肘关节后囊损伤后愈合不同阶段的生物力学研究
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1.天津科技大学 机械工程学院,天津市轻工与食品工程机械装备集成设计与在线监控重点实验室;2.天津科技大学 机械工程学院;3.天津市天津医院 骨外科

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A Biomechanic Study of Different Healing Stages after Elbow Posterior Capsule Injury
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1.School of Mechanical Engineering,Tianjin Key Laboratory of Light Industry and Food Engineering Machinery Equipment Integrated Design and Online Monitoring,Tianjin University of Science and Technology;2.School of Mechanical Engineering, Tianjin University of Science and Technology;3.Orthopedics Department, Tianjin Hospital;4.School of Mechanical Engineering Tianjin University of Science and Technology

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    摘要:

    目的 评估关节后囊损伤愈合不同阶段,肘关节内部软组织的力学行为。方法 本研究建立考虑肌肉主动行为的肘关节有限元模型,模拟肘关节在无损伤和关节后囊损伤后2周、4周、6周和8周时的屈曲运动,分析关节囊、尺骨软骨和韧带的von Mises等效应力变化。结果 无损伤、2周、4周、6周和8周时,关节囊在屈曲60°的应力分别为8.23 MPa、7.87 MPa、8.27 MPa、8.99 MPa和10.5 MPa。在肘关节屈曲30°时,与无损伤相比,2周、4周、6周和8周时尺骨软骨的应力分别为增加13.0%、28.3%、41.3%和43.5%。与2周相比,4周时桡侧副韧带在屈曲15°、30°、45°、60°、75°时的应力分别减少12.5%、22.2%、13.6%、3.2%和10.6%。结论 研究结果可为关节囊挛缩的预防和治疗以及康复辅具的开发提供理论依据。

    Abstract:

    Objective To evaluate the mechanical behavior of elbow internal soft tissue at different healing stages of posterior capsular injury. Methods A finite element model of the elbow joint, including muscle activation behavior, was established to simulate the elbow flexion at no injury and 2, 4, 6, and 8 weeks after posterior capsule injury. The von Mises effective stress variation of articular capsule, ulnar cartilage and ligaments were analyzed. Results At no injury and 2, 4, 6 and 8 weeks, the stress of the articular capsule at 60° flexion were 8.23 MPa, 7.87 MPa, 8.27 MPa, 8.99 MPa and 10.5 MPa, respectively. When elbow flexion angle was 30°, ulnar cartilage stress increased by 13.0%, 28.3%, 41.3% and 43.5% at 2, 4, 6 and 8 weeks, respectively, compared with no injury. At 4 weeks, compared with 2 weeks, the stress of the radial collateral ligament at 15°, 30°, 45°, 60° and 75° was reduced by 12.5%, 22.2%, 13.6%, 3.2% and 10.6%, respectively. Conclusion The results provide theoretical basis for the prevention and treatment of capsular contracture and the development of rehabilitation AIDS.

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  • 收稿日期:2024-04-10
  • 最后修改日期:2024-05-04
  • 录用日期:2024-05-06
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