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1.
Proc Natl Acad Sci U S A ; 118(28)2021 07 13.
Artigo em Inglês | MEDLINE | ID: mdl-34234016

RESUMO

Damage to the microtubule lattice, which serves as a rigid cytoskeletal backbone for the axon, is a hallmark mechanical initiator of pathophysiology after concussion. Understanding the mechanical stress transfer from the brain tissue to the axonal cytoskeleton is essential to determine the microtubule lattice's vulnerability to mechanical injury. Here, we develop an ultrastructural model of the axon's cytoskeletal architecture to identify the components involved in the dynamic load transfer during injury. Corroborative in vivo studies were performed using a gyrencephalic swine model of concussion via single and repetitive head rotational acceleration. Computational analysis of the load transfer mechanism demonstrates that the myelin sheath and the actin/spectrin cortex play a significant role in effectively shielding the microtubules from tissue stress. We derive failure maps in the space spanned by tissue stress and stress rate to identify physiological conditions in which the microtubule lattice can rupture. We establish that a softer axonal cortex leads to a higher susceptibility of the microtubules to failure. Immunohistochemical examination of tissue from the swine model of single and repetitive concussion confirms the presence of postinjury spectrin degradation, with more extensive pathology observed following repetitive injury. Because the degradation of myelin and spectrin occurs over weeks following the first injury, we show that softening of the myelin layer and axonal cortex exposes the microtubules to higher stress during repeated incidences of traumatic brain injuries. Our predictions explain how mechanical injury predisposes axons to exacerbated responses to repeated injuries, as observed in vitro and in vivo.


Assuntos
Axônios/metabolismo , Concussão Encefálica/patologia , Lesões Encefálicas/patologia , Modelos Biológicos , Bainha de Mielina/metabolismo , Espectrina/metabolismo , Animais , Humanos , Masculino , Microtúbulos/metabolismo , Pessoa de Meia-Idade , Proteólise , Suínos , Substância Branca/patologia
2.
J Arthroplasty ; 38(4): 757-762, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36280162

RESUMO

BACKGROUND: The tibial component in total knee arthroplasty (TKA) is often chosen to maximize coverage of the tibial cut, which can result in excessive internal rotation of the component. Optimal rotational alignment may require a smaller baseplate with suboptimal coverage that could threaten fixation. We asked: "does undersizing the tibial component of a cementless TKA to gain external rotation increase the risk of bone failure?" METHODS: We developed computational finite element (FE) analysis models from the computed tomography (CT) scans of 12 patients scheduled for primary TKA. The models were implanted with a cementless tibial baseplate that maximized coverage and one or two sizes smaller and externally rotated by 5°. We calculated the risk of bone collapse under loads representative of stair ascent. RESULTS: Undersizing the implant increased the area at risk of collapse for eight patients. However, the area at risk of collapse for the undersized implant (range, 5.2%-16.4%) was no different (P = .24) to the optimally sized implant (range, 4.5%-17.9%). The bone at risk of collapse was concentrated along the posterior edge of the implant. The area at risk of collapse was not proportional to implant size, and for four subjects undersizing the implant actually decreased the area at risk of collapse. CONCLUSION: While implants should maximize coverage of the tibial cut and seek support on dense bone, undersizing the tibial component to gain external rotation had minimal impact on the load transfer to the underlying bone. This FE analysis model of a cementless tibial baseplate may require further validation and additional studies to investigate the long-term biomechanical effects of undersizing the tibial baseplate. In conclusion, while surgeons should strive to use the appropriate tibial baseplate for each patient, our model identified only minor biomechanical consequences of undersizing the implant for the immediate postoperative bone-implant interaction and implant subsidence.


