骨折稳定性对梯形加压钢板疲劳强度的影响
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国家自然科学基金


THE EFFECT OF FRACTURE STABILITY ON THE FATIGUE STRENGTH OF TRAPEZOID COMPRESSION PLATE
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    摘要:

    目前对骨折内固定术后负重状态下钢板疲劳强度缺乏了解。本文选用新鲜成人尸体股骨制备7种股骨干骨折模型,以梯形自动加压钢板固定。在靠近骨折线的中央螺孔边缘贴应变片。通过模拟负重电测试验及疲劳强度计算,认为骨折失稳是导致钢板疲劳强度下降的内在原因。骨折断端之间牢固固定,依据钢板的工作安全系数合理地指导负重功能练习,有助于增加现有内固定钢板使用的安全性。临床实践表明,骨折部位骨缺损-尤其是压力侧-在负重状态下可导致钢板破坏[1]。尽管失效分析认为钢板破坏属疲劳破坏[2],由于对加压钢板固定骨折后负重状态下的疲劳强度知之较少,人们不能肯定固定长骨骨折后负重时钢板是否安全。本文采用模拟电测试验与疲劳强度计算相结合的方法,对梯形加压钢板(TCP)的疲劳强度做一初步分析。

    Abstract:

    We have little information on the fatigue strength of a compression plate in fixation of a fracture under weight-bearing.Seven models of femoral shaft fractures were prepared with 3 pairs of fresh adult cadaver femora and fixed with the trapezoid compression plates. The strain gauges were placed at the edges of the central screw holes on the surface of the plate.In combination with the simulation electric measurement and the fatigue calculation,it was suggested that losing the stability of a fracture was the internal factor cutting down the fatigue strength of the plate. The fractured fragments should be fixed stably and the functional exercises should be directed reasonably by the safety factor of the plate, which may be helpful to improve the safety of applying the plate.

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刘一,郭学东,徐莘香.骨折稳定性对梯形加压钢板疲劳强度的影响[J].医用生物力学,1996,11(1):1-4

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