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腕部骨折轴向加载模拟实验的生物力学评估:有限元分析

Biomechanical evaluation of axial-loading simulated experiment in wrist fractures: a finite element analysis.

作者信息

Fan You-Liang, Xu Hai-Yun, Xia Ming-Yang, Zhang Wen, Wen Hui-Long, Gao Li-Bo, Pei Yan-Hui

机构信息

Department of Orthopaedics, Changzhou Fourth People's Hospital (Changzhou Cancer Hospital Affiliated to Soochow University), Changzhou, Jiangsu Province, China.

Department of Orthopaedics, Orthopaedic Institute, Soochow University, Suzhou, Jiangsu Province, China.

出版信息

J Int Med Res. 2020 Oct;48(10):300060520966884. doi: 10.1177/0300060520966884.

Abstract

OBJECTIVE

To assess the biomechanical properties that influence wrist fracture, so as to provide the theoretical basis for simulation experiments to aid the optimal design of wrist protectors.

METHODS

Six cadaveric wrists were included as experimental specimens. Wrist specimens wearing wrist protectors formed the experimental group and unprotected wrist specimens formed the control group. The wrist specimens were axially loaded under physiological loads and the stress magnitude and distribution of the experimental and control groups were obtained. A three-dimensional wrist finite element model of a healthy volunteer was developed to verify the rationality and effectiveness of the cadaveric wrist models.

RESULTS

Under normal physiological loads, the stress on the radioulnar palmar unit was high and manifested in the form of pressure, while the stress on the radioulnar dorsal unit was lower and manifested in the form of tension. The stresses on the radial distal palmar, ulnar distal palmar, radial distal dorsal, ulnar distal dorsal, radial proximal palmar and ulnar proximal palmar units in the experimental group were less than those in the control group.

CONCLUSION

Under physiological loads, wearing a wrist protector can reduce the stress on the radioulnar distal palmar, radioulnar proximal palmar and radioulnar distal dorsal units, while having no obvious effect on the radioulnar proximal dorsal units.

摘要

目的

评估影响腕部骨折的生物力学特性,为模拟实验提供理论依据,以辅助腕部护具的优化设计。

方法

纳入六个尸体腕部作为实验标本。佩戴腕部护具的腕部标本形成实验组,未佩戴护具的腕部标本形成对照组。在生理负荷下对腕部标本进行轴向加载,获得实验组和对照组的应力大小及分布。建立一名健康志愿者的腕部三维有限元模型,以验证尸体腕部模型的合理性和有效性。

结果

在正常生理负荷下,桡尺掌侧单元的应力较高,表现为压力形式,而桡尺背侧单元的应力较低,表现为张力形式。实验组中桡骨远端掌侧、尺骨远端掌侧、桡骨远端背侧、尺骨远端背侧、桡骨近端掌侧和尺骨近端掌侧单元的应力均小于对照组。

结论

在生理负荷下,佩戴腕部护具可降低桡尺远侧掌侧、桡尺近侧掌侧和桡尺远侧背侧单元的应力,而对桡尺近侧背侧单元无明显影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7595/7780565/9be73daff33e/10.1177_0300060520966884-fig1.jpg

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