[1]赵月华,张博△,冯鑫.基于计算机运动仿真技术对膝关节假体参数的优化研究[J].中国中医骨伤科杂志,2023,31(03):22-25+30.[doi:10.20085/j.cnki.issn1005-0205.230305]
 ZHAO Yuehua,ZHANG Bo,FENG Xin.Study on Optimization Value of Knee Prosthesis Based on Motion Simulation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(03):22-25+30.[doi:10.20085/j.cnki.issn1005-0205.230305]
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基于计算机运动仿真技术对膝关节假体参数的优化研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年03期
页码:
22-25+30
栏目:
临床研究
出版日期:
2023-03-15

文章信息/Info

Title:
Study on Optimization Value of Knee Prosthesis Based on Motion Simulation
文章编号:
1005-0205(2023)03-0022-04
作者:
赵月华1张博1△冯鑫2
1首都医科大学附属北京朝阳医院骨科(北京,100006)
2中日友好医院乳甲外科
Author(s):
ZHAO Yuehua1ZHANG Bo1△FENG Xin2
1Department of Orthopaedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
2Department of Breast and Thyroid Surgery, China-Japan Friendship Hospital, Beijing 100020, China.
关键词:
膝关节置换术 运动力学 膝关节假体 参数优化
Keywords:
knee replacement motion mechanics knee joint prosthesis parameter optimization
分类号:
R684
DOI:
10.20085/j.cnki.issn1005-0205.230305
文献标志码:
A
摘要:
目的:探讨基于计算机运动仿真技术对膝关节假体参数的优化。方法:纳入500例健康志愿者于2019年5月至2021年5月进行体检,不同膝关节屈曲健康志愿者体内内外侧髁前后移位距离与模型进行比较; 不同步态周期时健康体检者下蹲和坐立运动时,胫股关节总体接触力测量值与模型预测值比较。结果:健康体检者在0°,30°,60°,90°膝关节屈曲时,体内内外侧髁前后移位距离与模型进行比较,差异无统计学意义(P>0.05)。在下蹲、坐立两种运动方式下对模型进行验证后表现出较好的适应性,同时维持着对膝关节假体接触力的高度预测,为后续个体化骨肌假体的广泛应用提供理论依据。结论:以计算机运动仿真计数为基础,建立膝关节置换术后运动力学仿真模型,为膝关节假体数据优化提供依据。
Abstract:
Objective:To discover the optimization of knee prosthesis parameters based on computer motion simulation technology.Methods:A total of 500 healthy volunteers included in this study were examined in hospital from May 2019 to May 2021. The anteroposterior displacement distance of the inner and outer ankles of healthy volunteers with different knee flexion was compared with the model. The total contact force of the tibiofemoral joint was measured and compared with the predicted value of the model during squatting and sitting exercises of healthy people in different gait cycles.Results:There was no significant difference between the anteroposterior displacement distance of medial and lateral malleolus of healthy people and that of the model during knee flexion at 0°, 30°, 60° and 90°(P>0.05). The model showed good adaptability after being verified in squatting and sitting, while maintaining the high prediction of the contact force of knee prosthesis, providing a theoretical basis for the subsequent extensive application of individualized skeletal muscle model.Conclusion:The biomechanical simulation model after knee replacement is established to provide a basis for the optimization of knee prosthesis data based on the count of computer motion simulation.

参考文献/References:

