Chinese Journal of Tissue Engineering Research ›› 2023, Vol. 27 ›› Issue (36): 5771-5777.doi: 10.12307/2023.733
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Zeng Lulu, Xie Hong
Received:
2022-10-17
Accepted:
2022-11-25
Online:
2023-12-28
Published:
2023-03-24
Contact:
Xie Hong, PhD, Professor, School of Textile Fashion, Shanghai University of Engineering Science, Shanghai 201620, China
About author:
Zeng Lulu, Master candidate, School of Textile Fashion, Shanghai University of Engineering Science, Shanghai 201620, China
Supported by:
CLC Number:
Zeng Lulu, Xie Hong. Finite element method for predicting the effect of sports knee brace on knee ligaments under different sports conditions[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(36): 5771-5777.
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2.1 膝关节模型验证 膝关节在受到134 N后向推力时,股骨在前后方向上的位移为3.92 mm,与前人研究结果相似,其中GABRIEL等[20]为尸体实验,SONG等[21]、万超等[22]和何川等[15]均是有限元模型;前交叉韧带、后交叉韧带、内侧副韧带及外侧副韧带的峰值应力分别为19.95,8.84,4.0及1.15 MPa,从韧带受力分析可知,前交叉韧带的受力载荷大于其他主要韧带,各条韧带的峰值应力均出现在胫骨、股骨附着区,这与临床诊断前交叉韧带是防止胫骨前移的主要作用,且膝关节韧带损伤主要集中在骨骼止点部位的临床现象相一致[21,23]。 2.2 膝关节-护膝模型验证 在模拟膝关节分别穿上两种护膝后,提取膝关节测量点的接触压力,并与服装压力测试数据进行对比。首先对模型测量点进行设定,与上述服装压测试操作一致,设置髌骨中心为参考点,依次选定9个测量点,每个测量点与气囊式压力传感器面积大小一致,最终计算其接触压力平均值。对9个压力测量点的模拟值与实验值进行相对误差分析,两种材料9个测量点的相对误差均小于20%,与多数服装压力研究中的误差范围一致[24-25],因此认为该膝关节-护膝模型具有可靠性,各测量点对比见图2。"
2.3 膝关节运动预测模拟结果 2.3.1 不同护膝材料对前交叉韧带的应力分布影响 在0°,30°,60°屈曲角度下,并且施加320 N垂直压缩力及134 N股骨后向推力后,膝关节无或穿戴护膝状态下,前交叉韧带峰值应力见表5,应力均集中在韧带前端,是较易产生损伤的部位。在穿着两种不同材料护膝运动后,前交叉韧带的峰值应力在0°和30°状态下均有所降低,材料2的效果较好,使其分别降低了7.9 MPa和1.09 MPa,材料1使其分别降低了6.38 MPa和0.26 MPa,但在屈曲60°状态下,韧带的峰值应力相较于无护膝时均有所上升,其中材料1使其上升10.82 MPa,材料2使其上升15.73 MPa,前交叉韧带在0°,30°,60°状态下的应力情况见图3。"
2.3.2 不同护膝材料对后交叉韧带的应力分布影响 在0°,30°,60°屈曲角度下,并且施加320 N垂直压缩力及134 N股骨后向推力后,膝关节无或穿戴护膝状态下,后交叉韧带的峰值应力见表6,峰值应力在屈曲过程中从股骨、胫骨连接处转移到后前侧,应力呈下降趋势。在穿着两种不同材料护膝运动后,后交叉韧带在屈曲0° 状态下均有所上升,材料1、材料2分别使其上升1.62 MPa和2.72 MPa;在屈曲30°与屈曲60°状态下,后交叉韧带的应力均有所降低,材料1使其降低0.47 MPa和0.45 MPa,材料2使其降低1.01 MPa和0.36 MPa,后交叉韧带在0°,30°,60°状态下的应力情况见图4。"
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