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可吸收接骨板辅助钢板固定股骨远端复杂骨折的生物力学研究 被引量:1

Biomechanical study of absorbable plating on unstable distal femur fractures
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摘要 为探讨治疗股骨远端复杂骨折的有效方法 ,取 15具鲜尸 (人 )股骨 ,制成髁间 T形骨折并骨缺损植骨模型。随机分成三组 ,分别用 L 形钢板、髁支持钢板、可吸收接骨板辅助钢板 (可吸收组合板 )固定 ,置万能试验机上 ,做压缩、弯曲力学性能试验。结果显示 ,可吸收组合板抗压缩和抗弯曲能力较 L形钢板和髁支持钢板强 (P<0 .0 1)。 To find a new treatment approach for complicated distal femur fracture.15 fresh femurs were randomly divided into three groups which were all made intra-articular fracture pattern.Each group underwent fixation with L plate,condylar buttress plate and locked absorbable double-plating construct.The instrumented femurs were then mechanically tested in several loading modes to determine fixation stability.Results showed that the locked absorbable double-plating construct provided significantly greater fixation stability than the L plate and condylar buttress plate. This suggests that double-plating construct is particularly applicable for severely comminuted fracture of the distal femur and fracture in osteopenic bone with poor screw purchase.
出处 《山东医药》 CAS 北大核心 2003年第12期15-17,共3页 Shandong Medical Journal
关键词 股骨骨折 可吸收接骨板 钢板固定 治疗 生物力学 骨折固定术 Absorbable-plating Distal femur fracture Biomechanics
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参考文献4

  • 1Placide R,Ricky J,Jess H,et al. Fracture of the distal femur. Cur Opin Orthop, 1999,10(1): 2-9.
  • 2Giles JB. Supracondylar-intercondylar fractures of the femur treated with a supracondylar plate and a lag screw. J Bone Joint Surg,1982,64,864.
  • 3Sanders R, Swiontkowski M. Double-plating of comminnuted, unstable fractures of the distal part of the femur. J Bone and Joint Suru. 1991.73 ,341-346.
  • 4Jazrawi A,Laith M,Frederick J,et al. New technique for treatment of unstable distal femur fractures by locked double-platingz case report and biomechchanical evaluation. Trauma, 2000,48 ( 1 ) :87.

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