股骨头软骨下骨厚度与塌陷的相关性分析

股骨头软骨下骨厚度与塌陷的相关性分析

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页数:53页

时间:2019-02-19

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1、研究论文theprogressandprovideareasonablebasisofretainningthethicknessofsubchondralbonewhentakingdebridementsurgeryMethods:Choose60femursofBritishLandracepigs,Femursweresawedunder4cmofgreatertrochanter,preservingthepartofthefemoralhead.Thepartofthefemoralheadaresawedalongthemediancoro

2、nalplaneusingpendulumsaws,preservingthesidewhichhasroundligament,TheBMDofthefemoralheadweretestedimmediatly.InordertoreducedifferencesinbiomechanicalpropertieseffectedbyBMD,weuserandomizedblockdesign.WemarkedthedatesofBMDfromsmalltolargeandputsixofsimilarBMDvaluesintooneblock.The

3、nweslectedtwofiguresasarandomnumberfromrandomnumbertable,whichwererankedbysize.Thenumber1-5ofeachblockweremadedintothefemoralheadnecrosismodelswiththesubchondralbonethicknessoflmm,2mm,3mm,4mm,5mm.Thenumber6wasanormalcontr01groupwithoutanytreatment.Makingmethods:Connectingthetwopo

4、intofmejunctionoftheheadandneck,from9.3O’clockonaverage13positionweretaked,wherethethicknessofsubchondralbonewasmeasuredaccuratlyandmarked.Thenallpointswereconnectedwitharc.111ecancellousbonewereremovedwithcrescentsawsalongthemarkandpolishedcarefully.Inordertoensuretheaccuracyofm

5、odels,weuseCalipertomeasurethethicknessofthefemoralheadatmanypartstimely.Allmodelsoffemoralheadnecrosiswilldo:①Toobserveimagingstudy:throughtheX—rayandCTtoobserve5研究论文whetherthethicknessofsubchondralboneofeachmodeliSconsistent②Todobiomechanicaltestofeachfemoralheadnecrosismodelto

6、obtainyieldload.AlldataswilbeexpressedinX±s.andanalyzedwithSPSS13.0statisticalsoftware.Results:(1)BonemineraldensityResults:Bonemineraldensitymeasurementsis0.307-4).5209/cm:,themean4-standarddeviationis0.4174-0.041g/cm2.thereare14casesbetween0.307---0.3999/cm2,thereare38casesbetw

7、een0.400~0.4999/cm2and8casesabove0.5009/cm2.(2)Generalobservationafterbiomechanicaltest:Allspecimensofthefemoralheadcollapsedandsubchondralbonefractured.(3)Imagingstudyresults:Thethicknessofthesubchondralboneareuniformin1-5Groups.(4)Biomechanicalresults:Theyieldloadof1-6groupsare

8、:70.29±8.72、83.02±9.22、167.95±12.28、186.

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