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犬股骨接骨板截骨术的愈合。一项采用新测试方法的力学研究。

Healing of plated femoral osteotomies in dogs. A mechanical study using a new test method.

作者信息

Foux A, Uhthoff H K, Black R C

机构信息

Department of Biomedical Engineering, Technion-Israel Institute of Technology, Haifa.

出版信息

Acta Orthop Scand. 1993 Jun;64(3):345-53. doi: 10.3109/17453679308993642.

Abstract

We investigated changes in whole bone flexural rigidity during healing of plated osteotomized beagle femora. Using a recently developed mechanical method, healing femora and their intact contralateral controls were tested in non-destructive bending in 24 planes at 15 degree angular increments. The elliptical distributions of flexural rigidity were used to define 4 parameters which describe the mechanical status of a healing bone relative to its control. Plates of 3 different rigidities were used in 21 beagles; 6 for 2 months and 15 for 6 months. 2 healing efficiency parameters, describing bone rigidity, indicated that plated femora may never reach the rigidity of their controls. One of the parameters, describing bone asymmetry, showed that changes in bone asymmetry occurred early in the healing process. Results at 6 months showed no differences in rigidity and asymmetry of bones plated with the different plates. This is attributed to antagonistic effects of axial and flexural rigidities of the plates on bone healing. Our results indicate that the method may be useful for bone healing research.

摘要

我们研究了钢板固定截骨的比格犬股骨愈合过程中全骨抗弯刚度的变化。使用一种最近开发的力学方法,对愈合的股骨及其完整的对侧对照在24个平面上以15度角增量进行无损弯曲测试。抗弯刚度的椭圆分布用于定义4个参数,这些参数描述了愈合骨相对于其对照的力学状态。在21只比格犬中使用了3种不同刚度的钢板;6只使用2个月,15只使用6个月。描述骨刚度的2个愈合效率参数表明,钢板固定的股骨可能永远无法达到其对照的刚度。描述骨不对称性的参数之一表明,骨不对称性的变化在愈合过程早期就已发生。6个月时的结果显示,使用不同钢板固定的骨在刚度和不对称性方面没有差异。这归因于钢板的轴向刚度和抗弯刚度对骨愈合的拮抗作用。我们的结果表明,该方法可能对骨愈合研究有用。

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