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使用测力计对外固定器进行张力控制和张力调整(作者译)

[Controlled tension and tension adjustment of the external fixator using a dynamometer (author's transl)].

作者信息

Domres B, Veihelmann D

出版信息

Chir Forum Exp Klin Forsch. 1980:17-20.

PMID:7389449
Abstract

Bone fractures treated with an external fixator tend to heal more slowly than with an internal fixator, since the tension of the fixator gradually relaxes and this decrease in pressure is not counteracted in any way. A dynamometer makes possible an exact measurement of effective compressive forces and an adjustment of the tension of the fixator. A special feature of the apparatus is an elastic metal ring. The apparatus is mounted on the free ends of both tubes of the fixator for measuring and adjusting the tension. This should be done once a week. Supported fractures are put under an axial compression of 50 kp. In the case of comminuted and defect fractures, and axial compression of 5 kp should be begun after 5 weeks, and this dosage should be increased every week.

摘要

与使用内固定器治疗的骨折相比,使用外固定器治疗的骨折往往愈合得更慢,因为固定器的张力会逐渐松弛,且这种压力的降低无法以任何方式得到抵消。测力计能够精确测量有效压缩力并调节固定器的张力。该装置的一个特殊之处是一个弹性金属环。该装置安装在固定器两根管子的自由端,用于测量和调节张力。这应该每周进行一次。对于有支撑的骨折,施加50千帕的轴向压缩力。对于粉碎性骨折和缺损性骨折,5周后应开始施加5千帕的轴向压缩力,且该剂量应每周增加。

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