防旋股骨近端髓内钉ⅱ和亚洲股骨髓内钉内固定修复老年股骨转子下骨折的生物力学分析.doc

防旋股骨近端髓内钉Ⅱ和亚洲股骨髓内钉内固定修复老年股骨 转子下骨折的生物力学分析 王连净1，曾宪铁2(1天津市第四医院骨科，天津市 300222；2天津医院骨科，天津市 300211) 引用本文：王连净，曾宪铁. 防旋股骨近端髓内钉Ⅱ和亚洲股骨髓内钉内固定修复老年股骨转子下骨折的生物力学分析[J].中国组织工程研究，2016，20(31):4644-4650. DOI: 10.3969/j.issn.2095-4344.2016.31.012 ORCID: 0000-0001-6099-6346(王连净) 文章快速阅读： 文题释义： 股骨转子下骨折防旋股骨近端髓内钉(PFNA)Biomechanical analysis of proximal femoral nail antirotation-II and Asia 2 femur nail fixation for femoral subtrochanteric fractures in the elderly Wang Lian-jing1, Zeng Xian-tie2 (1Department of Orthopedics, Tianjin Fourth Hospital, Tianjin 300222, China; 2Department of Orthopedics, Tianjin Hospital, Tianjin 300211, China) Abstract BACKGROUND: Biomechanical studies on elderly subtrochanteric fracture by different fixation ways were more, but study on relatively proximal femoral nail antirotation-II (PFNA) and Asia 2 femur nail (A2FN) fixation for femoral subtrochanteric fractures in the elderly was less. OBJECTIVE: To study the biomechanical analysis of intramedullary nail PFNA-II and A2FN fixation for elderly femoral subtrochanteric fractures. METHODS: Three-dimensional finite element models of femoral subtrochanteric fractures fixed by PFNA-II and A2FN in the elderly were established. Three-dimensional finite element analysis was used to analyze stress distribution and displacement after femoral subtrochanteric fractures by PFNA-II and A2FN fixation. RESULTS AND CONCLUSION: (1) The overall maximum stress, nail maximum stress and hip screw or spiral blade maximum stress values of PFNA-II intramedullary fixation system were higher than that of A2FN intramedullary fixation system. The distal locking maximum stress value and femoral head surface maximum stress values of PFNA-II intramedullary fixation system were lower than that of A2FN intramedullary fixation system. (2) The maximum displacement of PFNA-II intramedullary fixation system was mainly concentrated in the large trochanter and femoral head pole. The maximum displacement of A2FN intramedullary fixation sys