盛伟, 纪爱敏, 陈长胜. 股骨干骨折锁定钢板螺钉布局的有限元分析[J]. 中国医疗器械杂志, 2017, 41(3): 196-199,212. DOI: 10.3969/j.issn.1671-7104.2017.03.011
      引用本文: 盛伟, 纪爱敏, 陈长胜. 股骨干骨折锁定钢板螺钉布局的有限元分析[J]. 中国医疗器械杂志, 2017, 41(3): 196-199,212. DOI: 10.3969/j.issn.1671-7104.2017.03.011
      Sheng Wei, Ji Aimin, Chen Changsheng. Finite Element Analysis of Screw Layout of Locking Plate for Treating Femoral Shaft Fracture[J]. Chinese Journal of Medical Instrumentation, 2017, 41(3): 196-199,212. DOI: 10.3969/j.issn.1671-7104.2017.03.011
      Citation: Sheng Wei, Ji Aimin, Chen Changsheng. Finite Element Analysis of Screw Layout of Locking Plate for Treating Femoral Shaft Fracture[J]. Chinese Journal of Medical Instrumentation, 2017, 41(3): 196-199,212. DOI: 10.3969/j.issn.1671-7104.2017.03.011

      股骨干骨折锁定钢板螺钉布局的有限元分析

      Finite Element Analysis of Screw Layout of Locking Plate for Treating Femoral Shaft Fracture

      • 摘要: 为评估不同螺钉布局锁定钢板固定股骨干骨折的生物力学稳定性,针对两种不同骨折设置方式,分别建立不同长度、螺钉数目及螺钉布局的六组锁定钢板骨折内固定模型,并进行生物力学有限元分析,得到各组内固定模型在轴向载荷作用下的轴向位移与等效应力分布。研究表明,在骨折处填充相对股骨较软材料更能保证内固定系统稳定性,长接骨板少螺钉固定效果要明显优于短接骨板全螺钉固定;相同长度接骨板有选择性的螺钉布局比全螺钉布局更有效;在骨折远端进行螺钉固定可使螺钉系统应力分散,而避免在骨折近端进行螺钉固定也能缓解螺钉的应力集中。

         

        Abstract: To evaluate the biomechanical stability of femoral shaft fracture fixation using different locking plates combined with different screw layout, for two different fracture settings, we build six groups different length locking plate combined with different screw number and different screw layout, fix with the fracture models respectively, and use the biomechanical finite element method to analysis the models. Then we attain the axial displacement and equivalent stress distribution of the internal fixation system under the action of axial load. The research shows that filling relatively softer material in femoral fracture can guarantee the stability of the internal fixation system, the long plate combined with less screw layout is obviously better than the short plate combined with the all screw layout, the same length plate combined with the selective screw layout is more effective than combined with the all screw layout. And plate combined with screws fixed in four threaded hole of distal fracture make the screw system stress disperse, and avoiding screw fixed in proximal fracture can alleviate the stress concentration of screws.

         

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