中国组织工程研究

中国组织工程研究 ›› 2013, Vol. 17 ›› Issue (4): 612-619.doi: 10.3969/j.issn.2095-4344.2013.04.008

• 骨与关节图像与影像 bone and joint imaging • 上一篇    下一篇

不同运动步态下锁定加压钢板固定胫骨干骨折的有限元分析

李赟罡1，2，陈为坚2，李贵涛2，孙鸿涛2，颜建豪2，王雄昌2，王 晶2   

  1. 1南方医科大学研究生学院，广东省广州市 510515
    2南方医科大学附属广东省第二人民医院骨科，广东省广州市 510317
  • 收稿日期:2012-11-10 修回日期:2012-11-17 出版日期:2013-01-22 发布日期:2013-01-22
  • 通讯作者: 李贵涛，教授，主任医师，硕士生导师，南方医科大学附属广东省第二人民医院骨科，广东省广州市 510317 lgtgk@163.com
  • 作者简介:李赟罡★，男，1984年生，山西省长治市人，汉族，南方医科大学在读硕士，主要从事骨科专业方面的研究。 jhym12@yahoo.cn

Finite element analysis of different tibial shaft fracture fixed by Locking compression plate under different movement gait

Li Yun-gang1, 2, Chen Wei-jian2, Li Gui-tao2, Sun Hong-tao2, Yan Jian-hao2, Wang Xiong-chang2, Wang Jing2   

  1. 1 Graduate School, Southern Medical University, Guangzhou 510515, Guangdong Province, China 2 Department of Orthopaedics, Guangdong No.2 Provincial People's Hospital, Southern Medical University, Guangzhou 510317, Guangdong Province, China
  • Received:2012-11-10 Revised:2012-11-17 Online:2013-01-22 Published:2013-01-22
  • Contact: Li Gui-tao, Chief physician, Professor, Master's supervisor, Department of Orthopaedics, Guangdong No.2 Provincial People's Hospital, Southern Medical University, Guangzhou 510317, Guangdong Province, China lgtgk@163.com
  • About author:Li Yun-gang★, Studying for master's degree, Graduate School, Southern Medical University, Guangzhou 510515, Guangdong Province, China; Department of Orthopaedics, Guangdong No.2 Provincial People's Hospital, Southern Medical University, Guangzhou 510317, Guangdong Province, China jhym12@yahoo.cn

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被引次数

4

摘要：

背景：目前有限元分析广泛应用于人体骨折内固定模型的力学分析，但大多研究局限于静态下，动态下的骨折模型有限元分析尚未见报道。
目的：通过三维有限元分析来探讨锁定加压钢板固定胫骨干不同类型骨折在不同运动步态下的应力分布情况。
方法：利用CT扫描获得正常成人胫腓骨及足部的薄层扫描图像；运用相关软件建立其三维模型，在此模型上模拟出胫骨中段横行、斜行、粉碎性、螺旋形4种类型骨折，并与锁定钢板进行装配生成实验模型，各组模型加载相同的轴向压缩载荷600 N。通过有限元分析软件Ansys 12.0分别测定各组模型在落地相、中立相、离地相三种步态下的应力分布情况。
结果与结论：在步态下，胫骨在骨折各组中的应力分布由小到大均为：落地相<中立相<离地相。锁定钢板在胫骨中段横行、斜行、粉碎性骨折中的应力分布由小到大均为：中立相<落地相<离地相；在胫骨中段螺旋形骨折中应力分布由小到大为：离地相<中立相<落地相；提示在运动步态中，钢板和胫骨均在离地相受力最大。钢板的应力集中在中间或边缘；而胫骨的应力分布在骨折线以上靠近近端，骨折线以下靠近骨折线。就胫骨整体而言，呈现两端集中，中间分散的状态。

关键词: 骨关节植入物, 骨与关节三维有限元, 胫骨, 锁定加压钢板, 运动步态, 有限元分析, 应力分布, 内固定, 阈值, 网格划分, 弹性模量, 生物力学, 省级基金, 骨关节植入物图片文章

Abstract:

BACKGROUND: In recent years, the finite element analysis has been widely used in the mechanical analysis of human fracture internal fixation model, but studies on the finite element analysis are often under the static state, the reports on the finite element analysis under physiological state are few.
OBJECTIVE: To explore the stress distribution of different tibial shaft fractures fixed by locking compression plate under different movement gaits through three-dimensional finite element analysis.
METHODS: CT scan was performed to obtain the thin layer scanning image of normal adult tibiofibula and foot; three-dimensional models were established by relative software, and then transverse, oblique, spiral, comminuted fractures were imitated on the models and combined with the locking plate to generate the experimental models. The models in each group were subjected to the same axial compression load of 600 N. The stress distribution of the models under heel-strike phase, the midstance phase and the push-off phase was analyzed with software Ansys 12.0.
RESULTS AND CONCLUSION: Under this experimental model, the stress distribution of tibia in four groups from small to large was heel-strike phase < midstance phase < push-off phase; the stress distribution of locking compression plate in the tibial transverse, oblique and comminuted fractures from small to large was the midstance phase < the heel-strike phase < the push-off phase; stress distribution of locking compression plate in the tibial spiral fracture group from small to large was the push-off phase < the midstance phase < the heel-strike phase. Under the physiological state, the largest stress of the locking compression plate and the tibia were in the push-off phase. The stress distribution of the locking compression plate focused on the middle or edge of itself; while the stress distribution of the tibia focused on the proximal end above the fracture line and on the end under the fracture line. From the overall of the tibia, the stress distribution focused on both ends, and scattered on the middle.

Key words: bone and joint implants, three-dimensional finite element analysis of bone and joint, tibia, locking compression plate, movement gaits, finite element analysis, stress distribution, internal fixation, threshold, Hyper Mesh, modulus of elasticity, biomechanics, provincial grants-supported paper, photographs-containing paper of bone and joint implants

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