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测量人体胸部的整体力学特性:肋椎关节。

Measuring the global mechanical properties of the human thorax: Costo-vertebral articulation.

作者信息

Lebschy Carola, Gradischar Andreas, Krach Wolfgang, Krall Marcell, Fediuk Melanie, Krall Anja, Lindenmann Jörg, Smolle-Jüttner Freyja, Hammer Niels, Beyer Benoît, Smolle Josef, Schäfer Ute

机构信息

CAE Simulation & Solutions GmbH, Vienna, Austria.

CAE Simulation & Solutions GmbH, Vienna, Austria.

出版信息

J Biomech. 2024 Jan;163:111923. doi: 10.1016/j.jbiomech.2023.111923. Epub 2024 Jan 5.

Abstract

Biomechanical simulation of the human thorax, e.g. for 3D-printed rib implant optimisation, requires an accurate knowledge of the associated articulation and tissue stiffness. The present study is focusing on determining the stiffness of the costo-vertebral articulations. Specimens of rib segments including the adjacent thoracic vertebrae and ligaments were obtained from two human post-mortem bodies at four different rib levels. The rib samples were loaded with a tensile force in the local longitudinal, sagittal and transverse direction and the resulting displacement was continuously measured. The moment-angle response of the rib articulations was also determined by applying a load at the rib end in the cranial - caudal direction and measuring the resulting displacement. The torsional load response of the costo-vertebral articulations at an applied moment between -0.1 Nm and 0.1 Nm corresponded to a median range of motion of 13.2° (6.4° to 20.9°). An almost uniform stiffness was measured in all tensile loading directions. The median displacement at the defined force of 28 N was 1.41 mm in the longitudinal, 1.55 mm in the sagittal, and 1.08 mm in the transverse direction. The measured moment-angle response of the costo-vertebral articulation is in line with the data from literature. On the contrary, larger displacements in longitudinal, sagittal and transverse directions were measured compared to the values found in literature.

摘要

人体胸部的生物力学模拟,例如用于3D打印肋骨植入物的优化,需要准确了解相关的关节连接和组织刚度。本研究的重点是确定肋椎关节的刚度。从两具人类尸体的四个不同肋骨水平获取了包括相邻胸椎和韧带的肋骨节段标本。在局部纵向、矢状和横向方向对肋骨样本施加拉力,并连续测量产生的位移。通过在肋骨末端沿头 - 尾方向施加负载并测量产生的位移,还确定了肋骨关节的力矩 - 角度响应。在 -0.1 Nm至0.1 Nm的施加力矩下,肋椎关节的扭转负载响应对应的中位运动范围为13.2°(6.4°至20.9°)。在所有拉伸加载方向上测量到几乎均匀的刚度。在28 N的规定力下,纵向中位位移为1.41 mm,矢状位为1.55 mm,横向为1.08 mm。测得的肋椎关节力矩 - 角度响应与文献数据一致。相反,与文献中发现的值相比,在纵向、矢状和横向方向上测量到更大的位移。

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