三维有限元模型在发育性髋关节发育不良并发股骨头坏死中的应用

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Abstract Developmental dysplasia of the hip can lead to hip dysfunction and even osteonecrosis of the femoral head, traditional imaging examination can not predict and reflect the condition comprehensively and timely. The three-dimensional finite element model, using image data combined with finite element mechanics, can simulate the stress condition of the proximal femur in different scenes and build model so as to provide a scientific solution for the treatment. The modeling experiment of developmental dislocation of the hip shows that establishing abduction angle is 80°, femoral head on the surface stress increases obviously, acetabulum stress than bone tissue to yield maximum intensity of stress directly affects internal vascular blood flow of the femoral head, the femoral head is prone to necrosis and collapse, the abduction angle should not exceed 80° during treatment. Establishment of prediction model of osteonecrosis of the femoral head reveals when the angle limite central is over 25°, there would be stress concentration points at the edge of the acetabulum, cartilage compression, leading to osteonecrosis of the femoral head. Therefore, the correctional treatment should be based on the restoration of the angle limite central to radiological “normal” range. According to the clinical classification of patients in the “severe, moderate, mild” situation, the best correction angle limite central should follow the law from small to large, which can get a satisfactory therapeutic effect.

Key words： Developmental dysplasia of the hip Three-dimensional finite element Hip joint modeling Osteonecrosis of the femoral head Collapse of the femoral head Prediction

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	SONG Zhigang

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SONG Zhigang. Application of three-dimensional finite element model in the developmental dysplasia of the hip complicated by femoral head necrosis[J]. 中国医药导报, 2021, 18(27): 43-46.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I27/43

[1] Zamborsky R，Kokavec M，Harsanyi S，et al. Developmental dysplasia of hip： perspectives in genetic screening [J]. Med Sci（Basel），2019，7（4）：59.
[2] 柯有浩，康晓鹏.0～6个月发育性髋关节发育不良的诊疗进展[J].医学综述，2019，25（24）：135-140.
[3] 钱秋平.CT和核磁共振诊断股骨头坏死患者的效果对比分析[J].影像技术，2017，29（5）：44-46.
[4] Schurm D，Lee C，Arkader A，et al. Risk factors for avascular necrosis after closed reduction for developmenta ldysplasia of the hip [J]. J Child Orthop，2016，10（3）：185-192.
[5] 赵军，张晓峰，徐西林.不同类型股骨头坏死的microRNA研究进展[J].中国医药导报，2019，16（9）：30-33.
[6] 任伟.股骨头坏死患者诊断中CT与核磁共振诊断的临床应用[J].当代医学，2020，26（33）：40-42.
[7] 梁学振，刘光波，刘金豹，等.基于CT三维重建的激素性股骨头坏死患者股骨头坏死组织分布研究[J].中国修复重建外科杂志，2020，34（1）：57-62.
[8] 肖磊，高辉.股骨头坏死诊断中CT影像诊断的价值分析[J].影像研究与医学应用，2020，4（22）：96-98.
[9] 张玉婷，姜永宏.双能CT虚拟去钙技术对股骨头坏死的诊断价值[J].放射学实践，2020，35（4）：538-542.
[10] 谢小伟，程相俊.CT与核磁共振技术在诊断股骨头坏死的对比研究[J].影像研究与医学应用，2021，5（2）：29-30，33.
[11] 韩易达.核磁共振技术与CT应用于股骨头坏死诊断中的临床价值探讨[J].中外医疗，2020，10（28）：180-182.
[12] 崔洪涛，李志刚.探讨 CT 与核磁共振用于股骨头坏死患者诊断中的临床效果[J].现代医用影像学，2016，25（3）：568-569.
[13] 谢任龙.CT检查和核磁共振检查诊断股骨头坏死的应用价值探析[J].数理医药学杂志，2020，33（10）：1445-1447.
[14] 王吉东.CT与MRI诊断早期股骨头缺血坏死的价值比较分析[J].影像研究与医学应用，2020，4（24）：100-102.
[15] Tidereus C，Jaramillo D，Connolly S，et al. Postclosed reduction perfusion magnetic resonance imaging sa a predictor of avascular necros is in devdlopmental hipdysplasia：Apreliminary report [J]. J Pediatr Orthop，2009，29（1）：14-20.
[16] Haruno LS，Kan JH，Rivlin MJ，et al. SAPICA MRI Predictors for epiphyseal osteonecrosis after close reduction treatment of dysplasia of the hip [J]. J Pediaer Orthop B，2019，28（5）：424-429.
[17] 陈志清，刘智.股骨头缺血坏死MRI分期与坏死指数的相关性[J].中国矫形外科杂志，2021，29（3）：220-223.
[18] 黄雪洁，常晓丹.动态增强MRI在骨关节中的热点研究[J].中国组织工程研究，2020，24（15）：128-134.
[19] 马伟丽，赵德伟，王本杰，等.DCE－MRI对高危坏死股骨头微循环灌注的评价[J].磁共振成像，2019，10（4）：263-267.
[20] Guevara-Alvarez A，Lash N，Beck M. Femoral head-neek junction reconstruction，after iatrogenic bone resection [J]. Hip Preserv Surg，2015，2（2）：190-193.
[21] 高天阳，王丰哲，潘诗农.影像学诊断发育性髋关节发育不良并发股骨头坏死进展[J].中国医学影像技术，2020， 36（12）：1911-1913.
[22] Vafaeian B，Adeeb S，El－Rich M，et al. Hip joint contact pressure distribution during pavlik harness treatment of an infant hip： a patient－specific finite element model [J]. Biomech Eng，2018，140（7）：552-557.
[23] Sankar WN，Gornitzky AL，Clarke NMP，et al. Closed reduction for developmental dysplasia of the hip： early-term results from a prospective，multicenter cohort [J]. J Pediatr Orthop，2019，39（3）：111-118.
[24] Kramer AA，Berg K，Nance WE. Familial aggregation of congenital dislocation of the hip in a Norwegian population [J]. J Clin Epidemiol，1988，41（1）：91-96.
[25] 王宏润，李宏宇.有限元分析股骨头坏死的临床研究与进展[J].河北医学，2020，26（3）：525-528.
[26] Assassi L，Magnenat-Thalmann N. Assessment of cartilage contact pressure and loading in the hip joint during split posture [J]. Int JComput Assist Radiol Surg，2016，99（1/2）：67-74.
[27] 雷新玮，展影，屈瑾，等.非创伤性股骨头缺血性坏死塌陷预测的MRI研究[J].中华放射学杂志，2013，60（6）：44-48.