袖套结构联合肿瘤型假体柄初始稳定性的有限元分析
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天津市卫生健康科研项目(TJWJ2022MS024,TJWJ2021QN047),中国医药教育协会骨科骨质疏松创新奖励基金项目


Primary Stability of Sleeve Structure Combined with Tumor-Type Prosthesis Stem: A Finite Element Analysis
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    摘要:

    目的 对新型梯形袖套联合不同长度(90、105、20、135 mm)、形状(直柄、曲柄)假体柄进行有限元分析,研究其初始稳定性的差异。 方法 建立股骨-袖套-假体有限元模型,设定其接触模式为面与面接触,模拟生理活动中单足站立、快速行走的加载条件,研究股骨-袖套-假体柄微动情况。 结果 单足站立及快速行走时,梯形袖套联合直柄微动值大于曲柄,当假体柄长度为 120 mm 时,微动峰值及微动平均值达高峰。 梯形袖套联合直柄在单足站立及快速行走时微动平均值分别为(67. 7±43. 5)、(64. 1±59. 2) μm,微动峰值分别为 121、146 μm。 随着假体柄长度及形状的变化,梯形袖套周围微动值保持不变。 结论 梯形袖套联合曲柄优于直柄,当假体柄长度为 90 mm 时,可保持最佳初始稳定性。

    Abstract:

    Objective To make finite element analysis on a novel trapezoid sleeve combined with prosthesis stem by different length (90, 105, 20, 135 mm) and shapes (straight and curved stem), and study the differences in their primary stability. Methods The finite element model of femur-sleeve-prosthesis was established, the contact mode was set as face-to-face contact, and the micromotion of femur-sleeve-prosthesis stem was studied by simulating the loading conditions of standing on one foot and fast walking in physiological activities. Results The micromotion of trapezoid sleeve combined with straight stem was larger than that of curved stem during standing on one foot and fast walking. The maximum and average micromotion reached the peak when the length of prosthesis stem was 120 mm. During standing on one foot and fast walking, the average micromotion of trapezoid sleeve combined with straight stem was ( 67. 7± 43. 5) μm and ( 64. 1± 59. 2) μm, and the maximum micromotion was 121 μm and 146 μm. The micromotion around the trapezoidal sleeve remained constant as the length and shapes of prosthetic stem changed. Conclusions The trapezoidal sleeve combined with curved stem is superior to that with the straight stem. When the length of prosthetic stem is 90 mm, the optimal primary stability can be maintained.

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左金增,田东牧,高 原,胡永成,张净宇.袖套结构联合肿瘤型假体柄初始稳定性的有限元分析[J].医用生物力学,2023,38(4):724-729

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  • 收稿日期:2022-06-29
  • 最后修改日期:2022-09-01
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  • 在线发布日期: 2023-08-25
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