在拉塔喷气中固定方法:螺丝类型的生物机械比较和板固定方法
Ufuk Arzu1, Mehmet Ersin2, Mehmet Chodza1
1. VKV American Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Acta ortopedica brasileira
|June 16, 2023
概括
这项研究生物力学地比较了肩部脱的Latarjet手术的固定方法. 结果显示,螺丝和板固定方法之间的固定强度没有显著差异,这表明外科医生的偏好是关键.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
- 运动医学运动医学
背景情况:
- 拉达喷气手术是一种常见的手术治疗,用于重复发生的肩部脱位,并导致状骨损失.
- 在Latarjet手术中固定骨移植的最佳方法仍在争论中.
- 以前的假设表明板固定可能优于螺丝固定.
研究的目的:
- 在生物力学上比较拉达喷气手术中使用的不同骨移植固定方法的固定强度.
- 为了评估皮质螺丝,管螺丝和迷你板固定的机械性能.
- 为选择固定技术的外科医生提供基于证据的见解.
主要方法:
- 15个骨模型被分为三个组进行固定比较.
- 第一个组:3.5mm全线程皮质螺丝.
- 第二组:两个4.5mm部分线程头螺丝.
- 第三组:小板和螺丝固定装置.
- 应用循环负荷来模拟肩膀关节的力量.
主要成果:
- 在三个固定组之间没有发现统计学上显著的差异 (p > 0.05).
- 在5mm位移时观察到的力量在502-857N之间.
- 平均度为258.13±53.54,在各组之间没有显著差异 (p = 0.958).
结论:
- 在Latarjet手术中,心肌植入物固定方法的生物力学固定强度是可比的.
- 在这个过程中,板固定在生物力学上并不优于螺丝固定.
- 外科医生可以根据个人喜好和经验来选择固定方法.
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