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Finite Element Modelling of Proximal Humeral Fractures Reinforced by Intramedullary Titanium Nailing

机译:髓内钛钉加强近端肱骨骨折的有限元建模

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The biomechanical behaviour of titanium (Ti-6Al-7Nb) implant reinforced fractured humeri under bending loads will be considered. The major aim of any technique concerning the fixation of fractured limbs is to achieve instantaneous and almost full function of the injured segment and to reach rapid rehabilitation of the patient, respectively. For temporary mechanical support of the fracture and under specific respect to less invasive surgery, intramedullary nailing techniques can be regarded as a practical compromise concerning the demand for minimum trauma and the goal for almost full and immediate postoperative function of the injured limb. Therefore, in order to achieve high mechanical stability and to avoid soft tissue damage as well, a specific intramedullary titanium nailing system (Ti-6Al-7Nb) was designed for the stabilisation of subcapital humeral fractures. The approach of this paper is the investigation of the biomechanical behaviour of this prototype titanium nailing system by finite element modelling and additional verification of the results obtained by laboratory experiments. Although, most functional loading in life can be regarded as a superposition of bending and torsional forces, special emphasis will be focused on the fixation potential under bending loads. Additionally, the corresponding stress distribution in the implant at the transitions of the nail-humerus-compound (locking bolts) will be reported. Finally, a comparison of the modelling results to experimental data will be given.
机译:将考虑钛(Ti-6AL-7NB)植入骨折的弯曲负荷骨折的生物力学行为。任何关于裂缝肢体固定的技术的主要目的是达到受伤部门的瞬时和几乎全功能,并分别达到患者的快速康复。为了临时机械支撑骨折和在特定的侵入性手术下,髓内钉技术可以被视为关于对最小创伤的需求的实际妥协,以及几乎完全和立即立即术后功能的伤害肢体的目标。因此,为了实现高机械稳定性并避免软组织损伤,专为稳定副肱骨骨折而设计了一种特异的髓内钛钉系统(TI-6AL-7NB)。本文的方法是通过有限元建模调查该原型钛钉系统的生物力学行为,并进行了通过实验室实验获得的结果的额外验证。尽管生活中的大多数功能载荷可以被视为弯曲和扭转力的叠加,但特别强调将聚焦在弯曲载荷下的固定电位。另外,将报告植入物中的植入物中的相应应力分布。最后,将给出建模结果对实验数据的比较。

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