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螺丝角度对多轴锁接口曲性能的影响:微CT评估
Jakub Glowacki1, Tomasz Bartkowiak2, Piotr Paczos3
1Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, Poznan, Poland. dr.jakubglowacki@gmail.com.
Scientific reports
|December 8, 2023
概括
多轴锁定板显示,当螺丝被插入离轴时,曲强度和线程结率降低. 由于稳定性下降,外科医生应该考虑非轴插入为救援选项.
科学领域:
- 骨科生物力学 骨科生物力学
- 手术植入物技术的使用.
背景情况:
- 多轴锁板在螺丝头和板孔之间使用精确的线程接口.
- 在复杂的骨科手术中,异轴螺丝插入有时是必要的.
研究的目的:
- 在轴外插入下评估多轴锁定螺丝接口的机械性能.
- 为了将螺丝插入角度与线程接触和曲强度相关联.
主要方法:
- 三个多轴锁定螺丝系统在离轴0°,5°,10°和15°的位置进行了测试.
- 进行了对故障的机械测试.
- 微型计算机断层扫描 (micro-CT) 分析了螺丝板接口的接触.
主要成果:
- 标准的0°插入产生了最高的最大曲强度.
- 轴外插入,特别是在15°,显著降低了螺丝强度 (高达57%).
- 微CT显示,随着轴外角的增加,线程接的损失很大.
结论:
- 虽然多轴板允许离轴螺丝放置,但这种灵活性会损害机械稳定性.
- 与标准插入相比,离轴插入导致线程接和曲强度降低.
- 除轴外的螺丝放置应保留为一个救援技术,当最佳骨库存是可访问的.
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