文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
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
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
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 @ 2025

评估尺骨重建的整块桡骨远端切除术钢板固定中螺钉的拔出力:有限元分析及与蒂尔尸体实验的比较

Evaluation of screw pull-out from plate fixation of en bloc distal radius resection with ulnar reconstruction: Finite element analysis and comparison with experiments on Thiel cadavers.

作者信息

Chancharoen Wares, Nwe Theingi, Seehanam Saran, Taradolpisut Napawan, Berkband Thewarid, Chobpenthai Thanapon, Jongwannasiri Chavin, Yurasakpong Laphatrada

机构信息

Laboratory of Artificial Intelligence and Innovation in Medicine (AIIM), Princess Srisavangavadhana Faculty of Medicine, Chulabhorn Royal Academy, 906 Kamphaeng Phet 6 Road, Talat Bang Khen, Lak Si, Bangkok 10210, Thailand.

Department of Anatomy, Faculty of Science, Mahidol University, 272 Rama VI Road, Ratchathewi, Bangkok 10400, Thailand.

出版信息

APL Bioeng. 2025 Jun 11;9(2):026123. doi: 10.1063/5.0248553. eCollection 2025 Jun.


DOI:10.1063/5.0248553
PMID:40510859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12162135/
Abstract

Fractures of the distal radius often require surgical intervention, with plate fixation being a standard stabilization method. Screw loosening and pull-out propose significant complications, necessitating comprehensive understanding of fixation stability factors. This study introduces a novel approach by the combination of finite element analysis (FEA) and experimental investigations on Thiel cadavers to evaluate screw pull-out behavior from plate fixation in en bloc distal radius resection with ulnar reconstruction. In comparison with previous investigations that used computational modeling or fresh-frozen cadaveric specimens, in the present research, FEA predictions specifically experimentally confirm the usage of Thiel cadavers, which better preserve soft tissue elasticity and hydration, thus more closely reflect conditions. Experimental set-up consisted of bending tests on cadavers and screw pull-out tests in Thiel-cadaveric radius specimens mimicking physiological conditions that induce the effects of screw pull-out. Finite element analysis and simulation were conducted using realistic clinical cases. Biomechanical test results indicated locking-plate deformation and screw loosening, particularly at locations closest to the ulnar bone gap. Torque measurements established various degrees of screw loosening, with the screws closest to the bone gap indicating maximum loosening. FEA demonstrated critical distributions of stresses in screws and locking plates, with good correlations to experimental findings. Screw pull-out force analysis showed vulnerability to loosening, particularly in the area of bone gaps, with findings consistent between biomechanical testing and FEA. This study offers valuable information on the surgical implications and biomechanical considerations of plate fixation for en bloc distal radius resection with ulnar reconstruction.

摘要

桡骨远端骨折通常需要手术干预,钢板固定是一种标准的稳定方法。螺钉松动和拔出会引发严重并发症,因此有必要全面了解固定稳定性因素。本研究引入了一种新方法,将有限元分析(FEA)与对蒂尔尸体的实验研究相结合,以评估在尺骨重建的整块桡骨远端切除术中钢板固定时螺钉的拔出行为。与以往使用计算模型或新鲜冷冻尸体标本的研究相比,在本研究中,FEA预测特别通过实验证实了蒂尔尸体的使用,其能更好地保留软组织弹性和水合作用,从而更接近真实情况。实验设置包括对尸体进行弯曲试验以及在模拟诱导螺钉拔出效果的生理条件的蒂尔尸体桡骨标本上进行螺钉拔出试验。使用实际临床病例进行有限元分析和模拟。生物力学测试结果表明锁定钢板变形和螺钉松动,尤其是在最靠近尺骨间隙的位置。扭矩测量确定了不同程度的螺钉松动,最靠近骨间隙的螺钉松动程度最大。FEA显示了螺钉和锁定钢板中的关键应力分布,与实验结果具有良好的相关性。螺钉拔出力分析表明在骨间隙区域易发生松动,生物力学测试和FEA的结果一致。本研究为尺骨重建的整块桡骨远端切除术中钢板固定的手术意义和生物力学考虑提供了有价值的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/2bcf6b6f55d7/ABPID9-000009-026123_1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/03dbadc63f8d/ABPID9-000009-026123_1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/9394af00c24b/ABPID9-000009-026123_1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/e1deab0e526e/ABPID9-000009-026123_1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/bc9d3bd4003d/ABPID9-000009-026123_1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/eea58b9ad1a5/ABPID9-000009-026123_1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/e7aeb8a2c1d1/ABPID9-000009-026123_1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/2bcf6b6f55d7/ABPID9-000009-026123_1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/03dbadc63f8d/ABPID9-000009-026123_1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/9394af00c24b/ABPID9-000009-026123_1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/e1deab0e526e/ABPID9-000009-026123_1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/bc9d3bd4003d/ABPID9-000009-026123_1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/eea58b9ad1a5/ABPID9-000009-026123_1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/e7aeb8a2c1d1/ABPID9-000009-026123_1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d4/12162135/2bcf6b6f55d7/ABPID9-000009-026123_1-g007.jpg

