骨盆髋臼三维记忆内固定系统对犬骨盆弓状线部骨折力学性能的影响
摘要点击次数: 2525   全文下载次数: 1454   投稿时间:2007-03-20    
作者Author单位AddressE-Mail
牛云飞 NIU Yun-fei 第二军医大学附属长海医院骨科,上海200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China nyflying126@126.com 
王家林 WANG Jia-lin 第二军医大学附属长海医院骨科,上海200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
张春才 ZHANG Chun-cai 第二军医大学附属长海医院骨科,上海200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
许硕贵 XU Shuo-gui 第二军医大学附属长海医院骨科,上海200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
张鹏 ZHANG Peng 第二军医大学附属长海医院骨科,上海200433 Department of Orthopaedics,the Affiliated Changhai Hospital of the Second Military Medical University,Shanghai 200433,China  
期刊信息:《中国骨伤》2007年,第20卷,第7期,第452-454页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:建立一种骨盆弓状线部骨折的动物模型,探讨骨盆髋臼三维记忆内固定系统(acetabular tri-dimen-sional memory fixation system,ATMFS)对骨折愈合及力学性能的影响。

方法:选用10只成年杂种家犬,建立双侧髋臼臼顶上方1.5cm处的横形骨折动物模型,分别采用ATMFS前柱固定器和6孔重建钢板内固定,于术后1、2、4、8、12周各取2只动物,行X线检查、大体观察和生物力学测试。

结果:动物术后12~24h开始站立行走,定期复查未发现骨折端移位及内固定断裂。ATMFS侧骨折端无凌乱骨痂,术后4周即可见连续性骨痂通过骨折线。生物力学测试发现术后第1、2周两侧生物力学强度差异无显著性统计学意义(P>0.05),第4、8周ATMFS侧骨折端生物力学强度明显高于钢板侧(P<0.05),术后第12周两侧生物力学强度差距缩小,但ATMFS侧仍大于钢板侧。

结论:通过双侧髋臼臼顶上方的横形截骨能够建立可靠的骨盆弓状线部骨折动物模型,ATMFS的解剖位固定和其产生的持续顺应生理力线的压应力能够促进骨折愈合。
【关键词】骨盆骨折  骨折固定术,内  模型,动物  生物力学
 
Effect of acetabular tri-dimetional memory fixation system (ATMFS) on the mechanical property of canine iliopectineal crest fracture
ABSTRACT  

Objective:To establish an animal model of iliopectineal crest fracture and explore the effect of ATMFS on the mechanical property of canine iliopectineal crest fracture.

Methods:Ten adult mixed breed dogs(no significant individual difference)were made transverse fracture at bilateral iliopectineal crest 1.5 cm above the dome of acetabulum,which were fixed with ATMFS and steel plate respectively.The X-ray,macropathological observation and biomechanical test were analyzed at 1,2,4,8,12 weeks after operation.

Results:Animals started walking at 12 to 24 hours postoperatively.Regular examination did not detected fracture displacement and internal fixation broken.There was no disordered bony callus at ATMFS sides.Successive bone callus can be observed at 4 weeks after operation.There was on significant difference of the union strength at the first and second week(P>0.05)and ATMFS side was superior than the steel side at the 4th and 8th week(P<0.05).The disparity diminuted at the 12th week but ATMFS side was still larger than steel side.

Conclusion:The animal model can be established through transverse osteotomy at bilateral iliopectineal crest,which is an effective method to study the mechanism of compression and bone formation at pelvis and acetabulum.Anatomic fixation and persistent compression corresponding with physiological line of force with ATMFS can promote bone union.
KEY WORDS  Pelvic fractures  Fracture fixation,internal  Model,animal  Biomechanics
 
引用本文,请按以下格式著录参考文献:
中文格式:牛云飞,王家林,张春才,许硕贵,张鹏.骨盆髋臼三维记忆内固定系统对犬骨盆弓状线部骨折力学性能的影响[J].中国骨伤,2007,20(7):452~454
英文格式:NIU Yun-fei,WANG Jia-lin,ZHANG Chun-cai,XU Shuo-gui,ZHANG Peng.Effect of acetabular tri-dimetional memory fixation system (ATMFS) on the mechanical property of canine iliopectineal crest fracture[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(7):452~454
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