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内固定中接骨板与骨的接触面积(作者译)

[Area of contact between osteosynthesis plate and bone in internal fixation (author's transl)].

作者信息

Lüthi U, Rahn B A, Perren S M

出版信息

Aktuelle Traumatol. 1980 Jun;10(3):131-6.

PMID:6111187
Abstract

The bone can be protected against excessive stress if the plate is properly adapted to the surface of the contact area between plate and bone, thus ensuring good and longlasting repositioning of the fracture. The article describes an in-vitro method for the quantitative evaluation of the contact area between plate and bone in osteosynthesis. With four different bones and the requisite plates, six expert surgeons were able to obtain an area of contact between plate and bone which varied between 13 and 60%, the average being 32%. The available data allow us to conclude that the peak loads of pressure occurring with small contact areas may be so great that they exceed the maximum compressive strength of the bone.

摘要

如果接骨板与骨之间的接触区域表面适配得当,骨就能免受过度应力,从而确保骨折得到良好且持久的复位。本文描述了一种体外方法,用于定量评估骨接合术中接骨板与骨之间的接触面积。使用四块不同的骨头和所需的接骨板,六位专业外科医生得到的接骨板与骨之间的接触面积在13%至60%之间变化,平均为32%。现有数据使我们能够得出结论,小接触面积时出现的压力峰值负荷可能非常大,以至于超过了骨的最大抗压强度。

相似文献

1
[Area of contact between osteosynthesis plate and bone in internal fixation (author's transl)].内固定中接骨板与骨的接触面积(作者译)
Aktuelle Traumatol. 1980 Jun;10(3):131-6.
2
[Contact surfaces, compressive forces and pressure distribution in osteosynthesis. Model studies using pressure-sensitive foil].[骨接合术中的接触面、压缩力和压力分布。使用压敏箔的模型研究]
Z Orthop Ihre Grenzgeb. 1985 Jan-Feb;123(1):27-34. doi: 10.1055/s-2008-1039716.
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An evaluation of interface contact profiles in two low contact bone plates.两种低接触接骨板界面接触轮廓的评估。
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In vitro evaluation of the influence of the wave length and height in the wave-plate osteosynthesis.体外评估波长短和波高在波板骨合成中的影响。
Arch Orthop Trauma Surg. 2010 Sep;130(9):1133-9. doi: 10.1007/s00402-009-1013-7. Epub 2009 Dec 3.
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[Influence of plate pre-bending, pre-tension, and oblique plate-lag screws on the stability of osteosynthesis (author's transl)].[钢板预弯、预张力及斜行钢板拉力螺钉对骨内固定稳定性的影响(作者译)]
Chir Forum Exp Klin Forsch. 1980:21-5.
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[Stress protection in plate osteosynthesis: myth or reality?].[钢板内固定中的应力保护:神话还是现实?]
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[Spongiosa formation in plate osteosynthesis--a comparative animal experiment study of current and auto-compression plates using the Zespol principle].[接骨板内固定术中松质骨形成——基于Zespol原理对现有接骨板和自动加压接骨板的比较性动物实验研究]
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