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Effects of Anterior Spinal Instrumentation on Single-Level Cervical Graft Mechanics 脊柱前路内固定对单节段颈椎移植物力学的影响
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23035
D. DiAngelo, Weiqiang Liu, B. Kelly, K. Foley
Anterior cervical discectomy with or without graft fusion is an acceptable surgical method for the treatment of cervical spondylosis or other spinal disc diseases. A graft-alone or graft with supplemental spinal instrumentation may be used to immobilize the operated/injured region to promote bony fusion. Graft fusion with instrumentation is intended to restore the mechanical integrity of the operated spine and decrease graft complications. Although the surgical procedure should restore the mechanical integrity of the operated spine, little is known of the load-sharing mechanics of single-level grafted constructs. We have previously shown that anterior instrumentation reverses the loading mechanics of a multi-level cervical strut-graft tested under physiologic flexion and extension conditions (DiAngelo et al., 2000). We hypothesize that a single-level anterior cervical plate will function in a similar manner. That is, a single-level anterior cervical plate will reverse the loads on the graft by loading the graft in extension and unloading the graft in flexion. We also hypothesize that a graft-alone construct does not provide adequate stabilization comparable to that of the graft-plated condition tested in flexion and extension. The objective of the study was to determine the biomechanical stability of four different spine conditions tested under physiologic flexion and extension conditions. They included the harvested, discectomized, graft-alone, and graft with single-level anterior cervical plate.
颈前路椎间盘切除术伴或不伴植骨融合是治疗颈椎病或其他椎间盘疾病的一种可接受的手术方法。可以使用单独的移植物或附加脊柱内固定的移植物来固定手术/受伤区域以促进骨融合。植骨内固定融合旨在恢复手术脊柱的机械完整性并减少植骨并发症。虽然外科手术应该恢复手术脊柱的机械完整性,但对单节段移植结构的负荷分担机制知之甚少。我们之前的研究表明,前路内固定逆转了在生理屈伸条件下测试的多级颈椎支撑移植物的载荷机制(DiAngelo等,2000)。我们假设单节段颈椎前钢板将以类似的方式发挥作用。也就是说,单节段颈椎前钢板将通过在伸展时加载移植物和在屈曲时卸载移植物来逆转移植物上的负荷。我们还假设,单独的移植物结构不能提供足够的稳定性,与在屈曲和伸展中测试的移植条件相比。该研究的目的是确定在生理屈曲和伸展条件下测试的四种不同脊柱条件的生物力学稳定性。包括切除、椎间盘切除、单独移植和单节段颈椎前钢板移植。
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引用次数: 0
3-D Simulation for Blood Flow and Artery Compression in Asymmetric Stenotic Arteries With Axial Stretch 不对称狭窄动脉轴向拉伸血流和动脉压迫的三维模拟
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23124
D. Tang, Chun Yang, S. Kobayashi
There has been increasing evidence that severe stenosis may cause artery compression and plaque cap rupture leading to heart attack and stroke. The physiological conditions under which that may occur and mechanisms involved are not well understood. It has been known that severe stenosis causes critical flow and wall mechanical conditions such as flow limitation, flow separation, low and oscillating shear stress distal to the stenosis, high shear stress and low or even negative flow pressure at the throat of stenosis, artery compression or even collapse. Those conditions are related to limitation of blood supply, intimal thickening and thrombosis formation, endothelism damage, platelet activation and aggregation, plaque cap rupture (for review, see [1,2]). Due to the complexity of the problem and lack of experimental data for mechanical properties of arteries under both expansion and compression, previous models were limited primarily to flow behaviors and with various limitations (axisymmetry, rigid wall, small strain, small pressure gradient). In this paper, experimental data for artery mechanical properties under physiological conditions were measured and a 3-d computational model is introduced to investigate flow behaviors and wall stress and strain distributions with fluid-structure interactions to better understand the mechanism involved in artery compression and plaque cap rupture.
