步态周期下髋臼生物力学特征研究
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1.上海理工大学 机械工程学院;2.海军军医大学附属长海医院 急诊科

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Biomechanical characteristics of hip joint under gait cycle
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    摘要:

    摘 要:目的 研究正常步态周期髋臼周围区域应力分布规律,并进一步探究髋臼各柱的生物力线和骨皮质厚薄形态分布。方法 通过人体逆向动力学分析获取人体步态周期8个典型阶段的肌肉及髋关节载荷,应用三维重建技术构建髋骨三维模型,以所得载荷作为加载边界条件进行有限元分析及拓扑优化。结果 步态周期支撑相下髋关节载荷较大,中柱应变能约占总应变能的55%~69%,髋臼顶部应力较大;摆动相下髋关节载荷减小,中柱应变能所占百分比减小。髋关节不同的运动角度影响肌肉力的大小进而影响髋骨上应力分布规律。所获得髋臼各柱的生物力线分布与解剖学所提出的生物力线及骨小梁排布基本吻合,与拓扑优化结果中骨皮质较厚区域相对应。结论 本文通过数值模拟的方法确定髋臼各柱的生物力线和骨皮质厚薄形态分布,可为骨折治疗内固定装置的合理放置提供理论指导。

    Abstract:

    Abstract: Objective Study the stress distribution law of the area around the acetabulum during the normal gait cycle, further to explore the distribution of biology force lines of each column of the acetabulum and the thickness morphology of cortical bones. Methods The muscle and hip loads under 8 typical phases of human gait cycle are obtained through human reverse dynamics analysis, 3-d reconstruction technology is used to build the three-dimensional model of the hip bone, the finite element analysis and topology optimization of cortical bones are carried out by using the obtained loads as loading boundary conditions. Results In the support phase, the hip joint load is larger, the strain energy of the middle column accounts for 55%~69% of the total strain energy, and the stress at the top of the acetabulum is larger. In the swing phase, the hip joint load decreases and the percentage of strain energy in the middle column decreases. The different motion angles of the hip joint affect the muscle force and then affect the stress distribution on the hip bone. The obtained biology force lines of of each column of the acetabulum based on finite element method are basically consistent with biology force lines and bone trabecular arrangement proposed by anatomy, and correspond to the thicker areas of cortical bones in topology optimization simulation results. Conclusions In this paper, biology force lines of each column of the acetabulum and the distribution of the thickness morphological characteristic of cortical bones are determined by numerical simulation which can guide the placement of the internal fixation for the fracture treatment.

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  • 收稿日期:2021-08-24
  • 最后修改日期:2021-11-01
  • 录用日期:2021-11-03
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