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ID:33016738
大小:3.79 MB
页数:55页
时间:2019-02-19
《胫骨短节段髓内钉的设计与生物力学分析》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据motion.Ifthesofttissuesconditionaroundthenailenterpointispooratthesametime,intramedullaryfixationusingthetraditionalapproachwilldramaticallyincreasethepossibilityofwoundinfection,osteomyelitis,andnonunion.Conventionalintramedullarynailsarelonger,acrosstheisthmusoflongtubularbone,thenailc
2、aneasilyleadtothenaildeforrnaionduringinserts,resultingindistallockingdifficulty,prolongedoperativetimeandincreasedradiationexposureinmedicalpersonnelandpatients.Therefore,wedesignedanewshort—segmenttibiaintramedullarynail,andcomparetheintramedullarynailwiththeclassicAOcompanyafterfractureof
3、tibialintramedullarynailingfixationofbiomechanics,inhopesofbettertreatmenteffectcanbeachieved.Methods:12adultspecimens(SichuanMedicaluniversityAnatomyteachingandresearchsectionproVided)include10menand2woman.Averageageofdeathwas42years(35—50yearsold).Afteracquiringthelowerlimbs,removalthesurr
4、oundingmuscles,tendons,ligamentsandothersofttissues;dissecttheinferiortibiofibularjoint,removethemeniscusattachment.Deformities,oldfracture,osteoporosis,bonecancerandotherdiseasesoftheskeletalsystemareexcludedbyvisualizingandXraycheck.24tibiaspecimensweretakenbynumber(1th一8th),andrandomnumbe
5、randspecimensisdividedintogroupAandB,twogroups.GroupAisappliedwithconventionalinterlockingintramedullarynailfortibialfixation(controlgroup).GroupBusesnewtypeshortsegmentoftibiaintramedullarynailfixation(theexperimentalgroup).Fromadultcadaversachievedabovethearticularsurfaceofthedistaltibia,t
6、ibia5万方数据8rootspecimenabout12cmrampagesusingthewiresawcutoffpreparedtibialfracturemodel.IntibialslopeCenterOffice,withopeningsfortheopening,followedbyreamingwithdifferentdiameters,graduallyexpandingthetibialintramedullarycavityandimplantedthechamberreamedintramedullarynailingofthesmalltmm,ra
7、yconfirmedintramedullarynaildistalendabovetheankle,intoandthenthroughthesightsarefixedandlockedintramedullarynailfarproximallockingscrews.Aftertwogroupsofspecimenswerefixedinbiomechanicaltestingmachine,respectivelyforthree—pointbendingtest,axialcom
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