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生物力学导向骨折固定的热点话题。

Hot topics in biomechanically directed fracture fixation.

作者信息

Bonyun Marissa, Nauth Aaron, Egol Kenneth A, Gardner Michael J, Kregor Philip J, McKee Michael D, Wolinsky Philip R, Schemitsch Emil H

机构信息

*Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; †Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada; ‡Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY; §Department of Orthopaedics, Washington University School of Medicine, St Louis, MO; ‖The Hughston Clinic, Columbus, GA; and ¶Department of Orthopaedic Surgery, University of California, Davis School of Medicine, Sacramento, CA.

出版信息

J Orthop Trauma. 2014;28 Suppl 1:S32-5. doi: 10.1097/BOT.0000000000000072.

DOI:10.1097/BOT.0000000000000072
PMID:24464098
Abstract

The evolution of locking plates and modern nail constructs provides the orthopaedic trauma surgeon with a myriad of options with regard to implant selection for common fractures. There is a significant amount of biomechanical literature comparing modern constructs with those conventionally used. A basic understanding of this literature is required to make informed decisions with regard to implant selection in the management of these injuries. This article reviews the most recent biomechanical literature regarding implant selection and application for a variety of commonly treated injuries, including fractures of the clavicle, proximal humerus, distal humerus, intertrochanteric hip region, distal femur, and bicondylar tibial plateau.

摘要

锁定钢板和现代髓内钉结构的发展为骨科创伤外科医生在选择常见骨折的植入物时提供了众多选择。有大量生物力学文献将现代结构与传统使用的结构进行了比较。要在这些损伤的治疗中就植入物选择做出明智的决定,就需要对这些文献有基本的了解。本文回顾了关于各种常见治疗损伤(包括锁骨、肱骨近端、肱骨远端、股骨转子间区域、股骨远端和双髁胫骨平台骨折)的植入物选择和应用的最新生物力学文献。

相似文献

1
Hot topics in biomechanically directed fracture fixation.生物力学导向骨折固定的热点话题。
J Orthop Trauma. 2014;28 Suppl 1:S32-5. doi: 10.1097/BOT.0000000000000072.
2
A biomechanical evaluation of locked plating for distal fibula fractures in an osteoporotic sawbone model.一种在骨质疏松性模拟骨模型中评估锁定接骨板治疗腓骨远端骨折的生物力学评估。
Foot Ankle Surg. 2014 Mar;20(1):44-7. doi: 10.1016/j.fas.2013.10.004. Epub 2013 Nov 13.
3
A biomechanical comparison of one-third tubular plates versus periarticular plates for fixation of osteoporotic distal fibula fractures.一种生物力学比较:三分之一管状钢板与关节周围钢板治疗骨质疏松性腓骨远端骨折的固定效果比较。
J Orthop Trauma. 2013 Sep;27(9):e201-7. doi: 10.1097/BOT.0b013e318281a565.
4
Biomechanical comparison of 4 different lateral plate constructs for distal fibula fractures.四种不同外侧接骨板固定治疗腓骨远端骨折的生物力学比较。
Foot Ankle Int. 2013 Nov;34(11):1588-95. doi: 10.1177/1071100713496223. Epub 2013 Jul 1.
5
Percutaneous fixation of the medial condyle in bicondylar tibial plateau fractures: novel use of the 3.5-mm medial distal tibia plate.双髁胫骨平台骨折的内侧髁经皮固定:3.5毫米胫骨远端内侧钢板的新用途
Am J Orthop (Belle Mead NJ). 2008 Jan;37(1):14-7.
6
Locking plates for distal femur fractures: is there a problem with fracture healing?锁定钢板治疗股骨远端骨折:骨折愈合是否存在问题?
J Orthop Trauma. 2011 Feb;25 Suppl 1:S8-14. doi: 10.1097/BOT.0b013e3182070127.
7
Are conventional reconstruction plates equivalent to precontoured locking plates for distal humerus fracture fixation? A biomechanics cadaver study.传统重建钢板与预塑形锁定钢板用于肱骨远端骨折固定时效果是否相当?一项生物力学尸体研究。
Clin Biomech (Bristol). 2012 Aug;27(7):697-701. doi: 10.1016/j.clinbiomech.2012.03.008. Epub 2012 Apr 25.
8
The effect of implant overlap on the mechanical properties of the femur.植入物重叠对股骨力学性能的影响。
J Trauma. 2003 May;54(5):930-5. doi: 10.1097/01.TA.0000060999.54287.39.
9
Fixation of osteoporotic distal fibula fractures: A biomechanical comparison of locking versus conventional plates.骨质疏松性腓骨远端骨折的固定:锁定钢板与传统钢板的生物力学比较
J Foot Ankle Surg. 2007 Jan-Feb;46(1):2-6. doi: 10.1053/j.jfas.2006.09.009.
10
Biomechanical comparison of contemporary clavicle fixation devices.当代锁骨固定装置的生物力学比较
J Hand Surg Am. 2010 Apr;35(4):639-44. doi: 10.1016/j.jhsa.2009.12.012.

引用本文的文献

1
Biomechanical Design Optimization of Distal Humerus Fracture Plates: A Review.肱骨远端骨折接骨板的生物力学设计优化:综述。
Biomed Res Int. 2024 Jun 27;2024:6015794. doi: 10.1155/2024/6015794. eCollection 2024.
2
Weightbearing after combined medial and lateral plate fixation of AO/OTA 41-C2 bicondylar tibial plateau fractures: a biomechanical study.AO/OTA 41-C2 双髁胫骨平台骨折的内外侧联合钢板固定后负重:一项生物力学研究。
BMC Musculoskelet Disord. 2022 Jan 25;23(1):86. doi: 10.1186/s12891-022-05024-2.
3
Strategies to Improve Bone Healing: Innovative Surgical Implants Meet Nano-/Micro-Topography of Bone Scaffolds.
改善骨愈合的策略:创新型外科植入物与骨支架的纳米/微观形貌
Biomedicines. 2021 Jun 28;9(7):746. doi: 10.3390/biomedicines9070746.
4
Finite Element-Derived Surrogate Models of Locked Plate Fracture Fixation Biomechanics.有限元衍生的锁定钢板骨折固定生物力学替代模型
Ann Biomed Eng. 2017 Mar;45(3):668-680. doi: 10.1007/s10439-016-1714-3. Epub 2016 Aug 23.