Bioengineering Science Research Group, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton, UK.
Clinical Academic Facility, Faculty of Health Sciences, University of Southampton, Southampton, UK.
Biomech Model Mechanobiol. 2020 Aug;19(4):1331-1346. doi: 10.1007/s10237-019-01195-5. Epub 2019 Jun 29.
It has been proposed that finite element analysis can complement clinical decision making for the appropriate design and manufacture of prosthetic sockets for amputees. However, clinical translation has not been achieved, in part due to lengthy solver times and the complexity involved in model development. In this study, a parametric model was created, informed by variation in (i) population-driven residuum shape morphology, (ii) soft tissue compliance and (iii) prosthetic socket design. A Kriging surrogate model was fitted to the response of the analyses across the design space enabling prediction for new residual limb morphologies and socket designs. It was predicted that morphological variability and prosthetic socket design had a substantial effect on socket-limb interfacial pressure and shear conditions as well as sub-dermal soft tissue strains. These relationships were investigated with a higher resolution of anatomical, surgical and design variability than previously reported, with a reduction in computational expense of six orders of magnitude. This enabled real-time predictions (1.6 ms) with error vs the analytical solutions of < 4 kPa in pressure at residuum tip, and < 3% in soft tissue strain. As such, this framework represents a substantial step towards implementation of finite element analysis in the prosthetics clinic.
有人提出,有限元分析可以辅助临床决策,为假肢接受腔的设计和制造提供合适的方案。然而,这一技术尚未得到临床应用,部分原因是求解时间过长,以及模型开发的复杂性。在这项研究中,我们创建了一个参数化模型,该模型受(i)人群驱动的残肢形态变化、(ii)软组织顺应性和(iii)假肢接受腔设计等因素的影响。我们还为分析结果在设计空间中的响应拟合了克里金代理模型,以便对新的残肢形态和接受腔设计进行预测。结果表明,形态变化和接受腔设计对接受腔-残肢界面的压力和剪切条件以及皮下软组织应变有很大影响。与之前的研究相比,我们以更高的解剖学、手术和设计可变性分辨率来研究这些关系,同时计算成本降低了六个数量级。这使得我们能够以实时方式进行预测(1.6 毫秒),残肢末端压力的误差小于分析解的 4 kPa,软组织应变的误差小于 3%。因此,该框架代表着在假肢临床中实施有限元分析的重要一步。
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