穿越关节假肢使用者的骨健康恶化:一个分析生物力学解释
Jose L Zavaleta-Ruiz1, Matthew J Major2, Pankaj Pankaj1
1School of Engineering, The University of Edinburgh, Edinburgh, UK.
概括
穿越骨截肢导致大腿骨的骨质损失,原因是假肢插座的机械刺激不足. 这项研究突出显示,阴道内口如何降低骨维护信号,从而导致骨质疏松症风险.
科学领域:
- 生物力学 生物力学
- 生物医学工程 生物医学工程
- 整形外科的研究研究.
背景情况:
- 经过骨移植截肢的个体在剩余的股骨中经历了显著的骨损失,与久坐或绝经后的个体相比.
- 这种骨损失发生不论年龄或运动能力,这表明与假肢设备所创造的机械环境有联系.
研究的目的:
- 通过计算机模拟,研究腿截肢者的残余股骨内的机械环境.
- 评估假肢套套设计,特别是肌封闭,对骨应变和机械传导的影响.
主要方法:
- 开发有限元模型,模拟腿骨转移截肢患者的步行实例.
- 使用CT扫描数据,比较带有和没有缺骨护假肢套的模型.
- 对受压力应变强度影响的脊椎骨体积的分析.
主要成果:
- 在截肢的股骨中,超过90%的脊椎骨经历了骨维护值 (废弃窗口) 以下的菌株.
- 相比之下,在没有口的模型中,50%的骨在骨维护的最佳范围内.
- 结果与在活体中对假肢使用者的骨质损失的观察结果一致.
结论:
- 阴茎封闭假肢插座改变了生物力学负载分布,阻止了对近端大腿骨健康的足够的机械刺激.
- 假肢插座设计极大地影响了机械环境和随后的骨维护.
- 诸如大腿骨长度,假肢对齐和组织色调等因素进一步调节这种机械刺激.
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