单侧转骨整合假肢可以改善行走期间的关节负荷
Nicholas W Vandenberg1, Jason W Stoneback2, Hope Davis-Wilson3
1Department of Mechanical Engineering, University of Colorado Denver, Denver CO, United States.
Journal of biomechanics
|June 5, 2023
概括
骨整合假肢可能会降低骨关节炎风险. 这些植入物改变了行走时的关节负荷,与插座假肢相比,在两只四肢中创造了更典型的机械环境.
科学领域:
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
- 假肢的使用 假肢的使用
背景情况:
- 使用插座假肢的骨截肢者面临部和下肢关节骨关节炎的风险增加.
- 骨整合假肢提供了外科手术的替代方案,直接固定在股骨上.
- 骨整合假肢在行走过程中对多关节负荷的影响在很大程度上仍未得到研究.
研究的目的:
- 为了研究骨整合假肢如何影响转腿截肢患者在走路时的关节负荷.
- 为了比较骨整合手术前后的关节负荷力学.
主要方法:
- 收集了12名参与者带有插座假肢和12个月后骨整合的运动捕捉数据 (动力学,地面反应力).
- 为每个时间点开发了特定对象的肌肉骨模型.
- 使用逆动力学和静态优化计算的内部关节时刻和估计的肌肉/关节反应力 (JRFs).
主要成果:
- 在终端姿势期间观察到截肢关节时刻和前部JRF的显著变化.
- 截肢的部旋转时刻在早期的姿势中从内部转移到外部.
- 完整的四肢部延伸和膝盖曲的时刻,以及上部和由此产生的膝盖JRF,在骨质整合后的负载响应过程中减少.
结论:
- 骨整合假肢可能会促进转截肢者的两肢更典型的机械关节负荷环境.
- 这种改变的负荷模式,与有能力的个人相比,可能会降低骨关节炎发展或进展的风险.
更多相关视频
08:08Oscillation and Reaction Board Techniques for Estimating Inertial Properties of a Below-knee Prosthesis
Published on: May 8, 2014
16.9K
11:16Engineering Platform and Experimental Protocol for Design and Evaluation of a Neurally-controlled Powered Transfemoral Prosthesis
Published on: July 22, 2014
16.3K
相关概念视频
Knee Joint
2.0K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
2.0K
Ankle Joint
1.7K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.7K
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Bones of the Lower Limb: Tibia and Fibula
3.9K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
3.9K
Development of the Limb Synovial Joints
1.4K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.4K
