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1.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 41(3): 584-594, 2024 Jun 25.
Article de Chinois | MEDLINE | ID: mdl-38932546

RÉSUMÉ

Triply periodic minimal surface (TPMS) is widely used because it can be used to control the shape of porous scaffolds precisely by formula. In this paper, an I-wrapped package (I-WP) type porous scaffolds were constructed. The finite element method was used to study the relationship between the wall thickness and period, the morphology and mechanical properties of the scaffolds, as well as to study the compression and fluid properties. It was found that the porosity of I-WP type scaffolds with different wall thicknesses (0.1 ~ 0.2 mm) and periods (I-WP 1 ~ I-WP 5) ranged from 68.01% ~ 96.48%, and the equivalent elastic modulus ranged from 0.655 ~ 18.602 GPa; the stress distribution of the scaffolds tended to be uniform with the increase of periods and wall thicknesses; the equivalent elastic modulus of the I-WP type scaffolds was basically unchanged after the topology optimization, and the permeability was improved by 52.3%. In conclusion, for the I-WP type scaffolds, the period parameter can be adjusted first, then the wall thickness parameter can be controlled. Topology optimization can be combined to meet the design requirements. The I-WP scaffolds constructed in this paper have good mechanical properties and meet the requirements of repairing human bone tissue, which may provide a new choice for the design of artificial bone trabecular scaffolds.


Sujet(s)
Analyse des éléments finis , Structures d'échafaudage tissulaires , Structures d'échafaudage tissulaires/composition chimique , Porosité , Module d'élasticité , Ingénierie tissulaire/méthodes , Humains , Os et tissu osseux/physiologie , Test de matériaux , Os spongieux , Propriétés de surface , Contrainte mécanique , Substituts osseux/composition chimique
2.
Sci Rep ; 14(1): 14877, 2024 06 27.
Article de Anglais | MEDLINE | ID: mdl-38937650

RÉSUMÉ

The composite attachment loss during orthodontic clear aligner therapy is an adverse event that commonly happens in clinical practice and can affect the overall outcome and length of treatment. The aim of our research is to provide a basis for the further study of an innovative digital protocol and application method for orthodontic aligner attachments. Two 3D models were designed, one based on the proposed protocol and the other on the conventional method for aligner attachment application. Four attachment shapes were used to identify the maximum values for the von Mises equivalent stresses, the maximum displacements values and the areas in which these values were recorded through FEM analysis. The results of the mechanical simulation show lower values of von Mises stress recorded in the 3D printed attachments assemblies, independent of their shape, when simulated under the same boundary and load conditions. The trapezoidal prism shaped 3D printed model has a 3.7 times smaller displacement value (0.088 [mm]) compared to the adhesive resin model (0.326 [mm]). In conclusion, the proposed protocol for aligner attachments and the introduction of innovative materials is a promising method of solving conventional attachment problems in current orthodontic treatments.


Sujet(s)
Analyse des éléments finis , Impression tridimensionnelle , Humains , Contrainte mécanique , Mouvement dentaire/instrumentation , Mouvement dentaire/méthodes , Conception d'appareil orthodontique
3.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi ; 38(6): 734-741, 2024 Jun 15.
Article de Chinois | MEDLINE | ID: mdl-38918196

RÉSUMÉ

Objective: To investigate the impact of the bone mass and volume of the low-density area under the tibial plateau on the lower limb force line by finite element analysis, offering mechanical evidence for preventing internal displacement of the lower limb force line in conjunction with knee varus in patients with knee osteoarthritis (KOA) and reducing bone mass under the tibial plateau. Methods: A healthy adult was selected as the study subject, and X-ray film and CT imaging data were acquired. Mimics 21.0 software was utilized to reconstruct the complete knee joint model and three models representing low-density areas under the tibial plateau with equal volume but varying shapes. These models were then imported into Solidworks 2023 software for assembly and verification. Five KOA finite element models with 22%, 33%, 44%, 55%, and 66% bone mass reduction in the low-density area under tibial plateau and 5 KOA finite element models with 81%, 90%, 100%, 110%, and 121% times of the low-density area model with 66% bone mass loss were constructed, respectively. Under physiological loading conditions of the human lower limb, the distal ends of the tibia and fibula were fully immobilized. An axial compressive load of 1 860 N, following the lower limb force line, was applied to the primary load-bearing area on the femoral head surface. The maximum stress within the tibial plateau, as well as the maximum displacements of the tibial cortical bone and tibial subchondral bone, were calculated and analyzed using the finite element analysis software Abaqus 2022. Subsequently, predictions regarding the alteration of the lower limb force line were made based on the analysis results. Results: The constructed KOA model accorded with the normal anatomical structure of lower limbs. Under the same boundary conditions and the same load, the maximum stress of the medial tibial plateau, the maximum displacement of the tibial cortical bone and the maximum displacement of the cancellous bone increased along with the gradual decrease of bone mass in the low-density area under the tibial plateau and the gradual increase in the volume of the low-density area under tibial plateau, with significant differences ( P<0.05). Conclusion: The existence of a low-density area under tibial plateau suggests a heightened likelihood of knee varus and inward movement of the lower limb force line. Both the volume and reduction in bone mass of the low-density area serve as critical initiating factors. This information can provide valuable guidance to clinicians in proactively preventing knee varus and averting its occurrence.


