[1]谢澄铖△,薛俊伟,黄晨阳,等.谢式夹板和解剖夹板外固定治疗伸直型桡骨远端骨折的生物力学特性比较[J].中国中医骨伤科杂志,2024,32(01):42-47.[doi:10.20085/j.cnki.issn1005-0205.240108]
　XIE Chengcheng,XUE Junwei,HUANG Chenyang,et al.Biomechanical Study of External Fixation of Xie's Splint and Anatomical Splint in the Treatment of Colles Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(01):42-47.[doi:10.20085/j.cnki.issn1005-0205.240108]
点击复制

谢式夹板和解剖夹板外固定治疗伸直型桡骨远端骨折的生物力学特性比较()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年01期
页码:
42-47
栏目:
临床研究
出版日期:
2024-01-15

文章信息/Info

Title:
Biomechanical Study of External Fixation of Xie's Splint and Anatomical Splint in the Treatment of Colles Fracture
文章编号:
1005-0205(2024)01-0042-06
作者:
谢澄铖1△; 薛俊伟1; 黄晨阳1; 王俊1; 胡威1; 陈尚冀1
1江阴市中医骨伤医院骨科(江苏 江阴,214422)
Author(s):
XIE Chengcheng1△; XUE Junwei1; HUANG Chenyang1; WANG Jun1; HU Wei1; CHEN Shangji1
1Department of Orthopaedics,Jiangyin Traditional Chinese Medicine Bone Injury Hospital,Jiangyin 214422,Jiangsu China.
关键词:
谢式夹板;  解剖夹板;  伸直型桡骨远端骨折;  生物力学
Keywords:
Xie's splint;  anatomical splint;  extension distal radius fracture;  biomechanics
分类号:
R683.41
DOI:
10.20085/j.cnki.issn1005-0205.240108
文献标志码:
A
摘要:
目的:探究谢式夹板外固定对Colles骨折(伸直型桡骨远端骨折)手臂的皮肤、骨骼及夹板等结构的生物力学特性影响。方法:对谢式夹板和解剖夹板外固定的手臂桡骨Colles骨折患者,采集两种夹板形式下的CT数据并进行影像重建,基于有限元方法建模仿真手臂皮肤及骨骼、夹板等结构的应力云图,并进行生物力学特性分析。结果:采用谢式夹板对手臂外固定后,在手臂皮肤表面不同区域出现明显的应力集中现象,同时由于受绷带压力、棉压垫、竹板、包裹纸板及侧向纸板的共同约束作用,导致谢式夹板本身结构应力分布也相对较显著。相比较而言,在桡骨骨折处手臂内侧、背侧对应的皮肤上谢式夹板的整体应力分布明显高于解剖夹板。结论:谢式夹板对手臂桡骨Colles骨折外固定后在桡骨骨折附近抵抗骨折错位移动有着较好的治疗作用。
Abstract:
Objective:To study the biomechanical properties of Xie's splint external fixation on the skin,bone,splint and other structures of Colles' fractured arm.Methods:Xie's splint and anatomical splint were used for the external fixation of Colles fracture of arm radius.CT data of the two groups in the form of splint were collected and image reconstruction was carried out.The stress nebulogram of arm skin,bone,splint and other structures were simulated based on finite element method,and biomechanical analysis and research were carried out.Results:When the arm was externally fixed with the Xie's splint,significant stress concentration appeared in different areas of the arm skin surface.The structural stress distribution of the splint itself was also relatively significant.In comparison,the overall stress distribution of Xie's splint on the skin on the medial and dorsal sides of the arm at the radial fracture was significantly greater than that of the anatomical splint.Conclusion:Xie's splint has a good therapeutic effect on resisting fracture dislocation movement near radial fractures after external fixation of Colles fractures of the arm.

参考文献/References:

[1] WANG L L,WU W L,XIE X L,et al.Removing Escherichia coli from water using zinc oxide-coated zeolite[J].Water Res,2018,141:145-151.
[2] 段超,周细江,车国良,等.手法复位小夹板固定联合中药三期辨证外治法治疗C3型Colles骨折的临床研究[J].中国中医急症,2021,30(9):1562-1566.
[3] 谢澄铖,谢春祥,谢永明,等.谢氏流派竹片压垫固定Colles骨折100例[J].按摩与康复医学,2015,6(1):78-79.
[4] LIANG X,BOPPART S A.Biomechanical properties of in vivo human skin from dynamic optical coherence elastography[J].IEEE Trans Biomed Eng,2010,57(4):953-959.
[5] 华臻,陆振飞,潘娅岚,等.解剖型纸质支架夹板治疗Colles骨折的有限元分析[J].中国中医骨伤科杂志,2017,25(7):16-20.
[6] LI C,GUAN G,REIF R,et al.Determining elastic properties of skin by measuring surface waves from an impulse mechanical stimulus using phase-sensitive optical coherence tomography[J].J Royal Soc Interface,2012,9(70):831-841.
[7] PISTOIA W,VAN RIETBERGEN B,LOCHMüLLER E M,et al.Estimation of distal radius failure load with micro-finite element analysis models based on three-dimensional peripheral quantitative computed tomography images[J].Bone,2002,30(6):842-848.
[8] 华臻,王建伟,张亚峰,等.中医社区综合干预退行性腰椎不稳症的近期疗效观察[J].南京中医药大学学报,2014,30(5):434-437.
[9] 郭欣,樊瑜波,李宗明.掌骨受轴向压力作用下的腕部生物力学分析[J].航天医学与医学工程,2008,21(1):45-49.
[10] TENCER A F,VIEGAS S F,CANTRELL J,et al.Pressure distribution in the wrist joint[J].J Orthop Res,1988,6(4):509-517.
[11] SCHUIND F,COONEY W P,LINSCHEID R L,et al.Force and pressure transmission throuth the normal wrist:a theoretical two-dimensional study in the posteroanterior plance[J].J Biomech,1995,28(5):587-601.
[12] DACHO A K,BAUMEISTER S,GERMANN G,et al.Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse(SNAC-wrist)and scapholunate advanced collapse(SLAC-wrist)in stage Ⅱ[J].J Plast Reconstr Aesthet Surg,2008,61(10):1210-1218.
[13] 钦斌,黄永火,欧阳羽,等.轴向应力作用下的舟骨有限元分析[J].第三军医大学学报,2010,32(11):1213-1215.
[14] 李海波,马宝通.老年桡骨远端骨折保守治疗的研究进展[J].中国中西医结合外科杂志,2023,29(3):406-410.
[15] 毛昭冲,李福伟,杨凤云,等.有限元分析在桡骨远端骨折研究中的应用进展[J].中医正骨,2023,35(2):30-32.
[16] 李琰,孙晋客,张峻玮,等.闭合复位经皮穿针三角构型内固定治疗C型桡骨远端骨折55例[J].中国中医骨伤科杂志,2022,30(11):49-53.

备注/Memo

备注/Memo:
基金项目:无锡市中医药科技项目(ZYKJ201912)
△通信作者 E-mail:cj3p9dc@163.com
更新日期/Last Update: 2024-01-15