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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 呂東武 | |
| dc.contributor.author | Wen-Kai Chau | en |
| dc.contributor.author | 周文開 | zh_TW |
| dc.date.accessioned | 2021-06-08T01:42:58Z | - |
| dc.date.copyright | 2016-08-30 | |
| dc.date.issued | 2016 | |
| dc.date.submitted | 2016-08-16 | |
| dc.identifier.citation | [1] Baumhauer JF, Alosa DM, Renström PA, Trevino S, Beynnon B. A prospective study of ankle injury risk factors. The American journal of sports medicine. 1995;23:564-70.
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[41] Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D, et al. ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: ankle, hip, and spine. Journal of biomechanics. 2002;35:543-8. [42] Watanabe K, Crevoisier XM, Kitaoka HB, Zhao KD, Berglund LJ, Kaufman KR, et al. Analysis of joint laxity after total ankle arthroplasty: Cadaver study. Clinical Biomechanics. 2009;24:655-60. [43] Wang HS, Koff MF, Potter HG, Warren RF, Rodeo SA, Maher SA. An MRI-compatible loading device to assess knee joint cartilage deformation: Effect of preloading and inter-test repeatability. Journal of Biomechanics. 2015;48:2934-40. [44] Ching RP, Tencer AF, Anderson PA, Daly CH. Comparison of residual stability in thoracolumbar spine fractures using neutral zone measurements. Journal of Orthopaedic Research. 1995;13:533-41. [45] Kimizuka M, Kurosawa H, Fukubayashi T. 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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/19035 | - |
| dc.description.abstract | 關節在日常活動之中占有重要的角色，是人體主要的負重關節之一，相較於車禍意外、居家意外和職業傷害等等，運動造成的踝關節傷害佔有踝關節傷害很大一部分，嚴重的踝關節傷害可能會導至踝關節功能上的限制和失能。在眾多踝關節傷害中，踝關節扭傷佔有80%以上的比例，大約77%的踝關節扭傷是屬於外側扭傷，而前距腓韌帶的破裂或撕裂佔有73%。踝關節扭傷除了疼痛和踝關節活動的限制之外，可能造成骨折或脛骨肌肉群損傷，造成踝關節各軟組織之間的不平衡，間接破壞踝關節的穩定性，若踝關節長期處於不穩定的狀態之下，可能進而導致退化性關節炎或創傷性的發生，然而，相比其他下肢之負重關節，膝關節以及髖關節踝關節，雖然承受更大的壓應力，但踝關節關節炎的盛行率卻遠低於膝關節以及髖關節，因此研究踝關節的生物力學特殊性，是一個重要的議題。
本研究結合了三維全域變形及應變量測系統、機械手臂關節測試系統，由此探討距下關節骨融合術對踝關節之影響。 本研究包含前後拉伸試驗與內外翻模擬試驗，進行軟骨面重建，藉由模型對位可獲完整軟骨和骨頭模型，並推算出其關節軟骨形變及韌帶之應變，本研究發現，距下骨融合術將會造成距骨活動性喪失，進一步的造成踝關節力量轉換機制失靈，特別是在內翻測試上，骨融合後之踝關節試體前距腓韌帶之伸長量增加，同時，跟腓韌帶和後距腓韌帶之伸長量卻減少，造成踝關節力量分配不均，使踝關節軟組織應力集中之現象增加，提高受傷之風險，說明距骨於踝關節力量分配中之重要性，本研究所得之關節位移、力量，韌帶應變之變化和關節面軟骨的形變結果，位來將可以用來驗證，其他踝關節外側韌帶之電腦模擬結果，並成為外科踝關節手術和術後復健之依據。 | zh_TW |
| dc.description.abstract | The ankle joint injured more often in sport activity rather than other accidents or occupational injury. Sever ankle joint injury might lead to loss of function in ankle joint. In all of the ankle injuries, ankle sprain stand more than 80%. About 77% of sprain in ankle joint are lateral ankle sprain. And, tearing ATFL involve in 73% of all the lateral ankle sprain. Ankle sustain weight bearing in daily activity. However, not like another weight bearing joint, the prevalence of symptomatic arthritis in the ankle is much lower than the knee and hip. Studying particular biomechanical property in ankle joint might reveal how different ankle joint sustain weight during daily activity.
