股骨髓内钉近端不同方向锁钉对内固定稳定性生物力学对比研究.docVIP

股骨髓内钉近端不同方向锁钉对内固定稳定性生物力学对比研究 　　[摘要] 目的 ??股骨髓内钉近端不同位置置钉的整体稳定性进行生物力学测试，为改进股骨髓内钉近端锁钉的置钉方向提供生物力学依据。 方法 选用2016年7～8月Sawbones股骨标准骨8个分成小粗隆置钉组，行股骨髓内钉内固定，近端锁钉按照不同方向置入，制作股骨中段骨折模型后进行轴向压缩实验，观察比较两组在相同轴向载荷下的压缩位移和压缩刚度结果。 结果 在相同压缩载荷下（除了载荷为100 N时）标准组平均移位均大于小粗隆置钉组，当压缩载荷在400 N及以上时，两组数据比较T波动在2.522～3.135，差异均有统计学意义（P0.05）；在压缩刚度上：当压缩载荷在700 N及以上时，两组数据比较T波动在2.481～3.275，差异均有统计学意义（P0.05）。 结论 当压缩载荷≥700 N时，小粗隆置钉组压缩位移小于标准组，而其压缩刚度明显大于标准组，说明小粗隆置钉组有更强的抗压缩能力，能提供更好的抗压、抗弯曲性能和更稳定的内固定。 　　[关键词] 股骨；生物力学；内固定；髓内钉 　　[中图分类号] R683 [文献标识码] A [文章编号] 1673-9701（2017）31-0012-05 　　[Abstract] Objective To carry out biomechanical test for the overall stability of different positions of nail placement in proximal femoral intramedullary nail， so as to provide biomechanical basis for the improvement of nail placement directions in the locking nails of proximal femoral intramedullary nail. Methods A total of 8 Sawbones femur standard bones were selected from July to August 2016 were divided into the standard group and the small trochanter nail placement group. They were given internal fixation of femoral intramedullary nail， and the proximal locking nails were placed in different directions. The axial compression experiment was performed after the middle femoral fracture model was prepared. The results of compressive displacements and compressive stiffness of the two groups under the same axial load were observed and compared. Results Under the same compressive load（except when the load was 100 N）， the average displacements in the standard group were all greater than those in the control group. When the compressive load was at 400 N and above， the T fluctuation in the comparison of data in the two groups was 2.522-3.135（P0.05）， and there were all statistically significant differences； in terms of the compressive stiffness： When the compressive load was at 700 N and above， the T fluctuation in the comparison of data in the two groups was 2.481-3.275（P0.05） and there were all statistically significant differences. Concl