Modeling of a Dynamic Knee Simulator With Advanced PID Controller to Evaluate Joint Loading Conditions

Author(s):  
Fallon Fitzwater ◽  
Amber Lenz ◽  
Lorin Maletsky

In-vitro dynamic knee simulators allow researchers to investigate changes in natural knee biomechanics due to pathologies, injuries or total joint replacement. The advent of the instrumented tibia, which directly measures knee loads in-vivo, has provided a wealth data for various activities that in-vitro studies now aim to replicate [1, 2]. Dynamic knee simulators, such as the Kansas Knee Simulator (KKS), achieve these physiological loads at the joint by applying external loads to either bone ends or musculature. Determining the external loading conditions necessary to replicate activity specific joint loads, obtained from instrumented tibia data, during dynamic simulations are calculated using computational models.

Author(s):  
Kavinaya C ◽  
Ashuthoshkumar L

Computation of knee modeling is a subject-specific techniquethatdefining the zero-load measurements of the cruciate and indemnity ligaments.The dynamic knee simulator was used to test the three carcass knees. The carcass knees also experiencedphysicalsachet of motion testing to discovery their inactivesort of motion in order to regulate the zero-load measurements for everymuscle bundle. Compotation multibody knee representations were shaped for each knee and classical kinematics were likened to investigational kinematics for a replicated walk series. Simple-minded non-linear mechanisminhibition elements were used to characterize cruciate and deposited particles in musclepackages in the knee representations. This learningoriginate that knee kinematics was enormously sensitive to changing of the zero-load measurement. The domino effects also recommendoptimum methods for describing each of the muscle bundle zero-load measurements, irrespective of the subject. These consequencesvalidate the significance ofthe zero-load length when modeling the knee united and verify that physicalcloak of motion dimensions can be usedto determine the passive range of motion of the knee joint. It is also supposed that the method defined here forresponsible zero-load measurement can be used for in vitro or in vivo subject-specific computational models.


2004 ◽  
Vol 20 (4) ◽  
pp. 450-474 ◽  
Author(s):  
Richard E. Debski ◽  
Shon P. Darcy ◽  
Savio L-Y. Woo

Quantitative data on the mechanics of diarthrodial joints and the function of ligaments are needed to better understand injury mechanisms, improve surgical procedures, and develop improved rehabilitation protocols. Therefore, experimental and computational approaches have been developed to determine joint kinematics and the in-situ forces in ligaments and their replacement grafts using human cadaveric knee and shoulder joints. A robotic/universal force-moment sensor testing system is used in our research center for the evaluation of a wide variety of external loading conditions to study the function of ligaments and their replacements; it has the potential to reproduce in-vivo joint motions in a cadaver knee. Two types of computational models have also been developed: a rigid body spring model and a displacement controlled spring model. These computational models are designed to complement and enhance experimental studies so that more complex loading conditions can be examined and the stresses and strains in the soft tissues can be calculated. In the future, this combined approach will improve our understanding of these joints and soft tissues during in-vivo activities and serve as a tool to aid surgical planning and development of rehabilitation protocols.


2012 ◽  
Vol 6 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Katherine H Bloemker ◽  
Trent M Guess ◽  
Lorin Maletsky ◽  
Kevin Dodd

This study presents a subject-specific method of determining the zero-load lengths of the cruciate and collateral ligaments in computational knee modeling. Three cadaver knees were tested in a dynamic knee simulator. The cadaver knees also underwent manual envelope of motion testing to find their passive range of motion in order to determine the zero-load lengths for each ligament bundle. Computational multibody knee models were created for each knee and model kinematics were compared to experimental kinematics for a simulated walk cycle. One-dimensional non-linear spring damper elements were used to represent cruciate and collateral ligament bundles in the knee models. This study found that knee kinematics were highly sensitive to altering of the zero-load length. The results also suggest optimal methods for defining each of the ligament bundle zero-load lengths, regardless of the subject. These results verify the importance of the zero-load length when modeling the knee joint and verify that manual envelope of motion measurements can be used to determine the passive range of motion of the knee joint. It is also believed that the method described here for determining zero-load length can be used for in vitro or in vivo subject-specific computational models.


2010 ◽  
Vol 235 (4) ◽  
pp. 411-423 ◽  
Author(s):  
Katarzyna A Rejniak ◽  
Lisa J McCawley

In its simplest description, a tumor is comprised of an expanding population of transformed cells supported by a surrounding microenvironment termed the tumor stroma. The tumor microcroenvironment has a very complex composition, including multiple types of stromal cells, a dense network of various extracellular matrix (ECM) fibers interpenetrated by the interstitial fluid and gradients of several chemical species that either are dissolved in the fluid or are bound to the ECM structure. In order to study experimentally such complex interactions between multiple players, cancer is dissected and considered at different scales of complexity, such as protein interactions, biochemical pathways, cellular functions or whole organism studies. However, the integration of information acquired from these studies into a common description is as difficult as the disease itself. Computational models of cancer can provide cancer researchers with invaluable tools that are capable of integrating the complexity into organizing principles as well as suggesting testable hypotheses. We will focus in this Minireview on mathematical models in which the whole cell is a main modeling unit. We will present a current stage of such cell-focused mathematical modeling incorporating different stromal components and their interactions with growing tumors, and discuss what modeling approaches can be undertaken to complement the in vivo and in vitro experimentation.


