骨折内固定接骨板生物力学评价及结构设计方法研究进展

内固定术是最为常见且有效的骨折治疗方法，接骨板是临床中常用的内固定植入物。由于骨折愈合需要一定的力学刺激，接骨板的刚度既需要满足骨折复位稳定性的要求，又需要使断骨在愈合的过程中承受合理的力学刺激，因此，接骨板的结构设计对骨折愈合具有非常重要的影响。从骨折复位和愈合的评估方法入手，综述和分析骨折复位稳定性、骨愈合和骨重塑效果的评估分析方法，总结出接骨板结构的基本设计要求；进一步针对接骨板结构的设计方法，对现有接骨板的结构形式、设计方法进行分析和总结，为设计出能更好满足骨折愈合需求的接骨板结构提供参考；最后针对现有接骨板结构设计存在的问题进行分析，提出理想接骨板的设计思路和未来的研究热点。

Research progress on structural design of bone plates for internal fracture fixation

Internal fixation is the most common and effective fracture treatment method and bone plates are the most widely used internal fixation implant in clinical practice. Since fracture healing requires a certain amount of mechanical stimulation, the stiffness of bone plate not only needs to meet the requirements of reduction stability, but also needs to make the fracture bone bear reasonable mechanical stimulation during the healing process. Thus, the structural design of bone plate has a very important impact on healing effect. Starting from the evaluation methods of fracture reduction and healing, the evaluation and analysis methods of fracture reduction stability, fracture healing and remodeling were summarized and analyzed, The basic design requirements of bone plate structure was proposed. Further, according to the design method of bone plate structure, the existing structural forms and design methods of bone plate were analyzed and summarized to provide reference for the design of bone plate which can better meet the needs of fracture healing. Finally, the existing problems in the structural design of bone plate were analyzed, and an ideal design logic of bone plate and the future research focus were put forward.