南方医科大学学报 ›› 2006, Vol. 26 ›› Issue (05): 584-586.

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镍钛记忆合金套合式交锁髓内钉的生物力学研究

曹燕明; 赵卫东; 张美超; 鲍侃; 达国祖;   

  1. 广州医学院附属二院骨外科; 南方医科大学生物力学实验室; 西脉记忆合金有限公司; 西脉记忆合金有限公司 广东广州510260; 广东广州510515; 甘肃兰州730000;
  • 出版日期:2006-05-20 发布日期:2006-05-20
  • 基金资助:
    广东省卫生厅科研基金项目(A2001273)~~

Biomechanical evaluation of nickel-titanium shape-memory alloy enclosed interlocking intramedular nail

CAO Yan-ming1,ZHAO Wei-dong2,ZHANG Mei-chao2,BAO Kan3,DA Guo-zu3 1Department of Orthopedics,Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,China;2Laboratory of Biomechanics,Southern Medical University,Guangzhou 510515,China;3Langzhou Seemine Memory Alloy Limited Company,Langzhou 730000,China   

  1. 广州医学院附属二院骨外科; 南方医科大学生物力学实验室; 西脉记忆合金有限公司; 西脉记忆合金有限公司 广东广州510260; 广东广州510515; 甘肃兰州730000;
  • Online:2006-05-20 Published:2006-05-20

摘要: 目的测定镍钛记忆合金套合式交锁髓内钉的生物力学指标,为进一步改进其临床应用提供依据。方法比较不锈钢交锁髓内钉、镍钛记忆合金套合式交锁髓内钉、6孔钢板及ender’s钉对于6根新鲜肱骨标本在抗弯曲、抗扭转方面等方面的差异性。结果实验表明,镍钛记忆合金套合式交锁髓内钉在抗弯曲方面与钢板无显著性差异,优于ender’s钉;在抗扭力方面与交锁髓内钉和钢板无显著性差异,优于ender’s钉。结论记忆合金交锁髓内钉具有良好的生物力学特性,固定强度达到生物力学要求,而且应力遮挡小,弹性固定,记忆合金的弹性模量与骨相近,有利于骨折愈合,远端不需交锁,操作简单,便于推广利用。 

Abstract: Objective To study the biomechanical characteristics of Ni-Ti shape-memory alloy-enclosed interlocking intramedular nail Ni-Ti En for clinical application.Methods Six transverse fractures were induced in 6 fresh humeral shafts and fixed with Ni-Ti En,plate,interlocking intramedullary nail,and Ender nail,respectively.The specimens then underwent stress analysis for comparison of the bending strength,twisting force,and flexibility.Results The bending strength of Ni-Ti En was not significantly different from that of the plate and better than ender’s nail;the twisting force of the interlocking intramedullary nail was comparable with the plate,but better than Ender nail.Conclusion Ni-Ti Enpossess good biomechanical property to meet the demand of osteosynthesis,and its less stress protection,freedom of distant nail locking,flexibility and stable fixation may accelerate fracture healing. 

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