膝关节外翻和内翻对股骨和DCP的应力模拟研究

Joompon Bamrungwong, P. Woraratsoontorn
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引用次数: 0

摘要

人类股骨骨折是最常见的骨折类型之一。基本上,在内部修复中广泛使用的技术是使用动态加压钢板(DCP)。除了螺钉位置的配置对DCP应力起主要作用外,膝关节内翻和外翻也是一个因素。本研究采用有限元分析方法研究股骨与外翻膝关节在不同角度下的应力分布。为了找出压力,假设体重恒定在70公斤。将DCP与螺钉固定在股骨上12个单位。在正常情况下,将有限元分析结果与其他作者的结果进行了比较,结果一致。结果发现,未使用孔对DCP产生最大的Von Mises应力。无论是外翻还是膝内翻,最大的反作用力都在外侧髁处,而不是内侧髁处,反作用力的δ约为310 N +。当股骨与垂直线夹角不超过20度时,均可采用DCP固定外翻和膝内翻。结果还表明,外翻性膝关节炎比膝内翻性膝关节炎严重,女性股骨角度大于男性,女性患骨关节炎的几率大于男性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Modeling Study of Stress on Femur and DCP with Valgus and Varus Knee
Human femur broken is one of the most frequent type of bone fractures. Basically, the widely used techniques in an internal repair is using the Dynamic Compression Plate (DCP). In addition to the configuration of the screw position plays a major role of the DCP stress, the varus and valgus knee is a factor as well. This research is proposed to investigate the stress distribution go around on the DCP by vary angle of a femur represent to valgus knee using Finite Element Analysis (FEA). To find out the stress, the body weight assumed to be constant at 70 kg. The DCP with the screws were fixed on femur for 12 units. The results from finite element analysis were compared with other authors for the normal conditions, the results moved on the same way. The results were found that the maximum Von Mises stress on the DCP was occurred on the unused hole. Both valgus and varus knee the maximum reaction forces is at lateral condyle than medial condyle and the delta of reaction forces go around 310 N plus. Both valgus and varus knee can be fixed by using DCP if the femur take angle with vertical line not reach 20 degrees. From the results also reveals that osteoarthritis from valgus knee more severe than varus knee, female have a chance to face osteoarthritis more than male due to femur angle of female larger than male.
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