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6.5毫米AO加压螺钉固定股骨颈骨折时扭矩和轴向力的实验测量(作者译)

[The experimental measurement of torque and axial force of 6.5 mm ASIF lag screws in fixation of femoral neck fractures (author's transl)].

作者信息

Schwarz N, Newald J

出版信息

Arch Orthop Trauma Surg (1978). 1981;98(1):57-60. doi: 10.1007/BF00389712.

Abstract

An experimental study was undertaken to evaluate the torque and axial force of the 6.5 mm ASIF lag screw implanted in the femoral neck after a subcapital osteotomy. The experiments were carried out on autopsied bones of more than 60 years of age. The average torque was 204 cmN, the screws in the upper half of the femoral head showing a higher torque than those in the lower half. The axial tension was measured by strain gauge transducer. Depending on the length of the thread of the screw (16 or 32 mm) the average tension reaches 1162 N or 1960 N. By tightening the screw until the impression of optimum fit is obtained, 70% of the maximum axial force is reached. It can therefore be estimated that at the beginning an interfragmentary pressure of 4000 to 8000 N is exerted on a medial femoral neck fracture fixed by four ASIF lag screws.

摘要

进行了一项实验研究,以评估在股骨颈经头下截骨术后植入的6.5毫米AO动力加压螺钉的扭矩和轴向力。实验在60岁以上的尸体骨上进行。平均扭矩为204厘米牛顿,股骨头上部的螺钉扭矩高于下部的螺钉。轴向拉力通过应变片传感器测量。根据螺钉螺纹长度(16或32毫米),平均拉力分别达到1162牛顿或1960牛顿。通过拧紧螺钉直至获得最佳拟合的压痕,可达到最大轴向力的70%。因此可以估计,一开始,由4枚AO动力加压螺钉固定的股骨颈内侧骨折会受到4000至8000牛顿的骨折块间压力。

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