Title page for 953203082


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Student Number 953203082
Author Sheng-Tsai Wu(吳昇財)
Author's Email Address 953203082@cc.ncu.edu.tw
Statistics This thesis had been viewed 1014 times. Download 10 times.
Department Mechanical Engineering
Year 2007
Semester 2
Degree Master
Type of Document Master's Thesis
Language zh-TW.Big5 Chinese
Title Design and Analysis of Surface Replacement Prosthesis for Patellofemoral Joint
Date of Defense 2008-07-20
Page Count 99
Keyword
  • kinematic analysis
  • patellofemoral joint
  • Abstract In recent years, because the improvement of lifestyle and medical science has increased human age and the elder patient has increased every year too. The most obvious example is the osteoarthritis. Now the way of cure for isolated patellofemoral osteoarthritis has total knee replacement and surface replacement prosthesis for patellofemoral joint. It can improve inconvenient action of knee and unbalance of soft tissue nearby patella by osteoarthritis and then procure the normal slide of patella and femur. The advantage of surface replacement prosthesis for patellofemoral joint is not as much bone removed. Furthermore, it will perform the total knee replacement if the osteoarthritis becomes serious in future.
      The most serious problem in the prosthesis for patellofemoral joint has consisted in the implant unstable and cave after the PFA surgery. Because the size of implant is ready made, the curved surface of implant can't complete match with the joint of an affected part. This research has aimed at the defect of nowadays design in clinical. Think of the difference between curved surface of implant and patellofemoral joint have combined with the reconstructing technology of medical image. We has construct the custom-made implant of patellofemoral joint and its surgical instruments and to estimate the feasibility by imitate the actual operation. In order to improve the design of the prosthesis for patellofemoral joint, we also has reconstruct the analytic simulation for kinematic of the knee.
    Table of Content 目  錄
    摘要i
    ABSTRACTii
    誌謝iii
    目錄iv
    圖目錄vii
    表目錄xiv
    一、緒論1
    1-1  研究動機與目的1
    1-2  研究背景與文獻回顧2
    1-2-1 膝關節解剖學與生物力學介紹2
    1-2-2 膝關節病理學介紹8
    1-2-3 膝關節正常步態與高度彎曲運動介紹12
    1-2-4 人工臏股骨關節介紹17
    1-2-5 膝關節之高度彎曲模擬分析21
    1-3  本文架構26
    二、材料與方法27
    2-1  三維膝關節電腦模型的建立27
    2-1-1 醫學影像資料之蒐集27
    2-1-2 膝關節模型之立體重建29
    2-2  臏股骨植入物設計與打樣33
    2-2-1 植入物與手術器械之設計33
    2-2-2 植入物與手術器械打樣(prototype)39
    2-3  手術模擬實驗44
    2-3-1 手術器械銑料方式44
    2-3-2 遠端股骨模型製作49
    2-3-3 銑除手術模擬流程54
    2-4  銑削溫度熱效應實驗54
    2-4-1 實驗材料與設備55
    2-4-2 實驗方法與規劃58
    2-5  膝關節動態模擬分析60
    2-5-1 膝關節運動學參數資料60
    2-5-3 電腦動態分析模型的建立67
    三、結果71
    3-1  手術器械模擬實驗結果71
    3-2  銑削溫度熱效應實驗結果73
    3-3  膝關節動態模擬分析結果76
    四、討論80
    4-1  手術器械改良演進討論80
    4-1-1 第一代手術器械模擬結果討論80
    4-1-2 第二代定位塊之改良:83
    4-1-3 第三代定位塊改良84
    4-2  溫度實驗討論85
    4-3  動態模擬分析結果討論88
    五、結論與未來展望94
    參 考 文 獻96
    Reference 參 考 文 獻
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    Advisor
  • Shang-Chih Lin(林上智)
  • Files
  • 953203082.pdf
  • disapprove authorization
    Date of Submission 2008-07-22

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