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PHILOS接骨板治疗肱骨近端骨折时结构螺钉的使用分析 被引量:6
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作者 贾龙 王天兵 +3 位作者 周靖 黄伟 芦浩 姜保国 《北京大学学报(医学版)》 CAS CSCD 北大核心 2015年第2期269-271,共3页
目的:测量肱骨近端骨折患者的肱骨头纵轴长度,并评价AO肱骨近端内固定锁定系统(proximal humerus internal locking osteosynthesis system,PHILOS)结构螺钉的置入情况。方法:回顾性分析北京大学人民医院2007年1月至2014年2月使用PHILO... 目的:测量肱骨近端骨折患者的肱骨头纵轴长度,并评价AO肱骨近端内固定锁定系统(proximal humerus internal locking osteosynthesis system,PHILOS)结构螺钉的置入情况。方法:回顾性分析北京大学人民医院2007年1月至2014年2月使用PHILOS接骨板治疗的肱骨近端骨折患者117例,根据性别分组分别测量肱骨头纵轴长度,根据术后肩关节正位X线片评价结构螺钉的置入情况并计算结构螺钉的置入率。结果:入选患者117例,男性40例,女性77例;男性患者肱骨头纵轴长度为(47.64±3.44)mm,支撑螺钉置入率为52.5%;女性患者肱骨头纵轴长度平均为(42.46±3.21)mm,支撑螺钉置入率为32.5%,男性组与女性组在肱骨头纵轴长度和结构螺钉置入率方面差异具有统计学意义(P<0.05)。结论:PHILOS接骨板用于肱骨近端骨折治疗,结构螺钉置入率低,特别是女性,可以在中国人解剖学数据基础上予以改良。 展开更多
关键词 骨板 肱骨骨折 结构螺钉
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基于有限元分析的可转位铣刀螺钉连接结构研究
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作者 宋冬冬 何云 梦漪 《工具技术》 2010年第1期35-37,共3页
随着可转位刀具在国内的迅速发展,对刀体、刀片和螺钉连接结构的性能要求越来越高。传统的连接结构设计质量难以保证,已不适应研制开发新产品的需要。本文建立了可转位铣刀螺钉连接结构的三维模型,设计了三种不同的螺钉连接方式。基于... 随着可转位刀具在国内的迅速发展,对刀体、刀片和螺钉连接结构的性能要求越来越高。传统的连接结构设计质量难以保证,已不适应研制开发新产品的需要。本文建立了可转位铣刀螺钉连接结构的三维模型,设计了三种不同的螺钉连接方式。基于有限元法,对这三种连接结构进行了分析,研究了螺钉表面应力分布状态,为可转位铣刀螺钉连接结构的设计提供了理论基础。 展开更多
关键词 可转位铣刀 螺钉连接结构 有限元法 应力分布
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Loading mechanism of timber screw-adhesive composite joint
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作者 Mingji Fang Jingyan Tao +1 位作者 Tao Sun Hanlin Dong 《Low-carbon Materials and Green Construction》 2024年第1期209-220,共12页
The impact of carbon emission and other pollution generated by the construction industry on the natural environment and ecosystems is immeasurable.Wood,as a renewable building material with excellent performance,is a ... The impact of carbon emission and other pollution generated by the construction industry on the natural environment and ecosystems is immeasurable.Wood,as a renewable building material with excellent performance,is a practical solution for future low-carbon buildings.Current screwed wood connections have good ductility,but the initial stiffness is relatively low.In this paper,composite wood connections with screw and adhesive were proposed and investigated.Static loading tests were conducted to screwed connections and composite connection specimens.The failure modes of different connection types,as well as the effects of adhesive type and adhesive connection area on the joint bearing capacity are discussed.The results show that the yield load and ultimate load of the composite joint made with the existing adhesive increased by up to 169%and 222%,respectively,compared with the screw connection.At the same time,the influence of curing time and bonding should also be taken into consideration.This study provides a foundation for wood joint design and promotes the sustainable development of the building industry. 展开更多
关键词 Screw-adhesive composite Timber connection Failure mechanism Loading tests
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Paraspinal approach for thoracolumbar fracture 被引量:29
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作者 JIANG Rui WU Han WANG Jin-cheng LI Wen-xuan WANG Yang 《Chinese Journal of Traumatology》 CAS 2011年第1期3-6,共4页
Objective: To explore the advantages and indications of the paraspinal approach by anatomical study and clinical application.Methods: The anatomical data and clinical practice of 27 cases were analyzed to explore th... Objective: To explore the advantages and indications of the paraspinal approach by anatomical study and clinical application.Methods: The anatomical data and clinical practice of 27 cases were analyzed to explore the accurate approach between the paraspinal muscles and the structure of ambient tissues, as well as the results of clinical application of paraspinal approach. The operation time, blood loss, incision length, radiographic result (Cobb angle, height of anterior edge of the vertebrae) were compared with those in 24cases treated by traditional approach.Results: Complete exposure of the facets could be easily performed by identifying natural cleavage plane between the multifidus and Iongissimus muscles. The natural muscular cleavage was (1.47±0.23) cm lateral to the midline for females, and (1.64±0.35) cm for males at T12 level. The distance was (3.3±0.6) cm lateral to the midline for females,and (3.7±1.0) cm for males at L4 level. In paraspinal approach group, the operation time was (76.2±15.7) min, blood loss was (91.6±16.9) ml and incision length was (7.6±0.8) cm. In traditional approach group, the operation time was (121.4±19.6) min, blood loss was (218.7±32.3 ) ml and incision length was (17.4±2.1) cm. To compare paraspinal approach with traditional approach, the operation time, blood loss and incision length had statistical difference (P〈0.05) and the radiographic result (Cobb angle, height of anterior edge of the vertebrae) had no statistical difference (P〉0.05).Conclusions: When the paraspinal approach is performed through natural cleavage plane between the multifidus and longissimus muscles, there are no wide muscular disinsertions, leaving the supraspinous and interspinous ligaments intact. The distance of natural cleavage to the midline is different at T12 and L4 planes. By this approach,the facet joints can be explored easily and completely, and a clear surgical field will be available for the placement of pedicle screws. As a minimally invasive approach, it can be widely used in thoracolumbar spine surgery. 展开更多
关键词 Fractures bone Lumbar vertebrae Thoracic vertebrae Surgical procedures operative
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