INBONE Ⅱ和INFINITY型人工踝关节的生物力学特征
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1.西南交通大学 机械工程学院;2.山东大学齐鲁医院、山东大学 医学融合与实践中心

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Biomechanical Characteristics of INBONE II and INFINITY Artificial Ankle Joints
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1.School of Mechanical Engineering,Southwest Jiaotong University;2.Qilu Hospital of Shandong University、School of Medical Integration and Practice Center, Shandong University

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    摘要:

    目的 评估人工踝关节INBONE Ⅱ和INFINITY全踝关节置换术(total ankle arthroplasty, TAA)后生物力学特征差异,为患者提供更加科学和个体化的治疗选择。方法 基于骨肌(musculoskeletal, MSK)多体动力学(multibody dynamics, MBD)软件AnyBody,建立患者个体化TAA下肢MSK MBD 模型。预测踝关节接触力、踝关节运动和人工踝关节关节面接触特征。结果 人工踝关节关节面几何形状对踝关节接触力没有显著影响,但会对活动度和关节面接触特征造成影响。相比于INBONE II,INFINITY 冠状面关节面弧高较低,旋转活动度增加7.91%和2.61%;矢状面匹配度较低,移动活动度分别变化21.75%、21.23%和49.26%;INFINITY匹配度较低,关节面接触面积分别减少18.48%、30.42%和26.36%,但接触压力中心运动轨迹集中在距骨组件边缘内侧,避免边缘接触应力集中,降低关节脱位和胫骨衬垫过早磨损的风险。结论 INFINITY型人工踝关节更小的几何限制,表现出更好的生物力学性能,更有利于恢复术后踝关节运动功能。

    Abstract:

    Objective Assessing the biomechanical differences of the artificial ankle joints of INBONE II and INFINITY after TAA to provide more scientific and individualized treatment options for patients. Methods Based on MSK MBD software AnyBody, a patient individualized TAA lower extremity MSK MBD model was established. Prediction of ankle joint contact force, ankle joint motion and contact characteristics of artificial ankle joint surface. Results The geometric shape of the articular surface of the artificial ankle has no significant effect on the ankle contact force, but it affects the range of motion and the contact characteristics of the articular surface. Compared to INBONE II, the coronal plane articular surface arc height of INFINITY is lower, with increased rotational mobility by 7.91% and 2.61%. The sagittal plane matching is lower, resulting in changes of 21.75%, 21.23%, and 49.26% in the range of motion. INFINITY exhibits lower matching, with corresponding reductions of 18.48%, 30.42%, and 26.36% in articular surface contact area. However, the center of pressure motion trajectory is concentrated on the medial side, avoiding edge contact stress concentration, reducing the risk of joint dislocation, and premature wear of the tibial component. Conclusion The smaller geometric constraints of the INFINITY artificial ankle joint demonstrate better biomechanical performance, promoting improved postoperative ankle joint functional recovery.

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  • 收稿日期:2024-03-08
  • 最后修改日期:2024-04-25
  • 录用日期:2024-04-26
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