BIOMECHANICAL RESEARCH OF DIFFERENT INTERNAL FIXATIONS USING LOCKING RECONSTRUCTION PLATE FOR ACETABULAR TRANSVERSE FRACTURE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIUHongyang ^1,2 ,  LILigeng ¹ , WUXiaobo ¹ , XUHongjia ³ , ZHANGRuijie ¹

1. Department of Orthopaedics and Traumatology, the 2nd Hospital of Tangshan(North China University of Science and Technology Affiliated Orthopedic Hospital), Tangshan Hebei, 063000, P. R. China;
2. School of Graduate, North China University of Science and Technology;
3. School of Public Health, North China University of Science and Technology;

Corresponding author：

LILigeng, Email: liligengyz@163.com

Keywords：

Acetabular transverse fracture; Internal fixation; Biomechanics

DOI：

10.7507/1002-1892.20150235

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the biomechanical stability of acetabular transverse fracture fixed with single column locking reconstruction plate, locking reconstruction plate combined with lag screw, and double columns lag screws. Methods Acetabular transverse fractures were established in 20 adult fresh semi-pelvis specimens, and divided into 5 groups randomly (n=4). The anterior columns were fixed with locking reconstruction plates in group A; the posterior columns were fixed with locking reconstruction plates in group B; the anterior columns were fixed with locking reconstruction plates and the posterior columns with lag screws in group C; the anterior columns were fixed with lag screws and the posterior columns with locking reconstruction plates in group D; the double columns were fixed with lag screws in group E. When loading three times weight, the longitudinal displacement of fracture fragment was measured, and the shear rigidity was calculated to compare the stability among groups. Results The longitudinal displacement of groups A and B were significantly greater than that of groups C, D, and E (P<0.05), and the shear rigidity of groups A and B were significantly lower than that of groups C, D, and E (P<0.05). The longitudinal displacement of group B was significantly greater than that of group A (P<0.05), but no significant difference was found in the shear rigidity between groups A and B (P>0.05). There was no significant difference in the longitudinal displacement and shear rigidity among groups C, D, and E (P>0.05). Conclusion Locking reconstruction plate combined with lag screw and double columns lag screws have similar stability, they have stronger stability than the single column locking reconstruction plate. The stability of anterior column locking reconstruction plate is better than that of the posterior column locking reconstruction plate.

Citation： LIUHongyang, LILigeng, WUXiaobo, XUHongjia, ZHANGRuijie. BIOMECHANICAL RESEARCH OF DIFFERENT INTERNAL FIXATIONS USING LOCKING RECONSTRUCTION PLATE FOR ACETABULAR TRANSVERSE FRACTURE. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(9): 1084-1087. doi: 10.7507/1002-1892.20150235 Copy

