新型双皮质自攻螺纹交锁螺钉设计及生物力学探究.docVIP

新型双皮质自攻螺纹交锁螺钉设计及生物力学探究 　 作者：闫宏伟，王宏刚，刘凯，宋金辉，王坤正，刘军，张开放，袁国莲 【关键词】 双皮质自攻螺纹交锁螺钉；单皮质螺纹交锁螺钉；全螺纹交锁螺钉；设计；生物力学；风险 　　摘要：目的 设计与新型髓内钉相配套的双皮质自攻螺纹交锁螺钉，并对其生物力学性能进行对比研究。方法 新型双皮质自攻螺纹交锁螺钉20根，直径4.5mm，长45mm，为实验组；市售进口Orthofix髓内钉配套不锈钢单皮质及全螺纹交锁螺钉各20根，规格与实验组相同，为对照组。应用MTS880材料试验机分别对实验组(新型交锁螺钉)及对照组(单皮质螺纹交锁螺钉、全螺纹交锁螺钉)的抗拔出强度及三点弯曲试验进行对比测评。结果 新型交锁螺钉的抗拔出性能优于全螺纹交锁螺钉和单皮质螺纹交锁螺钉，单皮质螺纹交锁螺纹钉抗拔出性能最差;新型交锁螺钉的抗弯性能最优，单皮质螺纹交锁螺钉抗弯性能居中，全螺纹交锁螺钉组最差。组间比较均有显著性差异。结论 新型交锁螺钉的生物力学性能优良，临床应用的退钉、弯钉、断钉风险低。 　　关键词：双皮质自攻螺纹交锁螺钉；单皮质螺纹交锁螺钉；全螺纹交锁螺钉；设计；生物力学；风险 　　Design and biomechanical study on newlymanufactured　cortex selftapping interlocking screw 　　ABSTRACT: Objective To compare the biomechanical characteristics by designing newlymanufactured cortex selftapping interlocking screw matched with interlocking nail. Methods Altogether 20 newlymanufactured cortex selftapping screws (diameter 4.5mm, length 45mm) were tested as experimental group, 20 Orthofix oneside cortex screws and 20 fulllength interlocking screws of the same specifications were tested as control group. To compare their antipulling and antibending capabilities on the MTS880, the experimental group (ten screws) and the control group (ten screws) were tested for different contents. Results The maximal pullout strength of newmanufactured cortex selftapping interlocking screw was distinctly higher than that of the fulllength cortex interlocking screw, the maximal pullout strength of oneside cortex interlocking screw was the lowest. Compared with the other screws in the antibending capabilities, newmanufactured cortex selftapping interlocking screw was the best, oneside cortex interlocking screw ranked second and fulllength cortex interlocking screw the last. Conclusion The biomechanical characteristics of newlymanufactured cortex selftapping interlocking screw were better, which can decrease the clinical risk of screw bending, breaking and receding. 　　KEY WORDS: newlymanufactured cortex selftapping interlocking screw; oneside cortex interlocking screw; fulllength cor