皮质骨锚钉修复肩关节不稳的生物力学研究nillm3b0.docVIP

皮质骨锚钉修复肩关节不稳的生物力学研究 军医 I 修学院2o07Dec ,28(6)AcadJPPostgradMedSchIA…… 皮质骨锚钉修复肩关节不稳的生物力学研究 ? 435? 李光辉,刘玉杰,孙明学,汪嫒媛,李众利,王志刚,朱娟丽 (解放军总医院骨科,北京100853) [摘要]目的:研究自制皮质骨锚钉修复肩关节不稳的生物力学性能.方法:采用新鲜成年猪胫骨皮质骨, 制成剑形皮质骨锚钉3.5mmX7.0mm;孔内穿入2号Ethibond不可吸收缝线备用.实验分2组,采用FastinRC金 属螺纹锚钉作为对照组,将剑形皮质骨锚钉和金属螺纹锚钉各1枚分别植入同一个猪肱骨头与大结节之间处,将 肱骨干使用夹具固定在工作平台上,另一端缝线悬吊于生物力学测试机上,进行生物力学垂直拔出试验.结果:皮 质骨锚钉10枚其中7枚拔出,1枚缝线拔断,2枚锚钉损坏.最大拔出载荷平均为181.2N.FastinRC金属螺纹锚 钉组8枚锚钉拔出.2枚缝线断裂,锚钉无损坏,平均最大拔出载荷为163.8N.两者差异不显着.皮质骨锚钉抗压 测试结果为(890.04-124.3)N.结论:皮质骨锚钉生物力学性能达到修复肩袖损伤初始固定强度的要求. [关键词]骨钉;生物力学;肩关节手术 [中图分类号]R683.41[文献标识码]A[文章编号]1005-1139(2007)06-0435-02 Biomechanicalresearchforshoulderinstabilityrepairingusingcorticalboneanchor L/Guang—hui,LIUYu-jie,SUNng—,WANGAi-yu,all,,LIZhong—li,WANGZhi—g0ng,ZHUJuan—li (PGeneralHospital,DepartmentofOrthopaedics,Beng100853,China) [ABSTRACT]0bjective:Toevaluatethebiomechanicalfeaturesofaself-madecorticalboneanchorforshoulderinstability repair.Methotis:FreshporcinefreshtibialcorticalboneWasmadetoancipitalcorticalanchors3.5mmX7.Omm;EthibondNO. 2non-absorbablesutureWaspulledthroughtheeyeletforpreparation.Allspecimensweredividedtotwogroups,incontrolgroup theFastinRCmetalscrewwasused.Anancipitalcorticalanchorandametalscrewwereembededintotheareabetweenhumerus headandgreatertubercleseparatelyinthesamespecimen.TheshaftofhumerusWasfixedontheworkdeskusingclamp,and theendofsuturewashangedonthebiomechanicaltestingmachine,thebiomechanicalpull-outtestingWasperformed. Results:Thefailuremodesincorticalboneanchorwereeyeletfailurein2cases,suturefailurein1case,andanchorpulloutin 7cases.ThemeanfailureloadWas181.2N.InFastinRCmetalscrewgroupthefailuremodesweresuturefailurein2cases,and anchorpulloutin8cases.ThereWasnoeyeletfailure,themeanfailureloadWas163.8N.ThereWasnostatisticaldifferencebe- tweenthetwogroups.ThemeandataofpresstestincorticalboBeanchorWas890.04-124.3N.Conclusion:Thebiomechanical propertyofcorticalboneanchorreachestheneedofinitialcapabilityforshoulderinstabilityrepairing. [KEYWORDS]Bone.Screws;Biomechanics.