Sujet(s)
Densité osseuse , Analyse des éléments finis , Articulation du genou , Gonarthrose , Tibia , Tomodensitométrie , Humains , Tibia/anatomie et histologie , Phénomènes biomécaniques , Gonarthrose/physiopathologie , Adulte , Membre inférieur , Mise en charge , Mâle , Imagerie tridimensionnelle , Contrainte mécanique , Simulation numérique , Logiciel
4.
Sci Rep ; 14(1): 14766, 2024 06 26.
Article de Anglais | MEDLINE | ID: mdl-38926451

RÉSUMÉ

Medial displacement calcaneal osteotomy (MDCO) is the standard procedure for flatfoot. We investigated the effect of MDCO on the foot using a finite element analysis. Foot models were created from computed tomography data of 8 patients with flat feet. MDCO was performed on each model with bone translation distance of 4, 8, and 12 mm. The morphological changes, plantar pressures, and stress percentage on the talocrural and subtalar joints were evaluated before and after surgery. Morphological evaluation showed improvement in the medial longitudinal arch. The stress percentage of plantar pressure in the medial area decreased, and the stress percentage of plantar pressure in the mid- and lateral forefoot area increased. At the talocrural joint, the medial and middle stress percentage increased, while the lateral and posterior stress percentage decreased. In the subtalar joint, the stress percentage in the middle subtalar joint increased and that in the posterior subtalar joint decreased. Within the posterior subtalar joint, the anterior and medial stress percentage increased, while the posterior and lateral stress percentage decreased. Preoperative simulation using the finite element analysis may be useful in understanding postoperative morphological changes and loading conditions to perform patient-specific surgery.


Sujet(s)
Calcanéus , Analyse des éléments finis , Pied plat , Ostéotomie , Tomodensitométrie , Humains , Pied plat/chirurgie , Pied plat/physiopathologie , Pied plat/imagerie diagnostique , Ostéotomie/méthodes , Mâle , Femelle , Calcanéus/chirurgie , Calcanéus/imagerie diagnostique , Adulte , Contrainte mécanique , Jeune adulte , Articulation subtalaire/chirurgie , Articulation subtalaire/imagerie diagnostique , Articulation subtalaire/physiopathologie , Mise en charge , Phénomènes biomécaniques , Adulte d'âge moyen
5.
Orthopadie (Heidelb) ; 53(7): 487-493, 2024 Jul.
Article de Allemand | MEDLINE | ID: mdl-38829399

RÉSUMÉ

BACKGROUND: Computational research methods, such as finite element analysis (FEA) and musculoskeletal multi-body simulation (MBS), are important in musculoskeletal biomechanics because they enable a better understanding of the mechanics of the musculoskeletal system, as well as the development and evaluation of orthopaedic implants. These methods are used to analyze clinically relevant issues in various anatomical regions, such as the hip, knee, shoulder joints and spine. Preoperative simulation can improve surgical planning in orthopaedics and predict individual results. EXAMPLES FROM PRACTICE: In this article, the methods of FE analysis and MBS are explained using two practical examples, and the activities of the "Numerical Simulation" cluster of the "Musculoskeletal Biomechanics Research Network (MSB-NET)" are presented in more detail. An outlook classifies numerical simulation in the age of artificial intelligence and draws attention to the relevance of simulation in the (re)approval of implants.


Sujet(s)
Simulation numérique , Analyse des éléments finis , Humains , Phénomènes biomécaniques/physiologie , Modèles biologiques , Phénomènes physiologiques du système locomoteur , Appareil locomoteur
6.
Sci Rep ; 14(1): 14538, 2024 06 24.
Article de Anglais | MEDLINE | ID: mdl-38914709

RÉSUMÉ

Minimally invasive plate osteosynthesis is the most commonly used minimally invasive surgery technique for tibial fractures, possibly involving single or dual plate methods. Herein, we performed a finite element analysis to investigate plate strength according to the plate type, length, and presence of a fibula by constructing a three-dimensional tibia model. A thickness of 20 mm was cut 50 mm distal from the lateral plateau, and the ligaments were created. Plates were modeled with lengths of 150, 200, and 250 mm and mounted to the tibia. Screws were arranged to avoid overlapping in the dual plating. The von-Mises stress applied to the plates was measured by applying a load of 1 body weight. Dual plates showed the least stress with low displacement, followed by medial and lateral plates. As the plate length increased, the average stress gradually decreased, increasing plate safety. The difference in the influence of the fibula depending on the presence of proximal fibula osteotomy showed that the average stress increased by 35% following proximal fibula osteotomy in the D1(Plate type: Dual plate, Medial plate length: 150 mm, Lateral plate length: 200 mm, Non Proximal fibula osteotomy) and D1P(Plate type: Dual plate, Medial plate length: 150 mm, Lateral plate length: 200 mm, Proximal fibula osteotomy) models, confirming the necessity of the fibula model. There is no consensus guideline for treatment of this kind of fracture case. A single fracture plate can decrease the risk of skin damage, ligament damage, and wound infection, but because of its design, it cannot provide sufficient stability and satisfactory reduction of the condylar fragment, especially in cases of comminution or coronal fracture. So, these results will help clinicians make an informed choice on which plate to use in patients with tibial fractures.


