股骨近端松质骨的生物力学特性及临床意义：综述

Biomechanical properties and clinical significance of cancellous bone in proximal femur: A review.

作者信息

Wang Haicheng, Zhang Yifan, Ren Chuan, Ding Kai, Zhang Qi, Zhu Yanbin, Chen Wei

机构信息

Department of orthopaedic surgery, the 3rd Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, P. R. China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang 050051, Hebei, P. R. China; Orthopaedic Institution of Hebei Province, Shijiazhuang 050051, Hebei, P. R. China.

出版信息

Injury. 2023 Mar 10. doi: 10.1016/j.injury.2023.03.010.

DOI:10.1016/j.injury.2023.03.010

PMID:36922271

Abstract

Trabecular bone plays an important role in the load-bearing capacity of the femur. Understanding the structural characteristics, biomechanics, and mechanical conduction of the trabecular bone is of great value in studying the mechanism of fractures and formulating surgical plans. The past decade has witnessed unprecedented progress in imaging, biomechanics and finite element analysis techniques, translating into a better understanding of trabecular bone. This article reviews the research progress achieved over the years regarding femoral trabecular bone, especially on factors influencing the strength of the proximal femoral cancellous bone and cancellous bone microfractures and provides a comprehensive overview of the latest findings on proximal femoral trabecular bone and their clinical significance.

摘要

松质骨在股骨的承重能力中起着重要作用。了解松质骨的结构特征、生物力学和机械传导，对于研究骨折机制和制定手术方案具有重要价值。在过去十年中，成像、生物力学和有限元分析技术取得了前所未有的进展，有助于更好地理解松质骨。本文综述了多年来在股骨松质骨方面取得的研究进展，特别是关于影响股骨近端松质骨强度和松质骨微骨折的因素，并全面概述了股骨近端松质骨的最新研究结果及其临床意义。