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骨盆建模以及使用人工松质骨进行双骨盆截骨术时钢板位置的比较与有限元分析

Pelvic modelling and the comparison between plate position for double pelvic osteotomy using artificial cancellous bone and finite element analysis.

作者信息

McCartney William, MacDonald Bryan, Ober Ciprian Andrei, Lostado-Lorza Rubén, Gómez Fátima Somovilla

机构信息

, NOAH, 38 Warrenhouse Road, Baldoyle, Dublin 13, Ireland.

Dublin City University, Glasnevin, Dublin 9, Ireland.

出版信息

BMC Vet Res. 2018 Mar 20;14(1):100. doi: 10.1186/s12917-018-1416-1.


DOI:10.1186/s12917-018-1416-1
PMID:29554909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5859441/
Abstract

BACKGROUND: Finite element analysis was used to compare fixation methods for double pelvic osteotomy (DPO). Using 3D scanning a stereolithography (stl) image was produced of a canine pelvis and this was subsequently refined in computer aided design (CAD). Using the CAD files, the images were imported in MSC Marc software to produce a working finite element (FE) model with 3 dimensional tetrahedral elements with linear shaped functions. The dimensions of a precontoured pelvic osteotomy plate with eight screws and a twisted seven screw straight plate were used to build the 2 fixations implants for the FE models. An equivalent load of 300 N was applied progressively on all FE models in order to facilitate its convergence. The load was applied in a distributed manner on the femur-hip joint contact area in order to simulate the actual behavior of the joint. The aim of the present study was to analyze the difference in stiffness and behavior under loading between a lateral vs ventral plate fixation, with unlocked screws and different gap scenarios, for stabilization of a pelvic osteotomy using finite element analysis. RESULTS: From both configurations the maximum displacement of the ventral plate with 7 screws without gap had a value of 1.988 mm, while in the DPO plate had a maximum displacement of 2.191 mm. The load applied for each of the different configurations studied when a gap of 1° was considered and also when a condition of no gap was considered. The ventral plate was stiffer than the lateral plate when a gap was not present. When the gap was closed in the ventral plate, the stiffness increased until a point that remained constant. CONCLUSIONS: Ventral plate fixation can be as or more stiff as lateral plate fixation and provides flexible fixation. This behavior should reduce screw loosening. Using ventral plate fixation is recommended to reduce screw loosening or failure.

摘要

背景:采用有限元分析比较双骨盆截骨术(DPO)的固定方法。通过三维扫描生成犬骨盆的立体光刻(stl)图像,随后在计算机辅助设计(CAD)中进行优化。利用CAD文件,将图像导入MSC Marc软件,生成具有线性形状函数的三维四面体单元的工作有限元(FE)模型。采用带有八枚螺钉的预塑形骨盆截骨板和七枚螺钉的扭曲直板的尺寸,为FE模型构建两种固定植入物。在所有FE模型上逐步施加300 N的等效载荷,以促进其收敛。载荷以分布式方式施加在股骨 - 髋关节接触区域,以模拟关节的实际行为。本研究的目的是使用有限元分析,分析外侧与腹侧钢板固定、未锁定螺钉以及不同间隙情况下,骨盆截骨术固定时在刚度和加载行为上的差异。 结果:在两种构型中,无间隙的七枚螺钉腹侧钢板的最大位移值为1.988 mm,而在DPO钢板中最大位移为2.191 mm。研究了在考虑1°间隙和无间隙情况下,每种不同构型所施加的载荷。无间隙时,腹侧钢板比外侧钢板更硬。当腹侧钢板间隙闭合时,刚度增加,直至达到一个恒定值。 结论:腹侧钢板固定的刚度可与外侧钢板固定相同或更大,并提供灵活的固定。这种特性应能减少螺钉松动。建议使用腹侧钢板固定以减少螺钉松动或失效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/68d08affb376/12917_2018_1416_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/acb13d5d8e26/12917_2018_1416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/2b019ffe2592/12917_2018_1416_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/e6b81207f210/12917_2018_1416_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/6fe13408779e/12917_2018_1416_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/beb1623b29ff/12917_2018_1416_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/d8ff37437abb/12917_2018_1416_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/68d08affb376/12917_2018_1416_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/acb13d5d8e26/12917_2018_1416_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/2b019ffe2592/12917_2018_1416_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/e6b81207f210/12917_2018_1416_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/6fe13408779e/12917_2018_1416_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/beb1623b29ff/12917_2018_1416_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/d8ff37437abb/12917_2018_1416_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ee/5859441/68d08affb376/12917_2018_1416_Fig7_HTML.jpg

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本文引用的文献

[1]
Effect of a locking triple pelvic osteotomy plate on screw loosening in 26 dogs.

Vet Surg. 2012-1

[2]
Use of locking plate and screws for triple pelvic osteotomy.

Vet Surg. 2012-1

[3]
Comparison of the mechanical behaviors of locked and nonlocked plate/screw fixation applied to experimentally induced rotational osteotomies in canine ilia.

Vet Surg. 2012-1

[4]
Acetabular ventroversion with double pelvic osteotomy versus triple pelvic osteotomy: a cadaveric study in dogs.

Vet Surg. 2011-7

[5]
Double pelvic osteotomy for the treatment of hip dysplasia in young dogs.

Vet Comp Orthop Traumatol. 2010

[6]
Evaluation of ilial screw loosening after triple pelvic osteotomy in dogs: 227 cases (1991-1999).

J Am Vet Med Assoc. 2006-8-15

[7]
Early detection and treatment of screw loosening in triple pelvic osteotomy.

Vet Surg. 2005

[8]
Increased sacral screw purchase minimizes screw loosening in canine triple pelvic osteotomy.

Vet Surg. 2004

[9]
Risk factors for screw migration after triple pelvic osteotomy.

J Am Anim Hosp Assoc. 2001

[10]
Triple osteotomy of the pelvis as a treatment for canine hip dysplasia.

J Am Vet Med Assoc. 1981-1-1

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