Finite element simulations of a hip joint with femoroacetabular impingement.

In this study, a three-dimensional finite element (FE) model based on the specific anatomy of a patient presenting a femoroacetabular impingement of the 'cam'-type is developed. The FE meshes of the structures of interest are obtained from arthrographic magnetic resonance images. All soft tissues are considered linear elastic and isotropic, and the bones were assumed rigid. A compression of the femur on the acetabular cavity as well as flexural movements and internal rotations are applied. Stresses and contact pressures are evaluated in this patient-specific model in order to better interpret the mechanism of aggression of the femoral and acetabular cartilages. The corresponding results are presented and discussed. The values obtained for the contact pressures are similar to those reported by other models based on idealised geometries. An FE analysis of a non-cam hip is also performed for comparison with the pathological case.

Finite element studies of the mechanical behaviour of the diaphragm in normal and pathological cases.

The diaphragm is a muscular membrane separating the abdominal and thoracic cavities, and its motion is directly linked to respiration. In this study, using data from a 59-year-old female cadaver obtained from the Visible Human Project, the diaphragm is reconstructed and, from the corresponding solid object, a shell finite element mesh is generated and used in several analyses performed with the ABAQUS 6.7 software. These analyses consider the direction of the muscle fibres and the incompressibility of the tissue. The constitutive model for the isotropic strain energy as well as the passive and active strain energy stored in the fibres is adapted from Humphrey's model for cardiac muscles. Furthermore, numerical results for the diaphragmatic floor under pressure and active contraction in normal and pathological cases are presented.

Bone remodelling analysis of a bovine femur for a veterinary implant design.

The response of bovine bone to the presence of an implant is analysed with the aim of simulating bone remodelling in a developing model of a polymeric intramedullary interlocking nail for veterinary use. A 3-D finite element model of the femur diaphysis is built based on computed tomography images and using a CAD-based modelling pipeline. The bone remodelling process after the surgery is analysed and compared with the healthy bone. The remodelling law assumes that bone adapts to the mechanical environment. For the analyses a consistent set of loads is determined for the bovine walk cycle. The remodelling results reproduce the morphologic features of bone and provide evidence of the difference on the bone behaviour when comparing metallic and polymeric nails. Our findings indicate that an intramedullary polymeric nail has the advantage over the metallic one of improving long-term bone healing and possibly avoiding the need of the implant removal.

An analytical model for the ergometer rowing: inverse multibody dynamics analysis.

A model for the ergometer rowing exercise is presented in this paper. From the quantitative observations of a particular trajectory (motion), the model is used to determine the moment of the forces produced by the muscles about each joint. These forces are evaluated according to the continuous system of equations of motion. An inverse dynamics analysis is performed in order to predict the joint torques developed by the muscles during the execution of the task. An elementary multibody mechanical system is used as an example to discuss the assumptions and procedures adopted.

Finite element studies of the deformation of the pelvic floor.

This article describes research involving finite element simulations of women's pelvic floor, undertaken in the engineering schools of Lisbon and Oporto, in collaboration with the medical school of Oporto. These studies are motivated by the pelvic floor dysfunctions that lead namely to urinary incontinence and pelvic organ prolapse. This research ultimately aims at: (i) contributing to clarify the primary mechanism behind such disorders; (ii) providing tools to simulate the pelvic floor function and the effects of its dysfunctions; (iii) contributing to planning and performing surgeries in a more controlled and reliable way. The finite element meshes of the levator ani are based on a publicly available geometric data set, and use triangular thin shell or special brick elements. Muscle and soft tissues are assumed as (quasi-)incompressible hyperelastic materials. Skeletal muscles are transversely isotropic with a single fiber direction, embedded in an isotropic matrix. The fibers considered in this work may be purely passive, or active with input of neuronal excitation and consideration of the muscle activation process. The first assumption may be adequate to simulate passive deformations of the pelvic muscles and tissues (namely, under the extreme loading conditions of childbirth). The latter may be adequate to model faster contractions that occur in time intervals of the same order as those of muscle activation and deactivation (as in preventing urinary incontinence in coughing or sneezing). Numerical simulations are presented for the active deformation of the levator ani muscle under constant pressure and neural excitation, and for the deformation induced by a vaginal childbirth.

A shell finite element model of the pelvic floor muscles.

The pelvic floor gives support to the organs in the abdominal cavity. Using the dataset made public in (Janda et al. J. Biomech. (2003) 36(6), pp. 749-757), we have reconstructed the geometry of one of the most important parts of the pelvic floor, the levator ani, using NURB surfaces. Once the surface is triangulated, the corresponding mesh is used in a finite element analysis with shell elements. Based on the 3D behavior of the muscle we have constructed a shell that takes into account the direction of the muscle fibers and the incompressibility of the tissue. The constitutive model for the isotropic strain energy and the passive strain energy stored in the fibers is adapted from Humphrey's model for cardiac muscles. To this the active behavior of the skeletal muscle is added. We present preliminary results of a simulation of the levator ani muscle under pressure and with active contraction. This research aims at helping simulate the damages to the pelvic floor that can occur after childbirth.