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复合磷酸钙骨水泥强化骨质疏松股骨颈的内固定
引用本文:张旭辉,裴国献,魏宽海.复合磷酸钙骨水泥强化骨质疏松股骨颈的内固定[J].实用医药杂志(山东),2002,19(11):837-839.
作者姓名:张旭辉  裴国献  魏宽海
作者单位:371医院 河南新乡453000 (张旭辉),第一军医大学南方医院 广东广州510515 (裴国献),第一军医大学南方医院 广东广州510515(魏宽海)
基金项目:河南省医药卫生科研重点项目(2002090)
摘    要:目的评价双纹加压空心螺钉内固定时添加复合磷酸钙骨水泥(CCPC)对骨质疏松股骨颈生物力学的影响。方法采用16个股骨上段标本,随机分为两组,强化组和非强化组,强化组添加CCPC。结果CCPC强化可显著改善空心螺钉初始松动加载力,由灌注前的(192.7±20.4)N升至灌注后(328.5±34.7)N,最大轴向拔出力由(202.8±14.0)N升至(347.8±31.2)N,两组有显著性差异(P<0.01)。结论CCPC强化骨质疏松股骨颈后能显著提高加压空心螺钉的稳定性。

关 键 词:骨质疏松股骨颈  加压空心螺钉  复合磷酸钙骨水泥  生物力学
修稿时间:2002年5月7日

Biomechanic study on internal fixation reinforced by composite calcium phosphate cement for osteoporotic femoral neck
Zhang Xuhui,Pei Guoxian,Wei Kuanhai.Biomechanic study on internal fixation reinforced by composite calcium phosphate cement for osteoporotic femoral neck[J].Practical Journal of Medicine & Pharmacy,2002,19(11):837-839.
Authors:Zhang Xuhui  Pei Guoxian  Wei Kuanhai
Institution:Zhang Xuhui,Pei Guoxian,Wei Kuanhai.Department of Orthopedics and Traumatology,the371th Hospital of PLA,Xinxiang453000,China
Abstract:Objective To evaluate the biomechanics of internal fixing osteoporotic femoral neck by hollow-compression-screw with composite calcium phosphate cement(CCPC).Methods Sixteen samples of superior femurs were randomly divided into two groups:augmentation group,non-augmentation group.CCPC was inserted in augmentation group.Result s Augmentation with perfusing CCPC would improve the initial mobile reinforce of hollow-compression-screw,the initial mobile reinforce and the maximum axial pull-out strength for augmentation group,were as follows:raised from(192.7±20.4)N of postperfusion,to(328.5±34.7)N of post-perfusion,from(202.8±14.0)N of pre-perfusion,to(347.8±31.2)N of post-perfusion respectively.The difference between the two groups was significant(P<0.01).Conclusion Augmentation with CCPC could distinctly enhance stability of the hollow-compression-screw fixation for osteoporotic femoral neck
Keywords:Osteoporotic femoral neck Hollow-compression-screw Composite calcium phosphate cement  Biomechanics
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