足底软组织硬化对足部生物力学影响的三维有限元分析
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国家自然基金重点项目(30530230)


Effects of stiffness of plantar soft tissue on foot biomechanical behavior: a 3D finite element analysis
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    摘要:

    目的 通过有限元方法来研究足底软组织整体硬化以及跖骨头和跟骨下方软组织局部硬化对人体足踝系统的力学影响。方法 基于健康志愿者右足的核磁共振扫描图片建立足部三维有限元模型,通过改变足底软组织的生物力学属性和人体平衡站立位时的计算仿真来分析足底软组织的生物力学问题。同时,对此志愿者进行足底压力测试来验证模型的有效性。结果 建立足踝有限元模型得到了有效的验证并完成了不同软组织属性定义下站立位的运算;在平衡站立位时足底接触压力分布状况和足踝内部一些软、硬组织的受力情况得到量化。结论 软组织硬化,特别是跖骨头和跟骨下方软组织局部硬化,对足底受压接触面积、压力峰值以及足底软组织垫所受的应力等产生了明显影响,大大增加了糖尿病患者发生足底溃烂的可能性。

    Abstract:

    Objective To investigate the biomechanical effects of the whole hardening of plantar soft tissue and the local hardening under metatarsal heards and calcaneus on human foot and ankle system. Methods Buliding a 3D finite element model based on the MRI scanning pictures of a healthy young volunteer and changing the material property of plnatar soft tissue to simulate different plantar soft tissue status; and three solutions simulatng the balanced standing were done to compare model’s prediction. In addition, the plantar pressure measurement of the volunteer was used to validite the model. Results The foot model was created and validated. Three solutions were completed under different material properties of plantar soft tissue, and the contact pressure distribution and some mechanical information of internal soft and hard tissue were quantified. Conclusion The hardening of plantar soft tissue, especially the local hardening, greatly affects the contact pressure distribution and stress magnitudes in plantar soft tissue, which would increase potential risk of plantar ulcer.

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李云婷,陶凯,王冬梅,王旭.足底软组织硬化对足部生物力学影响的三维有限元分析[J].医用生物力学,2009,24(3):169-173

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  • 收稿日期:2008-11-28
  • 最后修改日期:2009-02-23
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