Influence of Fixation Methods on Fixation Effects of Femoral Neck Fracture
10.16156/j.1004-7220.2020.02.14
- VernacularTitle:不同固定方式对股骨颈骨折固定效果的影响
- Author:
Wenqing WEI
1
;
Haipo CUI
1
;
Jian CHEN
2
;
Yunzhang CHENG
1
;
Qianli CHENG
1
Author Information
1. Shanghai Engineering Research Center of Interventional Medical Devices, University of Shanghai for Science and Technology
2. Department of Orthopeadics， Shanghai Putuo District People’s Hospital
- Publication Type:Journal Article
- Keywords:
femoral neck fracture;
screw;
fixation method;
finite element analysis
- From:
Journal of Medical Biomechanics
2020;35(2):E216-E222
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the influence of hollow screws with five kinds of spatial distributions on the fixation effect of femoral neck fracture. Methods Geometric models of femoral neck fracture with Pauwels type I, II and III were built by reverse engineering according to CT images of the femur. Based on the finite element analysis software ANSYS, the stress distributions of internal fixation, head side and stem side of femoral neck and the displacement distributions of the model fixed by different methods were obtained. Results For femoral neck fracture with Pauwels type I, II and III, the maximum stresses at head side of femoral neck were the inverted triangle fixation method, two-screw parallel fixation method, two-screw parallel fixation method, respectively. The maximum stresses at stem side of femoral neck were the inverted triangle fixation method, inverted triangle fixation method and two-screw parallel fixation method, respectively. The minimum stresses on the screws were the cross fixation method, and the minimum displacements of the model were double-supported fixation method. Conclusions The probability of screw deformation and fracture is the smallest for cross fixation method. Inverted triangle fixation method can provide a good mechanical environment for fracture site. For femoral neck fracture with Pauwels typeⅠ and Ⅲ, double-supported fixation method has the strongest ability to prevent femoral neck shortening. While for femoral neck fracture with Pauwels typeⅡ, cross fixation method has the strongest ability to prevent femoral neck shortening.
