人體膝關節之高度彎曲電腦動態實體模型的建立

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姓名

王裕民(Yu-Ming Wang) 查詢紙本館藏

畢業系所

機械工程學系

論文名稱

人體膝關節之高度彎曲電腦動態實體模型的建立
(Development of Dynamic Model for Posterior-stabilized Knee Prosthesis)

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摘要(中)

目前探討後方穩定型人工膝關節於高彎曲時其Cam-Post接觸情形的文獻相當缺乏。因此本研究目的，期望能建立一套電腦模擬平台，進而以了解Cam-Post於高彎曲時其接觸的情形。
本研究是利用X光斷層掃描影像重建其骨頭模型再用繪圖軟體(SolidWorks)繪製出後方穩定型之人工膝關節。本模型是以彈簧代替韌帶的方式，運用動態模擬軟體(COSMOS Motion)來模擬高度彎曲的運動情形。
本研究之完成，可以達成下列兩個目標：(1)確切的模擬人工膝關節的高彎曲運動行為；(2)預測Cam與Post之間的接觸情形。

摘要(英)

As the high flexion research of the knee has become a new studying interest, the understanding for dynamic contact force for the posterior-stabilized type total knee replacement in a high flexion angle is still lacking. The objective of this study is to create a model to simulate and the dynamic contact force for the posterior-stabilized type total knee replacement in a high flexion angle.
The artificial knee model is constructed by the computed tomography (CT) image of human knee joints using the SolidWorks software. The motion of the knee joints were simulated using the spring instead of the ligament models.
The methodology will contribute to an effective modeling for the knee joint in extreme flexions and predict the distribution of contact force between Cam and Post.

關鍵字(中)

★ 高度彎曲動態分析
★ 電腦模型
★ 人工膝關節

關鍵字(英)

★ high-flexion analysis
★ total knee replacement

論文目次

中文摘要 i
英文摘要 ii
誌謝 iii
目錄 iv
圖目錄： vii
表目錄： xii
一、緒論 1
1-1 研究背景與文獻回顧 1
1-1-1 膝關節解剖學與病理學介紹 1
1-1-2 膝關節步態與高度彎曲介紹 8
1-1-3 PS型人工膝關節與Post破壞形式 11
1-1-4 膝關節股骨髁抬昇位移(Lift-off)現象 14
1-1-5 人工膝關節之高度彎曲模擬分析文獻回顧 18
1-2 研究動機與目的 26
1-3 本文架構 27
二、材料與方法 28
2-1三維膝關節電腦模型的建立 28
2-1-1膝關節之醫學影像資料的蒐集 28
2-1-2二維膝關節影像的立體重建 31
2-2 膝關節步態、力學與材質資料的蒐集 35
2-2-1 膝關節之運動條件 35
2-2-2 膝關節組織的材料性質 44
2-3膝關節電腦動態分析模型的建立 47
2-3-1三維幾何模型的建立 47
2-3-2運動學參數的輸入 49
2-3-3材料性質的輸入 58
2-4膝關節電腦動態分析模型的驗證 59
2-4-1人工膝關節的植入 59
2-4-2人工膝關節元件間的接觸型式與磨耗形式 60
三、結果 61
3-1 Cam、Box、Post在不同角度下的接觸情形 61
3-2 F/E運動軸之變化情形 69
3-3 股骨內、外髁位移情形 70
四、討論 72
4-1 Cam、Box與Post接觸情形 72
4-2 F/E運動軸與內、外側股骨髁接觸位移情形 77
五、結論與未來展望 79
六、參考文獻 80

參考文獻

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指導教授

林上智(Shang-Chih Lin)

審核日期

2007-7-19

推文