空心加压螺钉张力带治疗髌骨骨折的生物力学评价
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BIOMECHANICAL EVALUATION OF CANNULATED SCREWS PLUS THE TENSION BAND IN TREATMENT OF PATELLA FRACTURE
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    摘要:

    目的:通过实验应力分析方法比较空心加压螺钉加张力带与其他方法固定髌骨。方法:8具新鲜膝关节尸体标本,分别行空心加压螺钉和克氏针等内固定,比较它们的受力状态。结果:空心自攻加压螺钉张力带内固定治疗髌骨骨折,固定可靠,能承受高负荷,性能优于克氏针内固定等,具有显著性差异(P<0.05)。结论:从生物力学角度看髌骨骨折以空心加压螺钉加张力带内固定是一种较为合理的治疗方法。

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    Objective:To compare the biomechanical effectiveness of three diferent techniques to prove the advantage of the cannulated screws plus the tension band through stress analyses.Methods:eight pairs of fresh cadaver knees were used for test.Fractures were created in sixteen knees and fixed with cerclage wiring,parallel kirschner wires plus the tension band and the cannulated screws plus the tension band,respectively.The biomechanical properties of three methods were analysed.Results:The cannulated screws plus the tension band have better biomechanical properties in the treatment of patella fracture than the cerclage wiring and parallel kirshner plus the tension band(P<0.05).Conclusion:The cannulated screws plus the tension band are the best way to treat the patella fracture.

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王一农,温鹏,庞伍宽,岳建民,孙玺淳,王以进,叶学军.空心加压螺钉张力带治疗髌骨骨折的生物力学评价[J].医用生物力学,2001,16(4):235-238

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