中国骨伤2026，Vol.39Issue(5)：452-458,7.DOI:10.12200/j.issn.1003-0034.20250337
吴门医派正骨手法治疗胸腰椎压缩性骨折的有限元分析
Finite element analysis of Wu's bone-setting manipulation for thoracolumbar compression fractures
李超 1王子瑜 1檀振 1俞鹏飞 2马智佳 2李稳超 2唐振宇 1李红卫2
作者信息
- 1. 南京中医药大学,江苏 南京 210046||南京中医药大学附属苏州市中医医院,江苏 苏州 215009
- 2. 南京中医药大学附属苏州市中医医院,江苏 苏州 215009
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of Wu's bone-setting manipulation compared with other techniques for treating simple thoracolumbar compression fractures(type A1)using finite element analysis,and to investigate its thera-peutic validity.Methods A finite element model of a type A1 thoracolumbar compression fracture was established based on the AO classification.Four mechanical loading scenarios were simulated:simple hyperextension position;simple pressing;hyper-extension combined with pressing;Wu's bone-setting manipulation.Stress distribution and displacement of the surrounding tis-sues were observed and analyzed.Results Under Wu's bone-setting manipulation,the overall stress was 66.20 MPa with a total displacement of 2.32 mm.Specifically,at the L1 fractured vertebra,the stress reached 33.00 MPa and displacement was 1.70 mm,outperforming the other three scenarios.In the supine position,the capsular ligaments served as crucial fulcrums for re-duction.Under the Wu's bone-setting manipulation load,the primary force-bearing structures were the supraspinous ligament and the anterior longitudinal ligament within the sagittal plane around the vertebra.Conclusion The Wu's bone-setting manip-ulation concentrates mechanical stress more effectively on the fractured vertebra and induces significantly greater displace-ment,thereby achieving superior clinical outcomes for type A1 thoracolumbar compression fractures.关键词
脊柱骨折/有限元分析/正骨手法/胸椎/腰椎/生物力学Key words
Spinal fractures/Finite element analysis/Bone-setting/Thoracic vertebrae/Lumbar vertebra/Biomechanics分类
医药卫生引用本文复制引用
李超,王子瑜,檀振,俞鹏飞,马智佳,李稳超,唐振宇,李红卫..吴门医派正骨手法治疗胸腰椎压缩性骨折的有限元分析[J].中国骨伤,2026,39(5):452-458,7.
