• 제목/요약/키워드: Biomechanical design

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Biomechanical Study of Posterior Pelvic Fixations in Vertically Unstable Sacral Fractures: An Alternative to Triangular Osteosynthesis

  • Chaiyamongkol, Weera;Kritsaneephaiboon, Apipop;Bintachitt, Piyawat;Suwannaphisit, Sitthiphong;Tangtrakulwanich, Boonsin
    • Asian Spine Journal
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    • 제12권6호
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    • pp.967-972
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    • 2018
  • Study Design: Biomechanical study. Purpose: To investigate the relative stiffness of a new posterior pelvic fixation for unstable vertical fractures of the sacrum. Overview of Literature: The reported operative fixation techniques for vertical sacral fractures include iliosacral screw, sacral bar fixations, transiliac plating, and local plate osteosynthesis. Clinical as well as biomechanical studies have demonstrated that these conventional techniques are insufficient to stabilize the vertically unstable sacral fractures. Methods: To simulate a vertically unstable fractured sacrum, 12 synthetic pelvic models were prepared. In each model, a 5-mm gap was created through the left transforaminal zone (Denis zone II). The pubic symphysis was completely separated and then stabilized using a 3.5-mm reconstruction plate. Four each of the unstable pelvic models were then fixed with two iliosacral screws, a tension band plate, or a transiliac fixation plus one iliosacral screw. The left hemipelvis of these specimens was docked to a rigid base plate and loaded on an S1 endplate by using the Zwick Roell z010 material testing machine. Then, the vertical displacement and coronal tilt of the right hemipelves and the applied force were measured. Results: The transiliac fixation plus one iliosacral screw constructions could withstand a force at 5 mm of vertical displacement greater than the two iliosacral screw constructions (p=0.012) and the tension band plate constructions (p=0.003). The tension band plate constructions could withstand a force at $5^{\circ}$ of coronal tilt less than the two iliosacral screw constructions (p=0.027) and the transiliac fixation plus one iliosacral screw constructions (p=0.049). Conclusions: This study proposes the use of transiliac fixation in addition to an iliosacral screw to stabilize vertically unstable sacral fractures. Our biomechanical data demonstrated the superiority of adding transiliac fixation to withstand vertical displacement forces.

A Three-dimensional Biomechanical Model for Numerical Simulation of Dynamic Pressure Functional Performances of Graduated Compression Stocking (GCS)

  • Liu, Rong;Kwok, Yi-Lin;Li, Yi;Lao, Terence-T;Zhang, Xin;Dai, Xiao-Qun
    • Fibers and Polymers
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    • 제7권4호
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    • pp.389-397
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    • 2006
  • The beneficial effects of graduated compression stockings (GCS) in prophylaxis and treatment of venous disorders of human lower extremity have been recognized. However, their pressure functional performances are variable and unstable in practical applications, and the exact mechanisms of action remain controversial. Direct surface pressure measurements and indirect material properties testing are not enough for fully understanding the interaction between stocking and leg. A three dimensional (3D) biomechanical mathematical model for numerically simulating the interaction between leg and GCS in dynamic wear was developed based on the actual geometry of the female leg obtained from 3D reconstruction of MR images and the real size and mechanical properties of the compression stocking prototype. The biomechanical solid leg model consists of bones and soft tissues, and an orthotropic shell model is built for the stocking hose. The dynamic putting-on process is simulated by defining the contact of finite relative sliding between the two objects. The surface pressure magnitude and distribution along the different height levels of the leg and stress profiles of stockings were simulated. As well, their dynamic alterations with time processing were quantitatively analyzed. Through validation, the simulated results showed a reasonable agreement with the experimental measurements, and the simulated pressure gradient distribution from the ankle to the thigh (100:67:30) accorded with the advised criterion by the European committee for standardization. The developed model can be used to predict and visualize the dynamic pressure and stress performances exerted by compression stocking in wear, and to optimize the material mechanical properties in stocking design, thus, helping us understand mechanisms of compression action and improving medical functions of GCS.

골시멘트 특성 및 스템 형상에 따른 시멘트 타입 인공관절의 생체역학적 평가 (Biomechanical Evaluation of Cement type hip Implants as Conditions of bone Cement and Variations of Stem Design)

  • 박흥석;전흥재;윤인찬;이문규;최귀원
    • 대한의용생체공학회:의공학회지
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    • 제29권3호
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    • pp.212-221
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    • 2008
  • The total hip replacement (THR) has been used as the most effective way to restore the function of damaged hip joint. However, various factors have caused some side effects after the THR. Unfortunately, the success of the THR have been decided only by the proficiency of surgeons so far. Hence, It is necessary to find the way to minimize the side effect caused by those factors. The purpose of this study was to suggest the definite data, which can be used to design and choose the optimal hip implant. Using finite element analysis (FEA), the biomechanical condition of bone cement was evaluated. Stress patterns were analyzed in three conditions: cement mantle, procimal femur and stem-cement contact surface. Additionally, micro-motion was analyzed in the stem-cement contact surface. The 3-D femur model was reconstructed from 2-D computerized tomography (CT) images. Raw CT images were preprocessed by image processing technique (i.e. edge detection). In this study, automated edge detection system was created by MATLAB coding for effective and rapid image processing. The 3-D femur model was reconstructed based on anatomical parameters. The stem shape was designed using that parameters. The analysis of the finite element models was performed with the variation of parameters. The biomechanical influence of each parameter was analyzed and derived optimal parameters. Moreover, the results of FE A using commercial stem model (Zimmer's V erSys) were similar to the results of stem model that was used in this study. Through the study, the improved designs and optimal factors for clinical application were suggested. We expect that the results can suggest solutions to minimize various side effects.

