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作者:

Li, Jianfeng (Li, Jianfeng.) (学者:李剑锋) | Li, Guotong (Li, Guotong.) | Dong, Mingjie (Dong, Mingjie.) | Chen, Ying (Chen, Ying.) | Zuo, Shiping (Zuo, Shiping.)

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摘要:

Based on the principle of distraction osteogenesis, external fixators are widely used in deformity correction of the foot and ankle. In this study, a novel ankle external fixator is proposed to correct complex multiplane deformities, especially for supramalleolar osteotomy to correct distal tibia deformities. The relatively simple structure and fewer struts in the proposed fixator reduce the complexity of adjusting the external fixator. Based on two existing adjustment strategies, a new strategy taking into account the orientation and shortest path of the ankle joint center is proposed, which is named joint adjustment for equal bone distraction. By proposing the inverse kinematic solutions of the novel external fixator, mathematical derivations of the bone trajectory and modelling of the bone shape for the three distraction strategies are performed. The results obtained by comparative analysis indicate that a uniformly spaced path of the ankle joint center can be acquired, and a smooth and uniform correction trajectory of the distal tibia end can be obtained using the new adjustment strategy. It can avoid bone end interference and only generates a maximum deviation 0.66% greater than the currently optimal 1 mm/day. The new strategy can perform multiplane corrections simultaneously, which shortens the correction time and reduces the patient's pain.

关键词:

bone shape remodeling correction trajectory external fixator inverse kinematics solution supramalleolar osteotomy

作者机构:

  • [ 1 ] [Li, Jianfeng]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 2 ] [Li, Guotong]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 3 ] [Dong, Mingjie]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 4 ] [Chen, Ying]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China
  • [ 5 ] [Zuo, Shiping]Beijing Univ Technol, Coll Mech Engn & Appl Elect Technol, Beijing, Peoples R China

通讯作者信息:

  • [Li, Guotong]Beijing Univ Technol, 100 Pingleyuan, Beijing 100124, Peoples R China

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来源 :

INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING

ISSN: 2040-7939

年份: 2020

期: 12

卷: 36

2 . 1 0 0

JCR@2022

ESI学科: COMPUTER SCIENCE;

ESI高被引阀值:34

JCR分区:2

被引次数:

WoS核心集被引频次: 7

SCOPUS被引频次: 10

ESI高被引论文在榜: 0 展开所有

万方被引频次:

中文被引频次:

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