虚拟中国人足底韧带结构失效后的足弓负荷机制研究
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中国博士后科学基金项目(2004035047);浙江省温州医学院重大科研专项(QTJ06012)


Nonlinear Finite Element Analysis for Musculoskeletal Biomechanics of Medial and Lateral Plantar Longitudinal Arch of Virtual Chinese Human after Plantar Ligamentous Structure Failures
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    摘要:

    目的 建立虚拟中国人的足内侧纵弓与外侧纵弓的有限元模型,研究跖腱膜松解术或足底韧带损伤后足骨与内在肌群的生物力学特性,探讨骨性结构、足底韧带、足底腱膜、足底固有肌群之间的协调作用机制。方法 采用虚拟中国人“女性1号”CT图像和MRI图像;采用非线性有限元方法进行足弓术后或韧带损伤后的平衡直立负荷状态仿真;并应用足底固有肌群的3种被动张力(微弱、适度、强烈)模拟术后或韧带损伤后的肌肉状态。结果 建立了虚拟中国人“女性1号”足内侧纵弓第2跖列与外侧纵弓第5跖列的生物力学有限元模型,计算得到内侧纵弓和外侧纵弓在平衡直立时,韧带损伤时,固有肌群活动时的张应力矢量图、压应力矢量图和von Mises应力整体分布数据。结论 跖腱膜松解术和足底韧带损伤等增加了足纵弓von Mises应力峰值,改变了张应力与压应力的流向;而足底固有肌活动的被动张力能降低足纵弓von Mises应力集中程度,调节张应力、压应力矢量接近平衡状态,减小了并发骨折和腱炎的危险性。骨性结构、韧带、腱膜、固有肌群的内在应力具有定量的相互调节功能。

    Abstract:

    Objective The goal of this study was to develop anatomically detailed, finite element (FE) models of the medial and lateral plantar longitudinal arch (MPLA, LPLA), and to investigate bone and muscle stresses resulting from plantar fasciotomy and major plantar ligament injuries. Method Nonlinear FE models of the second ray of MPLA and the fifth ray of LPLA were constructed on the basis of CT and MRI images of Virtual Chinese Human "female No.1". The models assumed a balanced standing load configuration. Three different degrees of passive intrinsic muscle tension(weak, moderate, or severe)were used in conjunction with simulations of plantar ligamentous structure failures. Result Plantar fasciotomy caused von Mises stress increases in the bones and plantar ligaments while major plantar ligament injuries caused stress increases in the bones, flexor tendons, and plantar fascia. Increasing plantar intrinsic muscle passive tensions decreased stress/strain levels in the both arches, and could adjust abnormal tension/compression stress flows of the arches to close to the normal biomechanical states. Conclusions This study shows that plantar longitudinal arches are concordant combination of bony structures, plantar intrinsic muscles, plantar ligaments and plantar fascia. After plantar ligamentous structure failures, plantar intrinsic muscles have to contribute to stabilize the plantar arches. This mechanism may reduce further musculoskeletal damages such as stress fractures and tendonitis.

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吴立军.虚拟中国人足底韧带结构失效后的足弓负荷机制研究[J].医用生物力学,2009,24(4):246-255

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  • 收稿日期:2009-03-05
  • 最后修改日期:2009-03-05
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