间接暴力所致肱骨骨折机制三维有限元模拟.docVIP

间接暴力所致肱骨骨折机制三维有限元模拟 　 作者：何仿, 李苏皖, 林 昊, 张文忠, 吴玉宝 【摘要】 ［目的］利用工程力学 分析 软件CatiaV5，模拟在不同的肩关节功能位置上、间接冲击暴力所致肱骨骨折的受伤力学机制和力学环境，为认识和 治疗 肱骨骨折提供生物力学依据。［ 方法 ］采用高分辨率的人体肩关节断层解剖图作为三维重建的数据源，选取自锁骨顶端至肱骨远端关节面、共380层的断层图像，层厚1 mm，按照点、线、面的建模方式，先建立人体肩关节的三维几何模型，再予网格化，建立人体肩关节的三维有限元模型，利用该模型，模拟在12个不同的肩关节功能位置上（外展30°、 45°、 60°、 90°、同时合并内旋、中立、外旋）、肱骨受到分级加载的轴向冲击载荷时的骨折位置以及瞬时的应力、应变状况。［结果］根据肱骨在不同的功能位置上载荷－应变关系曲线，载荷从0～250 N时，呈线性变化，后为非线性期，卸载后，残余骨变形；随着载荷的增加，肱骨干的应变随之增加。当肩关节的外展位置由90°逐渐变为30°时，肱骨干上内外侧应变逐渐增加，内外旋45°时应变比中立位时增加显著；同时，肱骨干内外侧的应力不同，内侧应力大，外侧应力小，内外旋时，肱骨干的应力增加更快、更大。［结论］在肩关节不同的功能位置上，三维有限元分析逼真地模拟出各自不同的肱骨应力、应变状态值及骨完整性受到破坏的三维图像、骨折线的大体走向；肱骨骨折的三维有限元模拟和分析是 研究 与骨折相关的力学原理的非常有价值的方法。 论文代写 【关键词】 间接暴力； 肱骨骨折； 三维有限元； 模拟 论文代写 Abstract：［Objective］To simulate the biomechanics mechanism and environment of humeral fracture caused by indirect impact force for the purpose of biomechanics understanding and treatment of such fracture.［Method］Based on the data source, which was highresolution anatomic slice images from approximal clavicle to distal humerus, 1 mm thickness and totally 380 layers, the geometric model of total shoulder joint was established according to the order:point, line,area, and further meshed to set up the three dimension finite element model of shoulder, fracture sites and instantaneous stress and strain of humerus were simulated and analyzed under the condition which longitudinal impact force was loaded on the humerus based on the 12 functional positions of shoulder(abduction 30°、 45°、 60°、 90°, and simultaneous neutrality, internal rotation 45°,external rotation 45°).［Result］According to the humeral shaft loadstrain curve in different functional positions of shoulder, linear relation was found when load changed from 0 N to 250　N, after which nonlinear come out, and even load was removed , bone was deformed eternally. With the rise in load amount, the increase in stress was detected. When abduction degree changed from 90° to 30°, the strain of humerus, both the lateral and the medial increased