越来越多的证据表明,严重的狭窄可能导致动脉受压和斑块帽破裂,从而导致心脏病发作和中风。可能发生这种情况的生理条件和相关机制尚不清楚。已知严重狭窄会引起临界流动和壁面力学条件,如流动受限、流动分离、狭窄远端低且振荡的剪切应力、狭窄喉部高剪切应力、低甚至负流压、动脉受压甚至塌陷等。这些情况与血液供应受限、内膜增厚和血栓形成、内皮损伤、血小板活化和聚集、斑块帽破裂有关(回顾,见[1,2])。由于问题的复杂性和缺乏动脉在膨胀和压缩下力学性能的实验数据,以往的模型主要局限于流动行为,并且有各种局限性(轴对称、刚性壁面、小应变、小压力梯度)。本文测量了生理条件下动脉力学性能的实验数据,并引入三维计算模型来研究流固相互作用下的流动行为和壁面应力应变分布,以更好地了解动脉受压和斑块帽破裂的机制。
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引用次数: 0
Design of a Vibrating Fiber Display for a Wearable Low Vision Aid 一种用于可穿戴低视力辅助设备的振动纤维显示器设计
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23094
S. Frank, E. Seibel
There are over 14 million people in the United States who are classified as ‘low vision’, with visual acuity no better than 20/40 with best correction in their best eye. Of these, over 3 million are classified as ‘legally blind’, with visual acuity no better than 20/200 with the best correction in the better eye [1]. All of these people suffer from an inability to perform some or all of the simple daily tasks that the majority of ‘normal sighted’ people take for granted. These include, but are not limited to, navigating in- and outdoors; reading a newspaper or medicine bottles; recognizing faces. Helping as many of these people as possible perform these tasks is a daunting task, and requires an interactive system capable of extracting pertinent data from the environment, enhancing the data, and then presenting it to the user in a form that is well understood and relevant to the user’s task. A lightweight, small, inexpensive, and bright display device with a large field of view and high resolution is a key component of such a system.
在美国有超过1400万人被归类为“低视力”,他们的视力不超过20/40,在他们最好的眼睛上进行了最好的矫正。其中,超过300万人被归类为“法定失明”,他们的视力不超过20/200,在较好的一只眼中有最好的矫正[1]。所有这些人都无法完成大多数“正常视力”的人认为理所当然的部分或全部简单的日常任务。这些包括,但不限于,在室内和室外导航;看报纸或药瓶;识别人脸。帮助尽可能多的人执行这些任务是一项艰巨的任务,并且需要一个能够从环境中提取相关数据、增强数据、然后以易于理解且与用户任务相关的形式将其呈现给用户的交互式系统。一种轻便、小巧、廉价、明亮、大视场和高分辨率的显示设备是这种系统的关键组成部分。
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引用次数: 4
ABAQUS Finite Element Models of Convective Transport in the Walls of Arteries Subjected to Steady and Pulsatile Pressure 稳定压力和脉动压力作用下动脉壁上对流输送的ABAQUS有限元模型
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23125
B. Simon, P. Rigby, S. K. Williams
Porohyperelastic (PHE) finite element models (FEMs) have been useful in vascular biomechanics to study the coupled structural response and mobile fluid flux in arterial wall tissues for steady state and cyclic pressures. Previous papers [1,2,3] described PHE FEMs, which determined fluid transport response to representative pulsatile pressures. Those FE analyses have been extended and additional results are given here for cyclic (pulsatile) pressurization of rabbit aortas. The ABAQUS program and a PHE material model were used to simulate fluid transport for “intact” and “de-endothelialized” aortas subjected to “normal” and “hypertensive” pulsatile pressures at heart rates (HRs) of 60 and 120 BPM.
孔隙超弹性(PHE)有限元模型(fem)在血管生物力学中用于研究稳态和循环压力下动脉壁组织的耦合结构响应和流动流体通量。先前的论文[1,2,3]描述了PHE fem,它确定了流体在代表性脉动压力下的输运响应。这些有限元分析已经扩展,并在此给出了兔主动脉循环(脉冲)加压的额外结果。使用ABAQUS程序和PHE材料模型来模拟在心率(HRs)为60和120 BPM时“正常”和“高血压”脉压下的“完整”和“去内皮化”主动脉的液体输送。
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引用次数: 0
Metal Trays in Tibial Components of Knee Implants; Contact Stress and Deflection Behaviour 金属托盘在膝关节植入物胫骨构件中的应用接触应力和挠曲行为
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23090
T. McGloughlin
Wear behaviour of the Ultra High Molecular Weight Polyethylene (UHMWPE) insert in tibial components of total knee implants is believed to be influenced by the contact conditions occurring at the femoro-tibial interface. The wear debris which is generated in the vicinity of the implant is known to evoke undesirable effects and limits the long term survival rates of total knee replacement Mc Gloughlin et al [1].
