儿童股骨颈螺钉系统的研制及生物力学分析-外科学;骨外科专业论文.docxVIP

3. 儿童股骨颈螺钉系统固定股骨颈骨折的生物力学研究 结论： 轴向压缩刚度实验组 190.74±20.88N/mm，对照组为 138.95±15.19N/m m，两者比较统计学分析差异有显著性意义（P﹤0.05）；在最大 3Nm 的 扭转力矩作用下，实验组的扭转刚度为 0.18±0.045Nm/degree，对照 组的扭转刚度 0.12±0.036Nm/degree,两者相比在统计学上差异有显著 性意义（P﹤0.05）。实验结果显示本研究设计儿童股骨颈螺钉的抗压能 力和抗扭能力上明显强于克氏针。 1． 以5-7岁年龄段中国儿童为研究对象对儿童股骨近端的解剖学特 点进行系统研究，丰富了解剖学的内容，也为儿童股骨颈螺钉系 统的研制提供了解剖依据。 2． 儿童股骨颈螺钉系统理论上是一种符合儿童股骨近端解剖学特 点，能够满足儿童股骨颈骨折需要的新型内固定器械。 3． 儿童股骨颈螺钉系统对固定股骨颈骨折具有良好的生物力学性 能，可能成为治疗儿童股骨颈骨折的理想的内固定器械。 关键词 儿童 股骨颈 骨折 器械 内固定 生物力学 The Design of Femur Neck Screws System and Biomechanical Study in Fixing Femoral neck Fracture in Children ABSTRACT Objectives: To provide the data for the design of the internal fixation device for the treatment of femoral neck fracture in children,we measured the anatomic data of the proximal femur parameters and investigated its geometric characters in Chinese children (5~7years); Design a new type of screw instrument for femoral neck fracture in children; To decide if the Femur Neck Screws can provide stable fixation stability in fixing femoral neck fracture in children through comparative biomechanical study. Methods: Anatomical Measurement Anatomic data of the proximal femur was measured in 35 normal Chinese children cadavers ,we compared and analyzed the anatomic data with the imageology result. Design of the Femur Neck Screws System Based on the anatomical datas and the biomechanical characters of the proximal femur,a new type of instruments is designed for the treatment of femoral neck fracture in children. Biomechanical Study of the Femur Neck Screws in fixing Femoral Neck Fracture in Children. Using a paired experimental design,one member of each matched pair was randomly assigned to be fixed with the Femur Neck Screws and the contralateral group was fixed with Kirschner wires.Six matched pairs of the fracture models specimens tested in two modes:⑴the anti-axial compression tests.⑵anti-torsion test.The index included the axial stiffness, the torsional stiffness. We compared the index of our instr