Ko Cheolwoong, Yang Mikyung, Byun Taemin, Lee Sang-Wook
Medical and Bio-engineering R&D Group, Korea Institute of Industrial Technology (KITECH), 89 Yangdaegiro-gil, Cheonan, Chungnam, 31056, Republic of Korea.
Department of Mechanical Engineering, Soonchunhyang University, 22 Soonchunhyang-ro, Asan, Chungnam, 31538, Republic of Korea.
Int J Numer Method Biomed Eng. 2018 May;34(5):e2967. doi: 10.1002/cnm.2967. Epub 2018 Mar 24.
This study proposed a way to design femur fracture fixation plates made of shape memory alloy based on computed tomography (CT) images of Korean cadaveric femurs. To this end, 3 major design factors of femur fracture fixation plates (circumference angle, thickness, and inner diameter) were selected based on the contact pressure when a femur fracture fixation plate was applied to a cylinder model using the Taguchi method. Then, the effects of the design factors were analyzed. It was shown that the design factors were statistically significant at a level of p = 0.05 concerning the inner diameter and the thickness. The factors affecting the contact pressure were inner diameter, thickness, and circumference angle, in that order. Particularly, in the condition of Case 9 (inner diameter 27 mm, thickness 2.4 mm, and circumference angle 270°), the max. average contact pressure was 21.721 MPa, while the min. average contact pressure was 3.118 MPa in Case 10 (inner diameter 29 mm, thickness 2.0 mm, and circumference angle 210°). When the femur fracture fixation plate was applied to the cylinder model, the displacement due to external sliding and pulling forces was analyzed. As a result, the displacement in the sliding condition was at max. 3.75 times greater than that in the pulling condition, which indicated that the cohesion strength between the femur fracture fixation plate and the cylinder model was likely to be greater in the pulling condition. When a human femur model was applied, the max. average contact pressure was 10.76 MPa, which was lower than the yield strength of a human femur (108 MPa). In addition, the analysis of the rib behaviors of the femur fracture fixation plate in relation to the recovery effect of the shape memory alloy showed that the rib behaviors varied depending on the arbitrarily curved shapes of the femur sections.
本研究基于韩国尸体股骨的计算机断层扫描(CT)图像,提出了一种设计形状记忆合金股骨骨折固定板的方法。为此,采用田口方法,根据股骨骨折固定板应用于圆柱模型时的接触压力,选择了股骨骨折固定板的3个主要设计因素(圆周角、厚度和内径)。然后,分析了这些设计因素的影响。结果表明,在p = 0.05的水平上,内径和厚度的设计因素具有统计学意义。影响接触压力的因素依次为内径、厚度和圆周角。特别是在案例9(内径27 mm,厚度2.4 mm,圆周角270°)的条件下,最大平均接触压力为21.721 MPa,而在案例10(内径29 mm,厚度2.0 mm,圆周角210°)中最小平均接触压力为3.118 MPa。当股骨骨折固定板应用于圆柱模型时,分析了由于外部滑动和拉力引起的位移。结果表明,滑动条件下的位移最大比拉力条件下的位移大3.75倍,这表明股骨骨折固定板与圆柱模型之间的粘结强度在拉力条件下可能更大。当应用人体股骨模型时,最大平均接触压力为10.76 MPa,低于人体股骨的屈服强度(108 MPa)。此外,对股骨骨折固定板的肋条行为与形状记忆合金的恢复效果关系的分析表明,肋条行为因股骨截面的任意弯曲形状而异。