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本文引用的文献

1
Simple visual parameters for objective assessment of arthroscopic skill.关节镜手术技能客观评估的简单视觉参数。
J Bone Joint Surg Am. 2012 Jul 3;94(13):e97. doi: 10.2106/JBJS.K.01437.
2
Surgical simulation in orthopaedic skills training.骨科技能培训中的手术模拟。
J Am Acad Orthop Surg. 2012 Jul;20(7):410-22. doi: 10.5435/JAAOS-20-07-410.
3
A comparison C1-C2 transarticular screw placement after self-education and mentored education of orthopaedic residents.骨科住院医师自我学习与导师指导学习后C1-C2经关节螺钉置入的比较
J Spinal Disord Tech. 2012 Aug;25(6):E155-60. doi: 10.1097/BSD.0b013e31825bd0f6.
4
Mechanical characterization of fourth generation composite humerus.第四代复合肱骨的力学特性
Proc Inst Mech Eng H. 2011 Dec;225(12):1169-76. doi: 10.1177/0954411911423346.
5
Peri-anterior cruciate ligament reconstruction femur fracture: a biomechanical analysis of the femoral tunnel as a stress riser.前交叉韧带重建股骨骨折:股骨隧道作为应力集中器的生物力学分析。
Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19 Suppl 1:S77-85. doi: 10.1007/s00167-011-1527-8. Epub 2011 May 12.
6
Biomechanical properties of volar hybrid and locked plate fixation in distal radius fractures.桡骨远端骨折掌侧混合固定和锁定钢板固定的生物力学特性
J Hand Surg Am. 2011 Apr;36(4):591-7. doi: 10.1016/j.jhsa.2010.12.032.
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Cadaveric hands-on training for surgical specialties: is this back to the future for surgical skills development?尸体操作训练在外科专业中的应用:这是外科技能发展的回归吗?
J Surg Educ. 2011 Mar-Apr;68(2):110-6. doi: 10.1016/j.jsurg.2010.10.002.
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A comparison of embalming fluids for use in surgical workshops.手术车间用防腐液的比较。
Clin Anat. 2011 Mar;24(2):155-61. doi: 10.1002/ca.21118. Epub 2011 Jan 12.
9
Kirschner wire fixation for scaphoid fractures: an experimental study in synthetic bones.克氏针固定舟骨骨折:在合成骨上的实验研究
J Hand Surg Eur Vol. 2011 May;36(4):325-8. doi: 10.1177/1753193410394525. Epub 2011 Jan 31.
10
The comparative stability of screw versus plate versus screw and plate coronoid fixation.螺钉、钢板及螺钉联合钢板固定冠状突的稳定性比较
J Hand Surg Am. 2011 Feb;36(2):238-45. doi: 10.1016/j.jhsa.2010.10.022.

骨科手术研究与教育中的复合骨模型。

Composite bone models in orthopaedic surgery research and education.

出版信息

J Am Acad Orthop Surg. 2014 Feb;22(2):111-20. doi: 10.5435/JAAOS-22-02-111.

DOI:10.5435/JAAOS-22-02-111
PMID:24486757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4251767/
Abstract

Composite bone models are increasingly used in orthopaedic biomechanics research and surgical education-applications that traditionally relied on cadavers. Cadaver bones are suboptimal for many reasons, including issues of cost, availability, preservation, and inconsistency between specimens. Further, cadaver samples disproportionately represent the elderly, whose bone quality may not be representative of the greater orthopaedic population. The current fourth-generation composite bone models provide an accurate reproduction of the biomechanical properties of human bone when placed under bending, axial, and torsional loads. The combination of glass fiber and epoxy resin components into a single phase has enabled manufacturing by injection molding. The high level of anatomic fidelity of the cadaver-based molds and negligible shrinkage properties of the epoxy resin results in a process that allows for excellent definition of anatomic detail in the cortical wall and optimized consistency of features between models. Recent biomechanical studies of composites have validated their use as a suitable substitute for cadaver specimens.

摘要

复合骨模型在矫形生物力学研究和外科教育中的应用日益广泛,这些应用传统上依赖于尸体。尸体骨骼存在多种不理想的因素,包括成本、可用性、保存和标本之间的一致性问题。此外,尸体样本不成比例地代表了老年人,而老年人的骨骼质量可能无法代表更广泛的矫形人群。当前的第四代复合骨模型在受到弯曲、轴向和扭转载荷时,能够准确再现人类骨骼的生物力学特性。玻璃纤维和环氧树脂组件的组合成单一相,通过注塑成型实现制造。基于尸体的模具具有高度的解剖逼真度,环氧树脂的收缩特性可以忽略不计,这一过程使得在皮质壁中能够极好地定义解剖细节,并优化模型之间特征的一致性。最近对复合材料的生物力学研究已经验证了它们作为尸体标本的合适替代品的使用。