메뉴 건너뛰기
소속 기관 / 학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
고객센터 ENG
주제분류

논문 기본 정보

저자정보
출처
Springer Science and Business Media LLC Scientific Reports 15(1)
오류 신고하기
표지

검색

    초록·키워드

    Plate fixation is a classic method for treating day II crescent fracture dislocation of the pelvic (CFDP). However, due to the advantages of minimally invasive techniques and reduced complications associated with internal fixation percutaneous cannulated screws have emerged as a promising alternative for treating Day II CFDP. In this study, we propose using an S<sub>2</sub>AI screw combined with an LC-2 screw (S<sub>2</sub>AI + LC-2) for the treatment of Day II CFDP. The aim of this study was to compare its biomechanical stability with that of two conventional fixation methods using finite element analysis (FEA). A finite element (FE) model of pelvic was developed and validated. Three fixation methods were applied: S<sub>1</sub> sacroiliac (SI) screws combined with LC-2 screw (S<sub>1</sub> + LC-2), S<sub>1</sub> and S<sub>2</sub> SI screws combined with LC-2 screw (S<sub>1</sub> + S<sub>2</sub> + LC-2), and S<sub>2</sub>AI + LC-2. A 500 N load was applied, and the displacement of the crescent fracture fragments, the stress distribution of the implants, the displacement of the SI joint, and the maximum stress on the bone surrounding the screws were analyzed across the three FE models. After loading 500 N stress, the maximum displacement of the crescent fracture fragment and the maximum stress of bone around the implant in the S<sub>2</sub>AI + LC-2 group were the smallest in three groups. The displacement of SI joint in S<sub>2</sub>AI + LC-2 group was less than that in S<sub>1</sub> + LC-2 and S<sub>1</sub> + S<sub>2</sub> + LC-2 (P < 0.001). The maximum stress of implants in each group is smaller than the yield stress of titanium. The maximum stress of the bone around the screws at SI joint in all models lower than the yield strength of cortical bone. The maximum stress of the bone around LC-2 screws in all models lower than the yield strength of cancellous bone. The S<sub>2</sub>AI + LC-2 group can achieve reliable stability of the SI joint, and the stress on the bone around the screw could be reduced. The S<sub>2</sub>AI + LC-2 group has good biomechanical stability and can be considered as a new implant to treat Day II CFDP.

    본문·목차

    최근 본 자료 전체보기