波形钢板固定股骨骨折的生物力学实验研究与临床应用
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BIOMECHANICAL EXPERIMENT AND CLINICAL APPLICATION OF IMMOBILIZATION OF THE FEMUR WITH WAVE PLATES
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    摘要:

    本文采用7具人尸股骨标本骨折后采用波形钢板和普通钢板加以固定,对照比较了两种不同固定方式下轴向压缩、三点弯曲、扭转试验下的生物力学性能。结果表明:波形钢板的强度比普通钢板的强度大32%,刚度高33%,两者是显著性差异(P<0.01)。同时试验证明:波形钢板固定的应力遮挡率小于普通钢板32.5%,有利于骨重建应力环境的改善,能加速食痂生长。两种钢板本身的强度和刚度也显示了前者优于后者。证明采用波形钢板是符合生物力学原则的,临床应用波形钢板治疗股骨干骨折20例,经5~16个月随访,优良率达94.7%。表明波形钢板是治疗股骨干骨折较好的内固定方法,值得推广应用。

    Abstract:

    In this study, femurs from 7 cadavers were fractured and then immobilized with wave plates andcommon compressive plates respectively. Comparisons wtre made on biomechanical properties ofthese two types of plates by means of axial compression, three-point bending and twisting test.Results of the studys showed that the wave plates are significantly different from the commoncompressive ones (P<0.01) in that the strength and rigidity of the wave plates are respectively 32%and 33% greater. Experiments proved that the stress resistance rate of the wave plates is 32.5% lessthan that of the common compressive plates,which contributes to the improvement of the stressconditions for bone remodelling and quickens the growth of the callus, the wave plates arepreferable to the common compressive plates, and hence it is in accord with the principle ofbiomechanics to adopt the wave plates. Wave plates were used in treating 147 patients with fractureof the femoral shaft. After 324 months of follow-up, the rate of excellent recovery turned out to be95.8%,indicating that the application of wave plates is a desirab1e method of internal fixation totreat fracture of the femoral shaft, and therefore deserves further popularization in clinical practice.

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赵建宁,陆维举,周利武,曾晓峰,王以进,李永丰.波形钢板固定股骨骨折的生物力学实验研究与临床应用[J].医用生物力学,1998,13(4):227-232

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