Sujet(s)
Plaques orthopédiques , Fibula , Analyse des éléments finis , Ostéosynthèse interne , Fractures du tibia , Fractures du tibia/chirurgie , Humains , Fibula/chirurgie , Fibula/traumatismes , Ostéosynthèse interne/méthodes , Ostéosynthèse interne/instrumentation , Contrainte mécanique , Phénomènes biomécaniques , Tibia/chirurgie , Interventions chirurgicales mini-invasives/méthodes
7.
Clin Orthop Surg ; 16(3): 493-505, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38827752

RÉSUMÉ

Background: Distal metaphyseal-diaphyseal junction fractures of the humerus are a subset of injuries between humeral shaft fractures and distal intra-articular humerus fractures. A lack of space for distal fixation and the unique anatomy of concave curvature create difficulties during operative treatment. The closely lying radial nerve is another major concern. The aim of this study was to determine whether anterolateral dual plate fixation could be effective for a distal junctional fracture of the humerus both biomechanically and clinically. Methods: A right humerus 3-dimensional (3D) model was obtained based on plain radiographs and computed tomography data of patients. Two fractures, a spiral type and a spiral wedge type, were constructed. Three-dimensional models of locking compression plates and screws were constructed using materials provided by the manufacturer. The experiment was conducted by using COMSOL Multiphysics, a finite element analysis, solver, and simulation software package. For the clinical study, from July 2008 to March 2021, a total of 72 patients were included. Their medical records were retrospectively reviewed to obtain patient demographics, elbow range of motion, Disabilities of the Arm, Shoulder and Hand (DASH) scores, Mayo Elbow Performance Scores (MEPS), and hand grip strength. Results: No fracture fixation construct completely restored stiffness comparable to the intact model in torsion or compression. Combinations of the 7-hole and 5-hole plates and the 8-hole and 6-hole plates showed superior structural stiffness and stress than those with single lateral plates. At least 3 screws (6 cortices) should be inserted into the lateral plate to reduce the load effectively. For the anterior plate, it was sufficient to purchase only the near cortex. Regarding clinical results of the surgery, the range of motion showed satisfactory results in elbow flexion, elbow extension, and forearm rotation. The average DASH score was 4.3 and the average MEPS was 88.2. Conclusions: Anterolateral dual plate fixation was biomechanically superior to the single-plate method in the finite element analysis of a distal junctional fracture of the humerus model. Anterolateral dual plate fixation was also clinically effective in a large cohort of patients with distal junctional fractures of the humerus.


Sujet(s)
Plaques orthopédiques , Analyse des éléments finis , Ostéosynthèse interne , Fractures de l'humérus , Humains , Fractures de l'humérus/chirurgie , Ostéosynthèse interne/méthodes , Ostéosynthèse interne/instrumentation , Mâle , Adulte d'âge moyen , Femelle , Adulte , Études rétrospectives , Phénomènes biomécaniques , Sujet âgé , Amplitude articulaire , Humérus/chirurgie
8.
Clin Orthop Surg ; 16(3): 363-373, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38827761

RÉSUMÉ

Background: Operative management with intramedullary nail fixation remains the definitive treatment of choice for osteoporotic subtrochanteric (ST) fractures; however, there remains no consensus regarding the proper nail length. We aimed to use 3-dimensional finite element (FE) analysis to determine the optimal nail length for the safe fixation of osteoporotic ST fractures. Methods: Nine modes of FE models were constructed using 9 different lengths of cephalomedullary nails (short nails: 170, 180, and 200 mm; long nails: 280, 300, 320, 340, 360, and 380 mm) from the same company. The interfragmentary motion was analyzed. Additionally, the peak von Mises stress (PVMS) in the cortical bone, cancellous bone of the femoral head, and the nail were measured, and the yielding risk for each subject was investigated. Results: Long nails were associated with less interfragmentary motion. In the cortical bone, the PVMS of short nails was observed at the distal locking screw holes of the femoral medial cortex; however, in long nails, the PVMS was observed at the lag screw holes on the lateral cortex. The mean yielding risk of long nails was 40.1% lower than that of short nails. For the cancellous bone of the femoral head, the PVMS in all 9 FE models was in the same area: at the apex of the femoral head. There was no difference in the yielding risk between short and long nails. For implants, the PVMS was at the distal locking screw hole of the nail body in the short nails and the nail body at the fracture level in the long nails. The mean yielding risk was 74.9% lower for long nails than that for short nails. Conclusions: Compared to short nails, long nails with a length of 320 mm or more showed less interfragmentary motion and lower yielding risk in low-level osteoporotic ST fractures. The FE analysis supports long nails as a safer option than short nails, especially for treating transverse-type low-level osteoporotic ST fractures.


