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find Author "吴卫东" 2 results
  • FINITE ELEMENT STUDY ON ANTERIOR TRANSPEDICULAR SCREW-ARTIFICIAL VERTEBRAL BODY FIXATION IN LOWER CERVICAL SPINE

    Objective To compare the biomechanical properties of the anterior transpedicular screw-artificial vertebral body (AVB) and conventional anterior screw plate system (AP) in lower cervical spine by finite element study. Methods CT images (C1-T1) were obtained from a 38-year-old female volunteer. The models of intact C3-7 (intact group), AP fixation (AP group), and AVB fixation (AVB group) were established and analyzed by Mimics 14.0, Geomagic Studio 2013, and ANSYS 14.0 softwares. The axial force of 74 N and moment couple of 1 N·m were loaded on the upper surface and upper facet joint surfaces of C3. Under conditions of flexion, extension, lateral bending, and rotation, the Von Mises stress distribution regularity and maximum equivalent stree of AP and AVB groups were recorded, and the range of motion (ROM) was also analyzed of 3 groups. Results The intact model of lower cervical spine (C3-7) was established, consisting of 286 382 elements and 414 522 nodes, and it was successfully validated with the previously reported cadaveric experimental data of Panjabi and Kallemeyn. The stress concentrated on the connection between plate and screw in AP group, while it distributed evenly in AVB group. Between AP and AVB groups, there was significant difference in maximum equivalent stress values under conditions of 74 N axial force, flexion, extension, and rotation. AVB group had smaller ROM of fixed segments and larger ROM of adjacent segments than AP group. Compared with intact group, whole ROM of the lower cervical spine decreased about 3°, but ROM of C3, 4 and C6, 7 segments increased nearly 5° in both AP and AVB groups. Conclusion As a new reconstruction method of lower cervical spine, AVB fixation provides better stability and lower risk of failure than AP fixation.

    Release date:2016-08-31 10:53 Export PDF Favorites Scan
  • 解剖锁定板联合聚酯缝线固定治疗 Neer ⅡB 型锁骨远端骨折

    目的 总结解剖锁定板联合聚酯缝线固定治疗 NeerⅡB 型锁骨远端骨折的临床疗效。 方法 2013 年 8 月—2015 年 12 月,采用解剖锁定板联合聚酯缝线固定治疗 12 例 Neer ⅡB 型锁骨远端骨折患者。男 4 例,女 8 例;年龄 21~62 岁,平均 42.4 岁。致伤原因:交通事故伤 8 例,摔伤 3 例,高处坠落伤 1 例。受伤至手术时间 2~10 d,平均 4.5 d。X 线片测量患侧喙锁间距(coracoclavicular distance,CCD)为(12.4±3.5)mm。 结果 术后患者切口均 Ⅰ 期愈合,无手术相关并发症发生。12 例患者均获随访,随访时间 10~27 个月,平均 19.6 个月。X 线片复查示骨折均愈合,愈合时间 3~6 个月,平均 3.7 个月。术后 2 d 及末次随访时 CCD 分别为(8.9±1.3)、(9.3±1.3)mm,与术前比较差异有统计学意义(P<0.05);术后 2 d 及末次随访时比较,差异无统计学意义(P>0.05)。末次随访,患肩关节功能 Constant-Murley 评分为(94.8±6.9)分;优 9 例,良 2 例,可 1 例,优良率 91.7%。 结论 解剖锁定板联合聚酯缝线固定治疗 Neer ⅡB 型锁骨远端骨折疗效满意、并发症少,且手术操作相对简便、安全。

    Release date:2017-06-15 10:04 Export PDF Favorites Scan
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