骨盆微创内固定生物力学分析与优化
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Biomechanical Analysis and Optimization of Minimally Invasive Pelvic Internal Fixation
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    目的 对比2钉棒与3钉棒固定骨盆骨折的生物力学特性,研究骨盆微创手术中不同钉棒固定位置的力学效果差异。方法 建立2钉棒及3钉棒固定物植入后的骨盆力学模型,并通过有限元仿真对双腿站立、健侧和患侧单腿站立、坐姿下的生物力学特性进行对比分析,并通过临床实验验证3钉棒固定效果。结果 两种固定方式均能够恢复骨盆力学传递,但3钉棒固定后单侧站立时骨盆两侧应力更均衡,整体及断裂面处位移也更低。结论 3钉棒固定在稳定性方面的优异效果,更有利于骨折恢复。

    Abstract:

    Objective By comparing biomechanical properties of two-screw rod and three-screw rod for fixing pelvic fracture, the difference in mechanical effects of different screw rod fixation positions in pelvic minimally invasive surgery was studied.Methods The mechanical models of pelvis fixed by two-screw rod and three-screw rod were established, and biomechanical characteristics of the pelvis during standing on both legs, during single-legged standing on healthy side or affected side, as well as in sitting posture were compared and analyzed by finite element simulation, and the fixation effect of three-screw rod was verified by clinical experiments.Results Both fixation methods could restore mechanical transmission of the pelvis. But for three-screw rod fixation, the stress on both sides of the pelvis was more balanced, and the displacement of the whole body and fracture surface was also lower during single-legged standing.Conclusions The three-screw rod fixation has an excellent effect in stability, which is more beneficial for fracture recovery.

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吴明晖,包钊华,王建东,毕春,邓国英.骨盆微创内固定生物力学分析与优化[J].医用生物力学,2022,37(2):250-255

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  • 收稿日期:2021-03-29
  • 最后修改日期:2021-05-22
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  • 在线发布日期: 2022-04-27
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