首页> 外文期刊>Journal of Orthopaedic Translation >Interference screw versus Endoscrew fixation for anterior cruciate ligament reconstruction: A biomechanical comparative study in sawbones and porcine knees
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Interference screw versus Endoscrew fixation for anterior cruciate ligament reconstruction: A biomechanical comparative study in sawbones and porcine knees

机译:干涉螺钉与内固定螺钉重建前交叉韧带:锯骨和猪膝关节的生物力学比较研究

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Summary Interference screw fixation is one of the most common methods for ligament reconstruction. Although the advantages and clinical outcomes of this procedure have been widely reported, post-surgical complications often arise. The purpose of this study was to evaluate a new femoral fixation device, the Endoscrew, for anterior cruciate ligament (ACL) reconstruction. We performed a mechanical test in accordance with American Society for Testing and Materials (ASTM) standards and an in?vitro biomechanical study. An axial pullout test was conducted to evaluate the mechanical properties of the new device and the interference screw when implanted in solid rigid polyurethane foam test blocks. The biomechanical test used porcine femora to evaluate the initial fixation strength between these two implants. The maximum pullout force of the interference screw group [722.05?±?130.49?N (N)] was significantly greater ( p ?
机译:小结干涉螺钉固定是韧带重建的最常用方法之一。尽管已经广泛报道了该方法的优点和临床结果,但通常会出现术后并发症。这项研究的目的是评估一种新的股骨内固定装置,即内螺钉,用于前交叉韧带(ACL)重建。我们根据美国材料试验学会(ASTM)标准进行了机械测试,并进行了体外生物力学研究。进行了轴向拔出测试,以评估新设备和干涉螺钉植入固体硬质聚氨酯泡沫测试块后的机械性能。生物力学测试使用猪股骨来评估这两个植入物之间的初始固定强度。当植入聚氨酯泡沫塑料320中时,干涉螺钉组的最大拔出力[722.05?±?130.49?N(N)]明显大于内螺纹组(440.79?±?26.54?N)(p?<?0.01)。 kg / m 3密度。对于密度为160 kg / m 3的聚氨酯泡沫,干涉螺钉组和内六角螺钉组的最大拉拔力分别为(242.61?±?37.36?N)(p?<?0.001)和(99.33?±?30.01?N),分别。在体外力学研究中,与干扰螺钉(489.72±±138.64±N)相比,内六角螺钉(646.39±±72.38±N)在失效前需要更大的极限载荷(p≤0.05)。 。关于拔出刚度,内螺纹组(99.15±±12.16μN/ mm)和干涉螺钉组(87.96±±11.12μN/ mm)之间在统计学上没有显着差异(p≤0.13)。 。内螺纹组(93.09±±16.07μN/ mm)和干涉螺钉组(85.78±±14.76μN/ mm)之间的循环刚度也没有显着差异(p≤0.44)。轴向拔出试验表明,内螺钉的强度接近日常活动所需的固定强度,但不适用于骨质疏松症患者。体外研究表明,内旋螺钉的初始机械固定性能优于可生物降解的干涉螺钉。

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