Assuntos
Artroplastia do Joelho , Prótese do Joelho , Humanos , Artroplastia do Joelho/efeitos adversos , Articulação do Joelho/cirurgia , Análise de Elementos Finitos , Tíbia/cirurgia
3.
Artigo em Inglês | MEDLINE | ID: mdl-36440181

RESUMO

The eutectic Al-6Ni (wt.%) alloy exhibits excellent strength at ambient and elevated temperature, provided by a high volume fraction of Al3Ni microfibers formed during solidification. Here, Al-6Ni is micro-alloyed with Sc and Zr (with 0.1Sc+0.2Zr, 0.2Sc+0.4Zr and 0.3Sc+0.2Zr, wt.%), creating two additional populations of primary and secondary Al3(Sc,Zr) precipitates. The fully eutectic microstructure (α-Al + Al3Ni) observed in Al-6Ni alloy changes, with Sc and Zr addition to hypoeutectic microstructure with primary α-Al grains nucleated on solidification by primary Al3(Sc,Zr) precipitates. Upon subsequent aging, fully-coherent Al3(Sc,Zr) nano-precipitates form in the α-Al matrix between Al3Ni microfibers, providing substantial precipitation strengthening, which is maintained for up to 1 month at 350 °C. Alloy strength - both at ambient temperature and during creep at 300 °C - can be quantitatively described through a superposition of precipitation strengthening by Al3(Sc,Zr) nanoprecipitates and load-transfer strengthening by Al3Ni microfibers.

4.
Int Orthop ; 46(4): 855-859, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34379158

RESUMO

PURPOSE: The mobility of the first tarsometatarsal (TMT1) is said to be correlated to the severity of hallux valgus determined using both clinical and radiographic criteria. The sagittal mobility of the TMT1 joint can be evaluated objectively using a new ultrasound test, which quantifies it in the form of a unitless value (ratio of two measurements). The objective of this study was to describe the relationship between TMT1 mobility on an ultrasound test and hallux valgus severity. Hypothesis TMT1 joint mobility increases with hallux valgus severity. PATIENTS AND METHODS: Forty-nine feet were included that were being treated for isolated hallux valgus and had no evidence of TMT1 hypermobility based on the dorsal drawer test. For each foot, the presence and intensity of load transfer (LT), the intermetatarsal angle (IMA), and the hallux valgus angle (HVA) were determined. Lastly, TMT1 mobility was evaluated with the ultrasound test. RESULTS: Clinically, no LT was present in 20 feet; it was present only under M2 in 20 feet and reached at least M3 in the other nine feet. The mean IMA on radiographs was 14.6° and the mean HVA was 34.5°. The value of the ultrasound test was significantly different between the three groups of clinical hallux valgus severity: 1.17 with no LT, 1.31 with isolated M2 LT, and 1.72 when LT was at least at M3. Furthermore, this value was correlated with the IMA but not the HVA. DISCUSSION: This study revealed a relationship between increased TMT1 mobility and hallux valgus severity based on clinical (LT) and radiographic (IMA) criteria. Thus, our working hypothesis is confirmed. However, there was no correlation between TMT1 mobility and HVA suggesting that this angle is less relevant for determining the severity of the condition. This is consistent with the classical pathophysiological concept of metatarsus primus varus where the hallux valgus originates in a metatarsus varus in the tarsometatarsal area. CONCLUSION: The severity of hallux valgus is correlated with increased mobility of the TMT1 joint, which appears to have a causal role in this condition.


Assuntos
Hallux Valgus , Ossos do Metatarso , Articulações do Pé/diagnóstico por imagem , Hallux Valgus/complicações , Hallux Valgus/diagnóstico por imagem , Humanos , Ossos do Metatarso/diagnóstico por imagem , Radiografia , Ultrassonografia
5.
BMC Musculoskelet Disord ; 22(1): 521, 2021 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-34098920