This study is aim to find the interaction between articular surface and the lateral ligaments in ankle joint and the effect of subtalar joint arthrodesis. Kinetic and kinematic data were record during anterior, posterior drawer test and varus, valgus tilt test. We found that arthrodesis result in stress concentration in several component during tests. This might be the result of restrict motion from subtalar joint arthrodesis which imply that talus motion is highly relative to the biomechanics of loading distribution. Patients who had this surgery might be caution to avoid unexpected loading in ligaments or articular surface. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-08T01:42:58Z (GMT). No. of bitstreams: 1 ntu-105-R03548044-1.pdf: 5240283 bytes, checksum: adaffa1835f4d7a6d90dbd05f2540e97 (MD5) Previous issue date: 2016 | en |
| dc.description.tableofcontents | 致謝 I
摘要 II ABSTRACT III 圖目錄 VII 表目錄 X 第一章 緒論 1 第一節 研究動機 1 第二節 踝關節之功能解剖構造 2 一、 骨骼系統 2 二、 韌帶系統 5 三、 肌肉組織 7 第三節 文獻回顧 8 一、 活體研究 8 二、 體外研究 10 三、 機械手臂關節測試系統 12 第四節 研究目的 13 第二章 材料與方法 14 第一節 踝關節試體 14 第二節 硬體 15 一、 機械手臂系統 15 二、 六軸力規 15 三、 夾具設備 15 四、 三維全域變形及應變量測系統 15 第三節 軟體 20 一、 Visual Basic 6.0 20 二、 三維全域變形及應變量測系統 20 三、 Amira 5.3 22 四、 Scanalyze 22 第四節 數位影像相關法 23 第五節 控制理論與實驗流程 25 一、 座標系統定義 25 二、 機器人學理論應用：機械手臂控制 28 三、 實驗流程 30 第六節 分析方法 31 第三章 研究結果 33 第一節 前後拉測試與距骨傾斜測試 33 第二節 外側韌帶對踝關節之影響 38 第三節 距下關節骨融合術對外側韌帶之影響 42 第四節 距下關節骨融合術對距骨運動之影響 45 第五節 距下關節骨融合術對距骨軟骨接觸力學之影響 48 第四章 討論 54 第一節 機械手臂關節側試系統於踝關節之收斂 54 第二節 距下關節骨融合術於前後、距骨傾斜測試 55 第三節 外側韌帶之貢獻 55 第四節 骨融合術與外側韌帶和軟骨接觸面積 56 第五章 總結 57 第一節 結論 57 參考資料 58 | |
| dc.language.iso | zh-TW | |
| dc.subject | 踝關節外側韌帶 | zh_TW |
| dc.subject | 踝關節 | zh_TW |
| dc.subject | 機械手臂關節測試系統 | zh_TW |
| dc.subject | 數位影像相關法 | zh_TW |
| dc.subject | 骨融合術 | zh_TW |
| dc.subject | Arthrodesis | en |
| dc.subject | Ankle Joint | en |
| dc.subject | Robotic-based Joint Testing System | en |
| dc.subject | Digital Image Correlation | en |
| dc.subject | Lateral Ligaments in Ankle Joint | en |
| dc.title | 距下關節骨融合術對外側韌帶應變與踝關節接觸力學之影響 | zh_TW |
| dc.title | Effects of Subtalar Arthrodesis on Strains of Lateral Ligaments and Talocrural Articular Contact Mechanics | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 104-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 郭美英,許維君,郭建忠,徐慶琪 | |
| dc.subject.keyword | 踝關節,機械手臂關節測試系統,數位影像相關法,踝關節外側韌帶,骨融合術, | zh_TW |
| dc.subject.keyword | Ankle Joint,Robotic-based Joint Testing System,Digital Image Correlation,Lateral Ligaments in Ankle Joint,Arthrodesis, | en |
| dc.relation.page | 61 | |
| dc.identifier.doi | 10.6342/NTU201602917 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2016-08-18 | |
| dc.contributor.author-college | 工學院 | zh_TW |
| dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
| 顯示於系所單位： | 醫學工程學研究所 | |
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