Email this article Techniques for Final Pelvic Ring Fixation Based on the Method of Finite Element Modeling
- Authors: Donchenko S.V1, Dubrov V.E2, Golubyatnikov A.V3, Chernyaev A.V1, Kuz’kin I.A3, Alekseev D.V1, Lebedev A.F1
-
Affiliations:
- City Clinical Hospital named after S.P. Botkin, Moscow
- Moscow State University named after M.V. Lomonosov, Moscow
- Company OOO «Kheksa», Moscow, Russia
- Issue: Vol 21, No 1 (2014)
- Pages: 38-44
- Section: Articles
- URL: https://journals.eco-vector.com/0869-8678/article/view/47566
- DOI: https://doi.org/10.17816/vto20140138-44
- ID: 47566
Cite item
Full Text
Abstract
Method of finite element modeling was used for mathematic modeling of pelvic fractures and various variants of anterior and posterior pelvic ring fixation with reconstructive plates, cannu- lated sacroiliac screws and pelvic screws. Four most common types of fracture were simulated. Stress-deformed conditions of metal constructions for every type of fracture and variant of its fixation were determined. Study results enabled to determine the optimum fixation techniques in various types of fractures, to confirm the significance of both anterior and posterior pelvic stabilization, as well as to substantiate the possibility of early rehabilitation with full weight bearing in such severe patients
About the authors
S. V Donchenko
City Clinical Hospital named after S.P. Botkin, Moscow
Email: don_03@mail.ru
V. E Dubrov
Moscow State University named after M.V. Lomonosov, Moscow
A. V Golubyatnikov
Company OOO «Kheksa», Moscow, Russia
A. V Chernyaev
City Clinical Hospital named after S.P. Botkin, Moscow
I. A Kuz’kin
Company OOO «Kheksa», Moscow, Russia
Email: info@hexa.ru
D. V Alekseev
City Clinical Hospital named after S.P. Botkin, Moscow
A. F Lebedev
City Clinical Hospital named after S.P. Botkin, Moscow
References
- Papathanasopoulos A., Tzioupis C., Giannoudis V.P., Roberts C., Giannoudis P.V. Biomechanical aspects of pelvic ring reconstruction techniques: Evidence today. Injury. 2010; 41 (12): 1220-7.
- Vigdorchik J.M., Esquivel A.O., Jin X., Yang K.H., Onwudiwe N.A., Vaidya R. Biomechanical stability of a supra-acetabular pedicle screw Internal Fixation device (INFIX) vs External Fixation and plates for vertically un- stable pelvic fractures. J. Orthop. Surg. Res. 2012; 7: 31.
- Grimshaw C.S., Bledsoe J.G., Moed B.R. Locked versus standard unlocked plating of the pubic symphysis: a cadaver biomechanical study. J. Orthop. Trauma. 2012; 26: 402-6.
- Pizanis A., Garcia P., Santelmann M., Culemann U., Pohlemann T. Reduction and fixation capabilities of dif- ferent plate designs for pubic symphysis disruption: A biomechanical comparison. Injury. 2013; 44 (2): 183-8.
- Dickson K.F., Matta J.M. Skeletal deformity after anterior external fixation of the pelvis. J. Orthop. Trauma. 2009; 23 (5): 327-32.
- Zhao Y., Li J., Wang D., Liu Y., Tan J., Zhang S. Comparison of stability of two kinds of sacroiliac screws in the fixation of bilateral sacral fractures in a finite element model. Injury. 2012; 43: 490-4.
- Eichenseer P.H., Sybert D.R., Cotton J.R. A finite element analysis of sacroiliac joint ligaments in response to different loading conditions. Spine. 2011; 36: E1446-52.
- Kobbe P., Hockertz I., Sellei R.M., Reilmann H., Hockertz T. Minimally invasive stabilisation of posterior pelvic-ring instabilities with a transiliac locked compression plate. Int. Orthop. 2012; 36: 159-64.
- Cimerman M., Kristan A. Preoperative planning in pelvic and acetabular surgery: The value of advanced computerized planning modules Injury. 2007; 38: 442-9.
- Dujardin F.H., Roussignol X., Hossenbaccus M., Thomine J.M. Experimental study of the sacroiliac joint micromotion in pelvic disruption. J. Orthop. Trauma. 2002; 16 (2): 99-103.
- Doro C.J., Forward D.P., Kim H., Nascone J.W., Sciad ni M.F., Adam H. et al. Does 2.5 cm of symphyseal widening differentiate anteroposterior compression I from anteroposterior compression II pelvic ring injuries. J. Orthop. Trauma. 2010; 24: 610-5.
- Pelvis. J. Orthop. Trauma. 2007; 21 (Suppl.): S59-67.
- McCormack R., Strauss E.J., Alwattar B.J., Tejwani N.C. Diagnosis and management of pelvic fractures. Bull. NYU Hosp. Jt Dis. 2010; 68(4): 281-91.
- Burgess A.R., Eastridge B.J., Young J.W., Ellison T.S., Ellison P.S. Jr., Poka A. et al. Pelvic ring disruptions: effective classification system and treatment protocols. J. Trauma. 1990; 30 (7): 848-56.
- Gabbe B.J., Esser M., Bucknill A., Russ M.K., Hofstee D-J., Cameron P.A. et al. The imaging and classification of severe pelvic ring fractures Experiences from two level 1 trauma centres. Bone Joint J. 2013; 95-B: 1396-1401.
- Zhao Y., Li J., Wang D., Lian W. Parameters of lengthened sacroiliac screw fixation: a radiological anatomy study. Eur. Spine J. 2012; 21: 1807-14.
- Cano-Luis P., Giraldez-Sanchez M.A., Martinez-Reina J., Serrano-Escalante F.J., Galleguillos-Rioboo C., Lazaro-Gonzalvez A. et al. Biomechanical analysis of a new minimally invasive system for osteosynthesis of pubis symphysis disruption. Injury. 2012; 43 Suppl 2: S20-7.
- Moed B.R., Grimshaw C.S., Segina D.N. Failure of locked design-specific plate fixation of the pubic symphysis: a report of six cases. J. Orthop. Trauma. 2012; 26 (7): e71-5.
- van Zwienen C.M., van den Bosch E.W., Snijders C.J., Kleinrensink G.J., van Vugt A.B. Biomechanical comparison of sacroiliac screw techniques for unstable pelvic ring fractures. J. Orthop. Trauma. 2004; 18 (9): 589-95.
- Gardner M.J., Routt M.L. Jr. The antishock iliosacral screw. J. Orthop. Trauma. 2010; 24: e86-9.
- Emohare O., Slinkard N., Lafferty P., Vang S., Morgan R. The effect of early operative stabilization on late displacement of zone I and II sacral fractures. Injury. 2013; 44 (2): 199-202.
- Calafi L.A., Routt M.L. Jr. Posterior iliac crescent fracture-dislocation: What morphological variations are amenable to iliosacral screw fixation? Injury. 2013; 44 (2): 194-8.
- Yinger K., Scalise J., Olson S.A., Bay B.K., Finkemeier C.G. Biomechanical comparison of posterior pelvic ring fixation. J. Orthop. Trauma. 2003; 17 (7): 481-7.
- Донченко С.В., Дубров В.Э., Слиняков Л.Ю., Черняев А.В., Лебедев А.Ф., Алексеев Д.В. Алгоритм хирургического лечения нестабильных повреждений тазового кольца. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2013; 4: 9-16.
Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).