A quasi-dynamic nonlinear finite element model to investigate prosthetic interface stresses精选.pdfVIP

Clinical Biomechanics 20 (2005) 630–635 /locate/clinbiomech A quasi-dynamic nonlinear finite element model to investigate prosthetic interface stresses during walking for trans-tibial amputees Xiaohong Jia a,*, Ming Zhang b, Xiaobing Li a, Winson C.C. Lee b a Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Beijing 100084, China b Jockey Club Rehabilitation Engineering Center, The Hong Kong Polytechnic University, Hong Kong, China Received 29 November 2004; accepted 4 March 2005 Abstract Background. To predict the interface pressure between residual limb and prosthetic socket for trans-tibial amputees during walking. Methods. A quasi-dynamic finite element model was built based on the actual geometry of residual limb, internal bones and socket liner. To simulate the friction/slip boundary conditions between the skin and liner, automated surface-to-surface contact was used. Besides variable external loads and material inertia, the coupling between the large rigid displacement of knee joint and small elastic deformation of residual limb and prosthetic components were also considered. Results. Interface pressure distribution was found to have the same profile during walking. The high pressures fall over popliteal depression, middle patella tendon, lateral tibia and medial tibia regions. Interface pressure predicted by static or quasi-dynamic analysis had the similar double-peaked waveform shape in stance phase. Interpretation. The consideration of inertial effects and motion o