1.	Geijer M,EI-Khoury GY.Imaging of acetabulum in the era of multidector computed tomographt. Emerg Radiol, 2007, 15(5):271-287.
2.	Białas A, Krauze P, Walenczak K. Distal humeral AO type C fracture-analysis of LCP fixation. Ortop Traumatol Rehabil, 2013, 15(6):297-304.
3.	Sen RK, Tripathy SK, Aggarwal S, et al. A safe technique of anterior column lag screw fixation in acetabular fractures. Int Orthop, 2012, 36(11):2333-2340.
4.	Marintschev I, Gras F, Schwarz CE, et al. Biomechanical comparison of different acetabular plate systems and constructs-the role of an infra-acetabular screw placement and use of locking plates. Injury, 2012, 43(4):470-474.
5.	Lee CW, Liao CH, Lin CL, et al. Increased risk of osteoporosis in patients with depression:a population-based retrospective cohort study. Mayo Clin Proc, 2015, 90(1):63-70.
6.	Olson SA, Kadrmas MW, Hermandez JD, et al. Augmentation of posterior wall acetabular fracture fixation using calclum-phosphate cement:a biomechanical analysis. J Orthop Trauma, 2007, 21(9): 608-616.
7.	Shazar N, Brumback RJ, Novak VP, et al. Biomechanical evaluation of transverse acetabular fracture fixation. Clin Orthop Relat Res, 1998, (352):215-222.
8.	Ji X, Bi C, Wang F, et al. Digital anatomical measurements of safe screw placement at superior border of the arcuate line for acetabular fractures. BMC Musculoskelet Disord, 2015, 16:55.
9.	Wu X, Chen W, Zhang Q, et al. The study of plate-screw fixation in the posterior wall of acetabulum using computed tomography images. J Trauma, 2010, 69(2):423-431.
10.	王庆贤, 张英泽, 潘进社, 等. 髋臼后柱拉力螺钉内固定的应用解剖学. 中国临床解剖学杂志, 2004, 22(6):596-598.
11.	Ebraheim NA, Xu R, Biyani A, et al. Anatomic basis of lag screw placement in the anterior column of the acetabulum. Clin Orthop Relat Res, 1997, (339):200-205.
12.	Sen RK, Tripathy SK, Aggarwal S, et al. A safe technique of anterior column lag screw fixation in acetabular fractures. Int Orthop, 2012,36 (11):2333-2340.
13.	Mehin R, Jones B, Zhu Q, et al. A biomechanical study of conventional acetabular internal fracture fixation versus locking plate fixation. Can J Surg, 2009, 52(3):221-228.
14.	Chang JK, Gill SS, Zura RD, et al. Comparative strength of three methods of fixation of transverse acetabular fractures. Clin Orthop Relat Res, 2001, (392):433-441.
15.	吴啸波, 张奇, 郭明珂, 等. 髋臼后柱骨折不同方式钢板内固定的稳定性研究. 第三军医大学学报, 2010, 32(7):665-668.
16.	张继宗. 法医人类学基础. 北京:科学出版社, 2007:380-388.
17.	李思汉. 我国北方地区成人各类体型不同身高的体重正常值的探讨. 营养学报, 1986, 8(2):98-109.
18.	Kaku N, Tsumura H, Taira H, et al. Biomechanical study of load transfer of the pubic ramus due to pelvic inclination after hip joint surgery using a three-dimensional finite element model. J Orthop Sci, 2004, 9(3):264-269.
19.	Dalstra M, Huiskes R. Load transfer across the pelvic bone. J Biomech, 1995, 28(6):715-724.
20.	荣国威, 王承武. 骨折. 北京:人民卫生出版社, 2004:844-847.
21.	毛宾尧. 人工全髋关节翻修外科的生物力学. 中国矫形外科杂志, 2003, 11(10):672-674.
22.	Harris AM, Althausen P, Keiiam JF, et al. Simultaneous anterior and posterior approaches for complex acetabular fractures. J Orthop Trauma, 2008, 22(7):494-497.
23.	Stöckle U, Hoffmann R, Nittinger M, et al. Screw fixation of acetabular fractures. Int Orthop, 2000, 24(3):143-147.
24.	Dienstknecht T, Müller M, Sellei R, et al. Screw placement in percutaneous acetabular surgery:gender differences of anatomical landmarks in a cadaveric study. Int Orthop, 2013, 37(4):673-679.
25.	穆卫东. 计算机导航引导下骨盆和髋臼骨折微创经皮空心拉力螺钉技术的基础及应用研究. 济南:山东大学, 2009.
26.	张秋林, 唐昊, 王秋根, 等. 锁定加压重建钢板在髋臼骨折中的应用. 中华关节外科杂志:电子版, 2008, 2(2):129-133.
27.	Harnroongroj T. The role of the anterior column of the acetabulum on pelvic stability:a biomechanical study. Injury, 1998, 29(4):293-296.
28.	王庆贤, 张英泽, 潘进社, 等. 髋臼横断骨折不同内固定方式的生物力学研究及临床意义. 中华创伤骨科杂志, 2005, 7(3):259-262.

