scholarly journals Clinical Efficacy and Safety of “Three-Dimensional Balanced Manipulation” in the Treatment of Cervical Spondylotic Radiculopathy by Finite Element Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Shengnan Cao ◽  
Yuanzhen Chen ◽  
Feng Zhang ◽  
Shifei Sun ◽  
Congan Wang ◽  
...  

Cervical spondylotic radiculopathy (CSR) is the most commonly encountered cervical spine disorder. Cervical manipulation has been demonstrated as an effective therapy for patients. However, the mechanisms of manipulations have not been elucidated. A total of 120 cervical spondylotic radiculopathy patients were divided into the “three-dimensional balanced manipulation” treatment group (TBM group) and control group randomly. The control group was treated with traditional massage; the TBM treatment group was treated with “three-dimensional balanced manipulation” based on traditional massage. The symptoms and clinical efficacy of the patients were compared before and after treatment for one month. A three-dimensional finite element model was established. The mechanical parameters were imported to simulate TBM, and finite element analysis was performed. The results showed that the total effective rate was significantly higher in the TBM group compared with the control group. The biomechanical analysis showed the vertebral body stress was mainly distributed in the C3/4 spinous processes; the deformation mainly concentrated in the anterior processes of the C3 vertebral body. The intervertebral disc stress in the C3~C7 segment was mainly distributed in the anterior part of the C3/4 intervertebral disc, and the deformation extends to the posterior part of the C3/4 nucleus pulposus. In summary, these data are suggesting that TBM was effective in CSR treatment. The results of the finite element model and biomechanical analysis provide an important foundation for effectively avoiding iatrogenic injuries and improving the effect of TBM in the treatment of CSR patients.

2020 ◽  
Author(s):  
Yuan-Wei Zhang ◽  
Liang-Yu Xiong ◽  
Zu-Tai Huang ◽  
Xin Xiao ◽  
Su-Li Zhang ◽  
...  

Abstract Objectives This study combined mechanical experiments and finite element analysis (FEA), and verified each other, to assess the biomechanical analysis and effect of wrist fracture, providing theoretical basis for the simulation experiments of wrist fracture and optimal design of wrist protector. Methods and Materials Six cadaveric wrists were included to create experimental specimens. After grouping, the wrist models were axially loaded under physiological load of 600 N, the stress magnitude and distribution of experimental group and control group were obtained. Moreover, a three-dimensional (3D) wrist finite element model (FEM) of a healthy volunteer was developed to verify the rationality and effectiveness of wrist models. Results Within the range of physiological load, the stress of radioulnar palmar unit was high and in shape of pressure, while the stress of radioulnar dorsal unit was relatively lower and in shape of tension. The stresses of radial distal palmar, ulnar distal palmar, radial distal dorsal, ulnar distal dorsal, radial proximal palmar and ulnar proximal palmar units in experimental group were less than those in control group. However, the stresses of radial proximal dorsal and ulnar proximal dorsal units were higher than those in control group. Conclusions Under physiological load, wearing wrist protector can apparently reduce the stress on radioulnar distal palmar, radioulnar proximal palmar and radioulnar distal dorsal units, while has no obvious effect on radioulnar proximal dorsal units. During the process of designing and improving the wrist protector, it is reasonable to place the stress center on radioulnar distal palmar and dorsal units.


2020 ◽  
Author(s):  
Kai Guo ◽  
Jiawei Lu ◽  
Ziqi Zhu ◽  
Beiduo Shen ◽  
Tongde Wu ◽  
...  