Sujet(s)
Clous orthopédiques , Analyse des éléments finis , Ostéosynthese intramedullaire , Fractures de la hanche , Fractures ostéoporotiques , Humains , Fractures ostéoporotiques/chirurgie , Ostéosynthese intramedullaire/méthodes , Ostéosynthese intramedullaire/instrumentation , Fractures de la hanche/chirurgie , Femelle , Sujet âgé
9.
BMC Musculoskelet Disord ; 25(1): 446, 2024 Jun 06.
Article de Anglais | MEDLINE | ID: mdl-38844920

RÉSUMÉ

BACKGROUND: Femoral neck system (FNS) has exhibited some drawbacks, such as non-fit of the plate with the lateral femoral cortex, postoperative pain, and the potential risk of subtrochanteric fractures. We have developed a low-profile FNS system that addresses some compatibility issues in FNS. In this study, we conducted finite element analysis on the 1-hole FNS (1 H-FNS), 2-holes FNS (2 H-FNS), and low-profile FNS (LP-FNS) and compared their biomechanical performance. METHODS: After the mesh convergence analysis, we established three groups of 1 H-FNS, 2 H-FNS, and LP-FNS. The interfragmentary gap, sliding distance, shear stress, and compressive stress and the bone-implant interface compression stress, stiffness, and displacement were determined under the neutral, flexion, or extension conditions of the hip joint, respectively. The stress and displacement of the femur after the implant removal were also investigated. RESULTS: (1) There were no obvious differences among the three FNS groups in terms of the IFM distance. However, the LP-FNS group showed less rotational angle compared with conventional FNS (neutral: 1 H-FNS, -61.64%; 2 H-FNS, -45.40%). Also, the maximum bone-implant interface compression stress was obviously decreased under the neutral, flexion, or extension conditions of the hip joint (1 H-FNS: -6.47%, -20.59%, or -4.49%; 2 H-FNS: -3.11%, 16.70%, or -7.03%; respectively). (2) After the implant removal, there was no notable difference in the maximum displacement between the three groups, but the maximum von Mises stress displayed a notable difference between LP-FNS and 1 H-FNS groups (-15.27%) except for the difference between LP-FNS and 2 H-FNS groups (-4.57%). CONCLUSIONS: The LP-FNS may not only provide the same biomechanical stabilities as the 1 H-FNS and 2 H-FNS, but also have more advantages in rotational resistance especially under the neutral condition of the hip joint, in the bone-implant interface compression stress, and after the implant removal. In addition, the 1 H-FNS and 2 H-FNS have similar biomechanical stabilities except for the maximum von Mises stress after the implant removal. The femur after the LP-FNS removal not only is subjected to relatively little stress but also minimizes stress concentration areas.


Sujet(s)
Vis orthopédiques , Fractures du col fémoral , Analyse des éléments finis , Humains , Fractures du col fémoral/chirurgie , Phénomènes biomécaniques , Ostéosynthèse interne/instrumentation , Ostéosynthèse interne/méthodes , Contrainte mécanique , Col du fémur/imagerie diagnostique , Col du fémur/chirurgie
10.
BMC Biol ; 22(1): 129, 2024 May 31.
Article de Anglais | MEDLINE | ID: mdl-38822347

RÉSUMÉ

BACKGROUND: The female locust is equipped with unique digging tools, namely two pairs of valves-a dorsal and a ventral-utilized for excavating an underground hole in which she lays her eggs. This apparatus ensures that the eggs are protected from potential predators and provides optimal conditions for successful hatching. The dorsal and the ventral valves are assigned distinct roles in the digging process. Specifically, the ventral valves primarily function as anchors during propagation, while the dorsal valves displace soil and shape the underground tunnel. RESULTS: In this study, we investigated the noticeable asymmetry and distinct shapes of the valves, using a geometrical model and a finite element method. Our analysis revealed that although the two pairs of valves share morphological similarities, they exhibit different 3D characteristics in terms of absolute size and structure. We introduced a structural characteristic, the skew of the valve cross-section, to quantify the differences between the two pairs of valves. Our findings indicate that these structural variations do not significantly contribute to the valves' load-bearing capabilities under external forces. CONCLUSIONS: The evolutionary development of the form of the female locust digging valves is more aligned with fitting their respective functions rather than solely responding to biomechanical support needs. By understanding the intricate features of these locust valves, and using our geometrical model, valuable insights can be obtained for creating more efficient and specialized tools for various digging applications.


