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三维有限元分析在髌骨骨折治疗中的应用与研究进展
Application and research progress of three-dimensional finite element analysis in the treatment of patellar fractures
投稿时间:2023-04-03  
DOI:10.3969/j.issn.1672-5972.2024.03.001
中文关键词:  髌骨骨折  骨折内固定  生物力学特征  有限元分析
英文关键词:Patellar fracture  Internal fixation of fractures  Biomechanical characteristics  Finite element analysis
基金项目:济南市科学技术局临床医学科技创新计划项目(202019037);济南市科学技术局科技发展计划项目(20120206)
作者单位邮编
由一航 山东第一医科大学(山东省医学科学院)山东 济南250117
山东第一医科大学附属中心医院关节外科山东 济南250117 
250117
曾昱源 山东第一医科大学(山东省医学科学院)山东 济南250117
山东第一医科大学附属中心医院关节外科山东 济南250117 
250117
杨振 山东第一医科大学附属中心医院关节外科山东 济南250117 250117
张涛* 山东第一医科大学附属中心医院关节外科山东 济南250117 250117
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中文摘要:
      髌骨骨折占全身骨折的0.5% ~ 1.5%,其手术方式以多样的骨折内固定为主,针对临床中不同类型、不同程度的骨折,适当的术前规划和骨折固定方案的选择对于手术治疗至关重要。三维有限元分析对膝关节生理、病理状态的机理模拟可得到近乎真实的数据结果,现已被成功应用于人体骨骼、关节系统及相关韧带、肌肉等软组织的模拟研究,推动了骨科生物力学领域的进步发展,并在髌骨骨折治疗中的术式改进、内固定物设计等方面表现出色。本文归纳整理近年来国内外运用有限元技术研究髌骨骨折治疗问题的文献资料,通过对有限元技术在髌骨骨折生物力学研究及手术治疗中的应用进展进行回顾及展望,以期能为临床手术治疗方案的选择提供更加全面和系统的理论依据。
英文摘要:
      Patellar fractures account for 0.5%-1.5% of all systematic fractures, and the surgical treatment mainly involves various internal fixation methods. For different types and degrees of fractures in the clinical application, appropriate preoperative planning and selection of fracture fixation plans are crucial for surgical treatment. The three-dimensional finite element analysis can simulate the physiological and pathological states of the knee joint and obtain nearly real data results. It has been successfully applied to the simulation research of human bones, joint systems, related ligaments, muscles and other soft tissues, promoting the progress and development of the field of orthopedic biomechanics, and has performed excellently in the improvement of surgical methods and internal fixation design of patellar fractures. This article summarizes and organizes the literatures on the use of finite element technology in the treatment of patellar fractures both domestically and internationally in recent years. Through a review and outlook of the application progress of finite element technology in the biomechanical research and surgical treatment of patellar fractures, it aims to provide a more comprehensive and systematic theoretical basis for the selection of clinical surgical treatment plans.
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