由本研究之研究分析得到以下結論：當使用鎖定式骨板作為脛骨骨折 外固定之使用，須注意骨板與骨頭施打之距離以及骨板厚度，在近端骨 折部分還需注意骨釘骨板材料、骨釘直徑及近踝關節骨釘組合，方可達 到最佳的固定治療。
本研究主要是藉由改變因子參數來提升鎖定式骨板做為外固定器之 穩定性，但是目前臨床上尚未明確定義有效提升次級骨癒合之骨痂生成，
其所需要的力學指標及相應之數值範圍，因此還需進行後續研究，以提 供患者更佳良好的治療品質。
參考文獻
1. Ching-Hou Ma, Chin-Hsien Wu, Shang-Won Yu, Cheng-Yo Yen, and Yuan-Kun Tu, "Staged External and Internal Less-Invasive Stabilisation System Plating for Open Proximal Tibial Fractures", Injury, vol.41, pp., 190-96, 2010.
2. Jingwei Zhang, Nabil Ebraheim, Ming Li, Xianfeng He, Joshua Schwind, Jiayong Liu, and Limei Zhu, "External Fixation Using Locking Plate in Distal Tibial Fracture: A Finite Element Analysis", European Journal of Orthopaedic Surgery & Traumatology,pp. 1-6, 2015.
3. José Octavio Soares Hungria,Marcelo Tomanik Mercadante, "Open tibial shaft fractures. Treatment with intramedullary nailing after provisional stabilization with non penetrating external fixator", Revista Brasileira de Ortopedia,pp. 482-490 , 2013 .
4. Availabe：http://www.aofoundation.org
5. Trevor J Lujan, Chris E Henderson, Steven M Madey, Dan C Fitzpatrick, J Lawrence Marsh, and Michael Bottlang, "Locked Plating of Distal Femur Fractures Leads to Inconsistent and Asymmetric Callus Formation", Journal of orthopaedic trauma, vol. 24,pp. 156-62, 2010.
6. Bottlang M, Doornink J, Fitzpatrick DC, Madey SM. "Far cortical locking can reduce stiffness of locked plating constructs while retaining construct strength". Journal of Bone & Joint Surgery ,vol. 91,pp. 1985-94, 2009.
7. Bottlang M, Doornink J, Lujan TJ, Fitzpatrick DC, Marsh JL, Augat P, et al. "Effects of construct stiffness on healing of fractures stabilized with locking plates". Journal of Bone & Joint Surgery – vol. 92 Suppl 2, pp.
12-22, 2010.
8. Bottlang M, Feist F. "Biomechanics of far cortical locking". Journal of Orthopaedic Trauma,vol. 25 Suppl 1, pp. S21-8, 2011.
9. Bottlang M, Lesser M, Koerber J, Doornink J, von Rechenberg B, Augat P. "Far cortical locking can improve healing of fractures stabilized with locking plates". Journal of Bone & Joint Surgery, vol.92, pp 1652-60 ,2010.
10. Jingwei Zhang, Nabil Ebraheim, Ming Li, Xianfeng He."External Fixation Using Femoral Less Invasive Stabilization System Plate in Tibial" Proximal Metaphyseal Fracture Clinics in Orthopedic Surgery vol 7, pp.8-14, 2015.
11. Availabe：http://smallcollation.blogspot.tw/
12. Availabe：http://www.docpods.com/tibia-anatomy 13. Availabe：https://www.aofoundation.org
14. Availabe：http://www.orthobullets.com/
15. Availabe：http://slideplayer.com/
16. Availabe：http://guzhe.baike.com/
17. Stephan M Perren, "Evolution of the Internal Fixation of Long Bone Fractures. The Scientific Basis of Biological Internal Fixation: Choosing a New Balance between Stability and Biology", The Bone & Joint Journal, vol. 84 ,pp. 1093-110, 2002.
18. M Ahmad, R Nanda, AS Bajwa, J Candal-Couto, S Green, and AC Hui, "
Biomechanical Testing of the Locking Compression Plate: When Does the Distance between Bone and Implant Significantly Reduce Construct Stability? ", Injury,vol 38 ,pp. 358-64, 2007.
19. Kavin Karunratanakul, Jan Schrooten, Hans Van Oosterwyck, "Finite element modelling of a unilateral fixator for bone reconstruction:
Importance of contact settings", Medical Engineering & Physics, pp461-467, 2010.
20. 矢野宏,et al. 田口式品質工學的思想 和昌發行 ,2004
21. 劉克琪, et al. 實驗設計與田口式品質工程 華泰出版社 1994 22. 田口玄一, et al. 田口實驗計畫法 滄海出版社 1997
23. 吳復強, et al. 田口品質工程 =Quality engineering 全威圖書 2002 24. Availabe：http://www.syntheskyo.com/
25. 蘇天祥, 固鎖式骨板作為內固定與外固定使用於治療近端脛骨骨折 之力學分析, 碩士論文, 生物醫學工程學研究所, 義守大學, 醫學院 2013
自述
姓名 陳奕哲(Yi-Zhe Chen) 性別 男 生日 民國 81 年 6 月 18 日
主修 生物醫學工程(生物力學)
經歷 義大醫院研究助理
研究 歷程
1. Yi-Zhe Chen, Kun-Hsiang Hsu, Ching-Hou Ma, Chin-Hsien Wu, Yuan-Kun Tu, Ting-Sheng Lin" Factorial analysis of external locking plate for proximal tibia fracture" , Eighth Asian-Pacific Conference on Biomechanics, Sapporo, Japan 2015.9
2. 陳奕哲,侯雅佩,黃莉婷,簡欣儀, 林鼎勝,"新式骨搬運延長 兩用裝置",104 學年度義守大學創新專題競賽,高雄,台 灣,2015.12