• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

使用生物力学测试和有限元分析对三种治疗骶髂关节脱位的内固定方法进行生物力学研究。

Biomechanical study of three kinds of internal fixation for the treatment of sacroiliac joint disruption using biomechanical test and finite element analysis.

作者信息

Wu Tao, Ren Xuejiao, Cui Yunwei, Cheng Xiaodong, Peng Shuo, Hou Zhiyong, Han Yongtai

机构信息

Department of Bone Disease, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China.

Department of Radiotherapy, Fourth Hospital of Hebei Medical University, Shijiazhuang, 050011, Hebei, China.

出版信息

J Orthop Surg Res. 2018 Jun 19;13(1):152. doi: 10.1186/s13018-018-0858-2.

DOI:10.1186/s13018-018-0858-2
PMID:29914519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6006595/
Abstract

BACKGROUND

To compare the stability of sacroiliac joint disruption fixed with three kinds of internal fixation using both biomechanical test and finite element analysis.

METHODS

Five embalmed specimens of an adult were used. The symphysis pubis rupture and left sacroiliac joint disruption were created. The symphysis pubis was stabilized with a five-hole plate. The sacroiliac joint disruption was fixed with three kinds of internal fixation in a randomized design. Displacements of the whole specimen and shifts in the gap were recorded. Three-dimensional finite element models of the pelvis, the pelvis with symphysis pubis rupture and left sacroiliac joint disruption, and three kinds of internal fixation techniques were created and analyzed.

RESULTS

Under the vertical load, the displacements and shifts in the gap of the pelvis fixed with minimally invasive adjustable plate (MIAP) combined with one iliosacral (IS) screw were the smallest, and the average displacements of the pelvis fixed with an anterior plate were the largest one. The differences among them were significant. In finite element analysis and MIAP combined with one IS screw fixation showed relatively best fixation stability and lowest risks of implant failure than two IS screws fixation and anterior plate fixation.

CONCLUSION

The stability of sacroiliac joint disruption fixed with MIAP combined with one IS screw is better than that fixed with two IS screws and anterior plate under vertical load.

摘要

背景

通过生物力学测试和有限元分析比较三种内固定方式固定骶髂关节脱位的稳定性。

方法

使用五具成年防腐标本。制造耻骨联合破裂和左侧骶髂关节脱位。耻骨联合用五孔钢板固定。骶髂关节脱位采用三种内固定方式进行随机设计固定。记录整个标本的位移和间隙变化。建立并分析骨盆、耻骨联合破裂和左侧骶髂关节脱位的骨盆以及三种内固定技术的三维有限元模型。

结果

在垂直载荷下，微创可调钢板（MIAP）联合一枚髂骶（IS）螺钉固定的骨盆位移和间隙变化最小，前路钢板固定的骨盆平均位移最大。它们之间的差异具有显著性。在有限元分析中，MIAP联合一枚IS螺钉固定显示出比两枚IS螺钉固定和前路钢板固定相对更好的固定稳定性和最低的植入失败风险。

结论

在垂直载荷下，MIAP联合一枚IS螺钉固定骶髂关节脱位的稳定性优于两枚IS螺钉和前路钢板固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/4e3c57df15cd/13018_2018_858_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/62b2138f5690/13018_2018_858_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/ecf732c7ae20/13018_2018_858_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/b4e06b0924d5/13018_2018_858_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/2e86763430e2/13018_2018_858_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/bdebd201b03d/13018_2018_858_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/4e3c57df15cd/13018_2018_858_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/62b2138f5690/13018_2018_858_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/ecf732c7ae20/13018_2018_858_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/b4e06b0924d5/13018_2018_858_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/2e86763430e2/13018_2018_858_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/bdebd201b03d/13018_2018_858_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15dd/6006595/4e3c57df15cd/13018_2018_858_Fig6_HTML.jpg

