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马近端指间关节融合术:3孔4.5毫米锁定加压钢板与3孔4.5毫米窄动力加压钢板的生物力学比较,采用两枚5.5毫米经关节皮质骨螺钉。

Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of 3-hole 4.5 mm locking compression plate and 3-hole 4.5 mm narrow dynamic compression plate, with two transarticular 5.5 mm cortex screws.

作者信息

Zoppa André L V, Santoni Brandon, Puttlitz Christian M, Cochran Kayla, Hendrickson Dean A

机构信息

Department of Surgery, University of São Paulo, São Paulo, Brazil.

出版信息

Vet Surg. 2011 Feb;40(2):253-9. doi: 10.1111/j.1532-950X.2010.00792.x. Epub 2011 Jan 18.

Abstract

OBJECTIVES

To compare the biomechanical characteristics of 2 arthrodesis techniques for the equine proximal interphalangeal joint (PIP) using either a 3-hole 4.5 mm locking compression plate (LCP) or 3-hole 4.5 mm narrow dynamic compression plate (DCP), both with 2 transarticular 5.5 mm cortex screws.

STUDY DESIGN

Experimental.

SAMPLE POPULATION

Cadaveric adult equine forelimbs (*n=6 pairs).

METHODS

For each forelimb pair, 1 limb was randomly assigned to 1 of 2 treatment groups and the contralateral limb by default to the other treatment group. Construct stiffness, gap formation across the PIP joint, and rotation about the PIP joint were determined for each construct before cyclic axial loading and after each of four, 5000 cycle loading regimens. After the 20,000 cycle axial loading regimen, each construct was loaded to failure.

RESULTS

There were no significant differences in construct stiffness, gap formation, or sagittal plane rotation between the LCP and DCP treatment groups at any of the measured time points.

CONCLUSION

Biomechanically, fixation of the equine PIP joint with a 3-hole 4.5 mm LCP is equivalent to fixation with a 3-hole 4.5 mm narrow DCP under the test conditions used.

摘要

目的

比较使用3孔4.5毫米锁定加压钢板(LCP)或3孔4.5毫米窄动力加压钢板(DCP)以及两根5.5毫米经关节皮质骨螺钉的两种关节融合技术用于马近端指间关节(PIP)的生物力学特性。

研究设计

实验性研究。

样本群体

成年马尸体前肢(n = 6对)。

方法

对于每对前肢,将1个肢体随机分配到2个治疗组中的1组,默认情况下对侧肢体分配到另一个治疗组。在循环轴向加载前以及四个5000次循环加载方案中的每次加载后,测定每个结构的结构刚度、PIP关节处的间隙形成以及围绕PIP关节的旋转。在20000次循环轴向加载方案后,将每个结构加载至破坏。

结果

在任何测量时间点,LCP和DCP治疗组之间在结构刚度、间隙形成或矢状面旋转方面均无显著差异。

结论

在所用测试条件下,使用3孔4.5毫米LCP固定马PIP关节在生物力学上等同于使用3孔4.5毫米窄DCP固定。

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