Sujet(s)
Sauterelles , Animaux , Femelle , Sauterelles/physiologie , Sauterelles/anatomie et histologie , Phénomènes biomécaniques , Analyse des éléments finis
11.
J Long Term Eff Med Implants ; 34(4): 33-47, 2024.
Article de Anglais | MEDLINE | ID: mdl-38842231

RÉSUMÉ

This virtual study was designed to evaluate the stress-deformation of a metal fixed partial dentures (FPDs) pontic under different loads using two different connectors. The STL file was generated for a RPD of two implant-supported restorations. The Co-Cr metal substructure was designed with two types of connector design. The pontic is connected to implant-supported crowns with square and round shape connectors. This study was designed for a cementless-retained implant-supported FPD. Finite element modeling (FEM) is used to assess the stress and deformation of the pontic within a metal substructure as the FEM might provide virtual values that could have laboratory and clinical relevance. The Co-Cr alloy mechanical properties like the Poisson ratio and modulus of elasticity were based on the parameters of the three-dimensional structure additive method. Nonparametric analyses (Mann-Whitney U test) was used. The use of square or round connectors often resulted in non-significant changes in stress, and deformation under either three or each loaded point on the occlusal surface of a pontic (P > 0.05). However, the deformation revealed distinct variations between loads of the three points compared to each loaded point (P ≤ 0.05). According to this study data, the pontic occlusal surface appears to be the same in stress and deformation under different loads depending on whether square or round connectors are used. While at the same connector designs, the pontic occlusal surface deformed significantly at three loaded points than it did at each point.


Sujet(s)
Prothèse dentaire implanto-portée , Prothèse partielle fixe , Analyse des éléments finis , Humains , Alliages de chrome/composition chimique , Conception d'appareil de prothèse dentaire , Analyse du stress dentaire , Contrainte mécanique
12.
Sci Rep ; 14(1): 12810, 2024 06 04.
Article de Anglais | MEDLINE | ID: mdl-38834566

RÉSUMÉ

A finite element model was developed for assessing the efficacy of rugby body padding in reducing the risk of sustaining cuts and abrasions. The model was developed to predict the onset of damage to a soft tissue simulant from concentrated impact loading (i.e., stud impact) and compared against a corresponding experiment. The damage modelling techniques involved defining an element deletion criterion, whereby those on the surface of the surrogate were deleted if their maximum principal stress reached a predefined value. Candidate maximum principal stress values for element deletion criteria were identified independently from puncture test simulations on the soft tissue simulant. Experimental impacts with a stud were carried out at three energies (2, 4 and 6 J), at three angular orientations (0°, 15° and 30°) and compared to corresponding simulations. Suitable maximum principal stress values for element deletion criteria settings were first identified for the 4 J impact, selecting the candidates that best matched the experimental results. The same element deletion settings were then applied in simulations at 2 and 6 J and the validity of the model was further assessed (difference < 15% for the force at tear and < 30% for time to tear). The damage modelling techniques presented here could be applied to other skin simulants to assess the onset of skin injuries and the ability of padding to prevent them.


Sujet(s)
Analyse des éléments finis , Peau , Humains , Peau/traumatismes , Peau/anatomopathologie , Contrainte mécanique , Simulation numérique , Modèles biologiques , Football américain/traumatismes
13.
BMC Oral Health ; 24(1): 657, 2024 Jun 05.
Article de Anglais | MEDLINE | ID: mdl-38840138

RÉSUMÉ

BACKGROUND: Margin designs and loading conditions can impact the mechanical characteristics and survival of endocrowns. Analyzing the stress distribution of endocrowns with various margin designs and loading conditions can provide evidence for their clinical application. METHODS: Three finite element analysis models were established based on the margin designs: endocrown with a butt-joint type margin (E0), endocrown with a 90° shoulder (E90), and endocrown with a 135° shoulder (E135). The E0 group involved lowering the occlusal surface and preparing the pulp chamber. The E90 group created a 90° shoulder on the margin of model E0, measuring 1.5 mm high and 1 mm wide. The E135 group featured a 135° shoulder. The solids of the models were in fixed contact with each other, and the materials of tooth tissue and restoration were uniform, continuous, isotropic linear elasticity. Nine static loads were applied, with a total load of 225 N, and the maximum von Mises stresses and stress distribution were calculated for teeth and endocrowns with different margin designs. RESULTS: Compared the stresses of different models under the same loading condition. In endocrowns, when the loading points were concentrated on the buccal side, the maximum von Mises stresses were E0 = E90 = E135, and when there was a lingual loading, they were E0 < E90 = E135. In enamel, the maximum von Mises stresses under all loading conditions were E0 > E90 > E135. In dentin, the maximum von Mises stresses of the three models were basically similar except for load2, load5 and load9. Compare the stresses of the same model under different loading conditions. In endocrowns, stresses were higher when lingual loading was present. In enamel and dentin, stresses were higher when loaded obliquely or unevenly. The stresses in the endocrowns were concentrated in the loading area. In enamel, stress concentration occurred at the cementoenamel junction. In particular, E90 and E135 also experienced stress concentration at the shoulder. In dentin, the stresses were mainly concentrated in the upper section of the tooth root. CONCLUSION: Stress distribution is similar among the three margin designs of endocrowns, but the shoulder-type designs, especially the 135° shoulder, exhibit reduced stress concentration.


