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以应力传导分析方法确定胸腰椎椎弓根置钉路径的应用研究 被引量:1
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作者 姜传杰 于建林 +4 位作者 丛波 周纪平 杨永军 吴瑞 谭远超 《中国骨与关节损伤杂志》 2022年第1期5-8,共4页
目的探讨以应力传导分析方法确定胸腰椎椎弓根置钉路径在临床中的应用效果。方法回顾性分析自2018-01—2020-06采用椎弓根钉内固定治疗的520例胸腰椎疾病。269例采用应力传导分析方法确定置钉路径进行置钉(观察组),251例采用传统置钉方... 目的探讨以应力传导分析方法确定胸腰椎椎弓根置钉路径在临床中的应用效果。方法回顾性分析自2018-01—2020-06采用椎弓根钉内固定治疗的520例胸腰椎疾病。269例采用应力传导分析方法确定置钉路径进行置钉(观察组),251例采用传统置钉方法置钉(对照组)。比较两组胸椎、腰椎一次置钉成功率以及总一次置钉成功率。结果两组均顺利完成手术,观察组共置钉1 289枚,对照组共置钉1 218枚。观察组胸椎、腰椎一次置钉成功率以及总一次置钉成功率较对照组高,差异有统计学意义(P<0.05)。结论以应力传导分析方法确定胸腰椎置钉路径的改良方法可以提高置钉准确性,实现个体化椎弓根置钉,有较大的临床应用价值。 展开更多
关键词 椎弓根钉 应力传导分析 置钉路径
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应力传导分析联合术中导航椎弓根置钉
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作者 王哲 于建林 +6 位作者 姜传杰 段修杨 杨永军 周纪平 林海朋 李金健 岳肖华 《中国矫形外科杂志》 CAS CSCD 北大核心 2021年第19期1813-1816,共4页
[目的]通过术中导航技术验证采用应力传导分析方法确定腰椎椎弓根置钉路径的可行性及精准性。[方法]2019年06月-2020年08月,对132例患者行腰椎椎弓根钉内固定。其中,66例采用应力传导分析方法确定置钉路径并结合术中导航技术置钉(联合组... [目的]通过术中导航技术验证采用应力传导分析方法确定腰椎椎弓根置钉路径的可行性及精准性。[方法]2019年06月-2020年08月,对132例患者行腰椎椎弓根钉内固定。其中,66例采用应力传导分析方法确定置钉路径并结合术中导航技术置钉(联合组)。66例采用常规导航技术置钉(导航组)。比较两组早期临床与影像资料。[结果]两组患者顺利完成手术,其中联合组共置钉264枚,导航组共置钉264枚。两组术中出血量、手术时长、切口长度差异无统计学意义(P>0.05),但是联合组首次置钉成功率显著高于导航组(P<0.05)。两组置钉准确性Rampersaud分级以及矢状位、横断位偏移角度的差异均无统计学意义(P>0.05)。[结论]以应力传导分析方法确定腰椎椎弓根置钉路径可行性高,并可提高首次置钉成功率。 展开更多
关键词 椎弓钉置入路径 应力传导分析 术中导航
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Stress Transfer Modeling at the Interface of Cemented Prosthesis and Femur
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作者 YU Xue-zhong GUO Yi-mu +2 位作者 ZHANG Yun-qiu LI Jun HE Rong-xing 《Chinese Journal of Biomedical Engineering(English Edition)》 2008年第2期61-70,共10页
Objective:To model the stress transfer at the interface of the cemented prosthesis and femur, an axisymmetric model of the interfacial stress transfer was established. Methods : Assuming that the prosthesis, the cem... Objective:To model the stress transfer at the interface of the cemented prosthesis and femur, an axisymmetric model of the interfacial stress transfer was established. Methods : Assuming that the prosthesis, the cement and the femur were concentric cylinders with linear elastic and isotropic properties, distributions of the axial stresses in the prosthesis, the cement and the femur as well as the interfacial shear stresses at the prosthesis/cement interface and the cement/femur interface in the axial direction were obtained from the established axisymmetric stress transfer model. Results : Interfacial failure was the main form for the prosthesis/cement/femur structure under external loads. Considering the residual thermal stresses, it was more likely to produce the mixed failure form than the pure shear failure form. Since the cement had a relatively high thermal expansion coefficient, the thermal effect accelerated the interface failure and thus aggravated the stress shielding effect. Due to a relatively high thermal residual temperature difference, the interfacial debonding and femur failure was more likely to occur for the cobalt-chromium alloy prosthesis material than the Ti-6A1-4V alloy prosthesis material. Conclusion: Assuming that the prosthesis, the cement and the femur are concentric cylinders with linear elastic and isotropic properties, distributions of the axial stresses in the prosthesis, the cement and the femur as well as the interfacial shear stresses at the prosthesis/cement interface and the cement/femur interface in the axial direction was obtained using the basic equations of axisymmetric elastic mechanics when the prosthesis bears the compressive stresses. Interface failure is the main failure form for the prosthesis/cement/femur structure under external loads. The thermal effects accelerate the failure of the prosthesis/cement interface and the cement/femur interface and the relaxation of the prosthesis, and then aggravates the stress shielding effect of the femur. Also, the thermal effects decrease the efficiencies of the interfacial stress transfer to some extent since it alleviates the failure of the interface and the femur, which was confirmed by the clinical results. 展开更多
关键词 FEMUR cemented prosthesis interfacial stress analysis
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