Abstract Background: ACDF is the main treatment of cervical disease. Adjacent Segment Degeneration (ASD) is the main complication of long-term follow-up of ACDF. we conduct a detailed study of ACDF by means of three-dimensional finite element analysis and find the effect of screw placement and location on the occurrence of ASD.Methods: The cervical computed tomography (CT) data (layer thickness of 0.625 mm) for a 30-year-old healthy male volunteer was collected. All the data were combined to create a C2-7 3D finite element model using Abaqus software. Based on the data and the actual surgical maneuver, a screw positioning model was established, in order to observe the cervical range of motion (ROM) with different positions of screw, as well as the pressure change of the adjacent segment intervertebral disc.Results: The proposed finite element model of cervical spine was effective, and ROM on all directions of C4-C6 segments changed after ACDF surgery. Under the same torque settings, compared with the control group, C2/3 segment rotational ROM increased; C2/3, C3/4 segments lateral flexion ROM also increased. Regarding the influence of screw positioning, it has limited influence on the ROM and The intervertebral disc pressure (IDP), and compared with different horizontal positions, different vertical positions imposed greater influence on the ROM and IDP. Conclusions: For ACDF surgery, positioning the screw at the anterior inferior part of the cervical vertebral body could provide more natural cervical ROM and the least IDP, while maintaining high biomechanical stability, and is more in line with human biomechanical requirements.


2020 ◽  
Author(s):  
Jian Ying He ◽  
Li Zhang

Abstract Objective To evaluate the biomechanical analysis and effect of the wrist protector and provide a theoretical basis for wrist fractures and the optimal design of wrist protectors. Methods 6 cadaveric wrist models were axially loaded 600 N stress, and the stress magnitude and distribution of the experimental group (wearing wrist protectors) and control group were obtained. Furthermore, a three-dimensional finite element analysis was conducted to verify the scientificity and effectiveness of the models. Results The stresses on the radial distal palmar, ulnar distal palmar, radial distal dorsal, ulnar distal dorsal, radial proximal palmar and ulnar proximal palmar units in the experimental group were lower than those in the control group (P < 0.05). However, the stresses on the radial proximal dorsal and ulnar proximal dorsal units were higher than those in the control group (P>0.05). Conclusion The stress on the radioulnar palmar unit was high, while the radioulnar dorsal unit one was relatively low. Within the range of physiological loads, wearing wrist protectors can significantly reduce the stress on the radioulnar distal palmar, radioulnar proximal palmar and radioulnar distal dorsal units.


2007 ◽  
Vol 35 (3) ◽  
pp. 226-238 ◽  
Author(s):  
K. M. Jeong ◽  
K. W. Kim ◽  
H. G. Beom ◽  
J. U. Park

Abstract The effects of variations in stiffness and geometry on the nonuniformity of tires are investigated by using the finite element analysis. In order to evaluate tire uniformity, a three-dimensional finite element model of the tire with imperfections is developed. This paper considers how imperfections, such as variations in stiffness or geometry and run-out, contribute to detrimental effects on tire nonuniformity. It is found that the radial force variation of a tire with imperfections depends strongly on the geometrical variations of the tire.


Materials ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1152
Author(s):  
Rafał Nowak ◽  
Anna Olejnik ◽  
Hanna Gerber ◽  
Roman Frątczak ◽  
Ewa Zawiślak

The aim of this study was to compare the reduced stresses according to Huber’s hypothesis and the displacement pattern in the region of the facial skeleton using a tooth- or bone-borne appliance in surgically assisted rapid maxillary expansion (SARME). In the current literature, the lack of updated reports about biomechanical effects in bone-borne appliances used in SARME is noticeable. Finite element analysis (FEA) was used for this study. Six facial skeleton models were created, five with various variants of osteotomy and one without osteotomy. Two different appliances for maxillary expansion were used for each model. The three-dimensional (3D) model of the facial skeleton was created on the basis of spiral computed tomography (CT) scans of a 32-year-old patient with maxillary constriction. The finite element model was built using ANSYS 15.0 software, in which the computations were carried out. Stress distributions and displacement values along the 3D axes were found for each osteotomy variant with the expansion of the tooth- and the bone-borne devices at a level of 0.5 mm. The investigation showed that in the case of a full osteotomy of the maxilla, as described by Bell and Epker in 1976, the method of fixing the appliance for maxillary expansion had no impact on the distribution of the reduced stresses according to Huber’s hypothesis in the facial skeleton. In the case of the bone-borne appliance, the load on the teeth, which may lead to periodontal and orthodontic complications, was eliminated. In the case of a full osteotomy of the maxilla, displacements in the buccolingual direction for all the variables of the bone-borne appliance were slightly bigger than for the tooth-borne appliance.


