|
|
Simulated analysis of older intertrochanteric fractures based on finite element method |
HE Xiangxin1 LI Pengfei1 LIN Ziling2 SUN Wentao1 CHEN Xinmin1 LIANG Ziyi1 |
1.Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China;
2.First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China |
|
|
Abstract Objective For the blank of finite element model about intertrochanteric fracture, the fracture model of the intertrochanteric fracture based on the finite element analysis softwares, to provide experimental basis for the prevention and treatment of intertrochanteric fracture. Methods From March to April 2017, in First Affiliated Hospital of Guangzhou University of Chinese Medicine, 1 elderly patient with intertrochanteric fracture was selected, the CT image data of the uninjured side was collected, the Mimics software was used to grow the contralateral area, fill the cavity, edit and rebuild the contralateral proximal femur model. Next, preprocessed it by Geomagic studio 2013. Data were imported in Hypermesh 14.0 and LS-DYNA software for meshing, and defining material properties. The failure parameters and interfacial properties were set. The load and force boundary constraints simulating the falling were simulated. The model of intertrochanteric fracture was calculated, then, the Hyper-View 14.0 software was used to check the results. Results The inside of proximal femur was the first appeared stress concentration, under the continuous stress it began to break, fracture line stretched from intside to outside of the upper, ultimately Evans Ⅰ intertrochanteric fracture model would be gained. Conclusion The finite element analysis method based on LS-DYNA software can simulate the dynamic fracture of the intertrochanteric fracture veritably, it provides experimental reference to reveal the mechanism and guides the prevention and the treatment of intertrochanteric fractures.
|
|
|
|
|
[1] 张智海,刘忠厚,李娜,等.中国人骨质疏松症诊断标准专家共识(第三稿·2014版)[J].中国骨质疏松杂志,2014, 20(9):1007-1010.
[2] Hernlund E,Svedbom A,Iverg?觟rd M,et al. Osteoporosis in the European Union: medical management,epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA)[J]. Arch Osteoporos,2013,8: 136.
[3] Cooper C,Campion G,Melton LJ. Hip fractures in the elderly: a world-wide projection [J]. Osteoporos Int, 1992, 2(6):285-289.
[4] Mithal A,Bansal B,Kyer CS,et al. The Asia-pacific regional audit-epidemiology,costs,and burden of osteoporosis in India 2013: a report of international osteoporosis foundation[J].Indian J Endocrinol Metab, 2014,18(4):449-454.
[5] 王益莲,李春雯,郑婷婷,等.应用有限元分析骨质疏松性髋部骨折的研究进展[J].中国骨质疏松杂志,2011(3):264-267.
[6] 李鹏飞,杜根发,林梓凌,等.基于LS-DYNA模拟老年股骨颈骨折的有限元分析[J].中国组织工程研究,2016,(44): 6606-6611.
[7] 陈振沅. 股骨转子部骨折六部分骨折分型产生机制的有限元分析[D].遵义:遵义医学院,2015.
[8] 贺洪辉,侯威.不同内固定方法治疗不稳定型粗隆间骨折的有限元分析[J]. 现代医药卫生,2015(24):3700-3703.
[9] 王爱国,谷福顺,郑昆仑,等.股骨粗隆间骨折单臂外固定术后站立状态肌骨有限元模型的建立及其应力分析[J].中华中医药杂志,2016,31(3):1020-1024.
[10] 吴锋,叶劲,邹仲兵.两种不同方式固定EvansⅢ型股骨粗隆间骨折稳定性的有限元分析[J].中国现代药物应用,2015,9(17):7-8.
[11] 林梓凌,李鹏飞,庞智晖,等.骨密度与老年髋部骨折股骨近端三维有限元模型密度的关系[J].中国老年学杂志,2015,35(11):3069-3070.
[12] 彭睿.行人在汽车碰撞事故中下肢骨折的有限元仿真研究[D].长沙:湖南大学,2006.
[13] 汪金平,杨天府,钟凤林,等.股骨生物力学特性的有限元分析[J].中华创伤骨科杂志,2005,7(10):931-933.
[14] Brekelmans Wam,Rybicki EF,Burdeaux BD. A new method to analyse the mechanical behaviour of skeletal parts [J]. Acta Ortho Scand,1972,43:301.
[15] 姜自伟,虎群盛,黄枫,等.PFNA-Ⅱ治疗不稳定型股骨转子间骨折的动态有限元研究[J].山东医药,2016,56(33):14-17.
[16] 杨宾宾,刘耀升,刘蜀彬,等.多种髓芯减压术治疗股骨头坏死的有限元研究[J].中华损伤与修复杂志:电子版,2017,12(1):39-45.
[17] 李苏皖,付国建,谢洋,等.骨质疏松患者全髋关节置换术后股骨应力变化的有限元分析[J].中国矫形外科杂志,2017,25(3):260-263.
[18] Hakan ift. Determination of the effect on the proximal femoral load distribution of diaphyseal cement support in femoral intertrochanteric fractures with calcar defect by finite element analysis [J]. Joint Dis Relat Surg,2013, 24(3):163-168.
[19] Kopperdahl DL,Aspelund T,Hoffmann PF,et al. Assessment of incident spine and hip fractures in women and men using finite element analysis of CT scans [J]. J Bone Miner Res,2014,29(3): 570-580.
[20] 鹿晓阳.连续损伤力学的基本理论方法及工程应用[J].山东建筑工程学院学报,1994,9(2):3-9.
[21] Keyak JH. Improved prediction of proximal femoral fracture load using nonlinear finite element models [J]. Med Eng Phys,2001,23(3):165-173.
[22] Bessho M,Ohnishi I,Okazaki H,et al. Prediction of the strength and fracture location of the femoral neck by CT-based finite-element method: a preliminary study on patients with hip fracture [J]. J Orthop Sci,2004,9(6): 545-550. |
|
|
|