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使用患者步态周期的客观测量方法对下肢截肢者的残肢-假肢-钝性复合体进行分析。

Analyse of socket-prosthesis-blunt complex for lower limb amputee using objective measure of patient's gait cycle.

作者信息

Rotariu Mariana, Filep R, Turnea M, Ilea M, Arotăriţei D, Popescu Marilena

出版信息

Rev Med Chir Soc Med Nat Iasi. 2015 Jan-Mar;119(1):281-6.

Abstract

UNLABELLED

The prosthetic application is a highly complex process. Modeling and simulation of biomechanics processes in orthopedics is a certainly field of interest in current medical research. Optimization of socket in order to improve the quality of patient's life is a major objective in prosthetic rehabilitation. A variety of numerical methods for prosthetic application have been developed and studied.

MATERIAL AND METHODS

An objective method is proposed to evaluate the performance of a prosthetic patient according to surface pressure map over the residual limb. The friction coefficient due to various liners used in transtibial and transfemoral prosthesis is taken into account also.

RESULTS

Creation of a bio-based modeling and mathematical simulation allows the design, construction and optimization of contact between the prosthesis cup and lack of functionality of the patient amputated considering the data collected and processed in real time and non-invasively. The von Mises stress distribution in muscle flap tissue at the bone ends shows a larger region subjected to elevated von Mises stresses in the muscle tissue underlying longer truncated bones.

CONCLUSIONS

Finite element method was used to conduct a stress analysis and show the force distribution along the device. The results contribute to a better understanding the design of an optimized prosthesis that increase the patient's performance along with a god choice of liner, made by an appropriate material that fit better to a particular blunt. The study of prosthetic application is an exciting and important topic in research and will profit considerably from theoretical input. Interpret these results to be a permanent collaboration between math's and medical orthopedics.

摘要

未标注

假体应用是一个高度复杂的过程。骨科生物力学过程的建模与模拟无疑是当前医学研究中一个备受关注的领域。优化接受腔以提高患者生活质量是假体康复的主要目标。已经开发并研究了多种用于假体应用的数值方法。

材料与方法

提出了一种客观方法,根据残肢表面压力图来评估假体患者的性能。还考虑了用于小腿假肢和大腿假肢的各种内衬的摩擦系数。

结果

创建基于生物的建模和数学模拟,考虑实时、非侵入性收集和处理的数据,能够对假体杯与截肢患者功能缺失部位之间的接触进行设计、构建和优化。骨端肌肉瓣组织中的冯·米塞斯应力分布表明,在截断较长的骨头下方的肌肉组织中,有更大区域承受着较高的冯·米塞斯应力。

结论

采用有限元方法进行应力分析并展示沿装置的力分布。研究结果有助于更好地理解优化假体的设计,这种设计能通过选择合适的材料制成的内衬来提高患者的性能,该内衬能更好地适配特定残肢。假体应用研究是研究中一个令人兴奋且重要的课题,将从理论输入中受益匪浅。将这些结果解读为数学与医学骨科之间的长期合作。

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