皮质骨轨迹的有限元分析 根据AbaqusCEA软件在暴露于不同皮质层时,螺丝对拉出阻力
Changbing Wu1, Hao Long1, Yong Fu1
1Department of Spinal Surgery, The Fourth People's Hospital of Guiyang, 91 Jiefang West Road, Nanming District, Guiyang City, 550000 Guizhou Province China.
Indian journal of orthopaedics
|August 1, 2023
概括
增加皮质骨轨迹 (CBT) 螺丝接触层可以提高螺丝的稳定性和抗拉力. 通过至少三层皮质骨接触层来实现最佳的螺丝固定,以改善外科手术结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 生物机械工程 生物机械工程
- 整形外科的研究研究.
背景情况:
- 皮质骨轨迹 (CBT) 螺丝在脊柱外科手术中提供了更好的固定.
- 了解影响CBT螺杆持有功率的生物力学因素对于临床成功至关重要.
研究的目的:
- 通过有限元素分析 (FEA) 研究皮质骨接触层与CBT螺丝的抗拉力之间的关系.
- 为优化螺杆植入技术提供基于证据的建议,以增强螺杆持有力.
主要方法:
- 使用CT数据创建了一个L4脊椎体和CBT螺丝的3D有限元模型.
- 模型根据皮质骨接触层的数量 (1-5) 将模型分为五组 (A-E).
- 使用Abaqus软件进行FEA模拟,以确定最大轴向拉力和应力分布.
主要成果:
- 最大轴向拉出力随着皮质骨接触层的数量增加而增加.
- 两组之间观察到应力分布和拉出力的显著差异 (P < 0.05).
- 拉出力最大的增加记录在三个皮质骨接触层,在五层达到最大.
结论:
- 增加皮质骨接触层的数量显著增强了CBT螺丝的抗拉力.
- 从临床角度来看,建议在CBT螺丝植入过程中准至少三个皮质骨接触层,以提高螺丝稳定性和外科融合率.
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