Changes In Mechanical Strength of Compression HIP Screws in Relation to Design Variations - A Biomechanical Analysis

  • Moon S. J.;Lee H. S.;Jun S. C.;Jung T. G.;Ahn S. Y.;Lee H.;Lee S. J.
    • 대한의용생체공학회:의공학회지
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    • 제26권2호
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    • pp.123-127
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    • 2005
  • Compression Hip Screw (CHS) is one of the most widely-used prostheses for the treatment of intertrochanteric fractures because of its strong fixation capability. Fractures at the neck and screw holes are frequently noted as some of its clinical drawbacks, which warrant more in-depth biomechanical analysis on its design variables. The purpose of this study was to evaluate changes in the strength with respect to the changes in design such as the plate thickness and the number of screw holes. Both mechanical test and FEM analysis were used to systematically investigate the sensitivities of the above-mentioned design variables. For the first part of the mechanical test, CHS (n=20) were tested until failure. The CHS specimens were classified into four groups: Group Ⅰ was the control group with the neck thickness of 6-㎜ and 5 screw holes on the side plate, Group Ⅱ 6-㎜ thick and 8 holes, Group Ⅲ 7.5-㎜ thick and 5 holes, and Group Ⅳ 7.5-㎜ thick and 8 holes. Then, the fatigue test was done for each group by imparting 50% and 75% of the failure loads for one million cycles. For the FEM analysis, FE models were made for each group. Appropriate loading and boundary conditions were applied based on the failure test results. Stresses were assessed. Mechanical test results indicated that the failure strength increased dramatically by 80% with thicker plate. However, the strength remained unchanged or decreased slightly despite the increase in number of holes. These results indicated the higher sensitivity of plate thickness to the implant strength. No fatigue failures were observed which suggested the implant could withstand at least one million cycles of fatigue load regardless of the design changes. Our FEM results also supported the above results by showing a similar trend in stress as those of mechanical test. In summary, our biomechanical results were able to show that plate thickness could be a more important variable in design for reinforcing the strength of CHS than the number of screw holes.

Modeling and Numerical Investigation of the Biomechanical Interaction for Human-Rifle System

  • Chae, Je-Wook;Lee, Young-Shin
    • Journal of Mechanical Science and Technology
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    • 제18권12호
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    • pp.2069-2079
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    • 2004
  • This paper represents the description of a complex mathematical model of biomechanical interaction for human-rifle system during shooting. The model is developed by finite element method using bar elements. And three typical shooting positions, i.e. standing, kneeling and prone are used. Characteristics of interior/exterior ballistics and behaviors of human-rifle system are evaluated by this model, which takes into account the influence of environment, bullet, powder, barrel geometry parameters and anthropological parameters. The results of this study can be applied to anthropology, biomechanics, medical science, gait analysis, interior ballistics and exterior ballistics.

Biomechanical model of pushing and pulling

  • Lee, K.S.
    • 대한인간공학회지
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    • 제1권2호
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    • pp.3-9
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    • 1982
  • This study demonstrates that certain personal and task factors can be modelled to predict slip potential as well as back loadings durings dynamic pushing and pulling tasks. Such tasks are com- mon to many manual material handling jobs in industry and the results of this work will hopefully be of use in improved job design. The objective of this research is to formulate and validate a dynamic biomechanical model of pushing and pulling a cart. For pushing and pulling tasks, the model can : (1) estimate foot forces for given hand forces, and (2) estimate tors muscle and vertabral column loadings. In order to formulate and validate the model, experiments involving pushing and pulling of a cart were performed. These experiments produced data of the following type : (1) dynamic forces on the feet, (2) hand forces required to move the cart, (3) body motions as functions of various cart motion and (4) back muscle actions. The model was validated using three different methods; precision was tested using correlation between predicted and measured results, accuracy using standard error between of predicted and measured results, and intuitive comparison of predicted results using sensitivity analyses.

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인공고관절의 설계인자들이 해리현상에 미치는 영향에 대한 해석 (Analysis of Loosening Phenomenon in Artificial Hip Joint Application Related to Design Parameters)

  • 김영은;정정화
    • 대한의용생체공학회:의공학회지
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    • 제14권2호
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    • pp.155-162
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    • 1993
  • The human's biomechanical structure keeps an optimal state by adapting the original biomechanical structure according to a change in the physical environment. This phenomenon is believed to be the main cause of loosening of the total hip replacement which is used widely in these days. In this study the bone density change due to artificial hip joint, which is generally believed as bone-remodeling, was investigated by the finite element method. For this, 2-D FEM models with 4 nodal point elements were constructed for intact and implanted cases. The density was calculated by comparing the relative amounts of effective stress for these two cases. In this way, calculated new density values were used in the next step as input values and this procedure repeated until convergence was obtained. Severe density change was detected at the femoral cortex of the proximal-medial side as expected. Moreover, following surprising result was found from this analysis. Titanium alloy prosthesis showed less density change compared to stainless steel prosthesis at earlier stage, however, almost same amount of the density change was detected at final stage. It was also found that other design parameters could not significantly affect its density change.

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