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单侧多功能外固定架治疗股骨颈骨折的生物力学测定及临床应用
Hits: 2322   Download times: 1324   Received:June 26, 1996  Revised:December 08, 1996  
作者Author单位UnitE-Mail
刘安庆 Liu Anqing 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
王坤正 Wang Kunzheng 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
张开放 Zhang Kaifang 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
王春生 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
兰斌尚 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
王建华 西安建筑科技大学  
马川鑫 西安建筑科技大学  
闫宏伟 西安医科大学第二附属医院,710004 The Second Teaching Hospital of Xian Medical University, Xiadn 710004  
期刊信息:《中国骨伤》1997年10卷,第5期,第7-9页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
作者设计了应用单侧11多功能外固定支架治疗股骨颈骨折,经20具尸体股骨标本生物力学测定及临床应用128例,随访4个月~3年,骨折愈合及去除支架的时间为3~9个月,其中骨折不愈合或延迟愈合9例,股骨头坏死19例。作者认为利用3枚4mm斯氏针与螺纹钉将股骨颈骨折与股骨干在预张力下经外固定支架在体外连成一个密闭的钢架固定系统,固定范围大,既提高了固定能力又制约了钉的移动,使断端间的剪力部分转变为加压力,且闭合复位,经皮穿打外固定,方法简便,易于接受。
[关键词]:股骨颈骨折  经皮穿针外固定  生物力学
 
The Biomechanical Assay and Clinical Application of Unilateral Polyfunctional External Fixation Frame for treating Femoral Neck Fracture
Abstract:The unilateral polyfunctional external fixation frame,designed for treating femoral Neck Fracture.was biomechanically assayed with 20 femoral samples from cadavers and applied to treat 128 patients with femoral neck fracture. The clinical data, followed-up for 4 months to 3 years, showed that the fractures were healed within 3 to 9 months in most cases,and nonunion or delayed union in 9 cases(7%)and femoral head necrosis in 19 cases (15%) were happened. The writers considered that a closed steel frame system is formed through fixating the fractured femoral neck and the femoral stem to the external fixation frame with three 4mm Steinman's pins and screws. The large fixation range improves the ability of fixation and restricts the movement of screw. It converts shearing force into compression force. In addition,closed reduction and percutaneous pinning external fixation are easy to perform and receptible.
KEYWORDS:Femoral neck fracture  Percutaneous pinning external fixation  Biomechanics
 
引用本文,请按以下格式著录参考文献:
中文格式:刘安庆,王坤正,张开放,王春生,兰斌尚,王建华,马川鑫,闫宏伟.单侧多功能外固定架治疗股骨颈骨折的生物力学测定及临床应用[J].中国骨伤,1997,10(5):7~9
英文格式:Liu Anqing,Wang Kunzheng,Zhang Kaifang.The Biomechanical Assay and Clinical Application of Unilateral Polyfunctional External Fixation Frame for treating Femoral Neck Fracture[J].zhongguo gu shang / China J Orthop Trauma ,1997,10(5):7~9
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