1. Geijer M,EI-Khoury GY.Imaging of acetabulum in the era of multidector computed tomographt. Emerg Radiol, 2007, 15(5):271-287.
2. Białas A, Krauze P, Walenczak K. Distal humeral AO type C fracture-analysis of LCP fixation. Ortop Traumatol Rehabil, 2013, 15(6):297-304.
3. Sen RK, Tripathy SK, Aggarwal S, et al. A safe technique of anterior column lag screw fixation in acetabular fractures. Int Orthop, 2012, 36(11):2333-2340.
4. Marintschev I, Gras F, Schwarz CE, et al. Biomechanical comparison of different acetabular plate systems and constructs-the role of an infra-acetabular screw placement and use of locking plates. Injury, 2012, 43(4):470-474.
5. Lee CW, Liao CH, Lin CL, et al. Increased risk of osteoporosis in patients with depression:a population-based retrospective cohort study. Mayo Clin Proc, 2015, 90(1):63-70.
6. Olson SA, Kadrmas MW, Hermandez JD, et al. Augmentation of posterior wall acetabular fracture fixation using calclum-phosphate cement:a biomechanical analysis. J Orthop Trauma, 2007, 21(9): 608-616.
7. Shazar N, Brumback RJ, Novak VP, et al. Biomechanical evaluation of transverse acetabular fracture fixation. Clin Orthop Relat Res, 1998, (352):215-222.
8. Ji X, Bi C, Wang F, et al. Digital anatomical measurements of safe screw placement at superior border of the arcuate line for acetabular fractures. BMC Musculoskelet Disord, 2015, 16:55.
9. Wu X, Chen W, Zhang Q, et al. The study of plate-screw fixation in the posterior wall of acetabulum using computed tomography images. J Trauma, 2010, 69(2):423-431.
10. 王庆贤, 张英泽, 潘进社, 等. 髋臼后柱拉力螺钉内固定的应用解剖学. 中国临床解剖学杂志, 2004, 22(6):596-598.
11. Ebraheim NA, Xu R, Biyani A, et al. Anatomic basis of lag screw placement in the anterior column of the acetabulum. Clin Orthop Relat Res, 1997, (339):200-205.
12. Sen RK, Tripathy SK, Aggarwal S, et al. A safe technique of anterior column lag screw fixation in acetabular fractures. Int Orthop, 2012,36 (11):2333-2340.
13. Mehin R, Jones B, Zhu Q, et al. A biomechanical study of conventional acetabular internal fracture fixation versus locking plate fixation. Can J Surg, 2009, 52(3):221-228.
14. Chang JK, Gill SS, Zura RD, et al. Comparative strength of three methods of fixation of transverse acetabular fractures. Clin Orthop Relat Res, 2001, (392):433-441.
15. 吴啸波, 张奇, 郭明珂, 等. 髋臼后柱骨折不同方式钢板内固定的稳定性研究. 第三军医大学学报, 2010, 32(7):665-668.
16. 张继宗. 法医人类学基础. 北京:科学出版社, 2007:380-388.
17. 李思汉. 我国北方地区成人各类体型不同身高的体重正常值的探讨. 营养学报, 1986, 8(2):98-109.
18. Kaku N, Tsumura H, Taira H, et al. Biomechanical study of load transfer of the pubic ramus due to pelvic inclination after hip joint surgery using a three-dimensional finite element model. J Orthop Sci, 2004, 9(3):264-269.
19. Dalstra M, Huiskes R. Load transfer across the pelvic bone. J Biomech, 1995, 28(6):715-724.
20. 荣国威, 王承武. 骨折. 北京:人民卫生出版社, 2004:844-847.
21. 毛宾尧. 人工全髋关节翻修外科的生物力学. 中国矫形外科杂志, 2003, 11(10):672-674.
22. Harris AM, Althausen P, Keiiam JF, et al. Simultaneous anterior and posterior approaches for complex acetabular fractures. J Orthop Trauma, 2008, 22(7):494-497.
23. Stöckle U, Hoffmann R, Nittinger M, et al. Screw fixation of acetabular fractures. Int Orthop, 2000, 24(3):143-147.
24. Dienstknecht T, Müller M, Sellei R, et al. Screw placement in percutaneous acetabular surgery:gender differences of anatomical landmarks in a cadaveric study. Int Orthop, 2013, 37(4):673-679.
25. 穆卫东. 计算机导航引导下骨盆和髋臼骨折微创经皮空心拉力螺钉技术的基础及应用研究. 济南:山东大学, 2009.
26. 张秋林, 唐昊, 王秋根, 等. 锁定加压重建钢板在髋臼骨折中的应用. 中华关节外科杂志:电子版, 2008, 2(2):129-133.
27. Harnroongroj T. The role of the anterior column of the acetabulum on pelvic stability:a biomechanical study. Injury, 1998, 29(4):293-296.
28. 王庆贤, 张英泽, 潘进社, 等. 髋臼横断骨折不同内固定方式的生物力学研究及临床意义. 中华创伤骨科杂志, 2005, 7(3):259-262.

Chinese Journal of Reparative and Reconstructive Surgery

BIOMECHANICAL RESEARCH OF DIFFERENT INTERNAL FIXATIONS USING LOCKING RECONSTRUCTION PLATE FOR ACETABULAR TRANSVERSE FRACTURE

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content