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新型点式接触动力加压接骨板固定对羊完整胫骨皮质骨血流量的影响
引用本文:赵玉峰,李起鸿,顾祖超,王爱民.新型点式接触动力加压接骨板固定对羊完整胫骨皮质骨血流量的影响[J].中华创伤杂志,2003,19(8):470-473.
作者姓名:赵玉峰  李起鸿  顾祖超  王爱民
作者单位:1. 第三军医大学附属大坪医院野战外科研究所全军战创伤中心骨创伤科,400042
2. 400038,重庆,第三军医大学附属西南医院骨科
3. 第三军医大学附属大坪医院野战外科研究所全军战创伤中心骨创伤科
摘    要:目的 观察新型点式接触动力加压接骨板(PC-DCP)和动力加压钢板(DCP)固定段皮质骨血流动力学的变化。方法 成年山羊15只,在其完整胫骨中段分别采用PC-DCP和DCP固定。术后1d、2,6,12周用放射性微球法测定局部皮质骨血流量。结果 DCP板下皮质骨在术后1d血流量急剧降低,到6周时仍低于正常对照,直到术后12周血流量才完全恢复;PC-DCP板下皮质骨血流量术后2周时已恢复并超过正常对照,到12周一直维持在较高水平。结论 PC-DCP可明显保护板下皮质骨血运。

关 键 词:骨折内固定术  新型点式接触动力加压接骨板  动力加压钢板  血流动力学  放射性微球法
修稿时间:2002年11月26

Effects of point contact-dynamic compression plate on cortical bone blood flow in adult goats
ZHAO Yu-feng ,LI Qi-hong,GU Zu-chao,et al..Effects of point contact-dynamic compression plate on cortical bone blood flow in adult goats[J].Chinese Journal of Traumatology,2003,19(8):470-473.
Authors:ZHAO Yu-feng  LI Qi-hong  GU Zu-chao  
Institution:ZHAO Yu-feng *,LI Qi-hong,GU Zu-chao,et al. * Department of Orthopaedics,Southwest Hospital,Third Military Medical College,Chongqing 400038,China
Abstract:Objective To compare the effects of point contact-dynamic compression plates (PC-DCP) and dynamic compression plates (DCP) on cortical bone blood flow in an intact sheep tibia model. Methods Fifteen mature goats were used in this experiment. After the bilateral tibia of goats were fixed with DCP and PC-DCP respectively, the regional cortical bone blood flow was measured at four time intervals (1 day, 2, 6 and 12 weeks after operation) using radiolabelled microsphere technique. Results After operation, the cortical bone blood flow was acutely decreased at the first day, kept lower than normal level until six weeks and recovered at the 12th week. The blood supply under PC-DCP recovered to normal, even over normal level two weeks after operation and remained at a high level until 12 weeks. Conclusions PC-DCP can markedly protect cortical bone blood flow.
Keywords:Fracture fixation  internal  Blood volume determination  Plate
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