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首页> 外文期刊>Journal of biomedical materials research. Part B, Applied biomaterials. >Initial stability of femoral neck osteosynthesis with absorbable self-reinforced poly-L-lactide (SR-PLLA) and metallic screws: a comparative study on 21 cadavers.
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Initial stability of femoral neck osteosynthesis with absorbable self-reinforced poly-L-lactide (SR-PLLA) and metallic screws: a comparative study on 21 cadavers.

机译:可吸收的自增强聚L-丙交酯(SR-PLLA)和金属螺钉固定股骨颈的初步稳定性:对21具尸体的比较研究。

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摘要

The initial stability of femoral neck osteosynthesis provided by three self-reinforced poly-L-lactide (SR-PLLA) or three metallic cannulated screws was compared. A standard transverse subcapital osteotomy was created with a hand saw in 19 pairs of human cadaver femora. Two fixation methods were randomly used in each pair. Fixations were exposed to a progressive cyclic loading test to determine the deflection curves, the ultimate load-carrying capacity, and the total amount of load absorbed. One pair served as a pilot and two nonoperated pairs served as controls. The positioning of the three fixation screws, whether one screw proximally and two screws distally or vice versa, provided equal stability. Metallic fixation proved to be more stable than SR-PLLA fixation as the average maximum load-carrying capacity was 3400N for the metallic and 2600N for the SR-PLLA fixation. However, SR-PLLA screws showed sufficient fixation properties for considering clinical trials in Garden I-II femoral neck fractures in well cooperative patients.
机译:比较了三个自增强聚L-丙交酯(SR-PLLA)或三个金属空心螺钉提供的股骨颈骨合成的初始稳定性。用手锯在19对人类尸体股骨上制作了标准的横向资本下截骨术。每对随机使用两种固定方法。将固定物暴露于渐进式循环载荷试验中,以确定挠曲曲线,极限载荷能力和吸收的载荷总量。一对用作飞行员,而两个非操作对用作对照。三个固定螺钉的位置(无论是近端的一个螺钉还是远端的两个螺钉,反之亦然)的位置均提供相同的稳定性。金属固定比SR-PLLA固定更稳定,因为金属的最大平均承载能力为3400N,SR-PLLA固定为2600N。但是,SR-PLLA螺钉显示出足够的固定特性,可以考虑在合作良好的患者的Garden I-II股骨颈骨折中进行临床试验。

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