Ye Yongyu, You Wei, Zhu Weimin, Cui Jiaming, Chen Kang, Wang Daping
Shenzhen Second People's Hospital, 3002 Sungang West Rd, Shenzhen, Guangdong Province 518035, China.
Peking Union Medical College and Chinese Academy of Medical Sciences, No. 9, Dongdan San Tiao, Dongcheng District, Beijing 100730, China.
Comput Math Methods Med. 2017;2017:4879836. doi: 10.1155/2017/4879836. Epub 2017 Sep 10.
Proximal humeral fractures are common and most challenging, due to the complexity of the glenohumeral joint, especially in the geriatric population with impacted fractures, that the development of implants continues because currently the problems with their fixation are not solved. Pre-, intra-, and postoperative assessments are crucial in management of those patients. Finite element analysis, as one of the valuable tools, has been implemented as an effective and noninvasive method to analyze proximal humeral fractures, providing solid evidence for management of troublesome patients. However, no review article about the applications and effects of finite element analysis in assessing proximal humeral fractures has been reported yet. This review article summarized the applications, contribution, and clinical significance of finite element analysis in assessing proximal humeral fractures. Furthermore, the limitations of finite element analysis, the difficulties of more realistic simulation, and the validation and also the creation of validated FE models were discussed. We concluded that although some advancements in proximal humeral fractures researches have been made by using finite element analysis, utility of this powerful tool for routine clinical management and adequate simulation requires more state-of-the-art studies to provide evidence and bases.
肱骨近端骨折很常见且极具挑战性，这是由于肩关节盂肱关节的复杂性，尤其是在患有嵌插骨折的老年人群中，植入物仍在不断发展，因为目前其固定问题尚未解决。术前、术中和术后评估对于这些患者的管理至关重要。有限元分析作为一种有价值的工具，已被用作分析肱骨近端骨折的有效且无创的方法，为棘手患者的管理提供了确凿证据。然而，尚未有关于有限元分析在评估肱骨近端骨折中的应用及效果的综述文章报道。这篇综述文章总结了有限元分析在评估肱骨近端骨折中的应用、贡献及临床意义。此外，还讨论了有限元分析的局限性、更逼真模拟的困难以及验证和创建经过验证的有限元模型的问题。我们得出结论，尽管使用有限元分析在肱骨近端骨折研究方面已取得一些进展，但要将这一强大工具用于常规临床管理并进行充分模拟，还需要更多前沿研究来提供证据和依据。
