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股骨干骨折石膏支具治疗的生物力学研究

A biomechanical study of cast-brace treatment of femoral shaft fractures.

作者信息

Wardlaw D, McLauchlan J, Pratt D J, Bowker P

出版信息

J Bone Joint Surg Br. 1981 Feb;63-B(1):7-11. doi: 10.1302/0301-620X.63B1.7204477.

DOI:10.1302/0301-620X.63B1.7204477
PMID:7204477
Abstract

The off-loading characteristics of the cast-braces of 30 patients with fractures of the shaft of the femur have been investigated, during axial loading, using strain-gauge transducers. These were applied at the level of the fracture, where the cast was circumferentially split, and to the hinges of the brace at the knee. They measured the load transferred between the two portions of the thigh cast, and between the thigh cast as a whole and the below-knee cast; by subtraction from the total load on the limb, the skeletal force at the fracture level and at the knee could be calculated. In all patients there was an increase in the fracture load as union progressed which was thought to be due to physiological feedback mechanism from the fracture site. The load carried by the two portions of the thigh cast and by the thigh cast as a whole was proportionately high at first and stabilised at an average of 35 per cent of body weight.

摘要

使用应变片传感器对30例股骨干骨折患者的石膏支具在轴向加载过程中的卸载特性进行了研究。应变片贴于骨折水平处(此处石膏沿圆周方向切开)以及支具在膝关节处的铰链上。它们测量了大腿石膏两部分之间以及整个大腿石膏与膝下石膏之间传递的载荷;通过从肢体总载荷中减去这些载荷,可计算出骨折水平和膝关节处的骨骼受力。在所有患者中,随着骨折愈合,骨折载荷均增加,这被认为是由于骨折部位的生理反馈机制所致。大腿石膏两部分以及整个大腿石膏所承载的载荷起初比例较高,最终稳定在平均体重的35%。

相似文献

1
A biomechanical study of cast-brace treatment of femoral shaft fractures.股骨干骨折石膏支具治疗的生物力学研究
J Bone Joint Surg Br. 1981 Feb;63-B(1):7-11. doi: 10.1302/0301-620X.63B1.7204477.
2
Cast-bracing for fractures of the femoral shaft. A biomechanical and clinical study.股骨干骨折的石膏外固定。一项生物力学与临床研究。
J Bone Joint Surg Br. 1981 Feb;63-B(1):12-23. doi: 10.1302/0301-620X.63B1.7204465.
3
Force and pressure recordings from patients with femoral fractures treated by cast-brace application.采用石膏支具治疗的股骨骨折患者的力与压力记录。
J Med Eng Technol. 1981 Jan;5(1):30-6. doi: 10.3109/03091908109042431.
4
Cast bracing for femoral shaft fractures.股骨干骨折的石膏支具固定
South Med J. 1976 Mar;69(3):326-30. doi: 10.1097/00007611-197603000-00025.
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Treatment of fractures of the femoral shaft with early cast bracing.早期石膏支具治疗股骨干骨折
Injury. 1981 Nov;13(3):239-43. doi: 10.1016/0020-1383(81)90247-3.
6
Cast brace application and early ambulation as a treatment of femoral shaft fractures.应用管型支具及早期活动作为股骨干骨折的一种治疗方法。
N Z Med J. 1976 Feb 25;83(558):111-4.
7
Pressure recordings in patients with femoral fractures in cast-braces and suggestions for treatment.使用石膏支具治疗的股骨骨折患者的压力记录及治疗建议。
J Bone Joint Surg Am. 1979 Apr;61(3):365-70.
8
Ipsilateral fracture of the femur and tibia treated in a quadrilateral cast brace.
Clin Orthop Relat Res. 1979 Jul-Aug(142):115-22.
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Ambulatory treatment of femoral shaft fractures with cast-brace.采用石膏支具对股骨干骨折进行门诊治疗。
J Trauma. 1975 Oct;15(10):860-8. doi: 10.1097/00005373-197510000-00004.
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Early weight-bearing treatment of femoral shaft fractures using a cast-brace: a preliminary biomechanical study.使用管型支具对股骨干骨折进行早期负重治疗:一项初步生物力学研究。
J Bioeng. 1978;2(6):463-7.

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Orthop Res Rev. 2025 Jun 21;17:257-267. doi: 10.2147/ORR.S521013. eCollection 2025.
2
Biomechanical study of the function of the femoral fracture brace during stance.股骨骨折支具在站立期功能的生物力学研究
Med Biol Eng Comput. 1980 Sep;18(5):667-73. doi: 10.1007/BF02443144.