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应力松驰接骨板对固定段骨结构及力学性能影响的实验 …
引用本文:张先龙,戴克戎.应力松驰接骨板对固定段骨结构及力学性能影响的实验 …[J].中国临床解剖学杂志,2000,18(3):262-265.
作者姓名:张先龙  戴克戎
作者单位:[1]上海市第六人民医院骨科,上海 [2]上海第二医科大学附属第九人民医院,上海
基金项目:国家自然科学基金!( No 39470698)
摘    要:目的:了解应力松驰接骨板固定对固定段骨形态结构及力学性能的影响。方法:分别将应力松驰接骨板(实验组)和坚硬接骨板(对照组)固定于兔胫骨干中段,采用CT扫描及CT值测定和力学测试,观察固定段骨结构及力学性能的变化。结果:固定后8~12周,两组板下皮质骨厚度均逐渐变薄,伴CT值和固定骨段力学强度下降,以对照组为明显。24~26周,实验组板上皮质骨厚度、CT值和固定骨段力学强度逐渐恢复,接近正常;而对照

关 键 词:接骨板  力学强度  应力遮挡  骨折固定术

An experimental study of the effects of stress-relaxation plate on the structure and mechanical property of fixed
Zhang Xianlong,Dai Kerong,Tang Tingting..An experimental study of the effects of stress-relaxation plate on the structure and mechanical property of fixed[J].Chinese Journal of Clinical Anatomy,2000,18(3):262-265.
Authors:Zhang Xianlong  Dai Kerong  Tang Tingting
Abstract:To investigate the effects of stress-relaxation plate (SRP)on the structure and mechanical property of plated bone.Methods:Both SPR and Rrigid Plate (RP) were fixed on the middle part of New Zealand rabbits tibia.The structure and mechanical property of the fixed bone were observed and studied by Cd scan, CT value assay and biomechanical test.Results: The thickness of conical bone under plate became thinner gradually after 8 to 12 weeks fixation in both of SRP and HP groups, accompanied with lowering of CT value and mechanical strength. The thickness of cortical bone,bone density (CT value) and bending strength restored to normal gradually in SRP group, but got much worse in RP group.The three-bending strength of the tibia in RP group was only 53.89% of normal ones. Conclusion: The SRP abated the osteoporosis of the cortical bone under the plate, furthermore, it could restore the structure and mechanical property of the osteoporotic bone to normal with the plate at the place.
Keywords:Bone plate Internal fixation Mechanical strength Stress shileding
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