新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋臼唇损伤的生物力学研究

《新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋臼唇损伤的生物力学研究》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089_学号或申请号08010010031HebeiMedicalUniversity硕士学位论文专业学位新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋白唇损伤的生物力学研究研究生：潘振华导师：冯文岭教授专业：外科学二级学院：第三医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试验材料、

2、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自目录中文摘要·······································································1英文摘要···············································

3、·························3研究论文新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋臼唇损伤的生物力学研究前言········································································7材料与方法·································································7结果································································

4、········10附图································································11附表·········································································14讨论·········································································18结论··········································

5、·······························23参考文献·································································24综述涉及髋臼后壁骨折内固定的治疗及进展·······························29致谢···············································································40个人简历·································

6、········································41中文摘要新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋臼唇损伤的生物力学研究摘要目的：由于交通事故与工伤事故的日渐增多,髋臼骨折的发生率也逐步增多，高能量创伤常引发髋臼骨折。髋臼后壁骨折是髋臼骨折最常见的一种,大约占全部髋臼骨折的1/4～1/3。如果在发生事故时，髋关节处在屈曲、内收、内旋位,极大的高能量暴力通过膝关节传导极易造成髋关节脱位,如果下肢的内收角度偏小,会造成股骨头撞击髋臼后缘,极易发生髋臼后唇撕裂骨折或股骨颈骨折等并发症。现在治疗髋臼后壁骨折的内固定

7、物较多，而且取得了较好的结果，但研究合并髋臼唇损伤的修复研究尚且较少，尤其是内固定修复治疗髋臼后壁骨折合并髋臼后唇撕裂损伤未见相关资料报告。本实验通过生物力学比较与研究，对冯文岭教授设计的新型髋臼后壁可塑形解剖板治疗髋臼后壁骨折合并髋臼唇损伤提供试验依据。该新型髋臼后壁可塑形解剖板用于解决在髋臼骨折接骨时使用多块接骨板时结构繁杂、连接不稳固、应用不方便、不能修复髋臼唇的缺点，其设计原理是：它为薄金属板体，板的主体为长条形接骨板，长条接骨板的两侧边向外延伸成侧孔，其靠近髋臼唇一侧可以通过可吸收缝合线修复髋臼盂唇，另外一侧可以拧入螺钉，加强解剖板的固

8、定强度。该弧形板面外形与坐骨结节外形相匹配，弯曲弧度与髋臼外面弧形外形相匹配，可能成为治疗髋臼后壁骨折合并髋臼唇损伤更完美的内固定材料。