RESUMO

BACKGROUND: Typical gait is often considered to be highly symmetrical, with gait asymmetries typically associated with pathological gait. Whilst gait symmetry is often expressed in symmetry ratios, measures of symmetry do not provide insight into how these asymmetries affect gait variables. To fully understand changes caused by gait asymmetry, we must first develop a normative database for comparison. Therefore, the aim of this study was to describe normative reference values of regional plantar load and present comparisons with two pathological case studies. METHODS: A descriptive study of the load transfer of plantar pressures in typically developed children was conducted to develop a baseline for comparison of the effects of gait asymmetry in paediatric clinical populations. Plantar load and 3D kinematic data was collected for 17 typically developed participants with a mean age of 9.4 ± 4.0 years. Two case studies were also included; a 10-year-old male with clubfoot and an 8-year-old female with a flatfoot deformity. Data was analysed using a kinematics-pressure integration technique for anatomical masking into 5 regions of interest; medial and lateral forefoot, midfoot, and medial and lateral hindfoot. RESULTS: Clear differences between the two case studies and the typical dataset were seen for the load transfer phase of gait. For case study one, lateral bias was seen in the forefoot of the trailing foot across all variables, as well as increases in contact area, force and mean pressure in the lateral hindfoot of the leading foot. For case study two, the forefoot of the trailing foot produced results very similar to the typical dataset across all variables. In the hindfoot of the leading foot, medial bias presents most notably in the force and mean pressure graphs. CONCLUSIONS: This study highlights the clinical significance of the load transfer phase of gait, providing meaningful information for intervention planning.


Assuntos
Pé Torto Equinovaro , , Adolescente , Fenômenos Biomecânicos , Criança , Pré-Escolar , Feminino , Marcha , Humanos , Masculino , Pressão
6.
J Orthod ; 48(2): 118-126, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33231109

RESUMO

OBJECTIVE: To assess the torsional load transfer of various commercially available stainless-steel wires used for fixed retainers. DESIGN: An in vitro study using a robotic device. SETTING: Department of Pediatric Oral Health and Orthodontics, University of Basel. METHODS: A 10° proclination of a maxillary lateral incisor of a 2-2 retainer was simulated with a robotic device. Eight stainless-steel wires with different shapes (round or rectangular), types (plain, braided, coaxial or chain) and dimensions were selected to measure the torsional load transfer at the adjacent central incisor. The influence of annealing was also tested. RESULTS: The 0.016 × 0.016 and Bond-A-Braid™ wires (0.02645 × 0.01055-inch, 8-stranded, braided) showed the largest relative torsional load transfer (3.7% and 3.3%, respectively). The two multistranded wires - Triple Flex™ and Respond® - showed the smallest values of 1.0% and 0.7%, respectively. The spiral direction of these two multistranded wires affected the load transfer, the twisting showing larger torsional load transfer than the untwisting one. CONCLUSION: The effective torsional load transfer depends on the dimension, shape and type of a wire. Plain and braided retainers were more predictable in torsional load transfer than multistranded retainers, which may have stored more energy in the area between the composite bonding sites. This may explain the unexpected complications reported in multistranded retainers.


Assuntos
Contenções Ortodônticas , Aço Inoxidável , Criança , Humanos , Desenho de Aparelho Ortodôntico , Aparelhos Ortodônticos Fixos , Fios Ortodônticos
7.
Sensors (Basel) ; 19(19)2019 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-31590457

RESUMO

To improve the accuracy and actual road equivalence of vehicle performance testing using test benches, a double-drum test bench that meets the test requirements of vehicle control system prototypes and in-use vehicles was designed. Dynamic models of the single-wheel test bench and the vehicle test bench were established, and mechanisms were theoretically analyzed for single-wheel variable adhesion and vehicle load transfer for equivalent testing using the variable placement angle. The mechanism of electromechanical inertia compensation was studied to realize stepless simulation of vehicle inertia and simulate dynamic load while braking. The simulation model of the vehicle test bench system was established based on MATLAB/Simulink. Simulations were carried out to verify the anti-lock braking system (ABS) performance test functionality of the test bench under high adhesion, bisectional, and low adhesion conditions. Referring to the simulation conditions, ABS tests under actual test bench and road conditions were carried out. Results demonstrated that the mechanism of variable load transfer simulation by electromechanical inertia compensation improves the equivalent accuracy compared to that of its road test equivalent, verifying the feasibility of the simulation mechanism. This study could help further improve the accuracy and reduce the cost of vehicle performance testing, thus greatly benefitting the vehicle development and testing industry.

