锥状点式接触接骨板与普通接骨板的力学性能及对局部血流量影响的比较
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A COMPARISON OF MECHANICAL PERFORMANCE AND THE EFFECT ON CORTICAL MICROCIRCULATION BE-TWEEN CONICAL CYLINDER POINT CONTACT FIXATOR(CCPC-FIX) AND CONVENTIONAL PLATE (CP)
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    摘要:

    为了比较锥状点式接触接骨板与普通接骨板的力学性能及对局部皮质骨微循环的影响,采用材料、尺寸完全一致的模拟骨,分别用两种接骨板固定,进行三点弯曲实验和扭转实验比较二者的力学性能。另用14只山羊,4只正常对照,10只行胫骨中段横行截骨后分别用两种接骨板固定。术后3天、2周、4周和9周处死动物,用放射性微球局部血流量测定法评价接骨板下和对侧皮质骨血流量。结果发现:两种接骨板的抗弯能力无显著差异;当转角大于18时,普通接骨板的抗扭能力要高于锥状点式接触接骨板。普通接骨板板下皮质骨持续缺血,而锥状点式接触接骨板板下皮质骨血循环明显好于普通接骨板组,术后2周、4周、9周时分别是后者的2.5倍、9.9倍和2.8倍。接骨板对侧皮质骨缺血是短暂的,术后2周就已恢复。因此,尽管锥状点式接触接骨板的抗扭能力稍低于普通接骨板,但它在保护接骨板下血运方面明显优于普通接骨板,因而更有利于骨折愈合。

    Abstract:

    To compare the mechanical performance and the effect on cortical microcirculation of CCPC-Fixand CP, three-point bending test and torsion test were carried out with the plates fixed to syntheticbones that have uniform mechanical properties. Transverse osteotomy at middle shaft of both tibiaewas performed in 10 goats and each was fixed with the CCPC-Fix in the right tibiae and the CP inthe left, 4 animals served as control. The chances of conical microcirculation at differentpostoperative phase were evaluated with radioactive microsphere measurement of regional bloodflow. It was found that bending property demonstrated no significant difference between the twokinds of plates. CP has a better torsion property than that of CCPC-Fix when torsional angle was >18. The conical microcirculation beneath the CCPC-Fix was significantly better than that of theCP. At the postoperatve 2, 4 and 9. weeks, the blood flow was as much as 2.5, 9.9 and 2.8 timesrespectively of the latter's. Although a slight difference in torsion property was found between theCCPC-Fix and CP, the CCPC-Fix was significantly beneficial for eliminating the impairment ofconical microcirculation and improving bone healing.

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郑远思,陈锡秋,吴雪晖,李起鸿.锥状点式接触接骨板与普通接骨板的力学性能及对局部血流量影响的比较[J].医用生物力学,1999,14(3):185-192

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