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[个体患者特征对股骨近端负荷能力及变形的意义]

[The significance of individual patient characteristics for loading capacity and deformation of the proximal end of the femur].

作者信息

Friedl W, Krebs H

机构信息

Chirurgische Universitätsklinik Heidelberg.

出版信息

Unfallchirurg. 1990 Aug;93(8):364-71.

PMID:2392688
Abstract

The influence of such individual characteristics as age, sex, morphological characteristics (CDD angle, length of femoral neck, total and medullary diameter and score on the Singh osteoporosis index) on the loading capacity and deformation of the proximal end of the femur were determined in this experimental study. In all, 341 femora taken from the cadavers of persons who had died at over 60 years of age were tested under alternating load in up to 4000 cycles and, if no instability occurred, also under static load. The loading capacity and deformation were compared. The loading capacity was significantly higher in male femora with (5441 +/- 257 N) than in female femora (4273 +/- 1850 N). The loading capacity also decreased with increasing age and with decreasing CCD angle and Singh index score (higher degree of osteoporosis). Because of the high standard deviation in each group these differences were not significant.

摘要

在本实验研究中,确定了年龄、性别、形态特征(颈干角、股骨颈长度、总直径和髓腔直径以及辛格骨质疏松指数评分)等个体特征对股骨近端承载能力和变形的影响。总共对341根取自60岁以上死者尸体的股骨进行了测试,先在高达4000次循环的交变载荷下测试,如果未出现不稳定情况,还在静载荷下进行测试。比较了承载能力和变形情况。男性股骨的承载能力(5441±257 N)明显高于女性股骨(4273±1850 N)。承载能力也随着年龄的增长、颈干角的减小和辛格指数评分的降低(骨质疏松程度加重)而下降。由于每组的标准差较高,这些差异并不显著。

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