股骨颈骨折断面倾斜度与骨折愈合的关系
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国家自然科学基金(39670201)


THE RELATIONS BETWEEN THE INCLINED ANGLE OF FEMUR-NECK FRACTURE SECTION AND THE HEAL OF THE FRACTURE
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    摘要:

    本文以三枚骨针为例,按照医学用语-股骨颈骨折断面倾斜度α[1],给出了股骨颈骨折类型的统一描述,建立了在竖向荷载作用下,股骨头的桡度、股骨颈骨折断面上正压力和剪力与倾斜度α的函数关系,讨论了函数的单调性,把倾斜度分为三段(α≤30°,30°<α<70°,α≥70°)逐段讨论了不同类型骨折固定和愈合问题.最后为解决较大倾斜度固定不稳定性问题给出了一些措施.以上结论可以推广到两枚骨针和四枚骨针固定形式。

    Abstract:

    In terms of medicine- the inclined angle of femur- neck fracture section, the general description about the type of femur- neck fracture is given in this paper. For the case of three needle fixing methed, the functional relations of the deflection of the femur in the action of the vertical loads, the axial pressure and the shear with the inclined angle a are divided and the mono-tonicity of the functions are discussed. The inclined angle 2 is divided into three Limits(a<30°,30°70°)and each is discussed about the problem of the fracture fixing and beal. Finally, some measures are give for solving the fracture fixing unstable problem when a is larger. The above conclusions could be generalized to the cases of two needle fixing and four needle fixing.

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李书岐,张建辉,顾志华,张蒲.股骨颈骨折断面倾斜度与骨折愈合的关系[J].医用生物力学,1998,13(1):53-56

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