Sujet(s)
Analyse du stress dentaire , Analyse des éléments finis , Contrainte mécanique , Humains , Analyse du stress dentaire/méthodes , Conception de prothèse dentaire , Couronnes , Phénomènes biomécaniques , Dentine
14.
Med Image Anal ; 96: 103221, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38824864

RÉSUMÉ

Image-guided surgery collocates patient-specific data with the physical environment to facilitate surgical decision making. Unfortunately, these guidance systems commonly become compromised by intraoperative soft-tissue deformations. Nonrigid image-to-physical registration methods have been proposed to compensate for deformations, but clinical utility requires compatibility of these techniques with data sparsity and temporal constraints in the operating room. While finite element models can be effective in sparse data scenarios, computation time remains a limitation to widespread deployment. This paper proposes a registration algorithm that uses regularized Kelvinlets, which are analytical solutions to linear elasticity in an infinite domain, to overcome these barriers. This algorithm is demonstrated and compared to finite element-based registration on two datasets: a phantom liver deformation dataset and an in vivo breast deformation dataset. The regularized Kelvinlets algorithm resulted in a significant reduction in computation time compared to the finite element method. Accuracy as evaluated by target registration error was comparable between methods. Average target registration errors were 4.6 ± 1.0 and 3.2 ± 0.8 mm on the liver dataset and 5.4 ± 1.4 and 6.4 ± 1.5 mm on the breast dataset for the regularized Kelvinlets and finite element method, respectively. Limitations of regularized Kelvinlets include the lack of organ-specific geometry and the assumptions of linear elasticity and infinitesimal strain. Despite limitations, this work demonstrates the generalizability of regularized Kelvinlets registration on two soft-tissue elastic organs. This method may improve and accelerate registration for image-guided surgery, and it shows the potential of using regularized Kelvinlets on medical imaging data.


Sujet(s)
Algorithmes , Analyse des éléments finis , Foie , Fantômes en imagerie , Humains , Foie/imagerie diagnostique , Femelle , Chirurgie assistée par ordinateur/méthodes , Région mammaire/imagerie diagnostique , Reproductibilité des résultats , Interprétation d'images assistée par ordinateur/méthodes , Sensibilité et spécificité
15.
Clin Biomech (Bristol, Avon) ; 116: 106269, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38861874

RÉSUMÉ

BACKGROUND: Slipped capital femoral epiphysis is a prevalent pediatric hip disorder. Recent studies suggest the spine's sagittal profile may influence the proximal femoral growth plate's slippage, an aspect not extensively explored. This study utilizes finite element analysis to investigate how various spinopelvic alignments affect shear stress and growth plate slip. METHODS: A finite element model was developed from CT scans of a healthy adult male lumbar spine, pelvis, and femurs. The model was subjected to various sagittal alignments through reorientation. Simulations of two-leg stance, one-leg stance, walking heel strike, ascending stairs heel strike, and descending stairs heel strike were conducted. Parameters measured included hip joint contact area, stress, and maximum growth plate Tresca (shear) stress. FINDINGS: Posterior pelvic tilt cases indicated larger shear stresses compared to the anterior pelvic tilt variants except in two leg stance. Two leg stance resulted in decreases in the posterior tilted pelvi variants hip contact and growth plate Tresca stress compared to anterior tilted pelvi, however a combination of posterior pelvic tilt and high pelvic incidence indicated larger shear stresses on the growth plate. One leg stance and heal strike resulted in higher shear stress on the growth plate in posterior pelvic tilt variants compared to anterior pelvic tilt, with a combination of posterior pelvic tilt and high pelvic incidence resulting in the largest shear. INTERPRETATION: Our findings suggest that posterior pelvic tilt and high pelvic incidence may lead to increased shear stress at the growth plate. Activities performed in patients with these alignments may predispose to biomechanical loading that shears the growth plate, potentially leading to slip.


Sujet(s)
Analyse des éléments finis , Pelvis , Humains , Mâle , Pelvis/imagerie diagnostique , Tête du fémur/imagerie diagnostique , Tête du fémur/physiopathologie , Contrainte mécanique , Épiphysiolyse fémorale supérieure/physiopathologie , Épiphysiolyse fémorale supérieure/imagerie diagnostique , Adulte , Simulation numérique , Articulation de la hanche/physiopathologie , Articulation de la hanche/imagerie diagnostique , Fémur/imagerie diagnostique , Fémur/physiopathologie , Lame épiphysaire/imagerie diagnostique , Lame épiphysaire/physiopathologie , Lame épiphysaire/physiologie , Cartilage/imagerie diagnostique , Modèles biologiques , Phénomènes biomécaniques , Posture/physiologie , Rachis/imagerie diagnostique , Rachis/physiopathologie , Rachis/physiologie
16.
PLoS One ; 19(6): e0301047, 2024.
Article de Anglais | MEDLINE | ID: mdl-38870116

