三维有限元生物力学分析后交叉韧带断裂后膝关节内翻及外旋时的应力.docVIP

三维有限元生物力学分析后交叉韧带断裂后膝关节内翻及 外旋时的应力 谢 强(承德医学院附属医院骨外五科，河北省承德市 067000) 引用本文：谢强. 三维有限元生物力学分析后交叉韧带断裂后膝关节内翻及外旋时的应力[J].中国组织工程研究，2017，21(7): 1036-1040. DOI: 10.3969/j.issn.2095-4344.2017.07.010 ORCID: 0000-0002-0616-9347(谢强) 文章快速阅读： 文题释义： 膝关节韧带损伤：①内侧副韧带损伤：为膝外翻暴力所致，即膝伸直位，膝或腿部外侧受强大暴力打击或重压，使膝过度外展，内侧副韧带可发生部分或完全断裂；②外侧副韧带损伤：主要为膝内翻暴力所致，即膝或腿部内侧受暴力打击或重压，使膝过度内收，外侧副韧带可发生部分或完全断裂。在严重创伤时，侧副韧带、十字韧带和半月板可同时损伤；③前交叉韧带损伤：膝关节伸直位下内翻损伤和膝关节屈曲位下外翻损伤都可以使前交叉韧带断裂；④后交叉韧带损伤：无论膝关节属于屈曲位或伸直位，来自前方的使胫骨上端后移的暴力都可以使后交叉韧带断裂。 后交叉韧带：后交叉韧带起自股骨内侧髁的外侧面，斜向后下方，止于胫骨髁间隆起的后部和外侧半月板的后角。当膝关节活动时，后交叉韧带能防止腿骨向后移位外，还可限制膝关节的过伸、过屈及旋转活动，交叉韧带损伤常与胫侧副韧带或半月板损伤同时发生。 摘要 背景：后交叉韧带损伤合并膝关节周围其他韧带损伤的发生率相对较高，然而这些韧带之间内在动态应力变化情况的报道目前尚属罕见。 目的：模拟正常及后交叉韧带完全断裂(Ⅲ度损伤)的膝关节三维有限元模型，计算并分析正常膝关节模型和后交叉韧带完全断裂模型中内侧副韧带、外侧副韧带和前交叉韧带的应力分布及变化情况。 方法：采集正常志愿者右膝关节的CT及MRI 图像，利用E-feature Biomedical Modeler，ANSYS等软件建立正常膝关节三维有限元模型，模拟正常膝关节屈曲0°、30°、60°时Three-dimensional finite element model for biomechanical analysis of stress in knee inversion and external rotation after posterior cruciate ligament rupture Xie Qiang (Fifth Department of Orthopedics, Affiliated Hospital of Chengde Medical College, Chengde 067000, Hebei Province, China) Abstract BACKGROUND: The incidence of posterior cruciate ligament injury combined with other knee ligament injuries is relatively high, but studies on the internal dynamic stress change of these ligaments are still rare. OBJECTIVE: To simulate three-dimensional finite element model of the normal human knee and the complete posterior cruciate ligament rupture (III injury), calculate and analyze the stress distribution and changes of the medial collateral ligament, the lateral collateral ligament and the anterior cruciate ligament in the normal knee model and the complete posterior cruciate ligament rupture model. METHODS: We collected CT and MRI images of the healthy male right knee, and established three-dimensional finite element model of the normal human knee by using E-feature Biomedical Modeler, and ANSYS software. The simulation