Comparison of Diamond and Nonparallel Fixation with Cannulated Screws for Femoral Neck Fracture of Pauwels: A Finite Element Analysis

Zhi-yuan LI , Chong NAN , Jin-hui TIAN , Zhong-chao JIANG , Xiao-dong LI , Bing-zhi LIU , Jie MIAO

Science Technology and Engineering ›› 2024, Vol. 24 ›› Issue (19) : 8018 -8024.

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Science Technology and Engineering ›› 2024, Vol. 24 ›› Issue (19) : 8018-8024 DOI: 10.12404/j.issn.1671-1815.2305383
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Comparison of Diamond and Nonparallel Fixation with Cannulated Screws for Femoral Neck Fracture of Pauwels: A Finite Element Analysis
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Abstract

In order to compare the biomechanical properties of four screws internal fixation for femoral neck fracture of Pauwels typeⅠ、Ⅱ、Ⅲ: diamond and nonparallel screws, the clinical CT images were used to establish models of three kinds of different Pauwels types and two kinds of configuration models through three-dimensional virtual software (Minics、Solideworks、Geomagic). Models were imported into software Ansys to assume material properties and load pressure. The maximum displacement, maximum stress and shear stress were observed. The biomechanical properties of diamond and nonparallel fixation with cannulated screws were different. Among PauwelsⅠfracture (20°), the max displacement were 0.560 2 mm、0.561 0 mm, the max equivalent stresses were 23.68 MPa、24.49 MPa, the max shear stresses were 3.715 MPa、4.160 MPa. Among PauwelsⅡfracture (40°), the max displacement were 0.562 0 mm、0.565 3 mm, the max equivalent stresses were 24.64 MPa、25.32 MPa, the max shear stresses were 4.540 MPa、5.549 MPa. Among PauwelsⅢfracture (60°), the max displacement were 0.570 8 mm、0.572 3 mm, the max equivalent stresses were 25.91 MPa、26.08 MPa, the max shear stresses were 6.668 MPa、7.089 MPa. It is concluded the diamond configuration models has better stress dispersion effects, less displacement and shear stress conditions, better biomechanical stability under the same stress.

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Zhi-yuan LI, Chong NAN, Jin-hui TIAN, Zhong-chao JIANG, Xiao-dong LI, Bing-zhi LIU, Jie MIAO. Comparison of Diamond and Nonparallel Fixation with Cannulated Screws for Femoral Neck Fracture of Pauwels: A Finite Element Analysis. Science Technology and Engineering, 2024, 24(19): 8018-8024 DOI:10.12404/j.issn.1671-1815.2305383

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