考虑蠕变的髋关节假体不同生理活动下的磨损有限元分析
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Finite Element Analysis on Wear of Hip Prosthesis Considering Creep under Different Physiological Activities
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    摘要:

    目的 考虑UHMWPE髋臼内衬蠕变效应,对在不同日常生理活动中髋关节假体的磨损情况进行分析。方法 建立CoCr股骨头与UHMWPE髋臼内衬的有限元分析模型并验证,对比分析ISO 14242标准步态及站起/坐下、爬楼梯和屈膝对髋关节假体的磨损和蠕变影响。结果 在ISO 14242标准步态下,未考虑蠕变时,髋臼内衬的最大接触压力从18.3 MPa降至12.2 MPa;考虑蠕变时,最大接触压力从15.3 MPa降至14.2 MPa。磨损和蠕变造成的最大线性穿透深度分别为0.47、0.11 mm,磨损体积为205 mm3。不同生理活动下的磨损量依次为爬楼梯>站起/坐下>ISO标准步态>屈膝。蠕变量依次为ISO标准步态>爬楼梯>屈膝>站起/坐下。结论 髋臼内衬的磨损和蠕变在不同生理活动下表现出显著差异。蠕变效应减小了UHMWPE髋臼内衬的最大接触压力,从而降低了磨损体积。髋关节假体设计需综合考虑蠕变和磨损效应,以优化假体性能并延长其使用寿命。

    Abstract:

    Objective To investigate the creep effect of ultrahigh-molecular-weight polyethylene (UHMWPE) liners on the wear of hip prostheses under different physiological activities. Methods A finite element model of a cobalt-chrome alloy (CoCr) head and UHMWPE liner was established and validated. The effects of the ISO 14242 standard gait and daily activities (standing up/sitting down, climbing stairs, and knee bending) on prosthesis wear and creep were compared and analyzed. Results Under the ISO 14242 standard gait, the maximum contact pressure of the liner decreased from 18.3 MPa to 12.2 MPa when creep was not considered, and from 15.3 MPa to 14.2 MPa when it was considered. The maximum linear penetration depths owing to wear and creep were 0.47 mm and 0.11 mm, respectively, with a wear volume of 205 mm3. The wear during different physiological activities was ranked as follows: climbing stairs > standing up/sitting down > ISO standard gait > knee flexion. The creep was ranked as follows: ISO standard gait > stair climbing > knee bending > standing up/sitting. Conclusions The wear and creep of the acetabular liner differed significantly under different physiological activities. The maximum contact pressure of the UHMWPE liner was reduced by the creep effect. This, in turn, decreased the wear volume. Both creep and wear should be considered in the design of hip prostheses to optimize their performance and extend their service life.

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李昊,刘斌,简琦薇.考虑蠕变的髋关节假体不同生理活动下的磨损有限元分析[J].医用生物力学,2024,39(6):1099-1106

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  • 收稿日期:2024-06-26
  • 最后修改日期:2024-08-12
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  • 在线发布日期: 2024-12-25
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