2013 ◽  
Vol 442 ◽  
pp. 229-232 ◽  
Author(s):  
Li Mei Wu ◽  
Fei Yang

According to the cutting theory of involute tooth profile, established an exact three-dimensional parametric model by UG. Used ABAQUS to crate finite element model for gear meshing. After simulated the meshing process, discussed the periodicity of the tooth surface contact stress. Based on the result of finite element analysis, made a comparison of the maximum contact stress between finite element solution and Hertz theoretical solution, analyzed the contact stress distribution on tooth width, and researched the effect of friction factor on contact stress. All that provided some theoretical basis for gear contact strength design.


Author(s):  
Hai Yao ◽  
Wei Yong Gu

A 3D finite element model for charged hydrated soft tissue containing charged/uncharged solutes was developed based on the multi-phasic mechano-electrochemical mixture theory [1–2]. This model was applied to analyze the mechanical, chemical and electrical signals within the human intervertebral disc under mechanical loading. The effects of tissue composition and material property on the physical signals and the transport of fluid, ions and nutrients were investigated. This study is important for understanding disc biomechanics, disc nutrition and disc mechanobiology.


2013 ◽  
Vol 710 ◽  
pp. 243-246
Author(s):  
Xian Hong Yang

The use of Pro/E and their respective advantages ANSYS software product design and engineering analysis to solve the case, first of all in the Pro/E, the completion of three-dimensional helical gear design, and then in the Pro/MECHANICA completed finite element model of helical gear, and then into ANSYS for finite element analysis of bevel gear calculation and simulation, finite element analysis of the final results of optimization design model is presented recommendations for improvement. The product design and engineering analysis method has some reference value in engineering design.


2020 ◽  
Vol 48 (11) ◽  
pp. 030006052097207
Author(s):  
Jing Ding ◽  
Fei Wang ◽  
Fangchun Jin ◽  
Zhen-kai Wu ◽  
Pin-quan Shen

Objective Tension band plating has recently gained widespread acceptance as a method of correcting angular limb deformities in skeletally immature patients. We examined the role of biomechanics in procedural failure and devised a new method of reducing the rate of implant failure. Methods In the biomechanical model, afterload (static or cyclic) was applied to each specimen. The residual stress of the screw combined with different screw sizes and configurations were measured and compared by X-ray diffraction. With regard to static load and similar conditions, the stress distribution was analyzed according to a three-dimensional finite element model. Results The residual stress was close to zero in the static tension group, whereas it was very high in the cyclic load group. The residual stress of screws was significantly lower in the convergent group and parallel group than in the divergent group. The finite element model showed similar results. Conclusions In both the finite element analysis and biomechanical tests, the maximum stress of the screw was concentrated at the position where the screws enter the cortex. Cyclic loading is the primary cause of implant failure.


2018 ◽  
Vol 10 (6) ◽  
pp. 168781401877525 ◽  
Author(s):  
Shangjun Ma ◽  
Chenhui Zhang ◽  
Tao Zhang ◽  
Geng Liu ◽  
Shumin Liu

In this article, 3D or three-dimensional finite element analysis is used to simulate and evaluate the load distribution characteristics of a planetary roller screw mechanism under thermo-mechanical coupling. The finite element model takes into account the installation modes of the planetary roller screw mechanism, which is verified by comparison with theoretical models for a certain load magnitude in four installation modes. In addition, the effects of the installation mode, load magnitude, and temperature condition on the load distribution are also systematically analyzed. The numerical results reveal a phenomenon of threads separating from the meshing, which indicates that the influence of thermo-mechanical coupling on the load distribution cannot be ignored. Furthermore, the influence of the installation mode on the screw–roller interface is larger than that on the nut–roller interface. Compared with the screw–roller interface, the temperature difference is one of the main conditions affecting the load distribution of the planetary roller screw mechanism and has a significant effect on the nut–roller interface. In addition, the influences of the screw rotational speed and the load magnitude on the load distribution on the screw–roller interface are larger than those on the nut–roller interface for the four installation modes.


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