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硅酮人工手指关节的设计改进与评估

Design modifications and evaluation of the silicone artificial finger joints.

作者信息

Alnaimat F A, Owida H A, Al-Nabulsi Jamal I, Al-Naami B, Al-Ghraibah A, Al-Ayyad M, Altayeb Muneera, Al Sharah Ashraf

机构信息

Department of Medical Engineering, Al-Ahliyya Amman University, Amman, Jordan.

Department of Biomedical Engineering, Engineering Faculty, The Hashemite University, Zarqa, Jordan.

出版信息

Biomed Mater Eng. 2023;34(6):481-490. doi: 10.3233/BME-222527.

Abstract

BACKGROUND

There are many reasons that could lead to finger joint arthroplasty, and the most familiar reason is osteoarthritis. Silicone finger joint are the most commonly used implants. However, these implants might fracture with time and cause wear which will lead to chronic inflammation and synovitis for the patient and then implant failure.

OBJECTIVE

The aim of this study is to improve the design of the silicone finger joint and simulate the different designs using finite element analysis (FEA) simulation.

METHOD

Three different designs were drawn and FEA has been used in this study using Solidworks software. The first design is the silicone finger joint design without any modification, the second one is modified design with added ribs to the junction of distal stem and hinge and the third design was added filler material inside the body of the artificial joint. An axial force with 625 N that was applied on the upper part of the distal stem which is nearly represents the maximum value of the grip strength for normal males.

RESULTS

The results showed improvement on the design in which the concentrated stress at the junction of the distal stem and hinge of the design was distributed. In addition, the Von Mises stress was stable for the modified design with added ribs and the added filler material designs after 15°.

CONCLUSION

The design modification could improve the stress distribution and stability of the artificial finger joint and increase the lifetime expectancy of these implants.

摘要

背景

导致手指关节置换术的原因有很多,最常见的原因是骨关节炎。硅酮手指关节是最常用的植入物。然而,这些植入物可能会随着时间的推移而断裂并产生磨损,这将导致患者出现慢性炎症和滑膜炎,进而导致植入物失效。

目的

本研究的目的是改进硅酮手指关节的设计,并使用有限元分析(FEA)模拟来模拟不同的设计。

方法

绘制了三种不同的设计,并在本研究中使用Solidworks软件进行了有限元分析。第一种设计是未作任何修改的硅酮手指关节设计,第二种是在远端柄与铰链的连接处添加肋条的改进设计,第三种设计是在人工关节体内添加填充材料。在远端柄的上部施加625 N的轴向力,这几乎代表正常男性握力的最大值。

结果

结果表明,改进后的设计中,远端柄与铰链连接处的集中应力得到了分散。此外,对于添加肋条的改进设计和添加填充材料的设计,在15°之后,冯·米塞斯应力是稳定的。

结论

设计改进可以改善人工手指关节的应力分布和稳定性,并提高这些植入物的预期使用寿命。

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