成人桡骨头切除术后并发症的三维有限元分析
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福建省科技厅青年科技人才创新项目(2005J078)


Three-dimensional Limited Element Analysis of the Complication after Resection of Head of Radius for Adults
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    摘要:

    目的:通过三维有限元模拟研究桡骨头切除术后并发症的原因和机理。方法:用三维有限元分析法研究桡骨头的应力传导作用,以及桡骨头切除后应力传导分布改变对肘、腕关节稳定性的影响。结果:正常情况,经桡骨头传导的应力值约占肘关节总应力值的58%,经过肱尺关节传导的应力值约占肘关节总应力值36.85%。桡骨头切除后,肱尺关节外侧部分承受的应力值约占肘关节总应力值的43%,内侧部分的应力值约占肘关节总应力值的21.6%,和桡骨头切除前相比较,外侧较内侧增加的幅度显著增大。结论:桡骨头在肘关节应力传导中占据了主导地位,桡骨头切除后破坏了肘关节的正常应力分布,对肘、腕关节的稳定性有较大的影响。临床上应严格掌握桡骨头切除术的适应证。

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    Objective To adopt a three-dimensional limited element analytic method to research into the cause and mechanism of the complications taking place after resection of head radius. Method To adopt a three-dimensional limited element analytic method to research into the stress transmission action of the head radius and the distribution alteration of the stress transmission after resection of head radius impacting on the stability of elbow and wrist. Results In normal cases, the stress value transmitted via head of radius takes 58% of the stress placed, 36.85% via humeroulnar joint. The head of radius places a leading role in the stress transmission of the elbow joint. After resection of the head of radius, the lateral of humeroulnar joint bears about 43% of the stress placed while the medial part bears about 21.6% of the stress. To compare with that before the resection of the head of radius the stress on the lateral is obviously increased more than the medial part. Conclusion The head of radius places a leading role in the stress transmission of the elbow joint. The resection of the head radius breaks the normal distribution of the stress on the elbow joint and produces great effect on the stability of the elbow joint and wrist joint. Therefore, in clinics we should pay great attention to the indication of resection of the head of radius.

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张建新,田洪波,陈日齐.成人桡骨头切除术后并发症的三维有限元分析[J].医用生物力学,2009,24(6):444-447

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  • 收稿日期:2009-01-04
  • 最后修改日期:2009-02-16
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