新型胸锁关节钩状板的研发与生物力学测定
R459.9%R684.7%R318; 背景:目前临床上治疗不稳定性胸锁关节脱位大多数都是将肩锁关节钩状钢板插入胸骨髓腔内或置于胸骨后侧,因钢板不敷贴导致手术操作难度增加,降低了关节复位的疗效.目的:课题组研发了新型的胸锁关节钩状板(专利号:ZL201520515237.3),从生物力学方面比较肩锁关节钩状板和新型胸锁关节钩状板固定胸锁关节的生物力学性能差异.方法:用长方形人工骨替代胸锁关节两端的胸骨和锁骨,共18对人工胸锁关节,随机分为2组:对照组(n=6)将最短杆段3孔普通肩锁关节钩状板的钢板螺钉孔段固定于人工锁骨端,钩状端置于人工胸骨后侧,采用MTS生物材料测试系统检测人工胸骨骨折时的载...
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Published in | 中国组织工程研究 Vol. 24; no. 9; pp. 1395 - 1399 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | Chinese |
Published |
福建医科大学附属闽东医院,福建省福安市,355000
2020
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Subjects | |
Online Access | Get full text |
ISSN | 2095-4344 |
DOI | 10.3969/j.issn.2095-4344.2495 |
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Abstract | R459.9%R684.7%R318; 背景:目前临床上治疗不稳定性胸锁关节脱位大多数都是将肩锁关节钩状钢板插入胸骨髓腔内或置于胸骨后侧,因钢板不敷贴导致手术操作难度增加,降低了关节复位的疗效.目的:课题组研发了新型的胸锁关节钩状板(专利号:ZL201520515237.3),从生物力学方面比较肩锁关节钩状板和新型胸锁关节钩状板固定胸锁关节的生物力学性能差异.方法:用长方形人工骨替代胸锁关节两端的胸骨和锁骨,共18对人工胸锁关节,随机分为2组:对照组(n=6)将最短杆段3孔普通肩锁关节钩状板的钢板螺钉孔段固定于人工锁骨端,钩状端置于人工胸骨后侧,采用MTS生物材料测试系统检测人工胸骨骨折时的载荷、位移变化;实验组(n=12)将最短杆段2孔新型胸锁关节钩状板的钢板螺钉孔段固定于人工锁骨端,钩状端插入人工胸骨内,采用MTS生物材料测试系统检测人工胸骨前侧皮质骨(n=6)、后侧皮质骨(n=6)骨折时的载荷、位移变化.结果 与结论:对照组最大破坏力值均数为(390±51)N,实验组前侧皮质骨的最大破坏力均数为(421±55)N,实验组后侧皮质骨的最大破坏力值均数为(437±56)N,3组数据两两比较差异均无显著性意义(P>0.05).结果 表明,新型胸锁关节钩状板内固定胸锁关节并未增加胸骨骨折的风险,是一种安全有效的内固定材料. |
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AbstractList | R459.9%R684.7%R318; 背景:目前临床上治疗不稳定性胸锁关节脱位大多数都是将肩锁关节钩状钢板插入胸骨髓腔内或置于胸骨后侧,因钢板不敷贴导致手术操作难度增加,降低了关节复位的疗效.目的:课题组研发了新型的胸锁关节钩状板(专利号:ZL201520515237.3),从生物力学方面比较肩锁关节钩状板和新型胸锁关节钩状板固定胸锁关节的生物力学性能差异.方法:用长方形人工骨替代胸锁关节两端的胸骨和锁骨,共18对人工胸锁关节,随机分为2组:对照组(n=6)将最短杆段3孔普通肩锁关节钩状板的钢板螺钉孔段固定于人工锁骨端,钩状端置于人工胸骨后侧,采用MTS生物材料测试系统检测人工胸骨骨折时的载荷、位移变化;实验组(n=12)将最短杆段2孔新型胸锁关节钩状板的钢板螺钉孔段固定于人工锁骨端,钩状端插入人工胸骨内,采用MTS生物材料测试系统检测人工胸骨前侧皮质骨(n=6)、后侧皮质骨(n=6)骨折时的载荷、位移变化.结果 与结论:对照组最大破坏力值均数为(390±51)N,实验组前侧皮质骨的最大破坏力均数为(421±55)N,实验组后侧皮质骨的最大破坏力值均数为(437±56)N,3组数据两两比较差异均无显著性意义(P>0.05).结果 表明,新型胸锁关节钩状板内固定胸锁关节并未增加胸骨骨折的风险,是一种安全有效的内固定材料. |
Author | 郭卫中 林伟民 林成寿 黄其龙 王盈盈 许胜贵 林旺 |
AuthorAffiliation | 福建医科大学附属闽东医院,福建省福安市,355000 |
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Author_FL | Lin Chengshou Lin Weimin Xu Shenggui Wang Yingying Lin Wang Huang Qilong Guo Weizhong |
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Keywords | 生物力学 胸骨 内固定器 骨折 研发 胸锁关节脱位 钩状钢板 人工骨 |
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Title | 新型胸锁关节钩状板的研发与生物力学测定 |
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