生物骨科材料与临床研究2026，Vol.23Issue(2)：9-13,5.DOI:10.3969/j.issn.1672-5972.2026.02.002
比较两种复位钳夹持下胫腓联合损伤的有限元分析
A finite element analysis of the inferior tibiofibular symphysis injury under two reduction forceps clamping was compared
朱爱萍 1刘元彬 1连建强 2王永强 1廖伟 1董乐乐2
作者信息
- 1. 遂宁市第一人民医院骨科,四川 遂宁,629300
- 2. 包头医学院第一附属医院骨科,内蒙古 包头,014010
- 折叠
摘要
Abstract
Objective To evaluate the impact of point reduction forceps and face-point reduction forceps on the inferior tibiofibular symphysis through finite element analysis.Methods A three-dimensional model of the ankle joint was established using CT images of the ankle joint,and a model of inferior tibiofibular symphysis injury was simulated.Finite element analysis was then used to assess the maximum displacement,maximum stress,rotation angle,and relative sliding of the reduction forceps in the injury model.Results ① In the point reduction forceps model of the inferior tibiofibular symphysis injury:At a 30° angle,with increasing load,the maximum stress,maximum displacement,and rotation angle of the fibula gradually increased;at a 0° angle,as the load increased,both the maximum stress and maximum displacement of the fibula increased,even leading to posterior and internal rotation displacement under a load of 165 N;② When comparing the two types of reduction clamps after reduction to the lower fibula injury model:the maximum stress experienced by the fibula in the face-point clamp model was lower than that in the point reduction clamp model(52.18 MPa<143.41 MPa),and the relative sliding of this clamp was also less than that of the point reduction clamp model(0.30 mm<0.80 mm on the X-axis;0.06 mm<1.07 mm on the Y-axis).Conclusion ① The angle and clamping force of the point reduction clamp significantly affect the reduction outcome,and finite element analysis indicated that the point reduction clamp applied a load of 125 N in the 0° direction showed the smallest absolute displacements in all directions,making it the recommended optimal working condition.② The face-point reduction clamp has good adhesion and strong gripping force,thereby reducing changes in the direction and position of the reduction clamp,providing biomechanical evidence for the next step of clinical experimental research.关键词
下胫腓联合损伤/复位钳/生物力学/有限元分析Key words
Inferior tibiofibular symphysis injury/Reset forceps/Biomechanics/Finite element analysis分类
医药卫生引用本文复制引用
朱爱萍,刘元彬,连建强,王永强,廖伟,董乐乐..比较两种复位钳夹持下胫腓联合损伤的有限元分析[J].生物骨科材料与临床研究,2026,23(2):9-13,5.