RÉSUMÉ

Currently, the primary factor indicating the necessity of an operation for an abdominal aortic aneurysm (AAA) is the diameter at its widest part. However, in practice, a large number of aneurysm ruptures occur before reaching a critical size. This means that the mechanics of aneurysm growth and remodeling have not been fully elucidated. This study presents a novel method for assessing the elastic properties of an aneurysm using an ultrasound technique based on tracking the oscillations of the vascular wall as well as the inner border of the thrombus. Twenty nine patients with AAA and eighteen healthy volunteers were considered. The study presents the stratification of a group of patients according to the elastic properties of the aneurysm, depending on the relative volume of intraluminal thrombus masses. Additionally, the neural network analysis of CT angiography images of these patients shows direct (r = 0.664271) correlation with thrombus volume according to ultrasound data, the reliability of the Spearman correlation is p = 0.000215. The use of finite element numerical analysis made it possible to reveal the mechanism of the negative impact on the AAA integrity of an asymmetrically located intraluminal thrombus. The aneurysm itself is considered as a complex structure consisting of a wall, intraluminal thrombus masses, and areas of calcification. When the thrombus occupies > 70% of the lumen of the aneurysm, the deformations of the outer and inner surfaces of the thrombus have different rates, leading to tensile stresses in the thrombus. This poses a risk of its detachment and subsequent thromboembolism or the rupture of the aneurysm wall. This study is the first to provide a mechanistic explanation for the effects of an asymmetrical intraluminal thrombus in an abdominal aortic aneurysm. The obtained results will help develop more accurate risk criteria for AAA rupture using non-invasive conventional diagnostic methods.


Sujet(s)
Anévrysme de l'aorte abdominale , Thrombose , Humains , Anévrysme de l'aorte abdominale/imagerie diagnostique , Anévrysme de l'aorte abdominale/anatomopathologie , Anévrysme de l'aorte abdominale/physiopathologie , Anévrysme de l'aorte abdominale/complications , Thrombose/imagerie diagnostique , Thrombose/anatomopathologie , Mâle , Femelle , Sujet âgé , Angiographie par tomodensitométrie , Échographie , Adulte d'âge moyen , Modèles cardiovasculaires , Sujet âgé de 80 ans ou plus , Modèles théoriques , Analyse des éléments finis
17.
J Appl Oral Sci ; 32: e20230439, 2024.
Article de Anglais | MEDLINE | ID: mdl-38896638

RÉSUMÉ

OBJECTIVE: To evaluate the effect of the labiolingual diameter and construction of an endodontically treated (ET) anterior tooth with crown restoration on stress distribution and biomechanical safety under occlusal loading. METHODOLOGY: Three-dimensional finite element models were generated for maxillary central incisors with all-ceramic crown restorations. The labiolingual diameters of the tooth, defined as the horizontal distance between the protrusion of the labial and lingual surfaces, were changed as follows: (D1) 6.85 mm, (D2) 6.35 mm, and (D3) 5.85 mm. The model was constructed as follows: (S0) vital pulp tooth; (S1) ET tooth; (S2) ET tooth with a 2 mm ferrule, restored with a fiber post and composite resin core; (S3) ET tooth without a ferrule, restored with a fiber post and composite resin core. A total of 12 models were developed. In total, two force loads (100 N) were applied to the crown's incisal edge and palatal surface at a 45° oblique angle to the longitudinal axis of the teeth. The Von Mises stress distribution and maximum stress of the models were analyzed. RESULTS: Regardless of the loading location, stress concentration and maximum stress (34.07~66.78MPa) in all models occurred in the labial cervical 1/3 of each root. Both labiolingual diameter and construction influenced the maximum stress of the residual tooth tissue, with the impact of the labiolingual diameter being greater. A reduction in labiolingual diameter led to increased maximum stress throughout the tooth. The ferrule reduced the maximum stress of the core of S2 models (7.15~10.69 MPa), which is lower compared with that of S3 models (19.45~43.67 MPa). CONCLUSION: The labiolingual diameter exerts a greater impact on the biomechanical characteristics of ET anterior teeth with crown restoration, surpassing the influence of the construction. The ferrule can reduce the maximum stress of the core and maintain the uniformity of stress distribution.


Sujet(s)
Résines composites , Couronnes , Analyse du stress dentaire , Analyse des éléments finis , Incisive , Dent dévitalisée , Dent dévitalisée/physiopathologie , Humains , Phénomènes biomécaniques , Incisive/anatomie et histologie , Incisive/physiologie , Résines composites/composition chimique , Analyse du stress dentaire/méthodes , Restauration coronoradiculaire , Reproductibilité des résultats , Contrainte mécanique , Valeurs de référence , Force occlusale , Imagerie tridimensionnelle/méthodes , Conception de prothèse dentaire , Test de matériaux , Couronne dentaire/anatomie et histologie , Couronne dentaire/physiologie
18.
J R Soc Interface ; 21(215): 20230779, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38903010

RÉSUMÉ

Many animals employ a second frequency filter beyond the initial filtering of the eardrum (or tympanal membrane). In the field cricket ear, both the filtering mechanism and the transmission path from the posterior tympanal membrane (PTM) have remained unclear. A mismatch between PTM vibrations and sensilla tuning has prompted speculations of a second filter. PTM coupling to the tracheal branches is suggested to support a transmission pathway. Here, we present three independent lines of evidence converging on the same conclusion: the existence of a series of linked membranes with distinct resonant frequencies serving both filtering and transmission functions. Micro-computed tomography (µ-CT) highlighted the 'dividing membrane (DivM)', separating the tracheal branches and connected to the PTM via the dorsal membrane of the posterior tracheal branch (DM-PTB). Thickness analysis showed the DivM to share significant thinness similarity with the PTM. Laser Doppler vibrometry indicated the first of two PTM vibrational peaks, at 6 and 14 kHz, originates not from the PTM but from the coupled DM-PTB. This result was corroborated by µ-CT-based finite element analysis. These findings clarify further the biophysical source of neuroethological pathways in what is an important model of behavioural neuroscience. Tuned microscale coupled membranes may also hold biomimetic relevance.