8.
Sensors (Basel) ; 19(13)2019 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-31284463

RESUMO

The possibility of using tires as active sensors opens the door to a huge number of different ways to accomplish this goal. In this case, based on a tire equipped with strain sensors, also known as an Intelligent Tire, relevant vehicle dynamics information can be provided. The purpose of this research is to improve the strain-based methodology for Intelligent Tires to estimate all tire forces, based only on deformations measured in the contact patch. Firstly, through an indoor test rig data, an algorithm has been developed to pick out the relevant features of strain data and correlate them with tire parameters. This information of the tire contact patch is then transmitted to a fuzzy logic system to estimate the tire parameters. To evaluate the reliability of the proposed estimator, the well-known simulation software CarSim has been used to back up the estimation results. The software CarSim has been used to provide the vehicle parameters in complex maneuvers. Finally, the estimations have been checked with the simulation results. This approach has enabled the behaviour of the intelligent tire to be tested for different maneuvers and velocities, providing key information about the tire parameters directly from the only contact that exists between the vehicle and the road.

9.
Int Orthop ; 43(9): 2031-2037, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-30178069

RESUMO

PURPOSE: The purpose of this study was to check the concept of the cementless Metha® short hip stem in order to find out whether proximal physiological load transfer can be achieved. METHODS: Fourty-three patients were included. Epidemiological factors were established. The Harris Hip Score was determined and measurement of bone mass density as well as osteodensitometric and radiological measurements was carried out pre-operatively, post-operatively, and after six, 12, 24, and 36 months. RESULTS: Harris Hip Score improved from 55.9 ± 12.4 pre-operatively to 94.8 ± 8.2 after 36 months (p < 0.001). After initial reduction of bone density in zones 1 and 7 up to six months post-operatively, there was a steady approximation of bone density to the initial values (p < 0.05). CONCLUSION: The Metha® short hip stem shows good clinical results. Furthermore, there is an increase of bone density in the proximal zones 1 and 7 between six and 36 months serving as a sign of physiological load transfer.


Assuntos
Artroplastia de Quadril/métodos , Necrose da Cabeça do Fêmur/cirurgia , Fêmur/cirurgia , Prótese de Quadril , Osseointegração , Osteoartrite do Quadril/cirurgia , Absorciometria de Fóton , Adulto , Idoso , Artroplastia de Quadril/instrumentação , Fenômenos Biomecânicos , Cimentos Ósseos , Densidade Óssea/fisiologia , Cimentação , Feminino , Fêmur/diagnóstico por imagem , Fêmur/fisiopatologia , Necrose da Cabeça do Fêmur/diagnóstico por imagem , Necrose da Cabeça do Fêmur/fisiopatologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Quadril/diagnóstico por imagem , Osteoartrite do Quadril/fisiopatologia , Estudos Prospectivos , Desenho de Prótese
10.
Int Orthop ; 42(9): 2077-2086, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29178044

RESUMO

PURPOSE: Short-stem hip arthroplasty (SHA) was designed to preserve bone stock and provide an improved load transfer. To gain more evidence regarding the load transfer, this review analysed the periprosthetic bone remodelling of SHA in comparison to standard hip arthroplasty (THA). METHODS: PubMed and ScienceDirect were screened to extract dual-energy X-ray absorptiometry (DXA) studies evaluating the periprosthetic bone remodelling of SHA and two proven THA designs. From the studies included, the postoperative change in periprosthetic bone mineral density (BMD) after one year and the trend over two years was determined. RESULTS: Fifteen studies with four SHAs (CFP, Metha, Nanos, Fitmore) and two THAs (CLS and Bicontact) designs were included. All SHA and THA stems revealed an initial decrease at the calcar and major trochanter (Gruen 1 and 7) with the Metha, Nanos and Fitmore showing a smaller and more balanced remodelling compared to THA. The pattern after one year and the trend over two years argue for a methaphyseal anchorage of the Metha and Nanos, whereas the Fitmore and CFP seem to anchor metha-diaphyseal. Clearly different pattern of bone remodelling were observed between all four SHAs. CONCLUSIONS: Periprosthetic bone remodelling is also present in SHA, with the main bone reduction observed proximally. However, certain SHA stems show a more balanced remodelling compared to THA, arguing for a favourable load transfer. Also, the femoral length where bone remodelling occurs is clearly shorter in SHA. As distinctively different pattern between the SHA designs were observed, they should not be judged as a single implant group.


