部头部偏移指数的发展,用于控制部扭矩
Sam Razaeian1, Julius Husarek2,3, Sebastian Wangler2
1Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. sam.r@hotmail.de.
BMC musculoskeletal disorders
|September 9, 2024
概括
一个新的部头部偏移指数 (HHOI) 可靠地使用单个X射线评估部扭动. 这种简单的方法有助于手术内骨折管理,提供间接的旋转控制相比,相反的侧面.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 生物力学 生物力学
背景情况:
- 在骨折固定过程中,手臂扭的手术内控制具有挑战性.
- 准确评估手臂旋转对于成功的手术结果至关重要.
研究的目的:
- 开发和验证一种间接方法来评估部扭转.
- 为了建立一个新的指数和旋转臂位置之间的线性相关性.
- 为了能够从近端手腕的单一普通放射图像进行评估.
主要方法:
- 开发了部头部偏移指数 (HHOI),该指数是根据放射图像上的中间和侧面偏移计算的.
- 在骨模型和数字重建放射图 (DRR) 上测试了HHOI与骨扭动的相关性.
- 使用类内相关系数 (ICC) 评估了interrater和intrarater的可靠性.
主要成果:
- 在骨模型和DRR中,在模拟逆转和HHOI之间发现了显著的线性相关性.
- 在HHOI测量中,证明了极好的interrater和intrarater可靠性.
- 在HHOI显示高至非常高的相关性与部扭转.
结论:
- 骨头偏移指数 (HHOI) 是一种新,简单和可靠的工具.
- HHOI提供了一种间接的方法来控制部扭转.
- 这一指数可以与轮值评估的抵押方进行比较.
相关概念视频
Deformation in a Circular Shaft
271
One of the distinctive characteristics of circular shafts is their ability to maintain their cross-sectional integrity under torsion. In other words, each cross-section continues to exist as a flat, unaltered entity, simply rotating like a solid, rigid slab. To understand the distribution of shearing stress within such a shaft, consider a cylindrical section inside this circular shaft. This section has a length of L and a radius of R, with one end fixed. The radius of the cylindrical section is...
271
Thin-Walled Hollow Shafts
176
In analyzing a thin-walled hollow shaft subjected to torsional loading, a segment with width dx is isolated for examination. Despite its equilibrium state, this segment faces torsional shearing forces at its ends. These forces are quantitatively described by the product of the longitudinal shearing stress on the segment's minor surface and the area of this surface, leading to the concept of shear flow. This shear flow is consistent throughout the structure, indicating a uniform distribution...
176
Torsion of Noncircular Members
130
Circular shafts undergoing torsional stress maintain their cross-sectional integrity due to their axisymmetric nature. This symmetry ensures an even distribution of stress, allowing the shaft to withstand torsion without distorting. In contrast, square bars, lacking this axial symmetry, experience significant distortion across their cross-sections when subjected to torsion, with the exception of along their diagonals and at lines connecting midpoints. A detailed examination of a cubic element...
130
Stress Concentrations in Circular Shafts
167
Consider the elastic torsion formula, which applies to a circular shaft with a consistent cross-section. This formula assumes that the shaft's ends are loaded with rigid plates firmly attached. However, in many cases, torques are applied to the shaft through mechanisms like flange couplings or gears, which are connected by keys inserted into keyways. This application method modifies the stress distribution near the point of torque application, causing it to deviate from the distributions...
167
Residual Stresses in Circular Shafts
165
In materials that exhibit elastic and plastic behavior, known as elastoplastic materials, residual stresses can accumulate when these materials experience plastic deformation. This deformation arises from either high levels of shearing stress or significant strains. Residual stresses are internal stresses that persist within a material after removing the external force causing deformation. This phenomenon is demonstrated when observing the behavior of a shaft under torque; notably, the...
165
Angle of Twist - Elastic Range
278
Consider a cylindrical shaft with a length denoted by L and a consistent cross-sectional radius referred to as r. This shaft undergoes a torque at the free end. The highest shearing strain within the shaft is directly proportional to the twist angle and the radial distance from the shaft axis. When the shaft behaves elastically, this shearing strain can be articulated using variables such as the applied torque, radial distance, the polar moment of inertia, and the modulus of rigidity. By...
278


