双小钢板与单固定钢板治疗锁骨远端骨折的有限元分析

Ilham Prabaswara, A. A. Sonief, Nafisah Arina Hidayati, K. Anam
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引用次数: 0

摘要

锁骨远端骨折是最常见的骨折之一。内固定是治疗锁骨骨折最常用的方法之一。据报道,双固定钢板治疗锁骨骨折可减少因固定装置引起的再手术。在本研究中,将采用有限元分析软件(FEA软件)对采用双钢板、上钢板和前后钢板固定锁骨骨折进行有限元分析。采用骨折距离为3mm的锁骨骨折三维模型,得到等效von Mises应力值。双小钢板内固定、上钢板内固定和前后钢板内固定的弯曲和压缩载荷无显著差异。双小钢板内固定的von Mises应力当量与上下钢板内固定相比具有最显著的价值。这表明双小钢板固定比单钢板固定具有更好的生物力学性能,因为它具有更好的应力屏蔽能力,并且如果由活跃患者使用,由于锁骨负荷较低,将加速骨愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FINITE ELEMENT ANALYSIS ON DUAL SMALL PLATE AND SINGLE FIXATION PLATE FOR DISTAL COLLARBONE FRACTURE TREATMENT
Distal fractures on the collarbone are one of the most common fractures. Using internal fixation is one of the most widely used methods for treating fractures in the collarbone. A dual fixation plate for a collarbone fracture is reported to reduce reoperation due to fixation devices. In this study, the element analysis results will be presented using finite element analysis software (FEA software) for the fixation of collarbone fractures using dual plate fixation, superior plate, and anteroinferior plate. A three-dimensional model of a collarbone fracture with a fracture distance of 3 mm is used to obtain the equivalent von Mises stress value. There was no significant difference in the bending and compressive loadings on the double small plate fixation, superior plate fixation, and anteroinferior plate fixation. The von Mises stress equivalent for double small plate fixation has the most significant value compared to superior and anteroinferior plate fixation. This demonstrates that dual small plate fixation has better biomechanical properties than single plate fixation because it has better stress shielding ability and will accelerate bone healing due to the low load on the collarbone if used by an active patient.
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