Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis

Abstract Objective To compare the breakage risk of lengthened sacroiliac screws and ordinary sacroiliac screws to treat unilateral vertical sacral fractures and provide a reference for clinical application. Methods A finite element model of Tile C pelvic ring injury (unilateral type Denis II fractur...

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Main Authors: Yupeng Ma, Yong Zhao, Dexin Zou, Shengjie Dong, Xiujiang Sun, Gong Cheng, Wei Lian, Yuchi Zhao, Tao Sun, Dan Wang, Shudong Zhang
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-022-05898-2
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author Yupeng Ma
Yong Zhao
Dexin Zou
Shengjie Dong
Xiujiang Sun
Gong Cheng
Wei Lian
Yuchi Zhao
Tao Sun
Dan Wang
Shudong Zhang
author_facet Yupeng Ma
Yong Zhao
Dexin Zou
Shengjie Dong
Xiujiang Sun
Gong Cheng
Wei Lian
Yuchi Zhao
Tao Sun
Dan Wang
Shudong Zhang
author_sort Yupeng Ma
collection DOAJ
description Abstract Objective To compare the breakage risk of lengthened sacroiliac screws and ordinary sacroiliac screws to treat unilateral vertical sacral fractures and provide a reference for clinical application. Methods A finite element model of Tile C pelvic ring injury (unilateral type Denis II fracture of the sacrum) was produced. The sacral fractures were fixed with a lengthened sacroiliac screw and ordinary sacroiliac screw in 6 types of models. The maximal von Mises stresses and stress distributions of the two kinds of screws when standing on both feet were measured and compared. Results The maximal von Mises stress of the lengthened screw was less than that of the ordinary screw. Compared with ordinary screw, the stress distribution in the lengthened screw was more homogeneous. Conclusions The breakage risk of screws fixed in double segments is lower than that of screws fixed in single segments, the breakage risk of lengthened screws is lower than that of ordinary screws, and the breakage risk of screws fixed in S2 segments is lower than that of screws fixed in S1 segments.
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spelling doaj.art-b832e2ecfdb84c1d88fd27f5078f97362022-12-22T03:58:06ZengBMCBMC Musculoskeletal Disorders1471-24742022-11-012311610.1186/s12891-022-05898-2Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysisYupeng Ma0Yong Zhao1Dexin Zou2Shengjie Dong3Xiujiang Sun4Gong Cheng5Wei Lian6Yuchi Zhao7Tao Sun8Dan Wang9Shudong Zhang10Orthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalCT/MR Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalOrthopaedics Department, Yantai Shan HospitalAbstract Objective To compare the breakage risk of lengthened sacroiliac screws and ordinary sacroiliac screws to treat unilateral vertical sacral fractures and provide a reference for clinical application. Methods A finite element model of Tile C pelvic ring injury (unilateral type Denis II fracture of the sacrum) was produced. The sacral fractures were fixed with a lengthened sacroiliac screw and ordinary sacroiliac screw in 6 types of models. The maximal von Mises stresses and stress distributions of the two kinds of screws when standing on both feet were measured and compared. Results The maximal von Mises stress of the lengthened screw was less than that of the ordinary screw. Compared with ordinary screw, the stress distribution in the lengthened screw was more homogeneous. Conclusions The breakage risk of screws fixed in double segments is lower than that of screws fixed in single segments, the breakage risk of lengthened screws is lower than that of ordinary screws, and the breakage risk of screws fixed in S2 segments is lower than that of screws fixed in S1 segments.https://doi.org/10.1186/s12891-022-05898-2PelvisSacral fractureSacroiliac screwScrew breakageBiomechanics
spellingShingle Yupeng Ma
Yong Zhao
Dexin Zou
Shengjie Dong
Xiujiang Sun
Gong Cheng
Wei Lian
Yuchi Zhao
Tao Sun
Dan Wang
Shudong Zhang
Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
BMC Musculoskeletal Disorders
Pelvis
Sacral fracture
Sacroiliac screw
Screw breakage
Biomechanics
title Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
title_full Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
title_fullStr Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
title_full_unstemmed Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
title_short Breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
title_sort breakage risk of different sacroiliac screws in unilateral sacral fractures a finite element analysis
topic Pelvis
Sacral fracture
Sacroiliac screw
Screw breakage
Biomechanics
url https://doi.org/10.1186/s12891-022-05898-2
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