Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing

doi:10.1016/j.aanat.2024.152267

科研成果详情

题名	Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing
作者	Xing, Kaiyan 1; Tan, Guirong1; Ying, Linshuo 1; Ye, Hao1; Xing, Tingyang1; Chen, Lei 1; Yang, Fangjia 1; Liang, Tianjie 1; Gu, Lingzhi 1; Xie, Xin 1; Wang, Renbo 1; Zhang, Qi 2,3,4; Chen, Wei 2,3,4; Zhang, Yingze 2,3,4; Wu, Lijun1
发表日期	2024-06-01
发表期刊	Annals of Anatomy; 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Artificial intelligence of physical logic Coronoid process basal fracture Digital smart internal fixation surgery Elbow joint longitudinal space Finite element method Intelligent anatomy and biomechanics Radius-ulna load sharing
其他关键词	PULLOUT STRENGTH ; ELBOW ; HEAD ; INSTABILITY ; STABILITY
摘要	Background: Reasonable postoperative humeroradial and humeroulnar joint spaces maybe an important indicator in biomechanical stability of smart internal fixation surgery for coronoid process basal fractures (CPBF). The aim of this study is to compare elbow articular stresses and elbow-forearm stability under smart internal fixations for the CPBF between normal elbow joint spaces and radius-shortening, and to determine the occult factor of radius-ulna load sharing. Methods: CT images of 70 volunteers with intact elbow joints were retrospectively collected for accurate three-dimensional reconstruction to measure the longitudinal and transverse joint spaces. Two groups of ten finite element (FE) models were established prospectively between normal joint space and radius-shortening with 2.0 mm, including intact elbow joint and forearm, elbow-forearm with CPBF trauma, anterior or posterior double screws-cancellous bone fixation, mini-plate-cancellous bone fixation. Three sets of physiological loads (compression, valgus, varus) were used for FE intelligent calculation, FE model verification, and biomechanical and motion analysis. Results: The stress distribution between coronoid process and radial head, compression displacements and valgus angles of elbow-forearm in the three smart fixation models of the normal joint spaces were close to those of corresponding intact elbow model, but were significantly different from those of preoperative CPBF models and fixed radius-shortening models. The maximum stresses of three smart fixation instrument models of normal joint spaces were significantly smaller than those of the corresponding fixed radius-shortening models. Conclusions: On the basis of the existing trauma of the elbow-forearm system in clinical practice, which is a dominant factor affecting radius-ulna load sharing, the elbow joint longitudinal space has been found to be the occult factor affecting radius-ulna load sharing. The stability and load sharing of radius and ulna after three kinds of smart fixations of the CPBF is not only related to the anatomical and biomechanical stability principles of smart internal fixations, but also closely related to postoperative elbow joint longitudinal space.
资助项目	National Natural Science Foundation of China[81271663,31471146];Wenzhou Medical University Scientific Development Foundation of Zhejiang, China[QTJ06012];Zhejiang Province Science and Technology Plan Research and Xinmiao Talent Program[2021R413036];
出版者	ELSEVIER GMBH
ISSN	0940-9602
EISSN	1618-0402
卷号	254
DOI	10.1016/j.aanat.2024.152267
页数	15
WOS类目	Anatomy & Morphology
WOS研究方向	Anatomy & Morphology
WOS记录号	WOS:001234564600001
收录类别	SCOPUS ; PUBMED ; SCIE
URL	查看原文
PubMed ID	38649115
SCOPUSEID	2-s2.0-85191263171
通讯作者地址	[Zhang, Yingze]Department of Orthopaedic Surgery,The Third Hospital of Hebei Medical University,Shijiazhuang,050051,China ; [Wu, Lijun]Institute of Digitized Medicine and Intelligent Technology,Wenzhou Medical University,Wenzhou,325035,China
Scopus学科分类	Anatomy;Developmental Biology
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/212660
专题	数字化医学与智能技术研究院
通讯作者	Zhang, Yingze; Wu, Lijun
作者单位	1.Institute of Digitized Medicine and Intelligent Technology,Wenzhou Medical University,Wenzhou,325035,China; 2.Department of Orthopaedic Surgery,The Third Hospital of Hebei Medical University,Shijiazhuang,050051,China; 3.Key Laboratory of Biomechanics of Hebei Province,Shijiazhuang,050051,China; 4.NHC Key Laboratory of Intelligent Orthopaedic Equipment,The Third Hospital of Hebei Medical University,Shijiazhuang,050051,China
第一作者单位	数字化医学与智能技术研究院
通讯作者单位	数字化医学与智能技术研究院
第一作者的第一单位	数字化医学与智能技术研究院
推荐引用方式 GB/T 7714	Xing, Kaiyan,Tan, Guirong,Ying, Linshuo,et al. Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing[J]. Annals of Anatomy;,2024,254.
APA	Xing, Kaiyan., Tan, Guirong., Ying, Linshuo., Ye, Hao., Xing, Tingyang., ... & Wu, Lijun. (2024). Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing. Annals of Anatomy;, 254.
MLA	Xing, Kaiyan,et al."Digital smart internal fixation surgery for coronal process basal fracture with normal joint spaces or radius-shortening: Occult factor of radius-ulna load sharing".Annals of Anatomy; 254(2024).