新型微创肱骨前置解剖锁定钢板固定肱骨干中下段骨折的生物力学研究
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上海交通大学医-理工交叉基金(YG2009MS26),上海市科学技术委员会科技项目(09411966800)


Biomechanical study on the novel minimally invasive anterior anatomic locking plate for mid-distal humeral shaft fractures
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    摘要:

    目的 验证自行研制的新型前置肱骨中下段解剖锁定钢板(以下简称新型钢板)的力学特性,为改进设计以及临床应用提供理论依据。方法 采集20例防腐肱骨标本,进行肱骨中下段骨折钢板构件的生物力学测试,比较新型钢板(A组)与4.5 mm有限接触动力加压钢板(limited contact dynamic compression plate, LC DCP)(B组)在压缩、弯曲(正向、侧向)和扭转载荷下的生物力学性能。结果 新型钢板固定肱骨中下段骨折在4种不同载荷下的刚度、强度和应力遮挡的结果均优于4.5 mm LC DCP,具有显著性差异(P<0.05)。结论 新型钢板能够满足肱骨干中下段骨折固定术后早期功能锻炼需要,具有较大临床应用价值。

    Abstract:

    Objective To test the mechanical properties of a self-developed novel anterior mid-distal humerus anatomic locking plate (hereinafter referred to as the new plate) and to improve its design to provide theoretical support for its clinical application. Methods Twenty intact humerus from embalmed human cadavers were obtained and used for the biomechanical test on mid-distal humeral shaft fracture models by using the new plate (group A) and 4.5 mm LC DCP(limited contact dynamic compression plate)(group B), respectively. Both groups were compared under axial compression, medial-lateral bending, medial-lateral three-point bending and external rotation torque. Results The stiffness, strength and stress shielding of the new plate for mid-distal humeral shaft fractures under four different loads were superior to those of 4.5 mm LC-DCP, and the differences were statistically significant(P<0.05). Conclusions The new plate can satisfy the requirements of physical training at early stage for fixed mid-distal humeral shaft fractures, which gives great clinical values.

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姜朝来,金韡,秦晖,安智全,张长青,王以进.新型微创肱骨前置解剖锁定钢板固定肱骨干中下段骨折的生物力学研究[J].医用生物力学,2011,26(3):256-261

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  • 收稿日期:2011-12-05
  • 最后修改日期:2011-03-16
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