全膝关节植入物胫骨组件中的超高分子量聚乙烯(UHMWPE)插入物的磨损行为被认为受到股骨-胫骨界面接触条件的影响。已知在假体附近产生的磨损碎片会引起不良影响,并限制全膝关节置换术的长期生存率(Mc Gloughlin等[1])。
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引用次数: 0
Response Analysis of Passive Human Knee Joint in Flexion Under Anterior-Posterior Loads 前后载荷作用下被动屈曲膝关节的响应分析
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23072
K. Moglo, A. Shirazi-Adl
The human knee joint is a multi-body complex system that experiences relatively large loads and displacements during normal daily activities. The joint stability is provided by its articular surfaces, menisci, ligaments and muscles. An injury to a component is expected to influence the joint normal kinematics/kinetics with liklihood to initiate/accelerate joint instability and degeneration. In this work, a validated nonlinear 3-D model of the human knee joint [1,2] is further refined and applied to the analysis of the tibiofemoral joint in passive flexion under 100N anterior or posterior horizontal preload. Attention is focused on the global (primary and coupled) motions, ligament forces and load transmission via articular surfaces. The effect of ligament initial strain on the response is also investigated.
人类膝关节是一个多体复杂系统,在日常活动中承受较大的负荷和位移。关节的稳定性由关节面、半月板、韧带和肌肉提供。一个部件的损伤预计会影响关节的正常运动学/动力学,有可能引发/加速关节不稳定和退变。在这项工作中,我们进一步完善了一个经过验证的人体膝关节非线性三维模型[1,2],并将其应用于100N前后水平预载荷下被动屈曲的胫股关节分析。注意力集中在全局(主要和耦合)运动,韧带力和载荷传递通过关节表面。研究了韧带初始应变对响应的影响。
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引用次数: 0
Rising Crack-Growth-Resistance Behavior in Cortical Bone: Implications for Toughness Measurements 皮质骨的抗裂纹生长行为:对韧性测量的影响
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23027
D. Vashishth
Application of fracture mechanics to bone was undertaken to provide a better estimate of bone’s resistance to fracture as traditional strength of materials tests failed to provide a realistic measure due to the presence of inherent flaws and fatigue microcracks in bone (1). Consequently, over the last decade a number of fracture mechanics studies have characterized bone’s resistance to fracture in terms of critical stress intensity factor and critical strain energy release rate measured at the onset of a fracture crack (1–3). These studies, although useful, provide a limited insight into fracture behavior of bone as, unlike classical brittle materials, bone is a microcracking solid that derives its resistance to fracture during the process of crack propagation from microfracture mechanisms occurring behind the advancing crack front (4). More significantly age and disease-related alterations in the content and arrangement of bone, that cause reduced post-yield properties, are unlikely to be realized from initiation tests as such tests are limited to events at yielding.
由于骨中存在固有缺陷和疲劳微裂纹,传统的材料强度测试无法提供现实的测量,因此,将断裂力学应用于骨,以更好地估计骨的抗断裂性(1)。在过去的十年中,大量的断裂力学研究用临界应力强度因子和临界应变能释放率来表征骨的抗骨折性(1-3)。这些研究虽然有用,但对骨的断裂行为提供了有限的见解,因为与经典脆性材料不同,骨是一种微裂纹固体,在裂纹扩展过程中,其抗断裂能力来自于裂纹前沿推进后的微断裂机制(4)。更重要的是,年龄和疾病相关的骨含量和排列的改变会导致屈服后性能的降低。不太可能从起爆试验中实现,因为这种试验仅限于屈服时的事件。
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引用次数: 13
Decision-Based Design of a Wearable Low Vision Aid 基于决策的可穿戴低视力辅助设备设计
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23096
E. Seibel, S. Frank, K. Kloeckner, T. Furness
The design of a wearable low vision aid (WLVA) encompasses a wide range of design variables and made more complex by rapidly changing camera, micro-display, and computer technologies, and with the unique needs of the partially sighted user. Many of the WLVA design challenges have been documented by Massof [1] using miniature cathode ray tube (CRT) displays. Our goal.is to develop new scanning light micro-displays for low-cost WLVAs. Originally proposed by Peli [2], we are designing WLVAs that scan light from a laser or light emitting diode (LED), directly toward the eye. As the light beam raster scans across the retina, the mind perceives it as a full image. This display technology is called retinal light scanning, which produces images of high brightness from the laser or LED source and great depth-of-focus because of the narrow beam of light. A recent reading performance study demonstrated significantly higher reading rates of a minority of partially sighted individuals using a retinal scanning Virtual Retinal Display (VRD) versus a CRT [3]. We are in the process of researching low-cost optical scanners [4], novel human interface designs [5], and a computer-aided, decision-based design process to aid in the development of WLVAs. The initial results from our computer-aided design process are presented here.
