Ren Wu, Zhao Ziya, He Shuaiheng, Zhang Xueling, Zhang Kailu, Li Yawei, Lin Fei, Wang Zhenghui, Zhao Guoan, Chang Jinlong, Jia Qianfang, Yu Yi, Li Jia
School of Medical Engineering, Department of Cardiology of The First Affiliated Hospital of Xinxiang Medical University, Xinxiang Medical University, Xinxiang, 453003, Henan, China.
Engineering Technology Research Center of Neurosense and Control of Henan Province, Henan Engineering Research Center of Medical VR Intelligent Sensing Feedback, Xinxiang Engineering Technology Research Center of Intelligent Rehabilitation Equipment, Xinxiang, 453003, Henan, China.
Med Biol Eng Comput. 2025 Jan 4. doi: 10.1007/s11517-024-03271-0.
The research aims to investigate the mechanical response of footfalls at different velocities to understand the mechanism of heel injury and provide a scientific basis for the prevention and treatment of heel fractures. A three-dimensional solid model of foot drop was constructed using anatomical structures segmented from medical CT scans, including bone, cartilage, ligaments, plantar fascia, and soft tissues, and the impact velocities of the foot were set to be 2 m/s, 4 m/s, 6 m/s, 8 m/s, and 10 m/s. Explicit kinetic analysis methods were used to investigate the mechanical response of the foot landing with different speeds to explore the damage mechanism of heel bone at different impact velocities. Lower impact velocities result in relatively low stress on the medial cortex and posterior talar articular bony surfaces, which may result in minor injury or stress adaptation in the heel. As the impact velocity increases, the stresses on the medial cortex and posterior taller articular surface also increase significantly, greatly raising the risk of heel fractures. This study holds significant implications for safeguarding foot health and enhancing the safety of athletes and individuals engaged in high-impact sports.
该研究旨在探究不同速度下脚步着地的力学响应,以了解足跟损伤机制,并为足跟骨折的防治提供科学依据。利用从医学CT扫描中分割出的解剖结构构建了足下垂的三维实体模型,包括骨骼、软骨、韧带、足底筋膜和软组织,并将足部的撞击速度设置为2米/秒、4米/秒、6米/秒、8米/秒和10米/秒。采用显式动力学分析方法研究不同速度下足部着地的力学响应,以探索不同撞击速度下足跟骨的损伤机制。较低的撞击速度会导致内侧皮质和距骨后关节骨表面的应力相对较低,这可能会导致足跟轻微损伤或应力适应。随着撞击速度的增加,内侧皮质和距骨后关节表面的应力也会显著增加,大大提高了足跟骨折的风险。本研究对于保障足部健康以及提高运动员和从事高冲击性运动的个人的安全性具有重要意义。