股骨髁间骨折采用L形髁钢板+螺栓内固定的生物力学分析
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BIOMECHANICAL ANALYSIS OF THE INTERNAL FIXATION FOR FRACTURE OF FEMORAL CONDYLE BY USING L SHAPED CONDYLE STEEL PLATEBOLT
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    目的:论证股骨髁间骨折采用L型髁钢板+螺栓,L形髁钢板,加压钢板+螺栓固定,比较三种不同内固定方式的优劣,并为临床提供科学依据。方法:用9具新鲜股骨尸标本以实验应刀分析法和有限元理论计算法对股骨髁间骨折内固定进行力学分析。结果:证明L形髁钢板+螺栓内固定优于L形髁钢板,加压钢板+螺栓固定,应力和髁间位移两者具有显著性差异(P<0.01)结论:L形髁钢板个螺栓联合固定是治疗股骨髁间骨折较好的内固定方法,值得推广应用。

    Abstract:

    The Franctures have been fixed by using L- shaped condyle steel plate+bolt. L - shapedcondyle steel plate and compressed steel plate+bolt fixation. These three different internal fixationmethods have been compared in order to provide scientific basis for clinical practices. Methods To 9fresh cadaver femora samples, we perform mechanics analysis for the internal fixation of femoracondyle experimentally using stress analysis and theoretically using finite element method(FEM).Results It has been proved that the internal fixation using L- shaped condyle steel plate+bolt isbetter than that using L- shaped condyle steel plate and compressed steel plate+b(ilt. There existdistinct differences in stress and displacement between two condyles(p<0.01). Conclusion Thecombined fixation of L - shaped condyle stress plate+bolt is a very good internal fixation methodfor curing the fracture of femora condyle. It deserves to be put into application and populatization.

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李强一,王以进,张秋琴,邵建康.股骨髁间骨折采用L形髁钢板+螺栓内固定的生物力学分析[J].医用生物力学,1999,14(4):226-231

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