The morphological mapping of lateral compression type 1 pelvic fracture and pelvic ring stability classification: a finite element analysis

Journal of Orthopaedic Surgery and Research

Bin-Fei Zhang¹  Yu-Min Zhang¹  Qian-Yue Cheng¹  Hui-Guang Cheng¹  Wen-Wen Cao¹  Jun Wang¹ 

[1] Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University;

关键词: Morphological mapping;    Lateral compression type 1;    Pelvic fracture;    Stability;    Classification;    Finite element analysis;   

DOI  :  10.1186/s13018-021-02818-3

来源: DOAJ

【 摘 要 】

Abstract Purpose This finite element analysis assessed lateral compression (LC-1) fracture stability using machine learning for morphological mapping and classification of pelvic ring stability. Methods Computed tomography (CT) files of LC-1 pelvic fractures were collected. After morphological mapping and producing matrix data, we used K-means clustering in unsupervised machine learning to classify the fractures. Based on these subtypes, we manually added fracture lines in ANSYS software. Finally, we performed a finite element analysis of a normal pelvis and eight fracture subtypes based on von Mises stress and total deformation changes. Results A total of 218 consecutive cases were analyzed. According to the three main factors—zone of sacral injury and completion, pubic ramus injury side, and the sagittal rotation of the injured hemipelvis—the LC-1 injuries were classified into eight subtypes (I–VIII). No significant differences in stress or deformation were observed between unilateral and bilateral public ramus fractures. Subtypes VI and VIII showed the maximum stress while subtypes V–VIII showed the maximum deformation in the total pelvis and sacrum. The subtypes did not differ in superior public ramus deformation. Conclusions Complete fracture of sacrum zones 2/3 may be a feature of unstable LC-1 fractures. Surgeons should give surgical strategies for subtypes V–VIII.

【 授权许可】

Unknown