Finite Element Analysis of the Optimal Configuration of Bridging Combined Internal Fixation System in The Treatment of Vancouver B1 Periprosthetic Femoral Fractures
Abstract Background and Objective: The incidence of periprosthetic fracture increases with the increase of total hip arthroplasty. The treatment of periprosthetic fracture is always a difficult point. The bridged combined internal fixation system (Ortho-bridge System, OBS) is well adapted to the characteristics of periprosthetic fractures.In this study, finite element analysis was used to evaluate the optimal configuration of OBS for fixation of Vancouver B1 periprosthetic femoral fractures.Methods: A three-rod combination OBS fixation model was established to evaluate the optimal position of the third rod, the cross Angle of proximal screws, the diameter of the connecting rod, and the number of screws. Femoral displacement and the maximum Von Mises (equivalent) stress of OBS were used as evaluation indexes.Results: The third rod is located at 35mm below the lateral fovea of the femur and the minimum Von Mises peak stress of OBS, which is the best location for placing the third rod. It is feasible for proximal screw intersection Angle to be about 71° and 84°.To fix the strength, the 6mm connecting rod is better. Considering the number of screws scheme comprehensively, scheme D is the best number of screws scheme.Conclusion: The personalized and diversified fixation mode of OBS is well adapted to the characteristics of periprosthetic fracture and provides an effective means for the treatment of periprosthetic femoral fracture.