Assuntos
Artroplastia de Quadril/efeitos adversos , Densidade Óssea/fisiologia , Remodelação Óssea/fisiologia , Prótese de Quadril/efeitos adversos , Absorciometria de Fóton/métodos , Feminino , Fêmur/cirurgia , Articulação do Quadril/cirurgia , Humanos , Masculino , Período Pós-Operatório , Desenho de Prótese/efeitos adversos
11.
Sensors (Basel) ; 17(10)2017 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-29027910

RESUMO

In this article, a Linear Quadratic Regulator (LQR) lateral stability and rollover controller has been developed including as the main novelty taking into account the road bank angle and using exclusively active suspension for both lateral stability and rollover control. The main problem regarding the road bank is that it cannot be measured by means of on-board sensors. The solution proposed in this article is performing an estimation of this variable using a Kalman filter. In this way, it is possible to distinguish between the road disturbance component and the vehicle's roll angle. The controller's effectiveness has been tested by means of simulations carried out in TruckSim, using an experimentally-validated vehicle model. Lateral load transfer, roll angle, yaw rate and sideslip angle have been analyzed in order to quantify the improvements achieved on the behavior of the vehicle. For that purpose, these variables have been compared with the results obtained from both a vehicle that uses passive suspension and a vehicle using a fuzzy logic controller.

12.
Ergonomics ; 59(12): 1637-1645, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26883302

RESUMO

We previously described two different preferred strategies used to perform a lateral load transfer. The wide stance strategy was not used successfully on a low-friction surface, while the narrow stance strategy was successful. Here, we retrospectively examined lower extremity net joint moments between successful and unsuccessful strategies to determine if there is a kinetic benefit consideration that may go into choosing the preferred strategy. Success vs. failure over a novel slippery surface was used to dichotomise 35 healthy working-age individuals into the two groups (successful and unsuccessful). Participants performed lateral load transfers over three sequential surface conditions: high friction, novel low friction and practised low friction. The unsuccessful strategy required larger start torques, but lower dynamic moments during transfer compared to the successful strategy. These results indicate that the periodically unsuccessful strategy may be preferred because it requires less muscle recruitment and lower stresses on lower extremity soft tissues. Practitioner Summary: The reason for this paper is to retrospectively examine the joint moment in two different load transfer strategies that are used in a lateral load transfer. We found that periodically unsuccessful strategies that we previously reported may be a beneficial toward reduced lower extremity joint stresses.


Assuntos
Articulação do Quadril/fisiologia , Articulação do Joelho/fisiologia , Suporte de Carga/fisiologia , Adulto , Idoso , Feminino , Fricção , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Torque , Adulto Jovem
13.
J Shoulder Elbow Surg ; 24(3): 407-15, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25441559

RESUMO

BACKGROUND: Total shoulder arthroplasty is commonly performed to treat glenohumeral osteoarthritis (OA); however, little is understood of the mechanics of the reconstructed OA shoulder. We sought to establish the effects of OA-induced changes in bone density and retroversion angle on load transfer and stress distribution in the bone-implant system of the scapula. METHODS: We developed finite element models of reconstructed healthy and OA scapulas with a virtually implanted glenoid prosthesis design. For the OA scapula, models with uncorrected and corrected retroversion were created. Loads were applied at the center or posteriorly on the glenoid surface. RESULTS: Our results suggest that with reconstruction of the corrected glenoid with a contemporary implant, cement stresses increase and the load transfer pattern changes with eccentric loads. The load transfer and local stresses in the bone-implant system in the retroverted glenoid are less sensitive to changes in loading location. Furthermore, the load transfer in the OA glenoid is less sensitive to the effect of peg proximity to the cortical shell than in the healthy glenoid. CONCLUSION: We provided evidence of how load sharing is altered among healthy, corrected OA, and retroverted OA glenoids. We demonstrated that correction of retroversion in OA glenoids may actually increase the risk for stress shielding and cement failure compared with retroverted glenoids, and OA patients can accommodate shorter pegs because of the higher glenoid bone stiffness in the OA glenoid.


