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预测性假肢接受腔设计:第 1 部分 - 通过有限元分析驱动的替代模型对小腿假肢接受腔进行基于人群的评估。

Predictive prosthetic socket design: part 1-population-based evaluation of transtibial prosthetic sockets by FEA-driven surrogate modelling.

机构信息

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.

出版信息

Biomech Model Mechanobiol. 2020 Aug;19(4):1331-1346. doi: 10.1007/s10237-019-01195-5. Epub 2019 Jun 29.


DOI:10.1007/s10237-019-01195-5
PMID:31256276
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7423807/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/7fada0e30f8f/10237_2019_1195_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/5b936a7f58ec/10237_2019_1195_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/86c1846b733a/10237_2019_1195_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/cf4b765a38a5/10237_2019_1195_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/771631d26ea2/10237_2019_1195_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/4ba284932843/10237_2019_1195_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/0359b22476b0/10237_2019_1195_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/9ee695847f00/10237_2019_1195_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/7fada0e30f8f/10237_2019_1195_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/5b936a7f58ec/10237_2019_1195_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/86c1846b733a/10237_2019_1195_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/cf4b765a38a5/10237_2019_1195_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/771631d26ea2/10237_2019_1195_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/4ba284932843/10237_2019_1195_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/0359b22476b0/10237_2019_1195_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/9ee695847f00/10237_2019_1195_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c0/7423807/7fada0e30f8f/10237_2019_1195_Fig8_HTML.jpg

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[1]
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[6]
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[7]
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[8]
Dimensionality Reduction in Surrogate Modeling: A Review of Combined Methods.

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[9]
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[10]
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本文引用的文献

[1]
An Efficient Modelling-Simulation-Analysis Workflow to Investigate Stump-Socket Interaction Using Patient-Specific, Three-Dimensional, Continuum-Mechanical, Finite Element Residual Limb Models.

Front Bioeng Biotechnol. 2018-9-19

[2]
Microclimate: A critical review in the context of pressure ulcer prevention.

Clin Biomech (Bristol). 2018-11

[3]
Sockets for Limb Prostheses: A Review of Existing Technologies and Open Challenges.

IEEE Trans Biomed Eng. 2018-1-23

[4]
A finite element model to assess transtibial prosthetic sockets with elastomeric liners.

Med Biol Eng Comput. 2017-12-13

[5]
The potential of statistical shape modelling for geometric morphometric analysis of human teeth in archaeological research.

PLoS One. 2017-12-7

[6]
A combined kinematic and kinetic analysis at the residuum/socket interface of a knee-disarticulation amputee.

Med Eng Phys. 2017-11

[7]
Personalized modeling for real-time pressure ulcer prevention in sitting posture.

J Tissue Viability. 2018-2

[8]
Finite element analysis of the amputated lower limb: A systematic review and recommendations.

Med Eng Phys. 2017-5

[9]
Development of a residuum/socket interface simulator for lower limb prosthetics.

Proc Inst Mech Eng H. 2017-3

[10]
Sockets Manufactured by CAD/CAM Method Have Positive Effects on the Quality of Life of Patients With Transtibial Amputation.

Am J Phys Med Rehabil. 2017-8

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