相似文献

1
Biomechanical study of three kinds of internal fixation for the treatment of sacroiliac joint disruption using biomechanical test and finite element analysis.使用生物力学测试和有限元分析对三种治疗骶髂关节脱位的内固定方法进行生物力学研究。
J Orthop Surg Res. 2018 Jun 19;13(1):152. doi: 10.1186/s13018-018-0858-2.
2
Biomechanical comparison of three kinds of fixation in fracture-dislocation of the sacroiliac joint.三种骶髂关节骨折脱位内固定方式的生物力学比较
Technol Health Care. 2019;27(1):89-99. doi: 10.3233/THC-181274.
3
Comparison of sacroiliac screw techniques for unstable sacroiliac joint disruptions: a finite element model analysis.不稳定骶髂关节分离的骶髂螺钉技术比较：有限元模型分析。
Injury. 2023 Nov;54 Suppl 6:110783. doi: 10.1016/j.injury.2023.05.014.
4
Biomechanical Comparison of Two Kinds of Internal Fixation in a Type C Zone II Pelvic Fracture Model.C型II区骨盆骨折模型中两种内固定的生物力学比较
Chin Med J (Engl). 2015 Sep 5;128(17):2312-7. doi: 10.4103/0366-6999.163377.
5
Biomechanical study of Tile C3 pelvic fracture fixation using an anterior internal system combined with sacroiliac screws.Tile C3 骨盆骨折经前路内置系统联合骶髂螺钉固定的生物力学研究
J Orthop Surg Res. 2021 Mar 27;16(1):225. doi: 10.1186/s13018-021-02348-y.
6
Locked versus standard unlocked plating of the pubic symphysis: a cadaver biomechanical study.耻骨联合锁定与标准非锁定钢板固定的比较：尸体生物力学研究。
J Orthop Trauma. 2012 Jul;26(7):402-6. doi: 10.1097/BOT.0b013e31822c83bd.
7
[Finite element analysis of five internal fixation modes in treatment of Day type crescent fracture dislocation of pelvis].骨盆Day型新月形骨折脱位五种内固定方式治疗的有限元分析
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Oct 15;37(10):1205-1213. doi: 10.7507/1002-1892.202306043.
8
Comparison of Biomechanical Characteristics and Pelvic Ring Stability Using Different Fixation Methods to Treat Pubic Symphysis Diastasis: A Finite Element Study.使用不同固定方法治疗耻骨联合分离的生物力学特性及骨盆环稳定性比较：一项有限元研究
Medicine (Baltimore). 2015 Dec;94(49):e2207. doi: 10.1097/MD.0000000000002207.
9
Biomechanical comparison of posterior pelvic ring fixation.骨盆后环固定的生物力学比较
J Orthop Trauma. 2003 Aug;17(7):481-7. doi: 10.1097/00005131-200308000-00002.
10
Biomechanical characteristics of fixation methods for floating pubic symphysis.耻骨联合分离固定方法的生物力学特性
J Orthop Surg Res. 2017 Mar 7;12(1):38. doi: 10.1186/s13018-017-0541-z.

引用本文的文献

1
Finite element analysis of modified pedicle screw fixation and traditional lumbopelvic fixation for the treatment of sacroiliac joint disruption.改良椎弓根螺钉固定与传统腰骶骨盆固定治疗骶髂关节脱位的有限元分析
BMC Musculoskelet Disord. 2024 Dec 27;25(1):1075. doi: 10.1186/s12891-024-08185-4.
2
Comparison of mechanical stability of modified pedicle screw fixator and unilateral lumbopelvic fixation for treating sacroiliac joint disruption: A finite element analysis study.改良椎弓根螺钉固定器与单侧腰骶骨盆固定治疗骶髂关节脱位的机械稳定性比较：有限元分析研究。
Acta Orthop Traumatol Turc. 2024 Nov 8;58(5):274-279. doi: 10.5152/j.aott.2024.24072.
3

