中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (13): 2453-2456.doi: 10.3969/j.issn.1673-8225.2009.13.043

• 骨与关节综述 bone and joint review • 上一篇    下一篇

股骨颈骨折的组织修复：生物力学、数字化技术及其植入物治疗

宋雅伟，王  昱，戎  科，李广凯   

  1. 南京体育学院运动健康科学系，江苏省南京市210014
  • 出版日期:2010-03-26 发布日期:2010-03-26
  • 作者简介:宋雅伟☆，男，1970年生，江苏省连云港市人，汉族， 2009年上海体育学院毕业，博士，副教授，主要从事解剖学和运动生物力学研究工作。 syw0008@163.com
  • 基金资助:

    江苏省自然科学基金项目2008年（08KJB180007）。

Tissue repair in femoral neck fracture: Biomechanics, digital technology and graft implantation

Song Ya-wei, Wang Yu, Rong Ke, Li Guang-kai   

  1. Department of Human Sports Science, Nanjing Institute of Physical Education, Nanjing   210014, Jiangsu Province, China
  • Online:2010-03-26 Published:2010-03-26
  • About author:Song Ya-wei☆, Doctor, Associate professor, Department of Human Sports Science, Nanjing Institute of Physical Education, Nanjing 210014, Jiangsu Province, China syw0008@163.com
  • Supported by:

    the Natural Science Foundation of Jiangsu Province, No. 08KJB180007*

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摘要：

背景：随着生物力学，计算机科学的快速发展，目前治疗股骨颈骨折主要在计算机辅助下进行生物力学分析，采用植入物内固定，肌骨瓣、骨瓣或骨膜移植，假体置换等方法。
目的：总结股骨颈骨折的治疗方法，通过股骨颈形态，生物力学分析，计算机模拟等方法更精确的分析出股骨颈位置的应力分布。
方法：以Femoral neck fracture 为检索词，检索PubMed数据库(1999-01/2009-06)。以股骨颈骨折为检索词，检索万方数据库(1999-01/2009-06)。文献检索语种限制为英文和中文。纳入有关股骨颈骨测量的研究设备，股骨颈骨折的治疗方法研究，排除较为陈旧，重复性研究。
结果与结论：计算机初检得到667篇文献，根据纳入排除标准，对42篇文献进行分析。在股骨颈骨折的研究方法上，国内外己经进行了多方面的研究，主要内容包括：①股骨颈的形态用CT扫描，结合扫描CT图像测量，提取特征数据，建出生物力学分析可接受的股骨颈的三维形体。②通过计算机模拟对股骨颈的生物力学研究 ，可以得到它各部分的应力分布以及相应的变形。③运用分析结果指导股骨颈骨折的植入物内固定治疗，并结合老年股骨颈骨折的特点进行预防与康复。

关键词: 股骨颈, 骨折, 老年人, 组织修复, 硬组织植入物

Abstract:

BACKGROUND: With the faster development of biomechanics and computer simulation technique, treatments for femoral neck fracture main concentrate on internal fixation, muscle pedicle bone, bone flap, and periosteum implantation, as well as prosthetic replacement under the guidance of computer.
OBJECTIVE: To analyze the stress distribution in the neck of femur through morphological, biomechanical analysis, and computer simulation technique of reviewed treatments for femoral neck fracture.
METHODS: “Femoral neck fracture” in English was utilized as search terms to retrieve Pubmed database (1999-01/2009-06). Simultaneously, “femoral neck fracture” in Chinese was used to search Wanfang database (1999-01/2009-06). Literatures were limited to English and Chinese languages. The femoral neck research equipment and studies for cure of femoral neck fracture were included, while other outdated and repetitive researches were excluded.
RESULTS AND CONCLUSION: Totally 667 literature were obtained from the computer screen, and 42 documents of them were involved for analysis according to the inclusion and exclusion criteria. In case of femoral neck fracture analysis method, scholars in China and abroad have carried out extensive studies, including: ①Using CT scan for the form of femoral neck to generate CT image, the study obtains Results Feature data with finite element analysis. Meanwhile, results Feature data could reconstruct a 3D body by the software. ②Biomechanical analysis for stress distribution about the femoral neck could obtain corresponding data. ③Conclusion of such analysis could be applied to the treatment of femoral neck fracture, especially for the aged

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