LISS钢板治疗股骨远端骨折的生物力学研究
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Biomechanical Evaluation of the Less Invasive Stabilization System used to treat distal femur fractures
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    摘要:

    目的 探讨LISS钢板治疗股骨远端骨折时,如何通过合理分配骨折近端单双皮质固定螺钉,达到有效的固定 方法 本研究取115根新鲜羊右侧股骨,造成股骨远端AO分型33-A3型骨折,并均采用5孔右侧股骨远端LISS钢板予以固定,在骨折近端固定螺钉单双皮质不同分布状态下,分别作拔出、扭转的生物力学对比实验研究 结果 骨折近端螺钉第1、3孔采用双皮质固定在达到钢板、螺钉的固定平衡性及对抗扭转拔出方面明显优于其他各实验组 结论 本研究发现,采用LISS钢板治疗股骨远端33-A3型骨折时,骨折近端螺钉第1、3孔双皮质固定在达到钢板、螺钉的固定平衡性及对抗扭转拔出方面明显优于其他各实验组,能够有效地降低钢板、螺钉与骨质之间的剪切力、扭转力,从而防止螺钉、钢板早期松动脱落。

    Abstract:

    Objective To investigate how to treat distal femur fractures by using unicortical or bicortical screws in the proximal end of the less invasive stabilization system, LISS. Methods We took 115 Caprine right femurs, and all of them were created to simulate an AO/33-A3 fracture. All fracture models were fixed by a right 5 hole LISS Plate. They were treated differently by using unicortical or bicortical screws in the proximal end of the LISS plate, and at the same time, they were tested by withdrawal force and torsional force. Results When we using bicortical locked screws in the first and third hole of the proximal end of LISS, it reached the best balance with the distal end, and it created the biggest force to resist torsional force. Conclusion In this test, we can conclude,that using bicortical screws in the first and third hole of the proximal end of the LISS is the best way when we treat distal femur fractures AO/33-A3, it can reach the best balance with the distal end, and it created the biggest force to resist torsional force, and it can decrease the shearing force, torsional force, and then it can prevent hardware failure.

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丁志宏,张岩,王铭春,陈荣康,刘艺敏,王治,刘粤. LISS钢板治疗股骨远端骨折的生物力学研究[J].医用生物力学,2009,24(2):143-147

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  • 收稿日期:2009-01-07
  • 最后修改日期:2009-02-13
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