[1] 李宏伟,刘峰.个体化全膝关节置换骨肌多体动力学模型的适用性评估[J].机械设计与制造工程,2021,50(5):6-10.
[2] 李钟鑫,刘璐,高丽兰,等.人体全膝关节精细有限元模型建立及有效性验证[J].生物医学工程与临床,2020,24(5):501-507.
[3] 王安民,宋长辉,杨永强,等.膝关节股骨假体的个性化设计与匹配程度分析[J].计算机辅助设计与图形学学报,2018,30(8):1572-1578.
[4] 王俊然,杜玮瑾,王长江,等.有限元分析不同屈曲状态下胫-股关节的生物力学变化[J].中国组织工程研究,2018,22(31):4975-4981.
[5] 刘旭辉,丁志娟,罗启文,等.双摇杆假肢膝关节的运动学与动力学分析[J].机械传动,2021,45(3):134-139.
[6] 潘正晔,马勇,王虹,等.四种方向单腿跳膝关节应力分布特征的有限元分析[J].中国康复医学杂志,2020,35(9):1038-1043.
[7] 潘正晔,马勇,耿治中,等.预期条件下不同侧切角度膝关节应力状态的有限元分析[J].医用生物力学,2021,36(5):762-768.
[8] 李新宇,王长江,陈维毅.一种新型膝关节假体设计及稳定性评估[J].太原理工大学学报,2018,49(1):152-157.
[9] 齐大虎,张伟凯,杨勇,等.新型国产膝关节假体用于全膝关节置换术的临床研究[J].生物骨科材料与临床研究,2022,19(2):57-62.
[10] 宋春燕,刘峰,李宏伟.基于接触力学的膝关节假体几何参数研究[J].机械设计与制造工程,2021,50(4):8-12.
[11] 杨光洲,黄振峰,付朝娟.两种平台假体在全膝关节置换术中的早期应用效果分析[J].中国中医骨伤科杂志,2017,25(1):55-57.
[12] 陈钵,张晓刚,秦大平,等.骨质疏松性椎体压缩骨折中生物力学变化的有限元研究进展[J].中国骨质疏松杂志,2021,27(1):127-130.
[13] SARIALI E,KAJETANEK C,CATONNE Y,et al.Comparison of custom cutting guides based on three-dimensional computerized CT-scan planning and a conventional ancillary system based on two-dimensional planning in total knee arthroplasty:a randomized controlled trial[J].International Orthopaedics,2019,43(11):2529-2538.
[14] MOORTHY V,LAI M C,LIOW M H L,et al.Similar postoperative outcomes after total knee arthroplasty with measuredresection and gap balancing techniques using a contemporary knee system:a randomized controlled trial[J].Knee Surgery,Sports Traumatology,Arthroscopy:Official Journal of the ESSKA,2021,29(10):3178-3185.
[15] STRICKLAND L H,KELLY L,HAMILTON T W,et al.Early recovery following lower limb arthroplasty:qualitative interviews with patients undergoing elective hip and knee replacement surgery.Initial phase in the development of a patient-reported outcome measure[J].Journal of Clinical Nursing,2018,27(13/14):2598-2608.
[16] MAKARAM N S,ROBERTS S B,MACPHERSON G J,et al.Simultaneous bilateral total knee arthroplasty is associated with shorter length of stay but increased mortality compared with staged bilateral total knee arthroplasty:a systematic review and meta-analysis[J].The Journal of Arthroplasty,2021,36(6):2227-2238.
[17] TAGLIERO A J,KURIAN E B,LAPRADE M D,et al.Arthritic progression secondary to meniscus root tear treated with knee arthroplasty demonstrates similar outcomesto primary osteoarthritis:a matched case-control comparison[J].Knee Surgery,Sports Traumatology,Arthroscopy:Official Journal of the ESSKA,2021,29(6):1977-1982.
[18] YAMAMURA K, MINODA Y, SUGAMA R, et al.Design improvement in patient-specific instrumentation for total knee arthroplasty improvedthe accuracy of the tibial prosthetic alignment in the coronal and axial planes[J].Knee Surgery,Sports Traumatology,Arthroscopy:Official Journal of the ESSKA,2020,28(5):1560-1567.
[19] CACCIOLA G,MARTINO I,FEDERICO F D,et al.Does the medial pivot knee improve the clinical and radiographic outcome of total knee arthroplasty?A single centre study on two hundred and ninety seven patients[J].International Orthopaedics,2020,44(2):291-299.
[20] COSTA G,PRESTI M L,GRASSI A,et al.Metal-backed tibial components do not reduce risk of early aseptic loosening in unicompartmental knee arthroplasty:a systematic review and meta-analysis[J].The Journal of Knee Surgery,2020,33(2):180-189.
[21] KHATIB Y,BADGE H,XUAN W,et al.Patient satisfaction and perception of success after total knee arthroplasty are more strongly associated with patient factors and complications than surgical or anaesthetic factors[J].Knee Surgery,Sports Traumatology,Arthroscopy:Official Journal of the ESSKA,2020,28(10):3156-3163.
[22] KANG K T,KWON S K,KWON O R,et al.Comparison of the biomechanical effect of posterior condylar offset and kinematics between posterior cruciate-retaining and posterior-stabilized total knee arthroplasty[J].The Knee,2019,26(1):250-257.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81572180)
通信作者 E-mail:zhaoyh0704@163.com
更新日期/Last Update: 2023-03-10