Zhai Yuyi, Yu Lin, Chen Dongdong, Cui Ze, Lei Jingtao
School of Mechatronic Engineering and Automation, Shanghai University, Shanghai 200444, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2021 Aug 25;38(4):732-741. doi: 10.7507/1001-5515.202009016.
Robot-assisted fracture reduction usually involves fixing the proximal end of the fracture and driving the distal end of the fracture to the proximal end in a planned reduction path. In order to improve the accuracy and safety of reduction surgery, it is necessary to know the changing rule of muscle force and reduction force during reduction. Fracture reduction force was analyzed based on the muscle force of femoral. In this paper, a femoral skeletal muscle model named as PA-MTM was presented based on the four elements of skeletal muscle model. With this, pinnate angle of the skeletal muscle was considered, which had an effect on muscle force properties. Here, the muscle force of skeletal muscles in different muscle models was compared and analyzed. The muscle force and the change of the reduction force under different reduction paths were compared and simulated. The results showed that the greater the pinnate angle was, the greater the influence of muscle strength was. The biceps femoris short head played a major role in the femoral fracture reduction; the force in the direction contributed the majority to the resulting force with maximums of 472.18 N and 497.28 N for and resultant, respectively, and the rationality of the new musculoskeletal model was verified.
机器人辅助骨折复位通常包括固定骨折近端,并沿规划的复位路径将骨折远端向近端推进。为提高复位手术的准确性和安全性,有必要了解复位过程中肌肉力和复位力的变化规律。基于股部肌肉力对骨折复位力进行了分析。本文基于骨骼肌模型的四个要素,提出了一种名为PA-MTM的股部骨骼肌模型。由此,考虑了骨骼肌的羽状角,其对肌肉力特性有影响。在此,对不同肌肉模型中骨骼肌的肌肉力进行了比较和分析。比较并模拟了不同复位路径下的肌肉力和复位力变化。结果表明,羽状角越大,肌肉力量的影响越大。股二头肌短头在股骨干骨折复位中起主要作用;方向上的力对合力贡献最大,分别为472.18 N和497.28 N,验证了新肌肉骨骼模型的合理性。