Assuntos
Artroplastia de Substituição , Osteoartrite/fisiopatologia , Articulação do Ombro/fisiopatologia , Idoso de 80 Anos ou mais , Fenômenos Biomecânicos , Densidade Óssea , Retroversão Óssea , Cimentação , Feminino , Análise de Elementos Finitos , Humanos , Pessoa de Meia-Idade , Osteoartrite/cirurgia , Desenho de Prótese , Escápula/fisiopatologia , Escápula/cirurgia , Articulação do Ombro/cirurgia , Estresse Mecânico , Estresse Fisiológico , Suporte de Carga
14.
J Shoulder Elbow Surg ; 23(10): 1553-62, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24751532

RESUMO

BACKGROUND: Glenoid loosening is the primary reason for failure after a total shoulder arthroplasty (TSA), but the failure mechanism is not yet known. This study determined how the load transfer and stress distribution are affected by the introduction of a glenoid implant. METHODS: We developed a finite-element model of a scapula with and without a virtually implanted modern glenoid prosthesis design. Two load magnitudes were considered: normal and high. Loading locations were simulated at the center and at 4 eccentric positions on the glenoid. A metal-backed implant was also simulated to understand the effect of fixation stiffness. RESULTS: In the intact glenoid, for both center and eccentric loading, the majority of stress was distributed in the cancellous bone, whereas after a reconstruction, stresses in that region were lower. Metal-backed implants further decreased the joint load carried by the bone. Stresses in the cement layer increased during eccentric and high-magnitude loading. CONCLUSION: This study provided a basic understanding of the load-sharing phenomenon after a TSA that could explain glenoid loosening failure. Our results suggest that with reconstruction of the glenoid with a contemporary implant, the load transfer pattern is significantly altered, with eccentric and high-magnitude loads increasing stresses in the cement indicating potential for failure. The use of a metal-backed implant reduces the load carried by the bone, which may be detrimental to long-term TSA survival.


Assuntos
Artroplastia de Substituição , Escápula/fisiopatologia , Articulação do Ombro/fisiopatologia , Idoso de 80 Anos ou mais , Cimentos Ósseos , Cimentação , Simulação por Computador , Análise de Falha de Equipamento , Feminino , Análise de Elementos Finitos , Humanos , Prótese Articular , Desenho de Prótese , Radiografia , Escápula/diagnóstico por imagem , Escápula/cirurgia , Articulação do Ombro/diagnóstico por imagem , Articulação do Ombro/cirurgia , Estresse Mecânico
15.
J Prosthodont ; 23(5): 374-80, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24417330

RESUMO

PURPOSE: The purpose of the study was to evaluate the effect of the number of supporting implants and different retentive mechanisms on load transfer characteristics of mandibular overdentures. MATERIALS AND METHODS: Two photoelastic models of edentulous mandibles were fabricated having two and four cylindrical implants (Calcitek, 4 × 13 mm) embedded in the parasymphyseal area. Four attachment systems were evaluated: single anchor attachment (ERA), bar-clip, bar with distally placed ball attachments, and bar with distally placed extracoronal rigid attachments (Easy Slot). A 133 N vertical force was applied unilaterally to the central fossa of the right first molar. The resulting stresses of the models were observed and recorded photographically in the field of a circular polariscope. RESULTS: The highest stresses were observed with the bar with distally placed extracoronal rigid attachment (Easy Slot) design, followed by bar-ball, bar, and the single anchor attachment (ERA) for both models. The lowest stress was observed with the single anchor attachment (ERA) design for both models. There were slight differences in stress values around implants in both models. CONCLUSIONS: For all tested attachments on both models, the stress was concentrated on the ipsilateral implant. The bar-clip system allowed the distribution of load to all supporting implants in both models. Although the highest stress level observed with all attachment systems was moderate, the bar-Easy Slot attachment showed the highest stresses. The lowest stress was observed with the single anchor attachment (ERA) design for both models. Varying the number of implants had no significant effect on stress values around supporting implants.


