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[关键观察结果以及针对三点支撑计算的股骨头置换和股骨骨上的负荷(作者译)]

[Critical observations and the loads on femoral head replacement and the femoral bone calculated for a support in 3 points (author's transl)].

作者信息

Rohlmann A, Kölbel R, Bergmann G

出版信息

Z Orthop Ihre Grenzgeb. 1977 Feb;115(1):89-95.

PMID:842094
Abstract

In their attempts at calculation of forces acting on a femoral head implant and the forces transmitted to the bone, some authors have assumed support of the implant in a few distinct points. It can be shown, however, that forces thus calculated very much depend on the direction and point of action of the supporting forces assumed arbitrarrily. The suggestion to implant a prosthesis in a "valgus" position cannot be justified by results obtained by the method in question. The change in the resultant force at the hip joint due to positioning in "varus" or "valgus" has not been taken into account by previous authors. In the valgus position of the femoral head prosthesis the resultant hip force is up to 33% greater than that in a "varus" position.

摘要

在试图计算作用于股骨头植入物的力以及传递至骨骼的力时,一些作者假定植入物在几个不同的点得到支撑。然而,可以证明,如此计算出的力在很大程度上取决于任意假定的支撑力的方向和作用点。通过上述方法得到的结果无法证明将假体植入“外翻”位置这一建议的合理性。先前的作者没有考虑到由于处于“内翻”或“外翻”位置而导致的髋关节合力的变化。在股骨头假体处于外翻位置时,髋关节合力比处于“内翻”位置时大33%。

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