Finite Element Analysis of a Novel Anatomical Locking Guide Plate for Anterior Column and Posterior Hemi-Transverse Acetabular Fractures

Abstract

Purpose The increasing worldwide prevalence of anterior column-posterior hemi-transverse fracture (ACPHTF) brings formidable challenges to orthopaedic surgeons. Our newly-designed locking plate had previously demonstrated promising effects in ACPHTF, but evidence of their direct comparison with conventional internal fixations remains lacking. In this study, we aimed to compare our novel plate with the traditional devices via finite element analysis. Methods The ACPHTF model was created based on a 48-year-old volunteer’s CT data, and then fixed in three different internal fixations: an anterior column locking plate with posterior column screws, double column locking plates, and our novel anatomical locking plate. These models were next loaded with a downward vertical force of 200 N, 400 N and 600 N, and the stress peaks and displacements of three different sites were recorded and analyzed. Results We first tested the rigidity and found that our newly-designed locking plate as well as its matched screws had a greater stiffness especially when they were under a higher loading force of 600 N. Then we evaluated the displacements of fracture ends after applying these fixations. Both our novel plate and DLP showed significantly smaller displacement than LPPCS at the anterior column fracture line and the pubic branch fracture line, while our novel plate was not obviously inferior to DLP in terms of the displacement. Conclusion This novel plate demonstrates a distinct superiority in the stiffness over LPPCS and DLP and comparable displacements to DLP in ACPHTF, which suggests this novel anatomical locking guide plate should be taken into consideration in ACPHTF.

Comparison between Novel Anatomical Locking Guide Plate and Conventional Locking Plate for Acetabular Fractures: A Finite Element Analysis

“…The stress distribution and peak values serve as comprehensive indicators of the strength of these instruments, aiding in the identification of appropriate materials. Furthermore, the displacement of fracture fragments provides a reliable measure of the stability of internal fixation in TAF [41].…”

“…The boundary conditions, material properties, and loading force were defined using Abaqus 6.14 software (Dassault Systems, Velizy-Villacoublay, France). Binding was applied to the contact surfaces between the bone and internal fixation or between devices, while the contact surface between fracture fragments was defined as friction with a friction coefficient of 0.2 [41]. Furthermore, the material properties were established by consulting the pertinent literature [42].…”