哪个头部元素对TFNA的水泥增强更有效?
Sadaki Mitsuzawa1, Takeharu Nakamata2, Shogo Mitamura2
1Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-Ku, Kobe, 650-0047, Japan. sadakimitsuzawa@gmail.com.
BMC musculoskeletal disorders
|July 3, 2023
概括
这项研究比较了使用螺旋式刀片和滞后螺丝在骨间骨折固定中的水泥分布. 滞后螺丝显示出更大的水泥容量,两种方法都显示出类似的有效临床结果和机械稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料工程 生物材料工程
- 放射学 放射学是一门学科.
背景情况:
- 骨间骨折需要早期固定和康复.
- 水泥增强旨在防止诸如切断或切断等并发症.
- 对比固定装置对于优化治疗结果至关重要.
研究的目的:
- 为了使用CT比较TFNA螺旋刀片和TFNA滞后螺杆头元件之间的水泥分布.
- 评估这两种固定方法的初始固定和临床结果.
主要方法:
- 患有腔间骨折的老年患者使用TFNA螺旋刀片或TFNA滞后螺丝进行治疗.
- 一个标准化的水泥体积被注入到头部元素中.
- 计算机断层扫描 (CT) 用于评估水泥分布 (MPD,截面面积,总体积).
主要成果:
- 与螺旋叶片组相比,TFNA滞后螺丝组显示出明显更大的总水泥容量.
- 两组之间水泥的分布模式显著不同.
- 骨矿物质密度和总水泥量之间没有发现显著的相关性.
- 放射性参数和临床结果 (帕克尔得分,VAS) 非常相似,没有切出/切通或非联合.
结论:
- 在TFNA延迟螺丝和螺旋叶片头元件之间,水泥分布不同,延迟螺丝实现了更大的总水泥容量.
- 这两种固定方法都提供了相似的机械稳定性,术后疼痛缓解和早期康复结果.
相关概念视频
Frictional Forces on Screws
1.2K
Screws are characterized by a helical ridge known as a thread wrapped around a cylindrical shaft. They are commonly used as fasteners to hold objects together or to transmit power and motion in machines. One type of screw that is particularly useful for transmitting power is the square-threaded screw.
A jack with a square-threaded screw is a mechanical device used to lift heavy loads by applying a force at its handle. When the force is applied, the screw turns, raising the load. The screw can...
A jack with a square-threaded screw is a mechanical device used to lift heavy loads by applying a force at its handle. When the force is applied, the screw turns, raising the load. The screw can...
1.2K
Screw: Problem Solving
441
In mechanical engineering, the interaction between a threaded screw shaft and a plate gear involves analyzing the resisting torque on the plate gear that can be overpowered when a specific torsional moment is applied to the shaft. To better comprehend this concept, consider a generic situation with a threaded screw shaft with a given mean radius and lead and a plate gear with a specified mean radius. The coefficient of static friction between the screw and gear is also provided.
To evaluate the...
To evaluate the...
441
Self-Locking Screw
1.6K
A square-threaded screw jack is a mechanical device widely used for lifting heavy loads or applying considerable force. One of the key features that can make a screw jack more effective and reliable is its self-locking capability.
A square-threaded screw jack carrying a load is considered self-locking if the screw retains its position even after the moment applied to it is removed.
A square-threaded screw jack carrying a load is considered self-locking if the screw retains its position even after the moment applied to it is removed.
1.6K
Posttensioned Masonry Walls
176
Post-tensioned masonry walls use high-strength steel rods or flexible tendons to enhance the strength and efficiency of masonry structures. These elements are securely anchored to the foundation and extend vertically either within the cores of the masonry units or between the masonry wythes. The construction process involves building the wall with these tensioning elements in place and allowing the mortar to fully cure.
Following the curing process, the tensioning begins. Steel rods are...
176
Thin-Walled Hollow Shafts
214
In analyzing a thin-walled hollow shaft subjected to torsional loading, a segment with width dx is isolated for examination. Despite its equilibrium state, this segment faces torsional shearing forces at its ends. These forces are quantitatively described by the product of the longitudinal shearing stress on the segment's minor surface and the area of this surface, leading to the concept of shear flow. This shear flow is consistent throughout the structure, indicating a uniform distribution...
214
Stress Concentrations in Circular Shafts
204
Consider the elastic torsion formula, which applies to a circular shaft with a consistent cross-section. This formula assumes that the shaft's ends are loaded with rigid plates firmly attached. However, in many cases, torques are applied to the shaft through mechanisms like flange couplings or gears, which are connected by keys inserted into keyways. This application method modifies the stress distribution near the point of torque application, causing it to deviate from the distributions...
204