可穿戴低视力助视器(WLVA)的设计包含了广泛的设计变量,并且由于快速变化的相机、微型显示器和计算机技术以及部分视力用户的独特需求而变得更加复杂。使用微型阴极射线管(CRT)显示器的Massof[1]记录了许多WLVA设计挑战。我们的目标。是开发用于低成本wlva的新型扫描光微显示器。最初由Peli[2]提出,我们正在设计wlas,扫描来自激光或发光二极管(LED)的光,直接朝向眼睛。当光束光栅扫描视网膜时,大脑将其视为完整的图像。这种显示技术被称为视网膜光扫描,它从激光或LED光源产生高亮度的图像,并且由于光束狭窄而产生大的聚焦深度。最近的一项阅读表现研究表明,使用视网膜扫描虚拟视网膜显示器(VRD)的少数弱视个体的阅读率明显高于CRT[3]。我们正在研究低成本的光学扫描仪[4],新的人机界面设计[5],以及一种计算机辅助的、基于决策的设计过程,以帮助开发wlva。计算机辅助设计过程的初步结果如下。
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引用次数: 1
Simulation and Control of a Robotic/UFS Testing System With Application to Lumbar Spine Biomechanics 机器人/UFS测试系统的仿真与控制及其在腰椎生物力学中的应用
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23081
T. Doehring, L. Gilbertson, James D. Kang
Control of biomechanical experiments, especially those involving musculoskeletal joints such as the knee or spine, is a complicated problem because of the highly nonlinear kinematic, structural, and material properties of the tissue. Historically, materials testing machines with one or two degrees of freedom (DOF) (e.g. biaxial Instron, MTS) have been used. However, these devices, originally designed for testing of “standardized” engineering materials, are limited in two critical areas: 1) The number of DOF, and 2) The control system, which restricts the experiment to either “force control” or “displacement control” methods.
生物力学实验的控制,特别是那些涉及肌肉骨骼关节,如膝关节或脊柱的实验,是一个复杂的问题,因为组织的高度非线性运动学,结构和材料特性。从历史上看,已经使用了具有一个或两个自由度(DOF)的材料试验机(例如双轴Instron, MTS)。然而,这些最初设计用于测试“标准化”工程材料的设备在两个关键领域受到限制:1)自由度的数量,以及2)控制系统,这将实验限制在“力控制”或“位移控制”方法上。
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引用次数: 0
Investigation of Coronary Artery Stenosis Hemodynamics Using Experimental and Computational Models: Influence of Flowrate, Size, Symmetry and Wall Roughness 冠状动脉狭窄血流动力学的实验和计算模型研究:流量、大小、对称性和壁粗糙度的影响
Pub Date : 2001-11-11 DOI: 10.1115/imece2001/bed-23135
C. Egelhoff, R. Budwig, J. K. Foster, B. L. Hansen
The motivation for the present study is to better understand the hemodynamics that may be involved with the onset of Myocardial Infarction (MI). We know the sequence of events is plaque rupture followed by thrombogenesis and then MI. There are several theories about the cause of rupture and fluid mechanics is cited as a possible theory.
本研究的动机是为了更好地了解可能与心肌梗死(MI)发病有关的血流动力学。我们知道事件的顺序是斑块破裂,其次是血栓形成,然后是心肌梗死。关于破裂的原因有几种理论,流体力学被引用为一种可能的理论。
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引用次数: 2
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Advances in Bioengineering
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