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肩锁关节脱位并肩胛颈骨折内固定治疗的生物力学研究
引用本文:段连鸿,黄继锋,梁栋柱,赵卫东,夏平光.肩锁关节脱位并肩胛颈骨折内固定治疗的生物力学研究[J].华南国防医学杂志,2011,25(1):41-43,56.
作者姓名:段连鸿  黄继锋  梁栋柱  赵卫东  夏平光
作者单位:1. 430070,湖北武汉,广州军区武汉总医院骨科;南方医科大学
2. 广州军区武汉总医院骨科,湖北武汉,430070
3. 南方医科大学广东省生物力学重点实验室
摘    要:目的 从生物力学方面评价肩锁关节脱位并肩胛颈骨折采取手术内固定治疗后的稳定性.方法 取7例包含锁骨及肩胛骨的右侧上肢防腐标本,解剖出肩胛上悬吊复合体(superior shoulder suspensory complex,SSSC),制作损伤模型,并对正常组、损伤组、固定组3种状态标本的活动度进行检测并前后比较.结果...

关 键 词:肩胛上悬吊复合体  广义浮肩损伤  内固定  生物力学

Biomechanics of Internal Fixation for Acromioclavicular Joint Dislocation and Scapula Neck Fracture
DUAN Lian-hong,Huang Ji-feng,LIANG Dong-zhu,ZHAO Wei-dong,XIA Ping-guang.Biomechanics of Internal Fixation for Acromioclavicular Joint Dislocation and Scapula Neck Fracture[J].Military Medical Journal of South China,2011,25(1):41-43,56.
Authors:DUAN Lian-hong  Huang Ji-feng  LIANG Dong-zhu  ZHAO Wei-dong  XIA Ping-guang
Institution:. Department of Orthopaedics,Wuhan General Hospital of Guangzhou Military Command,Wuhan Hubei 430070,China
Abstract:Objective To evaluate the biomechanical stability of internal fixation for acromioclavicular joint dislocation and scapula neck fracture. Methods The superior shoulder suspensory complex (SSSC) was anatomized from 7 cases of right upper limb antisepsis specimens including collarbone and scapula. The damage models were established. The stability of the SSSC was compared among the normal group, injury group and fixation group. Results The mean ranges of motion (ROMs) and neutral zones (ZNs) in different directions of the fixation group were lower than those of the injury group (P0.05), but higher than those of the normal group (P0.05). Conclusion Open reduction and rigid internal fixation should be applied for the patients with acromioclavicular joint dislocation and scapula neck fracture to avoid the shoulder instability.
Keywords:Superior suspensory shoulder complex  Generalized floating shoulder injury  Internal fixation  Biomechanics
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