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几种寰枢椎后路内固定方式的实验研究
Hits: 2237   Download times: 1100   Received:October 11, 2005    
作者Author单位UnitE-Mail
吴斌 WU Bin 浙江大学机械与能源学院力学系,浙江杭州310027 Department of Engineering Mechanics,College of Mechanical and Energy Engineering,Zhejiang University,Hangzhou 310027,Zhejiang,China hseecllx@zju.edu.cn 
何姗 HE Shan 浙江大学机械与能源学院力学系,浙江杭州310027 Department of Engineering Mechanics,College of Mechanical and Energy Engineering,Zhejiang University,Hangzhou 310027,Zhejiang,China  
林仲可 LIN Zhong-ke 浙江中医学院  
吕荣坤 LüRong-kun 浙江大学机械与能源学院力学系,浙江杭州310027 Department of Engineering Mechanics,College of Mechanical and Energy Engineering,Zhejiang University,Hangzhou 310027,Zhejiang,China  
期刊信息:《中国骨伤》2006年19卷,第5期,第284-286页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:对寰枢椎齿状突Ⅱ型骨折实验模型的4种后路内固定方式下的三维运动范围进行实验研究,为临床选择内固定方法提供生物力学依据。

方法:实验采用10具新鲜人体寰枢椎标本(C0-C3)制成寰枢椎齿状突Ⅱ型骨折实验模型,使实验模型在不同固定方式下模拟人体寰枢椎的三维运动(前屈、后伸、左右侧屈、左右旋转),并选用应变式传感器对运动范围的角度进行测量研究。

结果:在1.53Nm作用下4点固定的寰枢椎三维运动范围最小,其前屈、后伸、左右侧屈、左右旋转角度分别为1.8°、2.0°、1.2°、1.1°、3.2°、3.0°。

结论:实验研究表明4点固定有更好的生物力学稳定性,采用应变式传感器能够对寰枢椎的三维运动进行测量,具有直观、实时、方法简单、结果可靠等优点。
[关键词]:寰枢关节  骨折固定术,内  生物力学
 
Experimental research of several posterior atlantoaxial fixation techniques
Abstract:

Objective:To study three-dimensional movement of four type of posterior atlantoaxial fixation techniques of type Ⅱ odontoid process fracture.

Methods:Ten fresh cadaveric specimens (C0-C3)were studied to compare three-dimensional movement of four type posterior atlantoaxial fixation techniques by strain sensor.

Results:According to experiment,the movement range of four-point fixation techniques was least.Range of three-dimensional movement of atlantoaxial joint in four-point fixation techn ique for flexion, extension, left lateral bend ing, right lateral bending, and left axial rotation, right axial rotation were 1.8°,2.0°,1.2°,1.1°,3.2°,3.0°.

Conclusion:Four-point fixation techniques is superior to other fix ation techniques. The study shows that this method had following mer it: direct viewing, real time, simple in measurement and reliable in result.
KEYWORDS:Atlantoaxial joint  Fracture fixation,internal  Biomechanic
 
引用本文,请按以下格式著录参考文献:
中文格式:吴斌,何姗,林仲可,吕荣坤.几种寰枢椎后路内固定方式的实验研究[J].中国骨伤,2006,19(5):284~286
英文格式:WU Bin,HE Shan,LIN Zhong-ke,LüRong-kun.Experimental research of several posterior atlantoaxial fixation techniques[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(5):284~286
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