尺骨鹰嘴交锁髓内钉力学性能研究
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1.西南医科大学附属医院 a骨与关节外科;2.西南医科大学;3.四川省骨科置入器械研发及应用技术工程实验室

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R 318.01

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Study on the mechanical properties of olecranon interlocking intramedullary nail
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    摘要:

    目的 研究研制的交锁髓内钉对尺骨鹰嘴横形骨折的固定效果。 方法 采用实验的方法,收集9对新鲜尺骨标本,建立尺骨鹰嘴横形骨折模型,分别利用克氏针张力带、交锁髓内钉修复骨折;分别模拟肘关节屈曲30°、45°和60°情况下,在肱三头肌腱处施加幅值为25N、均值为45N和频率为0.5Hz的循环动态拉力载荷,记录标本在300个循环周期下的骨折位移数据,各记录3组。 结果 分析数据,在同组数据中从第一个周期开始间隔100周期记录单个周期数据,采用双尾分布的双样本异方差t检验。屈曲30°交锁髓内钉组骨折位移为(1.831±0.333)mm,屈曲30°克氏针张力带组骨折位移为(3.723±2.390)mm,二者P值为0.024;屈曲45°交锁髓内钉组骨折位移为(1.167±0.374)mm,屈曲45°克氏针张力带组骨折位移为(2.455±0.609)mm,二者P值为0;屈曲60°交锁髓内钉组骨折位移为(1.407±0.342)mm,屈曲60°克氏针张力带组骨折位移为(3.112±1.025)mm,二者P值为0;均存在显著性差异,交锁髓内钉修复的骨折位移更小。 结论 交锁髓内钉的力学性能优于克氏针张力带,交锁髓内钉固定尺骨鹰嘴横形骨折更稳定、更牢固;且利用操作工具安装交锁髓内钉,手术更精准、快捷,手术效率得到大大提高。

    Abstract:

    Objective To study the effect of interlocking intramedullary nail on transverse olecranon fracture. Methods Using experimental methods, nine pairs of fresh ulna specimens were collected and the transverse fracture model of olecranon was established. Kirschner wire tension band and interlocking intramedullary nail were used to repair the fracture. Cyclic dynamic tension loads with amplitude of 25N, mean value of 45N and frequency of 0.5Hz were applied to the triceps tendon under simulated elbow flexion conditions of 30°, 45° and 60°, respectively. The fracture displacement data of specimens were recorded in three groups in 300 cycles. Results The data has been analyzed, and the data of a single period was recorded at an interval of 100 periods from the first period in the same group of data. The two-sample heteroscedasticity T-test of two-tailed distribution was adopted. The fracture displacement of the 30° interlocking intramedullary nail group was (1.831±0.333) mm, and that of the 30° Kirschner wire tension band group was (3.723±2.390) mm, with a P value of 0.024. The fracture displacement of 45° interlocking intramedullary nail group was (1.167±0.374) mm, and that of 45° Kirschner wire tension band group was (2.455±0.609) mm, P = 0. The fracture displacement of the 60° interlocking intramedullary nail group was (1.407±0.342) mm, and that of the 60° Kirschner wire tension band group was (3.112±1.025) mm, P = 0. The fracture displacement of interlocking intramedullary nail was smaller. Conclusion The mechanical properties of interlocking intramedullary nail are better than those of Kirschner wire tension band, and the interlocking intramedullary nail is more stable and firmer in the fixation of transverse olecranon fracture. Moreover, the interlocking intramedullary nail was installed with the operating tool, which made the operation more accurate and faster, and the operation efficiency was greatly improved.

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  • 收稿日期:2021-08-10
  • 最后修改日期:2021-09-29
  • 录用日期:2021-10-11
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