Relat Res 2014; 472: 3353-3361
  6. Bastian JD, Tannast M, Siebenrock KA, Keel MJB. Mid-term results in relation to age and analysis of predictive factors after fixation of acetabular fractures using the modified Stoppa approach. Injury 2013; 44: 1793-1798
  7. Laflamme GY, Hebert-Davies J, Rouleau D, Benoit B, Leduc S. Internal fixation of osteopenic acetabular fractures involving the quadrilateral plate. Injury 2011; 42: 1130-1134
  8. Rocca G, Spina M, Mazzi M. Anterior combined endopelvic (ACE) approach for the treatment of acetabular and pelvic ring fractures: a new proposal. Injury 2014; 45: 9-15
  9. Sagi HC, Afsari A, Dziadosz D. The anterior intra-pelvic (modified Rives-Stoppa) approach for fixation of acetabular fractures. J Orthop Trauma 2010; 24: 263-270
  10. Hammad AS, El-Khadrawe TA. Accuracy of reduction and early clinical outcome in acetabular fractures treated by the standard ilio-inguinal versus the Stoppa/iliac approaches. Injury 2015; 4: 320-326
  11. Kacra BK, Arazi M, Cicekcibasi AE, Büyükmumcu M, Demirci S. Modified medial Stoppa approach for acetabular fractures: an anatomic study. J Trauma Inj Infect Crit Care 2011; 71: 1340-1344
  12. Kristan A, Mavčič B, Cimerman M, Iglič A, Tonin M, Slivnik T, et al. Acetabular loading in active abduction. IEEE T Neural Syst Rehabil Eng. 2007; 15: 252-257
  13. Kaçira BK, Özkaya M, Kiran U, Türkmen F, Arazi M, Demir T. Biomechanical fixation strength comparison of ilioingunial and medial Stoppa approaches on anterior column fractures. J Mech Med Biol 2016; 2016: 16
  14. Yildirim AO, Alemdaroglu KB, Yuksel HY, Öken ÖF, Ucaner A. Finite element analy