Biomechanical analysis of a transiliac internal fixator

Int Orthop. 2011 Dec;35(12):1863-8. doi: 10.1007/s00264-011-1251-5. Epub 2011 Apr 8.

Abstract

Purpose: We evaluated the biomechanical characteristics of the transiliac internal fixator (TIFI) as compared to two well-established methods of internal posterior pelvic ring fixation.

Methods: Six freshly frozen human pelves were used for simulated single-leg stance loading of an AO type C injury model (pubic symphysis diastasis and unilateral sacroiliac joint disruption). The symphysis rupture was stabilized with a dynamic compression plate. Afterwards the three internal stabilization systems (TIFI, iliosacral screws and ventral plate osteosynthesis) were analysed. Fragment movement was measured in a contact-free manner with a stereophotometric infrared system.

Results: No significant differences in the three-dimensional deformation tolerated by the TIFI as compared to the other internal fixation systems were found.

Conclusions: The transiliac internal fixator provides the same biomechanical stability as the other reference implants tested. We suggest the use of this device as a suitable alternative to the other implants.

Publication types

  • Comparative Study

MeSH terms

  • Biomechanical Phenomena
  • Bone Plates
  • Bone Screws
  • Cadaver
  • Equipment Failure Analysis*
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fractures, Bone / physiopathology
  • Fractures, Bone / surgery*
  • Humans
  • Ilium / injuries
  • Ilium / physiopathology
  • Ilium / surgery*
  • Internal Fixators*
  • Pubic Symphysis Diastasis / physiopathology
  • Pubic Symphysis Diastasis / surgery*
  • Range of Motion, Articular / physiology
  • Rupture
  • Sacroiliac Joint / injuries
  • Sacroiliac Joint / physiopathology
  • Sacroiliac Joint / surgery*
  • Stress, Mechanical