Biomechanical analysis of Magic screw fixation for acetabular posterior column fracture.
10.7507/1001-5515.202109042
- Author:
Haowei ZHANG
1
;
Zihuan XU
1
;
Ying LIU
1
;
Yongqin WANG
1
;
Pengfei LI
1
;
Hongmin CAI
2
;
Ming NI
3
Author Information
1. School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
2. Department of Pelvic and Acetabular Surgery, Luoyang Orthopedic-Traumatological Hospital of Henan Province (Henan Provincial Orthopedic Hospital), Luoyang, Henan 471002, P. R. China.
3. Department of Orthopaedics, Shanghai Pudong New Area Peoples' Hospital, Shanghai 201299, P. R. China.
- Publication Type:Journal Article
- Keywords:
Acetabular fracture;
Biomechanics;
Finite element analysis;
Internal fixation of fracture
- MeSH:
Biomechanical Phenomena;
Bone Plates;
Bone Screws;
Finite Element Analysis;
Fracture Fixation, Internal/methods*;
Fractures, Bone/surgery*;
Humans;
Spinal Fractures
- From:
Journal of Biomedical Engineering
2022;39(4):672-678
- CountryChina
- Language:Chinese
-
Abstract:
This study aims to analyze the biomechanical stability of Magic screw in the treatment of acetabular posterior column fractures by finite element analysis. A three-dimensional finite element model of the pelvis was established based on the computed tomography (CT) and magnetic resonance imaging (MRI) data of a volunteer and its effectiveness was verified. Then, the posterior column fracture model of the acetabulum was generated. The biomechanical stability of the four internal fixation models was compared. The 500 N force was applied to the upper surface of the sacrum to simulate human gravity. The maximum implant stresses of retrograde screw fixation, single-plate fixation, double-plate fixation and Magic screw fixation model in standing and sitting position were as follows: 114.10, 113.40 MPa; 58.93, 55.72 MPa; 58.76, 47.47 MPa; and 24.36, 27.50 MPa, respectively. The maximum stresses at the fracture end were as follows: 72.71, 70.51 MPa; 48.18, 22.80 MPa; 52.38, 27.14 MPa; and 34.05, 30.78 MPa, respectively. The fracture end displacement of the retrograde tension screw fixation model was the largest in both states, and the Magic screw had the smallest displacement variation in the standing state, but it was significantly higher than the two plate fixations in the sitting state. Magic screw can satisfy the biomechanical stability of posterior column fracture. Compared with traditional fixations, Magic screw has the advantages of more uniform stress distribution and less stress, and should be recommended.
