可吸收线环扎张力带治疗髌骨骨折的生物力学研究
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BIOMECHANIC STUDY OF ABSORBABLE SUTURE CERCLAGE WITH AN ANTERIOR TENSION BAND IN THE TREATMENT OF PATELLAR FRACTURE
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    摘要:

    目的比较可吸收线环扎张力带与钢丝环扎、Magnuson钢丝、AO张力带钢丝和Weber改良张力带钢丝固定髌骨骨折的生物力学特性。方法取20具新鲜膝关节标本,随机分为5组,制成骨折模型,分别用5种方法固定,用膝关节生物力学试验机KJ—20型测定5种内固定的生物力学性能,骨折断端分离1.0mm为固定失败。结果5种内固定方法均能满足1KN股四头肌收缩力,可吸收线环扎张力带与其它内固定方法相比,无明显差异(p>0.05)。结论可吸收线环扎张力带治疗髌骨骨折具有优越的生物力学性能和良好的骨折断端稳定性,免除了二次手术之苦,扩大了手术内固定的适应范围,避免了许多不必要的髌骨切除。

    Abstract:

    Objective:To know the biomechanical properties of five techniques of internal fixation of absorbable suture cer-clage with an anterior tension band in the treatment patella fracture.Methods:20flesh cadaveric knee joint specimens were divided into5groups randomly and transversal osteotomies of the patella were performed.The simulated fractures were fixed with the absorbable suture cerclage with and anterior tension band,cerclage wire,Magnuson's wire,AO tension band and Weber's modified tension band,respectively.The biomechanical prop-ertres of the techniques were evaluated by the KJ-20biomechanical testing machine.Results:All techniques functioned well and satisfied1KN tensile force of the quadriceps.The biomechanical properties of the ab-sorbable suture cerclage with an anterior tension band technique performed well and there are no significant dif-ferences(P>0.05)as comparing with other techniques.Conclusion:The absorbable suture cerclage with an anteri-or tension band technique has good biomechanical properties and stability between the fracture fragments with no need for a second operation to remove the implants after bone union.It enlarges the indications of the internal fixation of patella fractures and can avoid the unwanted patellectomy.

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叶林根,汪伟,俞光荣,王以进.可吸收线环扎张力带治疗髌骨骨折的生物力学研究[J].医用生物力学,2001,16(4):247-251

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