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大鼠股骨干开放骨折愈合模型的建立及生物力学性能评价
Hits: 2203   Download times: 1607   Received:December 12, 2012    
作者Author单位UnitE-Mail
邢丹 XING Dan 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211 Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China  
马信龙 MA Xin-long 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211
天津医科大学总医院骨科, 天津 300052
Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China mjx969@163.com 
马剑雄 MA Jian-xiong 天津医科大学总医院骨科, 天津 300052  
王杰 WANG Jie 天津医科大学总医院骨科, 天津 300052  
陈阳 CHEN Yang 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211 Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China  
杨阳 YANG Yang 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211 Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China  
朱少文 ZHU Shao-wen 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211 Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China  
马宝意 MA Bao-yi 天津医院骨研所生物力学室 天津医科大学骨科临床学院, 天津 300211 Department of Orthopaedics Institute, Tianjin Hospital, Tianjin 300211, China  
冯睿 FENG Rui 天津医科大学总医院骨科, 天津 300052  
期刊信息:《中国骨伤》2013年26卷,第8期,第676-680页
DOI:10.3969/j.issn.1003-0034.2013.08.016
基金项目:国家自然科学基金项目(编号:81102607);天津市科技支撑重点项目(编号:11ZCGYSY01800);天津市卫生局科技攻关项目(编号:11KG137)


目的: 比较闭合骨折髓内钉固定和开放骨折钢板固定大鼠股骨干骨折愈合模型的建立及生物力学性能。

方法: 将40只8周龄SD雄性大鼠通过随机数字表法分为两组,分别建立左侧股骨干闭合骨折髓内钉内固定模型和开放骨折钢板内固定模型,每组20只。建立骨折模型后,分别于术后4、6、8、12周4个时间点对两组大鼠进行分批次处死后取材,测量骨折处骨痂的最大横截面积、体积,计算骨痂的最大载荷、最大载荷恢复率。比较两种不同骨折愈合模型的力学性能。

结果: 两种骨折模型的平均手术时间比较,差异有统计学意义(P<0.001).两种骨折模型组术后各时间点的平均骨痂最大横截面积和平均骨痂体积差异具有统计学意义(P<0.05).两种骨折固定模型组术后各时间点的平均最大载荷以及平均最大载荷恢复率,差异均具有统计学意义(P<0.05).

结论: 骨折愈合过程中,闭合骨折髓内钉固定模型的力学性能优于开放骨折钢板内固定模型,提示轴向的力学刺激在骨折愈合过程中起重要作用。
[关键词]:股骨骨折  内固定器  动物,实验  生物力学
 
Biomechanical study on open fracture model with plate fixation compared with closed fracture model with intramedullary nail fixation in rats
Abstract:

Objective: To compare biomechanical effect of the closed fracture model with intramedullary nail fixation and the open fracture model with plate fixation in rats.

Methods: Forty 8-week-old Spragu-Dawley male rats were divided into two groups randomly. Left femoral shaft closed fractures model was created in 20 rats,and treated with intramedullary nail. Other 20 rats received open osteotomy on the left femoral shaft,and were fixed by plate. Rats were sacrificed and draw the materials at 4,6,8 and 12 weeks in batch. Across section area and volume of callus were measured,peak load,restoration rate of peak load were tested. The biomechanical efficency of two methods of femoral shaft fracture fixation were compared.

Results: The difference of surgical duration was statistically significant between two groups(P<0.001). At 4,6,8 and 12 weeks,the difference of peak load,restoration rate of peak load,volume and area of callus was also statistically significant between two groups (P<0.05).

Conclusion: Open fracture model with plate fixation led to delayed healing compared with closed fracture model with intramedullary nail. However,open fracture model with plate fixation model could be a valuable research tool to study the healing consequences of cortical bone,which may provide insight into the pathogenesis and ideal treatment of fractures or non-unions.
KEYWORDS:Femoral fractures  Internal fixators  Animals,laboratory  Biomechanics
 
引用本文,请按以下格式著录参考文献:
中文格式:邢丹,马信龙,马剑雄,王杰,陈阳,杨阳,朱少文,马宝意,冯睿.大鼠股骨干开放骨折愈合模型的建立及生物力学性能评价[J].中国骨伤,2013,26(8):676~680
英文格式:XING Dan,MA Xin-long,MA Jian-xiong,WANG Jie,CHEN Yang,YANG Yang,ZHU Shao-wen,MA Bao-yi,FENG Rui.Biomechanical study on open fracture model with plate fixation compared with closed fracture model with intramedullary nail fixation in rats[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(8):676~680
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