Three-dimensional wound flattening method for mapping skin mechanical properties based on finite element method

Clinically, skin flap transplantation was often used to repair skin wounds. However, the flap design process with sample cloth is rough and easy to cause infection and necrosis. So an accurate and individual shape design of preoperative flap should be solved. Therefore, a 3D wound flattening method for mapping skin mechanical properties based on finite element method was proposed. Firstly, the 3D point cloud of skin wound was obtained by 3D scanner, and the hierarchical structure of wound model was established. Then a geometric flattening method of wound surface was proposed based on the existing surface flattening theory. The concept of deformed point was introduced according to the special shape of wound surface, and the corresponding modification was given to the original flattening process. Secondly, the mechanical properties of pig skin samples with different orientations were measured by static tensile test. Finally, based on the morphological flattening of wound model and the mechanical parameters of pig skin, a unit material model based on material deformation energy was established. The unit deformation was attributed to the equivalent load acting on the node, and a finite element optimization method of wound unfolding shape based on material deformation energy was proposed. In order to optimize the overall deformation energy, the flap shape was optimized and adjusted to achieve the preoperative design. Clinical examples were selected for verification and analysis. The results show that the proposed method can provide a reasonable and reliable preliminary guide for preoperative flap shape design in clinical wound repair.