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全踝关节置换的实验与有限元研究:文献综述与建议

Experimental and finite element investigation of total ankle replacement: A review of literature and recommendations.

作者信息

Mondal Subrata, Ghosh Rajesh

机构信息

School of Engineering, Indian Institute of Technology Mandi, Kamand, Mandi, 175005, Himachal Pradesh, India.

出版信息

J Orthop. 2019 Sep 11;18:41-49. doi: 10.1016/j.jor.2019.09.019. eCollection 2020 Mar-Apr.

DOI:10.1016/j.jor.2019.09.019
PMID:32189882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7068038/
Abstract

This paper briefly reviews the different methodology, technology, challenges, and outcomes of various studies related to TAR prosthesis based on numerical and experimental techniques. Very less in-vitro experimental studies on TAR have been found than finite element (FE) studies. Due to the invasive nature of the experimental approach, inadequacy and less clinical information, computational modelling has been widely used by the researchers. This paper critically examines the part related to FE modelling and experimental analysis. Some recommendation related to modelling of bones, cartilages, ligaments, muscles, and implant-bone interface condition were discussed for better understanding the results and better clinical significance.

摘要

本文基于数值和实验技术,简要回顾了与全踝关节置换(TAR)假体相关的各类研究的不同方法、技术、挑战及成果。与有限元(FE)研究相比,关于TAR的体外实验研究非常少。由于实验方法具有侵入性、信息不足且临床信息较少,研究人员广泛使用了计算建模。本文批判性地审视了与有限元建模和实验分析相关的部分内容。为了更好地理解结果及提高临床意义,讨论了一些与骨骼、软骨、韧带、肌肉建模以及植入物与骨界面条件相关的建议。

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Dynamic finite element analyses to compare the influences of customised total talar replacement and total ankle arthroplasty on foot biomechanics during gait.动态有限元分析,以比较定制全距骨置换和全踝关节置换对步态期间足部生物力学的影响。
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本文引用的文献

1
Evaluation of Total Ankle Arthroplasty Using Highly Crosslinked Ultrahigh-Molecular-Weight Polyethylene Subjected to Physiological Loading.在生理负荷下使用高度交联的超高相对分子质量聚乙烯的全踝关节置换术的评估。
Foot Ankle Int. 2019 Aug;40(8):880-887. doi: 10.1177/1071100719847645. Epub 2019 May 15.
2
Effects of implant orientation and implant material on tibia bone strain, implant-bone micromotion, contact pressure, and wear depth due to total ankle replacement.种植体方向和种植体材料对全踝关节置换术后胫骨骨应变、种植体-骨微动、接触压力及磨损深度的影响。
Proc Inst Mech Eng H. 2019 Mar;233(3):318-331. doi: 10.1177/0954411918823811. Epub 2019 Jan 20.
3
Finite element analysis of biomechanical effects of total ankle arthroplasty on the foot.全踝关节置换术对足部生物力学影响的有限元分析
J Orthop Translat. 2017 Dec 30;12:55-65. doi: 10.1016/j.jot.2017.12.003. eCollection 2018 Jan.
4
Contact stresses, pressure and area in a fixed-bearing total ankle replacement: a finite element analysis.固定承重全踝关节置换中的接触应力、压力和面积:有限元分析
BMC Musculoskelet Disord. 2017 Nov 25;18(1):493. doi: 10.1186/s12891-017-1848-y.
5
A numerical study on stress distribution across the ankle joint: Effects of material distribution of bone, muscle force and ligaments.踝关节应力分布的数值研究:骨骼材料分布、肌肉力量和韧带的影响。
J Orthop. 2017 May 17;14(3):329-335. doi: 10.1016/j.jor.2017.05.003. eCollection 2017 Sep.
6
Total ankle replacement design and positioning affect implant-bone micromotion and bone strains.全踝关节置换的设计和定位会影响植入物与骨之间的微动及骨应变。
Med Eng Phys. 2017 Apr;42:80-90. doi: 10.1016/j.medengphy.2017.01.022. Epub 2017 Feb 21.
7
Influence of kinematics on the wear of a total ankle replacement.
J Biomech. 2017 Feb 28;53:105-110. doi: 10.1016/j.jbiomech.2017.01.001. Epub 2017 Jan 8.
8
Numerical and experimental investigation of the structural behavior of a carbon fiber reinforced ankle-foot orthosis.碳纤维增强踝足矫形器结构行为的数值与实验研究
Med Eng Phys. 2015 May;37(5):505-11. doi: 10.1016/j.medengphy.2015.02.002. Epub 2015 Mar 9.
9
Wear characteristics of WSU total ankle replacement devices under shear and torsion loads.华盛顿州立大学全踝关节置换装置在剪切和扭转载荷下的磨损特性。
J Mech Behav Biomed Mater. 2015 Apr;44:202-23. doi: 10.1016/j.jmbbm.2014.12.010. Epub 2014 Dec 25.
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