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新型最小接触锁定加压接骨板与有限接触动力加压接骨板的界面接触形态比较。

Comparison of interface contact profiles of a new minimum contact locking compression plate and the limited contact dynamic compression plate.

机构信息

Department of Orthopaedics, Daping Hospital, The Third Military Medical University, 10 Changjiang Branch Road, Yuzhong District, Chongqing 400042, People's Republic of China.

出版信息

Int Orthop. 2010 Jun;34(5):715-8. doi: 10.1007/s00264-009-0836-8. Epub 2009 Jul 15.

Abstract

In this study, we investigated whether or not a new minimum contact locking compression plate (MC-LCP) can provide advantages over the limited contact dynamic compression plate (LC-DCP) in the context of interface contact area and force. Six matched pairs of cadaveric bones were used for each of three bone types of the humerus, radius and ulna. For each bone type, one of two bone plates was fixed to either of two matched cadaveric bones at the middle of the diaphysis. The interface contact area and force of the plate fixed to three types of human cadaveric bones were evaluated using Fuji prescale pressure sensitive film. Data were quantitated using computer-assisted image analysis. Results showed that the average force between the MC-LCP and humerus or radius was about half of that of the LC-DCP. And the average force between the MC-LCP and ulna was one third less than that of the LC-DCP. Meanwhile, the interface contact area between the MC-LCP and humerus or radius was also about half of that of the LC-DCP, and the interface contact area between the MC-LCP and ulna was less than one third of that of the LC-DCP. These results indicate that the MC-LCP has lower interface contact area and lower average force than that of the LC-DCP. Thus, the MC-LCP system may be a good alternate to treat forearm diaphyseal fractures.

摘要

在这项研究中,我们研究了新型微创锁定加压接骨板(MC-LCP)在界面接触面积和力量方面是否优于有限接触动力加压接骨板(LC-DCP)。我们使用了 6 对匹配的肱骨、桡骨和尺骨的 cadaveric 骨头,每种骨头类型各有 6 对。对于每种骨头类型,两种接骨板中的一种固定在 6 对 cadaveric 骨头的中间。我们使用富士预标压力敏感胶片评估固定在三种类型的人体 cadaveric 骨头的接骨板的界面接触面积和力量。数据使用计算机辅助图像分析进行定量。结果表明,MC-LCP 与肱骨或桡骨之间的平均力约为 LC-DCP 的一半。MC-LCP 与尺骨之间的平均力比 LC-DCP 低三分之一。同时,MC-LCP 与肱骨或桡骨之间的界面接触面积也约为 LC-DCP 的一半,MC-LCP 与尺骨之间的界面接触面积不到 LC-DCP 的三分之一。这些结果表明,MC-LCP 的界面接触面积和平均力均低于 LC-DCP。因此,MC-LCP 系统可能是治疗前臂骨干骨折的良好替代方法。

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