髋臼后柱骨折不同方式钢板内固定稳定性研究.docVIP

髋臼后柱骨折不同方式钢板内固定稳定性研究 吴啸波，张 奇，郭明珂，张英泽 （050051 石家庄 河北医科大学第三医院骨科） 【摘 要】 目的 研究髋臼后柱骨折4种方式钢板内固定的稳定性。 方法 半骨盆标本20个根据随机数字法分为4组，建立髋臼后柱骨折模型，行4种方式钢板内固定：A组：钢板两端各固定2枚螺钉；B组：钢板两端各固定3枚螺钉；C组：骨折线两侧距骨折线最近的螺孔及钢板每端2个螺孔固定；D组：骨折线两侧各固定4枚螺钉。行轴向压缩实验，观察骨折断端位移和剪切刚度。 结果 A、B、C、D组位移分别为（4.68±0.35）、（2.80±0.25）、（2.12±0.11）mm 和（1.58±0.17）mm，剪切刚度分别为（129.42±9.60）、（228.91±12.05）、（285.21±26.16）N/mm和（414.71±34.29）N/mm。各组位移和剪切刚度差异有统计学意义（P 0.05）。 结论 髋臼后柱骨折钢板内固定时，危险区内安全置钉方能坚强内固定。 【关键词】 髋臼；骨折；内固定；生物力学 【中图法分类号】 【文献标志码】A Biomechanical comparison of plate internal fixation methods for fractures of acetabular posterior column Wu Xiaobo, Zhang Qi, Guo Mingke, Zhang Yingze（Department of Orthopedic Surgery, the Third Hospital,Hebei Medical University, Shijiazhuang, 050051,China） 【Abstract】 Objective　To evaluate the stability of four methods of plate internal fixation of simulated posterior column fracture of the acetabulum. Methods　Twenty preserved cadaveric semipelvic specimens were divided into four groups randomly. Models of isolated posterior column fractures of acetabulum were established. Each group used one of the four methods of plate internal fixation as follows：two screws at the each end of plate (group A); three screws at the each end of plate (group B); one screw each side in the closest allowable hole to the fracture and two screws at the each end of plate (group C); four screws on each side of the fracture (group D). Under Vertical compression load of 3 times body weight, the displacements of the fracture site were measured and the shear rigidity of different internal fixation methods were compared . Results The displacements of the fracture site in Group A, B, C, and D were (4.68±0.35), (2.80±0.25), (2.12±0.11)mm and (1.58±0.17)mm respectively, with a decreasing sequence from Group A to D. The shear rigidity of internal fixation methods in Group A, B, C, and D were (129.42±9.60), (228.91±12.05), (285.21±26.16) N/mm and (414.71±34.29) N/mm respectively, wi