Assuntos
Implantes Dentários , Prótese Dentária Fixada por Implante , Retenção de Dentadura/instrumentação , Prótese Total Inferior , Revestimento de Dentadura , Mandíbula/fisiologia , Fenômenos Biomecânicos , Força de Mordida , Ligas Dentárias/química , Planejamento de Dentadura , Humanos , Arcada Edêntula/fisiopatologia , Teste de Materiais , Modelos Anatômicos , Estresse Mecânico
16.
J Orthop ; 57: 17-22, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38948502

RESUMO

Introduction: Short stem prostheses were originally designed for younger and more active patients. In recent years, they have been increasingly offered to older patients. This study evaluates the mid-to long-term survival of a short stem prosthesis and the changes in periprosthetic bone density following implantation of a cementless short hip stem in patients over 60 years of age. Methods: 118 patients aged over 60 received short stem prostheses. Clinical examination included Harris Hip Score (HHS) and Hip Disability and Osteoarthritis Outcome Score (HOOS). 93 patients were followed clinically for at least five years. 53 patients underwent dual-energy x-ray absorptiometry (DXA) and radiographic evaluation. Follow-up intervals were preoperative and postoperative (t0), at approximately six months (t1), at approximately two years (t2), and at approximately five years or later (t3). Results: Over a mean 6.7-year observation period for all 118 patients, one stem revision occurred due to a traumatic periprosthetic stem fracture. The five-year survival rate for the endpoint survival of the Metha® stem in 95 at-risk patients is 99.2%. HHS improved significantly from t0 55.3 ± 11.5 (range 30-79) to t3 95.3 ± 8.6 (range 57-100) at a mean of 8.0 years (p < 0.001). HOOS improved significantly in each subscale (p < 0.001). Bone mineral density (BMD) was available for review in 53 patients after a mean of 7.1 years. BMD increased from t0 to t3 in region of interest (ROI) 3 (+0.4%) and ROI 6 (+2.9%) and decreased in ROI 1 (-10.3%), ROI 2 (-9.8%), ROI 4 (-5.3%), ROI 5 (-3.4%) and ROI 7 (-23.1%). Conclusions: The evaluated short stem prosthesis shows a remarkably high survival rate in elderly patients, accompanied by excellent clinical results. Load transfer measurements show a metaphyseal-diaphyseal pattern with a trend towards increased diaphyseal transfer over the period observed.

17.
Front Bioeng Biotechnol ; 12: 1360208, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38576443

RESUMO

Osseointegrated transfemoral prostheses experience aseptic complications with an incidence between 3% and 30%. The main aseptic risks are implant loosening, adverse bone remodeling, and post-operative periprosthetic fractures. Implant loosening can either be due to a lack of initial (primary) stability of the implant, which hinders bone ingrowth and therefore prevents secondary stability, or, in the long-term, to the progressive resorption of the periprosthetic bone. Post-operative periprosthetic fractures are most often caused by stress concentrations. A method to simultaneously evaluate the primary stability and the load transfer is currently missing. Furthermore, the measurement errors are seldom reported in the literature. In this study a method to reliably quantify the bone implant interaction of osseointegrated transfemoral prostheses in terms of primary stability and load transfer was developed, and its precision was quantified. Micromotions between the prosthesis and the host bone and the strains on the cortical bone were measured on five human cadaveric femurs with a typical commercial osseointegrated implant. To detect the primary stability of the implant and the load transfer, cyclic loads were applied, simulating the peak load during gait. Digital Image Correlation was used to measure displacements and bone strains simultaneously throughout the test. Permanent migrations and inducible micromotions were measured (three translations and three rotations), while, on the same specimen, the full-field strain distribution on the bone surface was measured. The repeatability tests showed that the devised method had an intra-specimen variability smaller than 6 µm for the translation, 0.02 degrees for the rotations, and smaller than 60 microstrain for the strain distribution. The inter-specimen variability was larger than the intra-specimen variability due to the natural differences between femurs. Altogether, the measurement uncertainties (intrinsic measurement errors, intra-specimen repeatability and inter-specimen variability) were smaller than critical levels of biomarkers for adverse remodelling and aseptic loosening, thus allowing to discriminate between stable and unstable implants, and to detect critical strain magnitudes in the host bone. In conclusion, this work showed that it is possible to measure the primary stability and the load transfer of an osseointegrated transfemoral prosthesis in a reliable way using a combination of mechanical testing and DIC.

