海绵质骨螺旋钉拔出试验之生物力学分析
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BIOMECHANICAL ANALYSIS OF PULLOUT TEST OF PEDICLE SCREW FOR CANCELLOUS BONE
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    摘要:

    评估螺旋钉设计优劣的简便方法之一为拔出试验。虽然比较用之海绵质骨试件可取自相同部位,自同一方向植入螺旋钉,并具有相同基准。然而因各处海绵质骨骼结构不尽相同,至今尚未有人探讨如使用不同之海绵质骨结构,例如近似等向性之杆状结构,或是板与杆组合之有强列方向排列者,对于螺旋钉拔出之最大力量有多大影响?采用牛股骨远端部位及牛颈椎C2~C6作为不同结构特性之试体。并各由两相互垂直之方向旋入螺旋钉,来做拔出试验。最后并建立一三维有限元素模型,用以研究螺纹周围之变形模式及其预测拔出最大力量的准确性。模型分析中以应变能密度准则作为破坏之参考标准。

    Abstract:

    Pullout test has been widely utilized in evaluating design parameters of screws. This is due to its simplicity in the experimental procedure.However, simple test creates some difficult problems. For example, no discussion has been made in the following topics:(1) effect of insertion position and direction,(2) effect of pullout direction, (3) effect of variation of cancellous bone structures. Insertion position and direction are relative to the geometric orientation of cancellous structures. Pullout direction can also contribute to pullout strength. Thinking differently, in this study, we use two kinds of trabecular structures: isotropic rod-type from bovine femoral condyle and plate-rod type structure from bovine spine vertebral body C_2~C_6, to check how this structural variation affecting the maximum pullout force in the pullout test. Finally, finite element modeling for pullout test is important based on several points: (1) how accurate can be obtained. (2) local deformation pattern around threads, (3) convergence characteristics. In the finite element analysis the strain energy density criterion will be used to define failure condition in the pullout simulation.

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邬蜀威,龚耀春,郭荣富.海绵质骨螺旋钉拔出试验之生物力学分析[J].医用生物力学,1995,10(3):167-172

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