An argument for the use of multiple segment stents in curved arteries.

Stenting of curved arteries is generally perceived to be more challenging than straight vessels. Conceptually implanting multiple shorter stents rather than a single longer stent into such a curved artery represents a promising concept, but little is known about the impact of such an approach. The objective of this study is to evaluate the effectiveness of using a multiple segment stent rather than a single long stent to dilate a curved artery using the finite element method. A double segment stent (DSS) and a single segment stent (SSS) were modeled. The stents were compared when expanded into a model of a curved artery. The model predicts that the DSS provides higher flexibility, more conformity, and lower recoil in comparison to the SSS. The volume of arterial tissue experiencing high levels of stress due to stent implantation is also reduced for the DSS. It is suggested that a multiple segment stenting system is a potential solution to the problem of higher rates of in-stent restenosis in curved arteries and mechanically challenging environments.

Wedge indentation fracture of cortical bone: experimental data and predictions.

The fracture of bone due to indentation with a hard, sharp object is of significance in surgical procedures and certain trauma situations. In the study described below, the fracture of bovine bone under indentation was measured experimentally and predicted using the theory of critical distances (TCDs), a theory, which predicts failure due to cracking in the vicinity of stress concentrations. The estimated indentation fracture force was compared with the experimental results in three different cutting directions. Under indentation, the material experiences high levels of compression and shear, causing cracks to form and grow. The direction of crack growth was highly dependent on the bone's microstructure: major cracks grew in the weakest possible structural direction. Using a single value of the critical distance (L=320 microm), combined with a multiaxial failure criterion, it was possible to predict the experimental failure loads with less than 30% errors. Some differences are expected between the behavior of human bone and the bovine bone studied here, owing to its plexiform microstructure.

A critical distance study of stress concentrations in bone.

The Theory of Critical Distances (TCD) is a method used to study the failure of material in situations where stress concentrations, such as holes and notches, are present. This method uses two material constants: a critical length and a critical stress. The elastic stress field close to the stress concentration is examined, applying a fracture criterion. The TCD has been applied to predict brittle fracture in various different materials and various types of notches but it has not previously been applied to bone. Since bone fails by brittle fracture with limited plasticity, it is expected that the TCD will be applicable. Experimental data were obtained from the literature on the effects of sharp notches and holes loaded in various ways (tension, torsion and bending). These tests were modelled using finite element analysis. It was found that the TCD could be successfully applied to predict the load required for brittle fracture as a function of the type and size of the stress concentration feature. The critical distance was found to be almost constant, about 0.3-0.4mm, for all types of bone studied: the critical stress was found to be related to the material's ultimate tensile strength by a constant factor of T=1.33. The results of this study will be of practical value in the assessment of stress concentration features introduced during surgery and of naturally occurring bone defects.

Can the theory of critical distances predict the failure of shape memory alloys?

Components made from shape memory alloys (SMAs) such as nitinol often fail from stress concentrations and defects such as notches and cracks. It is shown here for the first time that these failures can be predicted using the theory of critical distances (TCDs), a method which has previously been used to study fracture and fatigue in other materials. The TCD uses the stress at a certain distance ahead of the notch to predict the failure of the material due to the stress concentration. The critical distance is believed to be a material property which is related to the microstructure of the material. The TCD is simply applied to a linear model of the material without the need to model the complication of its non-linear behaviour. The non-linear behaviour of the material at fracture is represented in the critical stress. The effect of notches and short cracks on the fracture of SMA NiTi was studied by analysing experimental data from the literature. Using a finite element model with elastic material behaviour, it is shown that the TCD can predict the effect of crack length and notch geometry on the critical stress and stress intensity for fracture, with prediction errors of less than 5%. The value of the critical distance obtained for this material was L = 90 µm; this may be related to its grain size. The effects of short cracks on stress intensity were studied. It was shown that the same value of the critical distance (L = 90 µm) could estimate the experimental data for both notches and short cracks.

Effects of electric and magnetic loadings on bone surface remodeling: a model modification and simulation.

This paper presents a new modification to the previous model of bone surface remodeling under electric and magnetic loadings. For this study, the thermo-electro-magneto-elastic model of bone surface remodeling is used. This model is modified by considering an important phenomenon occurring in living bone through its adaptation to external loadings called desensitization. In fact, bone cells lose their responsiveness and sensitivity to long-term external loadings, i.e., they become desensitized. Therefore, bone cells need a recovery period, during which they become resensitized. In this work, this phenomenon is considered in the original model. The effects of various electric and magnetic loading conditions, including various frequencies, waveforms and pulse duty cycles, are explored on the modified model and compared to the original model. The modified model is also searched for the optimal frequency and duty cycle, to obtain the best bone growth response under electromagnetic fields. The results of this paper show that the modified model is consistent with experimental observations. In addition, it is indicated that this modified model in contrast to the original model, is sensitive to frequency. It is shown that the optimal frequency of loading for the modified model is 1 Hertz (Hz), and the pulse duty cycles up to 50% are sufficient for bone remodeling to reach its maximum value.