对骨平原骨折的内部固定系统稳定性的生物机械分析
Guoqiang Wei1, Xiaofen Niu1, Yuan Li2
1Department of Rehabilitation Medicine, Changzhi Medical College Affiliated Changzhi People's Hospital, Changzhi, China.
Frontiers in bioengineering and biotechnology
|June 30, 2023
概括
复杂的骨平原骨折用内部固定系统固定,可以耐受早期的承重. 有限元分析表明,固定是安全的典型活动,但艰苦的运动,如运行可能会导致部疲劳损伤.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 生物材料是一种生物材料.
背景情况:
- 复杂的高原骨折往往需要双边板固定.
- 以前的研究集中在固定设计上,在康复过程中忽视了生物力学特性.
- 了解内部固定生物力学对于优化术后恢复至关重要.
研究的目的:
- 研究骨平原骨折内部固定后的机械性质.
- 探索内部固定和骨之间的生物力学相互作用.
- 提供早期康复和举重康复的建议.
主要方法:
- 建立了一个术后骨有限元素分析 (FEA) 模型.
- 在不同轴承负荷 (500-1500N) 下模拟站立,行走和跑步.
- 分析了模型的刚性,碎片位移,应力分布和疲劳特性.
主要成果:
- 内部固定显著增加了模型的刚性.
- 介面板经历了最高的应力;螺丝应力保持在安全范围内.
- 中间状骨片段的移位是最小的 (0.002-0.072毫米).
- 内部固定系统没有显示疲劳损伤;骨在跑步时表现出疲劳损伤.
结论:
- 内部固定系统可以支持典型的身体动作和早期的承重.
- 建议早期进行康复炼.
- 手术后应避免像跑步这样的劳累性活动,以防止部疲劳.
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