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传统/新型髋关节假体髋臼杯的比较生物力学分析

Comparative biomechanical analysis of a conventional/novel hip prosthetic socket.

作者信息

Qian Yu, Cheng Yunzhang, Chen Shiyao, Zhang Mingwei, Fang Yingyu, Zhang Tianyi

机构信息

School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.

Shanghai Engineering Research Center of Interventional Medical Device, Shanghai, China.

出版信息

Med Biol Eng Comput. 2025 Feb;63(2):417-428. doi: 10.1007/s11517-024-03206-9. Epub 2024 Oct 3.

DOI:10.1007/s11517-024-03206-9
PMID:39361102
Abstract

The aim of this study was to investigate and compare the biomechanical properties of the conventional and novel hip prosthetic socket by using the finite element and gait analysis. According to the CT scan model of the subject's residual limb, the bones, soft tissues, and the socket model were reconstructed in three dimensions by using inverse modeling. The distribution of normal and shear stresses at the residual limb-socket interface under the standing condition was investigated using the finite element method and verified by designing a pressure acquisition module system. The gait experiment compared and analyzed the conventional and novel sockets. The results show that the simulation results are consistent with the experimental data. The novel socket exhibited superior stress performance and gait outcomes compared to the conventional design. Our findings provide a research basis for evaluating the comfort of the hip prosthetic socket, optimizing and designing the structure of the socket of the hip.

摘要

本研究的目的是通过有限元分析和步态分析来研究和比较传统与新型髋关节假肢接受腔的生物力学特性。根据受试者残肢的CT扫描模型,采用逆向建模方法对骨骼、软组织和接受腔模型进行三维重建。利用有限元方法研究了站立状态下残肢-接受腔界面处的正应力和剪应力分布,并通过设计压力采集模块系统进行了验证。步态实验对传统和新型接受腔进行了比较和分析。结果表明,模拟结果与实验数据一致。与传统设计相比,新型接受腔具有更好的应力性能和步态结果。我们的研究结果为评估髋关节假肢接受腔的舒适性、优化和设计接受腔结构提供了研究依据。

相似文献

1
Comparative biomechanical analysis of a conventional/novel hip prosthetic socket.传统/新型髋关节假体髋臼杯的比较生物力学分析
Med Biol Eng Comput. 2025 Feb;63(2):417-428. doi: 10.1007/s11517-024-03206-9. Epub 2024 Oct 3.
2
Influence of Gait Cycle Loads on Stress Distribution at The Residual Limb/Socket Interface of Transfemoral Amputees: A Finite Element Analysis.下肢假肢残肢/接受腔界面的步态周期负荷对压力分布的影响:有限元分析。
Sci Rep. 2020 Mar 19;10(1):4985. doi: 10.1038/s41598-020-61915-1.
3
Finite element analysis of the contact interface between trans-femoral stump and prosthetic socket.经股骨残端与假肢接受腔接触界面的有限元分析
Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:1270-3. doi: 10.1109/EMBC.2013.6609739.
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Evaluating interface pressure in a lower-limb prosthetic socket: Comparison of FEM and experimental measurements on a roll-over simulator.评估下肢假肢接受腔中的界面压力:有限元法与翻滚模拟器实验测量结果的比较
J Biomech. 2025 Feb;180:112513. doi: 10.1016/j.jbiomech.2025.112513. Epub 2025 Jan 3.
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Parametric analysis using the finite element method to investigate prosthetic interface stresses for persons with trans-tibial amputation.使用有限元方法进行参数分析,以研究经胫截肢者的假肢界面应力。
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Med Eng Phys. 2006 Mar;28(2):114-21. doi: 10.1016/j.medengphy.2005.04.019. Epub 2005 Jun 6.
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Finite element modeling of the contact interface between trans-tibial residual limb and prosthetic socket.经胫骨残肢与假肢接受腔接触界面的有限元建模
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本文引用的文献

1
Biomechanical gait analysis for a hip disarticulation prosthesis: power source for the swing phase of a hip disarticulation prosthetic limb.髋关节离断假肢的生物力学步态分析:髋关节离断假肢摆动期的动力源。
J Phys Ther Sci. 2023 May;35(5):361-365. doi: 10.1589/jpts.35.361. Epub 2023 May 1.
2
Factors affecting successful prosthetic use after hemipelvectomy and hip disarticulation amputations: Five-year experience from a tertiary prosthetic rehabilitation center.影响半骨盆切除和髋关节离断截肢术后假肢成功使用的因素:来自三级假肢康复中心的五年经验
Prosthet Orthot Int. 2024 Jan 1;48(1):20-24. doi: 10.1097/PXR.0000000000000226. Epub 2023 Mar 14.
3
A qualitative study on stakeholder perceptions of digital prosthetic socket fabrication for transtibial amputations.
一项关于利益相关者对经胫骨截肢数字假肢接受腔制造看法的定性研究。
Prosthet Orthot Int. 2022 Dec 1;46(6):607-613. doi: 10.1097/PXR.0000000000000157. Epub 2022 Jun 7.
4
Feasibility testing of a novel prosthetic socket sensor system.新型义肢接受腔传感器系统的可行性测试。
Disabil Rehabil. 2023 Jul;45(14):2374-2381. doi: 10.1080/09638288.2022.2093997. Epub 2022 Jul 7.
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Hip disarticulation and hemipelvectomy prostheses: A review of the literature.髋关节离断和半骨盆切除术假肢:文献回顾。
Prosthet Orthot Int. 2021 Oct 1;45(5):434-439. doi: 10.1097/PXR.0000000000000029.
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A Scoping Review of Pressure Measurements in Prosthetic Sockets of Transfemoral Amputees during Ambulation: Key Considerations for Sensor Design.一种用于评估穿戴假肢者在行走过程中接受腔压力的范围:对传感器设计的关键考虑因素。
Sensors (Basel). 2021 Jul 23;21(15):5016. doi: 10.3390/s21155016.
7
Analysis of compression/release stabilized transfemoral prosthetic socket by finite element modelling method.基于有限元建模方法的压缩/释放稳定型经股骨假肢接受腔分析
Med Eng Phys. 2020 Sep;83:123-129. doi: 10.1016/j.medengphy.2020.05.007. Epub 2020 May 18.
8
Influence of Gait Cycle Loads on Stress Distribution at The Residual Limb/Socket Interface of Transfemoral Amputees: A Finite Element Analysis.下肢假肢残肢/接受腔界面的步态周期负荷对压力分布的影响:有限元分析。
Sci Rep. 2020 Mar 19;10(1):4985. doi: 10.1038/s41598-020-61915-1.
9
A case of an elderly hip disarticulation amputee with rheumatoid arthritis who regained the ability to walk using a hip prosthesis.一名患有类风湿性关节炎的老年髋关节离断截肢者使用髋关节假体重新获得行走能力的病例。
J Phys Ther Sci. 2019 Apr;31(4):366-370. doi: 10.1589/jpts.31.366. Epub 2019 Apr 1.
10
An Efficient Modelling-Simulation-Analysis Workflow to Investigate Stump-Socket Interaction Using Patient-Specific, Three-Dimensional, Continuum-Mechanical, Finite Element Residual Limb Models.一种高效的建模-仿真-分析工作流程,用于使用患者特异性的三维连续介质力学有限元残肢模型研究残肢与接受腔的相互作用。
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