组织工程与重建外科杂志 ›› 2024, Vol. 20 ›› Issue (5): 584-.

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踝关节假体磨损测试及仿真研究进展

  

  • 出版日期:2024-10-08 发布日期:2024-11-28

Research progress of in vitro wear test and computational wear simulation of ankle joint prosthesis

  • Online:2024-10-08 Published:2024-11-28

摘要: 假体磨损造成的无菌性松动是人工踝关节失效的主要原因,而人工踝关节磨损的模拟机测试和数值仿真是临 床前评估假体磨损性能的重要方法。本文对国内外踝关节假体磨损研究中采用的力学和运动学曲线进行了对比,并对 相关研究结果进行总结、归纳和分析。结果表明:①早期研究没有ISO测试标准,造成各研究的加载条件主要在轴向载 荷和前后位移上存在差异,因此很难通过横向对比得到踝关节假体的磨损规律。②国外研究了踝关节假体的设计、材 料、测试条件及润滑介质等因素对磨损测试结果的影响,然而国内暂未检索到相关文献发表。③人工踝关节磨损的数 值仿真结果与体外测试结果相近,这表明经验证的磨损模型能够用于预测踝关节假体的磨损性能。

关键词: 人工踝关节,  磨损,  磨损加载条件,  磨损测试,  数值仿真

Abstract: Aseptic loosening caused by wear and wear particles is the main cause for the failure of artificial ankle joints. The in vitro tests and computational simulation are important methods for pre-clinical evaluation of prosthetic wear performance. In this paper, the kinematic and dynamic curves used in wear studies of ankle prosthesis were compared. Afterwards, the results of the wear studies were summarized and analyzed. The results showed that: ① Due to the lack of ISO testing standard in the early stage, there are differences in the loading conditions of various studies, mainly reflected in axial load and anteroposterior displacement. Therefore, it is difficult to obtain the wear mechanism of ankle prostheses through the horizontal comparison. ② Foreign researchers have studied the effects of factors such as the implant design, materials, testing conditions, and lubricating media of artificial ankle joint prostheses on wear test results, but relevant literature has not been published in China. ③ The numerical simulation wear results of artificial ankle joint are similar to its in vitro test results, indicating that the validated simulation model can be used to predict the wear performance of ankle joint prostheses.

Key words:  Ankle prosthesis,  Wear,  Loading conditions of wear,  In-vitro wear test,  Computational wear simulation