Sujet(s)
Analyse des éléments finis , Gryllidae , Microtomographie aux rayons X , Animaux , Gryllidae/physiologie , Membrane du tympan/physiologie , Membrane du tympan/imagerie diagnostique , Vibration
19.
J Mol Model ; 30(7): 221, 2024 Jun 21.
Article de Anglais | MEDLINE | ID: mdl-38904863

RÉSUMÉ

CONTEXT: Electroporation is a technique that creates electrically generated pores in the cell membrane by modifying transmembrane potential. In this work, the finite element method (FEM) was used to examine the induced transmembrane voltage (ITV) of a spherical-shaped MCF-7 cell, allowing researchers to determine the stationary ITV. A greater ITV than the critical value causes permeabilization of the membrane. Furthermore, the present study shows how a specific surface conductivity can act as a stand-in for the thin layer that constitutes a cell membrane as the barrier between extracellular and intracellular environments. Additionally, the distribution of ITV on the cell membrane and its maximum value were experimentally evaluated for a range of applied electric fields. Consequently, the entire cell surface area was electroporated 66% and 68% for molecular dynamics (MD) simulations and FEM, respectively, when the external electric field of 1500 V/cm was applied to the cell suspension using the previously indicated numerical methods. Furthermore, the lipid bilayers' molecular structure was changed, which led to the development of hydrophilic holes with a radius of 1.33 nm. Applying MD and FEM yielded threshold values for transmembrane voltage of 700 and 739 mV, respectively. METHOD: Using MD simulations of palmitoyloleoyl-phosphatidylcholine (POPC), pores in cell membranes exposed to external electric fields were numerically investigated. The dependence on the electric field was estimated and developed, and the amount of the electroporated cell surface area matches the applied external electric field. To investigate more, a mathematical model based on an adaptive neuro-fuzzy inference system (ANFIS) is employed to predict the percent cell viability of cancerous cells after applying four pulses during electroporation. For MD simulations, ArgusLab, VMD, and GROMACS software packages were used. Moreover, for FEM analysis, COMSOL software package was used. Also, it is worth mentioning that for mathematical model, MATLAB software is used.


Sujet(s)
Membrane cellulaire , Électroporation , Analyse des éléments finis , Double couche lipidique , Simulation de dynamique moléculaire , Humains , Membrane cellulaire/métabolisme , Double couche lipidique/composition chimique , Double couche lipidique/métabolisme , Potentiels de membrane , Cellules MCF-7 , Électricité , Perméabilité des membranes cellulaires , Phosphatidylcholines/composition chimique
20.
Zhongguo Gu Shang ; 37(6): 5995-604, 2024 Jun 25.
Article de Chinois | MEDLINE | ID: mdl-38910383

RÉSUMÉ

OBJECTIVE: To campare biomechanical effects of different postural compression techniques on three-dimensional model of lumbar disc herniation (LDH) by finite element analysis. METHODS: Lumbar CT image of a 48-year-old female patient with LDH (heighted 163 cm, weighted 53 kg) was collected. Mimics 20.0, Geomagic Studio, Solidwords and other software were used to establish three-dimensional finite element model of LDH on L4,5 segments. Compression techniques under horizontal position, 30° forward bending and 10° backward extension were simulated respectively. After applying the pressure, the effects of compression techniques under different positions on stress, strain and displacement of various tissues of intervertebral disc and nerve root were observed. RESULTS: L4, 5 segment finite element model was successfully established, and the model was validated. When compression manipulation was performed on the horizontal position, 30° flexion and 10° extension, the annular stress were 0.732, 5.929, 1.286 MPa, the nucleus pulposus stress were 0.190, 1.527, 0.295 MPa, and the annular strain were 0.097, 0.922 and 0.424, the strain sizes of nucleus pulposus were 0.153, 1.222 and 0.282, respectively. The overall displacement distance of intervertebral disc on Y direction were -3.707, -18.990, -4.171 mm, and displacement distance of nerve root on Y direction were +7.836, +5.341, +3.859 mm, respectively. The relative displacement distances of nerve root and intervertebral disc on Y direction were 11.543, 24.331 and 8.030 mm, respectively. CONCLUSION: Compression manipulation could make herniated intervertebral disc produce contraction and retraction trend, by increasing the distance between herniated intervertebral disc and nerve root, to reduce symptoms of nerve compression, to achieve purpose of treatment for patients with LDH, in which the compression manipulation is more effective when the forward flexion is 30°.


Sujet(s)
Analyse des éléments finis , Déplacement de disque intervertébral , Vertèbres lombales , Humains , Déplacement de disque intervertébral/physiopathologie , Femelle , Adulte d'âge moyen , Vertèbres lombales/physiopathologie , Posture , Phénomènes biomécaniques , Imagerie tridimensionnelle
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