Real-Time Patient-Specific Finite Element Analysis of Internal Stresses in the Soft Tissues of a Residual Limb: A New Tool for Prosthetic Fitting

2006 ◽  
Vol 35 (1) ◽  
pp. 120-135 ◽  
Author(s):  
S. Portnoy ◽  
G. Yarnitzky ◽  
Z. Yizhar ◽  
A. Kristal ◽  
U. Oppenheim ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Real Time ◽  
Soft Tissues ◽  
Patient Specific ◽  
Internal Stresses ◽  
Residual Limb ◽  
Element Analysis ◽  
Prosthetic Fitting

Real-time patient-specific finite element analysis of residual limb stresses in transtibial amputees during treadmill walking

2006 ◽  
Vol 39 ◽  
pp. S539 ◽  
Author(s):  
S. Portnoy ◽  
G. Yarnitzky ◽  
Z. Yizhar ◽  
A. Kristal ◽  
U. Oppenheim ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Real Time ◽  
Treadmill Walking ◽  
Patient Specific ◽  
Residual Limb ◽  
Element Analysis ◽  
Transtibial Amputees

scholarly journals Real-time finite element analysis allows homogenization of tissue scale strains and reduces variance in a mouse defect healing model

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Graeme R. Paul ◽  
Esther Wehrle ◽  
Duncan C. Tourolle ◽  
Gisela A. Kuhn ◽  
Ralph Müller
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Fracture Healing ◽  
Real Time ◽  
Mechanical Stimulus ◽  
Stimulus Level ◽  
Micro Computed Tomography ◽  
Reference Distribution ◽  
Element Analysis ◽  
Computed Tomography Images

AbstractMechanical loading allows both investigation into the mechano-regulation of fracture healing as well as interventions to improve fracture-healing outcomes such as delayed healing or non-unions. However, loading is seldom individualised or even targeted to an effective mechanical stimulus level within the bone tissue. In this study, we use micro-finite element analysis to demonstrate the result of using a constant loading assumption for all mouse femurs in a given group. We then contrast this with the application of an adaptive loading approach, denoted real time Finite Element adaptation, in which micro-computed tomography images provide the basis for micro-FE based simulations and the resulting strains are manipulated and targeted to a reference distribution. Using this approach, we demonstrate that individualised femoral loading leads to a better-specified strain distribution and lower variance in tissue mechanical stimulus across all mice, both longitudinally and cross-sectionally, while making sure that no overloading is occurring leading to refracture of the femur bones.

scholarly journals Effect of coronal plane acetabular correction on joint contact pressure in Periacetabular osteotomy: a finite-element analysis

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Kenji Kitamura ◽  
Masanori Fujii ◽  
Miho Iwamoto ◽  
Satoshi Ikemura ◽  
Satoshi Hamai ◽  
...  
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Contact Pressure ◽  
Periacetabular Osteotomy ◽  
Anterior Wall ◽  
Coronal Plane ◽  
Patient Specific ◽  
Element Analysis ◽  
Joint Contact ◽  
Joint Contact Pressure

Abstract Background The ideal acetabular position for optimizing hip joint biomechanics in periacetabular osteotomy (PAO) remains unclear. We aimed to determine the relationship between acetabular correction in the coronal plane and joint contact pressure (CP) and identify morphological factors associated with residual abnormal CP after correction. Methods Using CT images from 44 patients with hip dysplasia, we performed three patterns of virtual PAOs on patient-specific 3D hip models; the acetabulum was rotated laterally to the lateral center-edge angles (LCEA) of 30°, 35°, and 40°. Finite-element analysis was used to calculate the CP of the acetabular cartilage during a single-leg stance. Results Coronal correction to the LCEA of 30° decreased the median maximum CP 0.5-fold compared to preoperatively (p <  0.001). Additional correction to the LCEA of 40° further decreased CP in 15 hips (34%) but conversely increased CP in 29 hips (66%). The increase in CP was associated with greater preoperative extrusion index (p = 0.030) and roundness index (p = 0.038). Overall, virtual PAO failed to normalize CP in 11 hips (25%), and a small anterior wall index (p = 0.049) and a large roundness index (p = 0.003) were associated with residual abnormal CP. Conclusions The degree of acetabular correction in the coronal plane where CP is minimized varied among patients. Coronal plane correction alone failed to normalize CP in 25% of patients in this study. In patients with an anterior acetabular deficiency (anterior wall index < 0.21) and an aspherical femoral head (roundness index > 53.2%), coronal plane correction alone may not normalize CP. Further studies are needed to clarify the effectiveness of multiplanar correction, including in the sagittal and axial planes, in optimizing the hip joint’s contact mechanics.

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