中华创伤骨科杂志2024,Vol.26Issue(12) :1100-1104.DOI:10.3760/cma.j.cn115530-20240719-00307

内固定螺钉滑丝的相关生物力学研究进展

Biomechanical research into screw stripping in internal fixation

鹿晋铭 刘飞 陈滨
中华创伤骨科杂志2024,Vol.26Issue(12) :1100-1104.DOI:10.3760/cma.j.cn115530-20240719-00307

内固定螺钉滑丝的相关生物力学研究进展

Biomechanical research into screw stripping in internal fixation

鹿晋铭 1刘飞 1陈滨1
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作者信息

  • 1. 南方医科大学南方医院骨科-创伤骨科,广州 510515
  • 折叠

摘要

螺钉是骨科内固定手术中最常用的一种内置物,其固定程度对治疗效果有着显著影响.滑丝作为内固定螺钉置入常见的失效原因,会使螺钉拔出强度减少80%以上,从而导致内固定效果变差、甚至固定失效.尽管目前已有一些方法(如实时反馈、声发射等)来检测滑丝,但是由于临床手术的多变性及相关方法的技术局限性,这些方法并未能广泛地实施.本文就内固定螺钉滑丝的力学表现、机制及相关因素进行综述,旨在为骨科医生置入内固定螺钉时预防滑丝提供参考.

Abstract

As screws are the implants the most commonly used in orthopedic surgery,their fixation sta-bility significantly impacts treatment outcomes.Screw stripping,a common cause for failure in screw implanta-tion,can reduce screw pullout strength by more than 80%,leading to poor internal fixation or even failure.Al-though there are currently some methods(such as real-time feedback,acoustic emission,etc.)to detect screw stripping,they have not been widely used due to variability of clinical surgery and their technical limitations.This article reviews the biomechanical performance,mechanisms,and factors related to screw stripping,aiming to in-form orthopedic surgeons as to how to prevent stripping during screw implantation.

关键词

骨钉/骨折固定术,内/生物力学/螺钉滑丝

Key words

Bone nails/Fracture fixation,internal/Biomechanics/Screw stripping

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出版年

2024
中华创伤骨科杂志
中华医学会

中华创伤骨科杂志

CSTPCD北大核心
影响因子:1.579
ISSN:1671-7600
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