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外固定骨折固定装置的刚度和应力分析——一种理论方法。

Rigidity and stress analyses of external fracture fixation devices--a theoretical approach.

作者信息

Chao E Y, Kasman R A, An K N

出版信息

J Biomech. 1982;15(12):971-83. doi: 10.1016/0021-9290(82)90015-x.

DOI:10.1016/0021-9290(82)90015-x
PMID:7166557
Abstract

The rigidity and stresses in external fracture fixation devices were studied by means of the finite element method. Different geometries and material parameters were simulated using a beam element model. Axial, bending and torsional loads were applied through the bone ends and the displacement obtained at the fracture sites was used to calculate the fracture fixation stiffness. The key parameters which increased fixation rigidity were identified. High pin stresses were predicted under certain application conditions. Possible clinical implications for the use of such apparatus are discussed in the light of bone fracture healing. The present results are expected to have a significant impact on future design modifications and clinical applications of this popular instrument in orthopedic surgery and traumatology.

摘要

采用有限元方法研究了外固定骨折装置的刚度和应力。使用梁单元模型模拟了不同的几何形状和材料参数。通过骨端施加轴向、弯曲和扭转载荷,并利用在骨折部位获得的位移来计算骨折固定刚度。确定了增加固定刚度的关键参数。预测了在某些应用条件下会出现较高的针应力。根据骨折愈合情况讨论了使用此类器械可能的临床意义。目前的结果预计将对这种在骨科手术和创伤学中广受欢迎的器械未来的设计改进和临床应用产生重大影响。

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1
Rigidity and stress analyses of external fracture fixation devices--a theoretical approach.外固定骨折固定装置的刚度和应力分析——一种理论方法。
J Biomech. 1982;15(12):971-83. doi: 10.1016/0021-9290(82)90015-x.
2
Parametric analyses of pin-bone stresses in external fracture fixation devices.外固定骨折固定装置中针-骨应力的参数分析。
J Orthop Res. 1985;3(3):341-9. doi: 10.1002/jor.1100030311.
3
The effect of rigidity on fracture healing in external fixation.外固定中刚度对骨折愈合的影响。
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Metaphyseal locking plate as a definitive external fixator for treating open tibial fractures--clinical outcome and a finite element study.使用干骺端锁定接骨板作为治疗开放性胫骨骨折的确定性外固定器-临床结果和有限元研究。
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Timely fracture-healing requires optimization of axial fixation stability.及时的骨折愈合需要优化轴向固定稳定性。
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Guidelines for external fixation frame rigidity and stresses.外固定架刚度和应力指南。
J Orthop Res. 1986;4(1):68-75. doi: 10.1002/jor.1100040108.

引用本文的文献

1
The Influence of Sagittal Pin Angulation on the Stiffness and Pull-Out Strength of a Monolateral Fixator Construct.矢状面针角度对单侧固定器结构刚度和拔出强度的影响。
Bioengineering (Basel). 2023 Aug 20;10(8):982. doi: 10.3390/bioengineering10080982.
2
Mechanical evaluation of the effect of the rod to rod distance on the stiffness of uniplanar external fixator frames.连接杆间距对单平面外固定架刚度影响的力学评估
Musculoskelet Surg. 2023 Dec;107(4):397-403. doi: 10.1007/s12306-023-00782-1. Epub 2023 Apr 8.
3
Configuration design and correction ability evaluation of a novel external fixator for foot and ankle deformity treated by U osteotomy.
新型 U 型截骨术治疗足踝畸形外固定器的构型设计与矫正能力评估。
Med Biol Eng Comput. 2020 Mar;58(3):541-558. doi: 10.1007/s11517-019-02103-w. Epub 2020 Jan 8.
4
Role of mathematical modeling in bone fracture healing.数学建模在骨折愈合中的作用。
Bonekey Rep. 2012 Nov 14;1:221. doi: 10.1038/bonekey.2012.221.
5
Optimal mechanical environment of the healing bone fracture/osteotomy.骨折/骨切开术愈合的最佳力学环境。
Int Orthop. 2012 Apr;36(4):689-95. doi: 10.1007/s00264-012-1487-8. Epub 2012 Feb 3.
6
Stability of the original Hoffman and AO tubular external fixation devices.原始霍夫曼(Hoffman)和AO管状外固定装置的稳定性
Med Biol Eng Comput. 1988 May;26(3):271-6. doi: 10.1007/BF02447080.
7
Structural stiffness of the Hoffmann simple anterior tibial external fixation frame.
Ann Biomed Eng. 1989;17(2):127-41. doi: 10.1007/BF02368023.
8
Hoffmann half-frame external fixation rigidity and its relationship to universal joint slippage.霍夫曼半环式外固定架的刚度及其与万向节滑动的关系。
Ann Biomed Eng. 1992;20(5):533-45. doi: 10.1007/BF02368172.