多孔钽融合器在颈椎前路融合手术中的应用
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南通大学附属南京江北医院

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Application of porous tantalum fusion device in cervical inner road fusion surgery
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Nanjing Jiangbei Hospital Affiliated to Nantong University

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    摘要:

    摘要:钽金属越来越多的应用于生活中,由于其具有极佳的生物惰性和生物相容性,也被称为“亲生物”金属。纯钽在骨科中的应用已经 80 余年。由于纯钽与骨组织弹性模量相差较大,不利于骨愈合。多孔钽是一种开孔金属结构,外观近似于人松质骨。它具有低弹性模量,接近于软骨下骨和松质骨,能够获得更好的负荷转移和最小化应力屏蔽现象。它的摩擦系数是生物材料中最高的之一,甚至在没有螺钉固定情况下,可以充分地获得融合器的初步稳定性。由于不同的融合评判标准,导致文献报道融合率的差别。最终,多孔钽已经被证明能有效地获得融合和改善前路颈椎椎间融合术后患者的预后。

    Abstract:

    Abstract: Tantalum is increasingly used in daily life because of its excellent biological inertia and Biocompatibility, also known as “Pro-biological” metal. Pure tantalum has been used in orthopedics for more than 80 years. Due to the difference of elastic modulus between pure tantalum and bone, it is disadvantageous to bone healing. Porous tantalum is an open-hole metal structure that resembles human cancellous bone in appearance. It has a low modulus of elasticity, is close to the subchondral bone and cancellous bone, and can achieve better load transfer and minimize stress shielding. Its friction coefficient is one of the highest in biomaterials, and even without screw fixation, the initial stability of the fusion cage can be fully achieved. Because of different fusion criteria, the fusion rate of literature reports is different. Finally, porous tantalum has been shown to be effective in obtaining fusion and improving the prognosis of patients after anterior cervical interbody fusion.

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  • 收稿日期:2021-11-29
  • 最后修改日期:2021-11-29
  • 录用日期:2022-03-17
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