熔融沉积成型和选择性激光烧结打印聚醚醚酮髁突假体的生物力学研究
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国家自然科学基金项目(81801034),西安医学院高层次人才引进基金项目(2018RCYJ03),陕西省西安市未央区科技计划项目(201929),广东省重点领域研发计划项目(2018B090906001)


Biomechanical Study of PEEK Condyle Prosthesis Printed by Fused Deposition Modeling and Selective Laser Sintering
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    摘要:

    目的 对3D打印个性化聚醚醚酮(poly-ether-ether-ketone,PEEK)髁突假体进行有限元分析和压缩性能测试,分析假体的应力分布特征及机械力学性能,评估假体的临床应用价值及应用前景。方法 通过CBCT、Mimics、Geomagic Studio、SolidWorks和ANSYS Workbench等软件建立PEEK髁突假体、下颌骨和固定螺钉的有限元模型,加载最大咀嚼力,记录髁突假体和螺钉的最大应力以及下颌骨的应力应变。模拟临床实际情况,设计专用夹具,以1 mm/min速率对熔融沉积成型(fused deposition modeling, FDM)和选择性激光烧结(selective laser sintering,SLS)两种方法制备的髁突假体进行压缩性能测试。结果 有限元分析发现,PEEK髁突假体的峰值应力位于髁突颈的后部,为10.733 MPa;5个固定螺钉的峰值应力集中在靠近下颌升支后缘的2#和5#螺钉,为9.707 5 MPa;假体和螺钉的峰值应力均小于其屈服强度。压缩实验发现,FDM和SLS制备髁突假体可承受的最大压力分别为(3 814.7±442.6)、(1 193.970±260.350) N;FDM制备假体相较于SLS制备不但压缩强度较大,且韧性较好。结论 3D打印个性化聚醚醚酮髁突假体显示出均匀的应力分布和较好的机械力学性能,可为PEEK作为修复颞下颌关节的重建材料提供理论依据。

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    Objective To make finite element analysis and compressive performance test on three-dimensional (3D) printed personalized poly-ether-ether-ketone (PEEK) condyle prosthesis, so as to analyze stress distribution characteristics and mechanical properties of the prosthesis, and to evaluate its clinical value and prospect. Methods The finite element models of PEEK condyle prosthesis, mandible and fixation screw were established by software such as CBCT, Mimics, Geomagic Studio, SolidWorks and ANSYS Workbench. The maximum mastication force was applied, and the maximum stress of the condyle prosthesis and screw, as well as the stress and strain of the mandible were recorded. In order to simulate the actual clinical situation, a special fixture was designed to test compression performance of the condyle prosthesis prepared by the fused deposition modeling (FDM) and selective laser sintering (SLS) at the rate of 1 mm/min. Results The peak stress of the PEEK condyle prosthesis was 10.733 MPa, which was located at the back of the condyle neck. The peak stress of 5 fixing screws was 9.707 5 MPa, which appeared on the 2# and 5# screws near the trailing edge of the mandibular ascending branch. The peak stress of both the prosthesis and the screw was smaller than its yield strength. The maximum pressure of the condyle prosthesis prepared by FDM and SLS was (3 814.7±442.6) N and (1 193.970±260.350) N, respectively. Compared with the SLS preparation, the FDM prepared prosthesis not only had higher compression strength but also better toughness. Conclusions The 3D printed personalized PEEK condyle prosthesis shows uniform stress distributions and good mechanical properties, which can provide the theoretical basis for PEEK as reconstruction material for repairing temporomandibular joint.

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郭芳,黄硕,刘宁,李永锋,胡敏,石长全,李涤尘,刘昌奎.熔融沉积成型和选择性激光烧结打印聚醚醚酮髁突假体的生物力学研究[J].医用生物力学,2021,36(2):264-270

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  • 收稿日期:2020-04-07
  • 最后修改日期:2020-05-13
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  • 在线发布日期: 2021-04-25
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