18.
Mater Sci Eng A Struct Mater ; 585(100): 480-487, 2013 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-24244073

RESUMO

The evolution of the microstructure of an AlMg4.7Si8 alloy is investigated by scanning electron microscopy and ex situ synchrotron tomography in as-cast condition and subsequent solution treatments for 1 h and 25 h at 540 °C, respectively. The eutectic Mg2Si phase, which presents a highly interconnected structure in the as-cast condition, undergoes significant morphological changes during the solution heat treatment. Statistical analyses of the particle distribution, the sphericity, the mean curvatures and Gaussian curvatures describe the disintegration of the interconnected seaweed-like structure followed by the rounding of the disintegrated fractions of the eutectic branches quantitatively. The ternary eutectic Si resulting from the Si-surplus to the stoichiometric Mg2Si ratio of the alloy undergoes similar changes. The morphological evolution during solution heat treatment is correlated with results of elevated temperature compression tests at 300 °C. The elevated temperature compressive strength is more sensitive to the degree of interconnectivity of the three dimensional Mg2Si network than to the shape of the individual particles.

19.
Heliyon ; 9(10): e20887, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37876435

RESUMO

Screw-shaft piles have seen extensive adoption in construction and railroad engineering, due to their superior enhanced bearing capacity and cost-effectiveness. While monopiles have been thoroughly examined, composite foundations that include screw-shaft piles have not been studied as extensively. Proper determination of geometric parameters for both the piles and the cushion is a critical aspect of successful design. This paper introduces a comprehensive examination that merges indoor experiments with numerical simulations, aiming to evaluate the bearing capacity, settlement characteristics, and force characteristics of screw-shaft piles under a variety of conditions. This study scrutinizes key components, such as root diameter, pitch, cushion modulus, and the threaded portion's proportion. The research outcomes offer crucial insights for optimizing the design parameters of screw-shaft pile composite foundations. The results indicate that the side resistance of screw-shaft piles initially increases with the threaded section's length, stabilizing at an optimal length of approximately 0.44-0.55 times the pile length (L). Furthermore, although decreasing the pitch improves bearing capacity, it also introduces variations in pile material usage, with optimal bearing performance noted at a pitch approximately equal to the diameter (D). Moreover, screw-shaft piles with thread widths ranging between 0.58D and 0.67D show a significant decrease in stress concentrations, approximately 22 % less than those with a width of 0.5D. By setting the cushion modulus within the 40 MPa-60 MPa range, reduced settlement and optimal pile-soil stress ratios were achieved. These research outcomes provide critical insights into optimizing screw-shaft pile composite foundation design parameters, serving as valuable guidance for designers and engineers in diverse civil engineering projects.

20.
Materials (Basel) ; 16(3)2023 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-36770290

RESUMO

Asphalt mixture is a skeleton filling system consisting of aggregate and asphalt binder. Its performance is directly affected by the internal load transfer mechanism of the skeleton filling system. It is significant to understand the load transfer mechanisms for asphalt mixture design and performance evaluation. The objective of this paper is to review the research progress of the asphalt mixture load transfer mechanism. Firstly, this paper summarizes the test methods used to investigate the load transfer mechanism of asphalt mixtures. Then, an overview of the characterization of load transfer mechanism from three aspects was provided. Next, the indicators capturing contact characteristics, contact force characteristics, and force chain characteristics were compared. Finally, the load transfer mechanism of asphalt mixtures under different loading conditions was discussed. Some recommendations and conclusions in terms of load transfer mechanism characterization and evaluation were given. The related work can provide valuable references for the study of the load transfer mechanism of asphalt mixtures.

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