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不同材料动力髋螺钉置入治疗股骨转子间骨折的生物相容性比较
引用本文:程煜方,魏忠民,张克良,李子熙. 不同材料动力髋螺钉置入治疗股骨转子间骨折的生物相容性比较[J]. 中国组织工程研究与临床康复, 2011, 0(48)
作者姓名:程煜方  魏忠民  张克良  李子熙
作者单位:华中科技大学同济医学院附属普爱医院骨科;
摘    要:背景:动力髋螺钉置入治疗股骨转子间骨折选择不锈钢还是钛合金材料一直无明确定论。目的:比较不锈钢动力髋螺钉和钛合金动力髋螺钉置入治疗股骨转子间骨折的生物相容性。方法:2003-07/2009-10收治股骨转子间骨折86例,分别用不锈钢动力髋螺钉和钛合金动力髋螺钉治疗各43例,两组患者在性别、年龄、致伤原因、骨折分型等方面基本相同,不锈钢动力髋螺采用00Cr18Ni14Mo3不锈钢,钛合金动力髋螺钉采用Ti6A14V钛合金,比较两组固定后的并发症、髋关节功能的恢复情况,取钉时大体观察植入物周围软组织炎症反应、增生及纤维囊壁情况。结果与结论:两组固定后并发症、髋关节功能的恢复方面差异无显著性意义,但在取钉时大体观察内固定周围软组织炎症反应、增生及纤维囊壁情况,不锈钢动力髋螺钉组明显多于钛合金动力髋螺钉组(P<0.01)。提示钛合金动力髋螺钉的生物相容性好于不锈钢动力髋螺钉,可作为永久性置入材料。

关 键 词:不锈钢  钛合金  动力髋螺钉  股骨转子间骨折  生物相容性  

Biocompatibility comparison between different dynamic hip screws for femoral intertrochanteric fractures
Chen Yu-fang,Wei Zhong-min,Zhang Ke-liang,Li Zi-xi. Biocompatibility comparison between different dynamic hip screws for femoral intertrochanteric fractures[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 0(48)
Authors:Chen Yu-fang  Wei Zhong-min  Zhang Ke-liang  Li Zi-xi
Affiliation:Chen Yu-fang,Wei Zhong-min,Zhang Ke-liang,Li Zi-xi Department of Orthopedics,Puai Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430034,Hubei Province,China
Abstract:BACKGROUND:There has been no clear conclusion about the better selection of materials with good biocompatibility between stainless steel and titanium alloy dynamic hip screw for the treatment of intertrochanteric fracture of the femur.OBJECTIVE:To compare the biocompatibility between stainless steel and titanium alloy dynamic hip screw implantation in the treatment of intertrochanteric fracture of femur.METHODS:A total of 86 patients with femoral intertrochanteric fracture were selected from July 2003 to Oc...
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