振荡钻井对螺丝采购的影响:生物机械试点研究
Parker R Zimmerman1, Cole D Daharsh1, Lindsey E Mendenhall1
1Department of Orthopaedic Surgery, The University of Kansas School of Medicine Wichita, Wichita, Kansas (Zimmerman, Lais, Dart); Emerging Technologies and Composites Lab, National Institute for Aviation Research, Wichita State University, Wichita, Kansas (Daharsh, Mendenhall); Office of Research, The University of Kansas School of Medicine Wichita, Wichita, Kansas (Zackula); Advanced Orthopaedic Associates, PA, Wichita, Kansas (Lais, Dart).
Kansas journal of medicine
|December 26, 2025
概括
振荡钻探 (OD) 和向前钻探 (FD) 在骨科手术中提供了类似的螺丝采购. 这项研究没有发现最大插入扭矩的显著差异,这表明这两种钻探方法的固定强度相似.
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
- 手术技巧 手术技巧
背景情况:
- 振荡钻探 (OD) 在骨科手术中被用于最大限度地减少软组织损伤和控制钻探进度.
- 与前方钻井 (FD) 相比,OD对螺丝采购的影响以前没有被调查过.
- 最大插入扭矩 (MIT) 作为螺丝采购和固定强度的代理.
研究的目的:
- 为了在合成骨模型中比较OD和FD之间的螺丝采购,由MIT测量.
- 为了评估不同钻头和螺丝尺寸对两种钻孔技术螺丝购买的影响.
主要方法:
- 在合成股骨轴模型中使用OD和FD与2.0毫米,2.6毫米和3.2毫米钻头创建了试验孔.
- 插入了相应的自式不钢螺丝 (2.7毫米,3.5毫米和4.5毫米).
- 使用轴扭力测试装置测量了MIT,每个条件进行了五次试验.
主要成果:
- 2.7毫米螺丝的平均MIT值为:195.8±47.0N·cm (FD) 与232.8±11.8N·cm (OD) 相比.
- 3.5毫米螺丝的平均MIT值为336.8 ± 100.6 N·cm (FD) 与357.4 ± 150.7 N·cm (OD) 相比.
- 4.5毫米螺丝的平均MIT值为943.5±551.8N·cm (FD) 与1089.2±232.2N·cm (OD) 相比.
- 在所有螺丝尺寸 (p = 0.85) 中,在OD和FD之间没有观察到MIT的统计学上显著差异.
- 在使用更大的4.5毫米螺丝 (p < 0.001) 时,MIT的显著增加.
结论:
- 振荡钻探和向前钻探都能在骨科应用中产生类似的螺丝.
- 在OD和FD之间做出选择似乎不会影响螺丝固定强度.
- 无论哪种钻孔技术都可以安全地使用,而不会对螺丝固定的稳定性产生负面影响.
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