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[髋关节置换术后股骨所受应力]

[Stresses on the femur following hip joint replacement].

作者信息

Rohlmann A, Mössner U, Bergmann G, Hees G, Kölbel R

出版信息

Z Orthop Ihre Grenzgeb. 1983 Jan-Feb;121(1):47-57. doi: 10.1055/s-2008-1051314.

Abstract

The stresses in femur after joint replacement have been calculated with the finite element method and the results were checked by using strain gauges glued on the surface of the femur and on the prosthetic stem. The influence of stem length and prosthetic collar on the distribution of the stresses have been investigated. The stem length has only a minor effect on the stress distribution if the stem has a texture which allows transfer of tension and shear at the interface endoprosthesis--bone cement. Merely at the tip of the stem changes of the stresses are obvious. The stresses in the bone near the resection plane are distinctly reduced if the prosthesis has a collar. These results have very limited relevance for implants with a smooth stem which does not allow the transfer of tension and shear at the interface endoprosthesis--bone cement.

摘要

采用有限元方法计算了关节置换术后股骨中的应力,并通过粘贴在股骨表面和假体柄上的应变片对结果进行了验证。研究了柄长度和假体颈圈对应力分布的影响。如果柄具有能在假体-骨水泥界面传递拉力和剪切力的纹理,则柄长度对应力分布的影响较小。仅在柄的尖端应力变化明显。如果假体有颈圈,切除平面附近骨中的应力会明显降低。这些结果对于具有光滑柄且不允许在假体-骨水泥界面传递拉力和剪切力的植入物的相关性非常有限。

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