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波形与直形接骨板内固定对局部皮质骨微循环影响的形态学研究
引用本文:赵建宁,汤发强,王与荣,陆维举,曾晓峰,田万军,郑和泉.波形与直形接骨板内固定对局部皮质骨微循环影响的形态学研究[J].中国骨与关节损伤杂志,1998(4).
作者姓名:赵建宁  汤发强  王与荣  陆维举  曾晓峰  田万军  郑和泉
作者单位:南京军区南京总医院骨科!南京210002(赵建宁,汤发强,王与荣,陆维举,曾晓峰),安徽省固镇县人民医院骨科(田万军),福建省龙海市中医院骨科(郑和泉)
摘    要:本研究旨在观察和比较波形与直形钢板内固定对局部皮质骨血供的影响。采用微血管墨汁灌注技术观察了两种钢板固定于完整兔股骨干后不同时期皮质骨内微循环的形态改变。直形钢板固定后板下及板对侧皮质骨微循环出现早期血管减少,以后反应性增生;波形钢板固定后板下早期未见明显血管减少,后期亦反应性增生,但不如直形钢板固定侧剧烈。结论:波形钢板内固定对骨内微循环的影响明显弱于直形钢板,其引起骨质疏松的状况亦低于直形钢板。

关 键 词:波形接骨板  微循环  骨皮质  内固定

Effect of Wave - plate Versus Straight Plate Internal Fixation on Microcirculation in Regional Cortical Bones for the Morphological Study
Zhao Jianning,Tang Faqiang,Wang Yurong et al.Effect of Wave - plate Versus Straight Plate Internal Fixation on Microcirculation in Regional Cortical Bones for the Morphological Study[J].Chinese Journal of Bone and Joint Injury,1998(4).
Authors:Zhao Jianning  Tang Faqiang  Wang Yurong
Institution:Zhao Jianning,Tang Faqiang,Wang Yurong et al. Department of Orphopaedics,Nanjing General Hospital of PLA,Nanjing,210002.
Abstract:To survey and Compare the effect of wave - plate and straight plate internal fixation on the blood supply of local cortical bone. Microangiography was used to observe the morphological changes of microcirculation of the cortical bones obtained from intacted rabbit femurs on which the two kind of plates had been fixated. Bone microcirculation under straight plate underwent a process from early depression to late reactive increase. By contrast, that under wave-plate underwent early nondepression and late weaker reactive increasement. Conclusion: The effect on local bone microcirculation of wave- plate was weaker than straight plate, which had close correlation with the osteoporosis induced by internal fixation.
Keywords:Wave-plate  Microcirculation  Bone cortex  Internal fixation
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