Suppr超能文献

两种股骨植入物的有限元比较力学研究。

A comparative mechanical study of two types of femur bone implant using the finite element method.

机构信息

Department of Mechanical Engineering, Shiraz University, Shiraz, Iran.

Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int J Numer Method Biomed Eng. 2021 Jun;37(6):e3459. doi: 10.1002/cnm.3459. Epub 2021 Apr 12.

Abstract

The femoral bone fracture is one of the most common fractures that orthopedic surgeons deal with. These fractures are associated with a significant percentage of death due to non-orthopedic complications. For this reason, it is necessary that the surgeon be well-aware of the condition of the patient and also of the biomechanical conditions of the bone and implant before surgery, in order to use the best surgical technique. Nowadays, the use of implants is a popular technique among the available methods for the treatment of femoral fractures. In the present study, two patients with different ages, three types of femoral bone fractures, that is, oblique, reverse oblique, and neck fracture, and two types of implants, namely, the dynamic hip screw (DHS) and the Gamma nail have been investigated. The behavior of the implants has been investigated at the two stages of treatment, that is, before and after bone union. The analysis of implants was based on the amount of stress and displacement induced in different parts of the bone and the implant. From the viewpoint of the stresses induced in the bone, all models are quite similar and in terms of the implant stresses, the Gamma nail is more reliable than the DHS. Additionally, the relative displacement of the fractured bone segments at the fracture planes was calculated. According to the obtained results, it can be concluded that the relative displacement of the fracture planes with the use of Gamma nail is somewhat less than the DHS, but this difference is not significant.

摘要

股骨骨折是骨科医生最常处理的骨折之一。这些骨折与由于非骨科并发症导致的高死亡率相关。出于这个原因,外科医生在手术前必须对患者的状况以及骨骼和植入物的生物力学状况有充分的了解,以便使用最佳的手术技术。如今,在治疗股骨骨折的可用方法中,使用植入物是一种流行的技术。在本研究中,研究了两名不同年龄的患者、三种类型的股骨骨折,即斜形、反斜形和颈骨折,以及两种类型的植入物,即动力髋螺钉(DHS)和伽玛钉。研究了在治疗的两个阶段,即骨愈合前和骨愈合后,植入物的行为。对植入物的分析基于在骨骼和植入物的不同部位引起的应力和位移。从骨骼中引起的应力来看,所有模型都非常相似,而就植入物的应力而言,伽玛钉比 DHS 更可靠。此外,还计算了骨折平面上骨折段的相对位移。根据获得的结果可以得出结论,使用伽玛钉时骨折平面的相对位移稍小于 DHS,但这种差异并不显著。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验