股骨颈骨折术后不同复位质量的力学特性分析
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国家自然科学基金项目(11772226,81871777),中国博士后基金(2017M621087),天津市博士后基金(TJQYBSH2017017),天津市科技计划项目(16ZXZNGX00130,18PTLCSY00070)


Analysis on Mechanical Characteristics of Femoral Neck Fracture with Different Reduction Qualities
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    摘要:

    目的 探究股骨颈骨折术后不同复位质量的力学特性。方法 选用Sawbones人工合成股骨模型3例,将2例造模成为Pauwel III 型股骨颈骨折,并在骨折模型上以倒三角方式置入3颗空心螺钉,用以固定骨折,并保持不同复位质量(定义为模型1、2);另外1例模型为无骨折模型,即不进行任何造模操作(定义为完整模型);在力学试验机上对股骨模型进行垂直载荷加载。结果 当股骨头位移达到4 mm时,完整模型和模型1、2承受的平均载荷分别为(236.30±5.35)、(196.57±3.56)、(69.50±2.95) N,3组载荷具有显著性差异。当股骨头位移达到5 mm时,完整模型和模型1、2承受的平均载荷分别为(276.7±3.40)、(232.93±2.64)、(80.83±4.54) N,3组载荷具有显著性差异。结论 股骨颈骨折术后复位质量越差,股骨承受应力的能力越弱,术后康复过程中并发骨不愈合、再骨折、股骨头坏死的机率越高。

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    Objective To investigate biomechanical characteristics of femoral neck fracture with different reduction qualities. Methods Three cases of Sawbones artificial femoral models were selected, and two cases of Pauwel III femoral neck fracture were modeled. Three cannulated screws were inserted into the models in the form of inverted triangle to fix the fracture. Two cases maintained different reduction qualities (defined as Model 1 and Model 2). In the 3 third case, no modeling operation was performed (defined as intact model). Then the strain gauges were respectively pasted on regions of interest of the 3 femoral models. Finally, the femur model was applied with the vertical load on mechanical testing machine. Results When the displacement of femoral head reached 4 mm, the average load of intact model, Model 1 and Model 2 was (236.30±5.35), (196.57±3.56), (69.50±2.95) N, showing significant differences. When the displacement of femoral head reached 5 mm, the average load of intact model, Model 1 and Model 2 was (276.7±3.40),(232.93±2.64),(80.83±4.54) N, showing significant differences. Conclusions The lower the reduction quality of the femoral neck fracture, the weaker the ability of the femur to bear stress, the higher the probability of nonunion, re-fracture and femoral head necrosis in the process of postoperative rehabilitation.

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王颖,马剑雄,柏豪豪,卢斌,孙磊,王岩,田爱现,董本超,秦国宁,靳洪震,李岩,马信龙.股骨颈骨折术后不同复位质量的力学特性分析[J].医用生物力学,2021,36(2):284-289

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  • 收稿日期:2020-04-29
  • 最后修改日期:2020-06-25
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  • 在线发布日期: 2021-04-25
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