张力可测可调式皮肤牵张吻合器的三维有限元分析OA
Three-dimensional finite element analysis of a tension-measuring and adjustable skin stretching and approximating device
目的 构建人体小腿皮肤伤口的三维有限元模型,运用有限元分析的方法,模拟张力可测可调式皮肤牵张吻合器在竖杆高度变化及伤口间隙宽度变化时的受力情况,为完善器械结构参数及后续研发提供理论指导.方法 使用 Solidworks 2017、ANSYS 17.0 等软件先后建立不同竖杆高度及不同伤口间隙宽度的皮肤牵张复合有限元模型,施加极限生理负荷(施加3 kg 的力,约29.4 N),并通过有限元分析弯针、针架、竖杆及弹簧的最大应力值及分布情况.结果 ①在竖杆高度为4、6、8、10、12、14 mm 时,弯针、针架、竖杆及弹簧所受最大应力值均未超过屈服应力,结构稳定.将竖杆高度参数设置为10 mm.②在伤口间隙宽度由6 cm 逐渐闭合至0 cm 过程中,各元件所受最大应力值均未超过屈服应力,且在闭合过程中应力分布相对均匀,主要集中在弯针与针架交界处,且焦点区域的应力集中仍明显低于屈服应力,因此弯针及针架不会因应力集中而断裂.结论 张力可测可调式皮肤牵张吻合器在生理负荷下能够提供足够的强度和刚度,从而确保可靠的安全性和生物力学稳定性,满足临床需要.
Objective To construct a three-dimensional finite element model of human leg skin wounds and to evaluate the effectiveness of a tension-measuring and adjustable skin stretching and approximating device by using finite element analysis to simulate two stress conditions:variation in vertical rod height and var-iation in wound gap width,so as to refine the structural parameters of the device and provide theoretical guid-ance for subsequent animal experiments and prototype development.Methods Solidworks 2017 and ANSYS 17.0 software were used to successively establish composite finite element models of skin stretching with differ-ent vertical rod heights and different wound gap widths.A maximum physiological load(3 kg,approximately 29.4 N)was applied,and the maximum stress value and distribution of the curved needles,needle holders,the vertical rod,and springs were analyzed by the finite element method.Results ①For vertical rod heights of 4,6,8,10,12 and 14 mm,the maximum stresses on the curved needles,needle holders,the vertical rod,and springs did not exceed the yield stress,demonstrating the stability and reliability of the structure.The vertical rod height was set to 10 mm.②During the process of wound gap width gradually closing from 6 cm to 0 cm,the maximum stress values of all components did not exceed the yield stress.The stress distribution was relatively uniform throughout the closure process,mainly concentrated at the junction of the curved needles and the needle holders.However,the stress concentration in the focal region remained significantly lower than the yield stress.Therefore,the curved needles and needle holders would not fracture due to stress concentration.Conclusion The tension-measurable and adjustable skin stretching and approximating device provides sufficient strength and stiffness under physiological load,ensuring reliable safety and biomechanical stability to meet clinical needs.
陈子航;谭金玉;杨波
南华大学附属南华医院关节外科,湖南 衡阳 421002南华大学附属南华医院关节外科,湖南 衡阳 421002南华大学附属南华医院关节外科,湖南 衡阳 421002
三维有限元分析皮肤牵张器创面闭合应力
three-dimensional finite element analysisskin distractorwound closurestress
《中国现代手术学杂志》 2026 (1)
10-17,8
湖南省临床医疗技术创新引导项目(2021SK51911)湖南省卫健委一般指导课题(D202304077473)
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