三枚中空螺纹加压钉+髂骨块植骨治疗股骨颈骨折的生物力学研究与临床应用
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BIOMECHANICAL STUDY AND CLINICAL APPLICATION OF CURING FEMORAL NECK FRACTURE WITH 3 HOLLOW COMPRESSION SCREWS+PLANTING A PIECE OF ILIUM
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    摘要:

    目的:对作者设计的三枚中空螺纹加压钉+骼骨块植骨(HSI)治疗股骨颈(头下型)骨折,进行生物力学分析,为临床应用提供科学依据。方法:利用新鲜尸股骨标本进行实验应力分析,比较三枚中空螺纹加压钉+骼骨块植骨与单纯应用三枚中空螺纹加压钉固定(HS)比较,观察两者在内固定上的生物力学性能指标变化。结果:实验结果表明采用螺纹钉+骼骨植骨固定(HSI)与单纯采用螺纹钉固定(HS)治疗股骨颈(头下型)骨折,其生物力学性能无显著性差异。临床13例实践证明,采用螺纹钉+骼骨植骨治疗头下型股骨颈骨折,近期内未见股骨头坏死发生

    Abstract:

    Objective: In order to provide the scientific bias for clinical application, We analysed the biomechanic of self-designed 3 hollow compression screws+planting a piece of ilium (HSI) on femoral neck fracture (under the head). Method: Through experimental stress analysis on fresh cadaver femoral samples. Cure femoral neck fracture (under the head) with 3 hollow compression screws+planting a piece of ilium(HSI), compare this method with that by using 3 hollow compression screws only (HS) and observe the differences in biomechanical performance between these two internal fixation methods. Results Experimental results showed that there is no obvious difference in biomechanical performance between HSI method and HS method. 13 clinical practices have proved that to cure femoral neck fracture by using HSI method will not result femoral head necrosis(at least it has not happened yet). Conclusion To cure femoral neck fracture(under the head) by using HSI method is a very effective new method.

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李强一,王以进,韩擎天,张秋琴,殷勇.三枚中空螺纹加压钉+髂骨块植骨治疗股骨颈骨折的生物力学研究与临床应用[J].医用生物力学,2000,15(4):250-254

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