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近端指间关节融合术内固定技术的生物力学分析

Biomechanical analysis of internal fixation techniques for proximal interphalangeal joint arthrodesis.

作者信息

Kovach J C, Werner F W, Palmer A K, Greenkey S, Murphy D J

出版信息

J Hand Surg Am. 1986 Jul;11(4):562-6. doi: 10.1016/s0363-5023(86)80200-3.

DOI:10.1016/s0363-5023(86)80200-3
PMID:3722771
Abstract

Although numerous fixation techniques have been developed for performing small joint arthrodesis, no previous study of the biomechanical properties of these constructs has been published. The strength of specimens of arthrodesis of the proximal interphalangeal joint performed with cadaver material was determined for three-point anteroposterior bending, axial torsion, and lateral cantilever bending stress. Crossed Kirschner wires, intraosseous wiring, and figure of eight tension-band wiring were studied. Figure of eight tension-band wiring demonstrates superior strength in anteroposterior bending and torsion. For lateral bending stress, no significant difference exists among the techniques studied.

摘要

尽管已经开发出多种用于进行小关节融合术的固定技术,但此前尚未发表过关于这些结构生物力学特性的研究。使用尸体材料对近端指间关节融合术标本进行三点前后弯曲、轴向扭转和侧向悬臂弯曲应力测试,以确定其强度。研究了交叉克氏针、骨内钢丝和8字形张力带钢丝固定技术。8字形张力带钢丝在前后弯曲和扭转方面表现出更强的强度。对于侧向弯曲应力,所研究的技术之间没有显著差异。

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