不同的骨切除术对远端放射关节负荷的影响:有限元分析
Jiyang Tan1,2, Fei Zhang3, Qianyuan Liu1
1Medical College, Soochow University, Suzhou, China.
BMC musculoskeletal disorders
|June 8, 2024
概括
甲状腺骨切除术和避免缩短超过5毫米可以减少关节阻塞综合征的远端放射性关节应力. 腹腔骨切除术增加了压力,特别是在背部伸展的前置.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 手术手术手术手术手术
背景情况:
- 排骨塞综合征会导致排骨手足疼痛.
- 关于最优的骨切除术方法和缩小关节的长度存在争论.
研究的目的:
- 在使用不同的骨切除术方法后,研究远端放射关节 (DRUJ) 的生物力学变化.
- 分析骨切除术长度和关节位置对DRUJ压力的影响.
主要方法:
- 尸体样本解剖和DRUJ稳定性确认.
- 骨切除模型的3DCT扫描和有限元分析.
- 在中立位置和前置背部延伸位置模拟纵向负荷 (100N).
主要成果:
- 甲基细胞骨折 (2-3毫米) 没有显著的DRUJ压力增加;5毫米增加了压力.
- 隔膜骨切除术增加了DRUJ的压力,超过了甲状腺骨切除术,特别是在较长的切口时.
- 隆起背部延伸显著增加了DRUJ压力对于两种骨切除术类型,特别是腹腔.
结论:
- 甲状腺骨切除术导致DRUJ的关节内压力增加比隔膜骨切除术少.
- 避免关缩短超过5毫米,不管骨切除术的类型,以尽量减少DRUJ压力.
相关概念视频
Bones of the Upper Limb: Radius
2.2K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.2K
Deformation of Member under Multiple Loadings
163
When a rod is made of different materials or has various cross-sections, it must be divided into parts that meet the necessary conditions for determining the deformation. These parts are each characterized by their internal force, cross-sectional area, length, and modulus of elasticity. These parameters are then used to compute the deformation of the entire rod.
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
163
Relation between Poisson's ratio, Modulus of Elasticity and Modulus of Rigidity
264
Deformation occurs in axial and transverse directions when an axial load is applied to a slender bar. This deformation impacts the cubic element within the bar, transforming it into either a rectangular parallelepiped or a rhombus, contingent on its orientation. This transformation process induces shearing strain. Axial loading elicits both shearing and normal strains. Applying an axial load instigates equal normal and shearing stresses on elements oriented at a 45° angle to the load axis.
264
Temperature Dependent Deformation
147
In a nonhomogeneous rod made up of steel and brass, restrained at both ends and subjected to a temperature change, several steps are involved in calculating the stress and compressive load. Due to the problem's static indeterminacy, one end support is disconnected, allowing the rod to experience the temperature change freely. Next, an unknown force is applied at the free end, triggering deformations in the rod's steel and brass portions. These deformations are then calculated and added...
147
Residual Stresses in Bending
160
In the study of elastoplastic members subjected to bending moments, understanding the loading and unloading phases is crucial for assessing material behavior and structural integrity. During the loading phase, as the bending moment increases, the material initially responds elastically, adhering to Hooke's Law, where stress is directly proportional to strain. When the load exceeds the yield strength, plastic deformation occurs, resulting in permanent strain and deformation that remains even...
160
General Case of Eccentric Axial Loading
184
Unsymmetrical bending occurs when the bending moment applied to a structural member does not align with its principal axis. This misalignment leads to complex stress distributions and deflection patterns that differ from symmetrical bending, which are essential for designing structures to withstand different loading conditions.
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
184