本文引用的文献

1
Percutaneous sacroiliac screw versus anterior plating for sacroiliac joint disruption: A retrospective cohort study.经皮骶髂螺钉与前路钢板治疗骶髂关节脱位：一项回顾性队列研究。
Int J Surg. 2018 Feb;50:11-16. doi: 10.1016/j.ijsu.2017.12.017. Epub 2017 Dec 25.
2
Percutaneous iliosacral screw fixation in unstable pelvic fractures.不稳定骨盆骨折的经皮髂骶螺钉固定术
Pan Afr Med J. 2017 Aug 3;27:244. doi: 10.11604/pamj.2017.27.244.11506. eCollection 2017.
3
Biomechanical study of different fixation techniques for the treatment of sacroiliac joint injuries using finite element analyses and biomechanical tests.
[Effectiveness of sacroiliac screw implantation assisted by three-dimensional printed faceted honeycomb guide plate in treatment of posterior pelvic ring fracture].
三维打印小关节蜂窝导板辅助骶髂螺钉植入治疗骨盆后环骨折的疗效
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Nov 15;38(11):1317-1324. doi: 10.7507/1002-1892.202405078.
4
Biomechanical Effects of Multi-segment Fixation on Lumbar Spine and Sacroiliac Joints: A Finite Element Analysis.多节段固定对腰椎和骶髂关节的生物力学影响：有限元分析。
Orthop Surg. 2024 Oct;16(10):2499-2508. doi: 10.1111/os.14187. Epub 2024 Aug 8.
5
Pelvic Ring Fractures: A Biomechanical Comparison of Sacral and Lumbopelvic Fixation Techniques.骨盆环骨折：骶骨与腰骶部固定技术的生物力学比较
Bioengineering (Basel). 2024 Apr 2;11(4):348. doi: 10.3390/bioengineering11040348.
6
Effects of manipulations of oblique pulling on the biomechanics of the sacroiliac joint: a cadaveric study.斜向牵拉手法对骶髂关节生物力学影响的尸体研究。
BMC Musculoskelet Disord. 2023 Jan 23;24(1):55. doi: 10.1186/s12891-023-06175-6.
7
Biomechanical tests and finite element analyses of pelvic stability using bilateral single iliac screws with different channels in lumbo-iliac fixation.使用双侧单髂骨螺钉在腰髂固定中不同通道进行骨盆稳定性的生物力学测试和有限元分析。
Front Surg. 2022 Nov 8;9:1035614. doi: 10.3389/fsurg.2022.1035614. eCollection 2022.
8
Identification of safe channels for screws in the anterior pelvic ring fixation system.确认前骨盆环固定系统中螺钉的安全通道。
J Orthop Surg Res. 2022 Jun 11;17(1):312. doi: 10.1186/s13018-022-03191-5.
9
S2-alar-iliac screw and S1 pedicle screw fixation for the treatment of non-osteoporotic sacral fractures: a finite element study.S2 翼状突-髂骨螺钉和 S1 椎弓根螺钉固定治疗非骨质疏松性骶骨骨折：有限元研究。
J Orthop Surg Res. 2021 Oct 30;16(1):651. doi: 10.1186/s13018-021-02805-8.
10
Pelvic Reconstruction With a Novel Three-Dimensional-Printed, Multimodality Imaging Based Endoprosthesis Following Enneking Type I + IV Resection.采用新型三维打印、基于多模态成像的内置假体进行Enneking I+IV型切除术后骨盆重建。
Front Oncol. 2021 Apr 13;11:629582. doi: 10.3389/fonc.2021.629582. eCollection 2021.
采用有限元分析和生物力学试验对不同固定技术治疗骶髂关节损伤的生物力学研究。
Comput Biol Med. 2017 Aug 1;87:250-257. doi: 10.1016/j.compbiomed.2017.06.007. Epub 2017 Jun 7.
4
Minimally invasive surgery under fluoro-navigation for anterior pelvic ring fractures.荧光导航下微创治疗骨盆前环骨折
Indian J Orthop. 2016 May-Jun;50(3):250-5. doi: 10.4103/0019-5413.181791.
5
Accuracy of computer-assisted iliosacral screw placement using a hybrid operating room.使用混合手术室进行计算机辅助骶髂螺钉置入的准确性
Injury. 2016 Feb;47(2):402-7. doi: 10.1016/j.injury.2015.11.023. Epub 2015 Dec 12.
6
The influence of simulated transversus abdominis muscle force on sacroiliac joint flexibility during asymmetric moment application to the pelvis.在向骨盆施加不对称力矩时，模拟腹横肌力量对骶髂关节灵活性的影响。
Clin Biomech (Bristol). 2015 Oct;30(8):827-31. doi: 10.1016/j.clinbiomech.2015.06.006. Epub 2015 Jun 11.
7
Biomechanical comparison of three types of internal fixation in a type C zone II pelvic fracture model.C型II区骨盆骨折模型中三种内固定方式的生物力学比较
Int J Clin Exp Med. 2015 Feb 15;8(2):1853-61. eCollection 2015.
8
Percutaneous iliosacral fixation in external rotational pelvic fractures. A biomechanical analysis.经皮髂骶固定治疗骨盆外旋骨折的生物力学分析
Injury. 2015 Feb;46(2):327-32. doi: 10.1016/j.injury.2014.10.058. Epub 2014 Nov 1.
9
Treatment of posterior pelvic ring disruptions using a minimally invasive adjustable plate.使用微创可调节钢板治疗后骨盆环破裂。
Injury. 2013 Jul;44(7):975-80. doi: 10.1016/j.injury.2013.04.008. Epub 2013 May 10.
10
Posterior screw fixation in rotationally unstable pelvic ring injuries.旋转不稳定骨盆环损伤的后路螺钉固定。
Injury. 2011 Oct;42(10):992-6. doi: 10.1016/j.injury.2011.04.005. Epub 2011 May 6.