相似文献

[1]
Evaluation of screw pull-out from plate fixation of en bloc distal radius resection with ulnar reconstruction: Finite element analysis and comparison with experiments on Thiel cadavers.

APL Bioeng. 2025-6-11

[2]
Finite element analysis of different locking plate fixation methods for the treatment of ulnar head fracture.

J Orthop Surg Res. 2021-3-15

[3]
[Stability of volar fixed-angle plating for distal radius fractures. Failure modes in osteoporotic bone].

Unfallchirurg. 2013-4

[4]
Anatomical and Biomechanical Stability of Single/Double Screw-Cancellous Bone Fixations of Regan-Morry Type III Ulnar Coronoid Fractures in Adults: CT Measurement and Finite Element Analysis.

Orthop Surg. 2023-4

[5]
Effect of Screw Length in Volar Plating for Intra-Articular Distal Radius Fractures: A Biomechanical Study.

J Hand Surg Am. 2024-12

[6]
Osteosynthesis of an extra-articular distal radius fracture using a palmar locking plate with 4 epiphyseal screws (Gold Standard) versus 2 epiphyseal screws: Finite element analysis.

Injury. 2025-7

[7]
[Biomechanical effects of iliac screw plates on stability of lumbo-iliac fixation construct].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013-5

[8]
Biomechanical analysis of locking plates for fixation of metacarpal shaft fractures: A finite element analysis.

Orthop Traumatol Surg Res. 2022-12

[9]
[Internal fixation of radial shaft fractures: Anatomical and biomechanical principles].

Rozhl Chir. 2015-10

[10]
The biomechanical aspects of reconstruction for segmental defects of the mandible: a finite element study to assess the optimisation of plate and screw factors.

J Craniomaxillofac Surg. 2014-9

本文引用的文献

[1]
Performance parametric formulation of carbon fiber-reinforced composite locking bone implant plates based on finite-element analysis.

Comput Methods Biomech Biomed Engin. 2024-5-29

[2]
Fixation stability comparison of bone screws based on thread design: buttress thread, triangle thread, and square thread.

BMC Musculoskelet Disord. 2022-8-30

[3]
Open Reduction and Internal Fixation by Volar Locking Plates and the "Poking Reduction" Technique in Distal Radius Fractures with Displaced Dorsal Ulnar Fragments: A Retrospective Study.

Orthop Surg. 2022-10

[4]
Biomechanical analysis of locking plates for fixation of metacarpal shaft fractures: A finite element analysis.

Orthop Traumatol Surg Res. 2022-12

[5]
Variations in Strain Distribution at Distal Radius under Different Loading Conditions.

Life (Basel). 2022-5-16

[6]
Analysis and validation of a 3D finite element model for human forearm fracture.

Int J Numer Method Biomed Eng. 2022-9

[7]
En bloc resection and vascularized ulnar pedicle graft reconstruction with plate fixation for giant cell tumour of the distal radius.

J Hand Surg Eur Vol. 2022-5

[8]
A comparative finite element simulation of locking compression plate materials for tibial fracture treatment.

Comput Methods Biomech Biomed Engin. 2021-8

[9]
Evaluating the mechanical response of novel synthetic femurs for representing osteoporotic bone.

J Biomech. 2020-10-9

[10]
Biomechanical investigation of a novel hybrid dorsal double plating for distal radius fractures by integrating topology optimization and finite element analysis.

Injury. 2020-6

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索