2013 ◽  
Vol 110 (5) ◽  
pp. 1227-1245 ◽  
Author(s):  
Arij Daou ◽  
Matthew T. Ross ◽  
Frank Johnson ◽  
Richard L. Hyson ◽  
Richard Bertram

The nucleus HVC (proper name) within the avian analog of mammal premotor cortex produces stereotyped instructions through the motor pathway leading to precise, learned vocalization by songbirds. Electrophysiological characterization of component HVC neurons is an important requirement in building a model to understand HVC function. The HVC contains three neural populations: neurons that project to the RA (robust nucleus of arcopallium), neurons that project to Area X (of the avian basal ganglia), and interneurons. These three populations are interconnected with specific patterns of excitatory and inhibitory connectivity, and they fire with characteristic patterns both in vivo and in vitro. We performed whole cell current-clamp recordings on HVC neurons within brain slices to examine their intrinsic firing properties and determine which ionic currents are responsible for their characteristic firing patterns. We also developed conductance-based models for the different neurons and calibrated the models using data from our brain slice work. These models were then used to generate predictions about the makeup of the ionic currents that are responsible for the different responses to stimuli. These predictions were then tested and verified in the slice using pharmacological manipulations. The model and the slice work highlight roles of a hyperpolarization-activated inward current ( Ih), a low-threshold T-type Ca2+ current ( ICa-T), an A-type K+ current ( IA), a Ca2+-activated K+ current ( ISK), and a Na+-dependent K+ current ( IKNa) in driving the characteristic neural patterns observed in the three HVC neuronal populations. The result is an improved characterization of the HVC neurons responsible for song production in the songbird.


Author(s):  
Jason P. Halloran ◽  
Anthony J. Petrella ◽  
Paul J. Rullkoetter

The success of current total knee replacement (TKR) devices is contingent on the kinematics and contact mechanics during in vivo activity. Indicators of potential clinical performance of total joint replacement devices include contact stress and area due to articulations, and tibio-femoral and patello-femoral kinematics. An effective way of evaluating these parameters during the design phase or before clinical use is via computationally efficient computer models. Previous finite element (FE) knee models have generally been used to determine contact stresses and/or areas during static or quasi-static loading conditions. The majority of knee models intended to predict relative kinematics have not been able to determine contact mechanics simultaneously. Recently, however, explicit dynamic finite element methods have been used to develop dynamic models of TKR able to efficiently determine joint and contact mechanics during dynamic loading conditions [1,2]. The objective of this research was to develop and validate an explicit FE model of a TKR which includes tibio-femoral and patello-femoral articulations and surrounding soft tissues. The six degree-of-freedom kinematics, kinetics and polyethylene contact mechanics during dynamic loading conditions were then predicted during gait simulation.


2021 ◽  
Vol 14 (3) ◽  
pp. dmm047522
Author(s):  
Abdul Jalil Rufaihah ◽  
Ching Kit Chen ◽  
Choon Hwai Yap ◽  
Citra N. Z. Mattar

ABSTRACTBirth defects contribute to ∼0.3% of global infant mortality in the first month of life, and congenital heart disease (CHD) is the most common birth defect among newborns worldwide. Despite the significant impact on human health, most treatments available for this heterogenous group of disorders are palliative at best. For this reason, the complex process of cardiogenesis, governed by multiple interlinked and dose-dependent pathways, is well investigated. Tissue, animal and, more recently, computerized models of the developing heart have facilitated important discoveries that are helping us to understand the genetic, epigenetic and mechanobiological contributors to CHD aetiology. In this Review, we discuss the strengths and limitations of different models of normal and abnormal cardiogenesis, ranging from single-cell systems and 3D cardiac organoids, to small and large animals and organ-level computational models. These investigative tools have revealed a diversity of pathogenic mechanisms that contribute to CHD, including genetic pathways, epigenetic regulators and shear wall stresses, paving the way for new strategies for screening and non-surgical treatment of CHD. As we discuss in this Review, one of the most-valuable advances in recent years has been the creation of highly personalized platforms with which to study individual diseases in clinically relevant settings.


2021 ◽  
Author(s):  
Cheng Ding ◽  
Chuang Yang ◽  
Tao Cheng ◽  
Xingyan Wang ◽  
Qiaojie Wang ◽  
...  

Abstract Background:Inflammatory osteolysis is a major complication of total joint replacement surgery that can cause prosthesis failure and necessitate revision surgery. Macrophages are key effector immune cells in inflammatory responses, but excessive M1-polarization of dysfunctional macrophages leads to the secretion of pro-inflammatory cytokines and severe loss of bone tissue. Here, we report the development of macrophage-biomimetic porous SiO2-coated ultrasmall Se particles (Porous Se@SiO2 nanospheres) for the management of inflammatory osteolysis. Results: Macrophage-membrane-coated porous Se@SiO2 nanospheres(M-Se@SiO2) can attenuate lipopolysaccharide (LPS)-induced inflammatory osteolysis by a dual-immunomodulatory effect. As macrophage membrane decoys, these nanoparticles reduce toxin levels and neutralize pro-inflammatory cytokines. Moreover, the release of Se can induce the polarization of macrophages toward the anti-inflammatory M2-phenotype. These effects are mediated via the inhibition of p65, p38, and extracellular signal-regulated kinase(ERK) signaling. Additionally, the immune environment created by M-Se@SiO2 reduces the inhibition of osteogenic differentiation caused by pro-inflammation cytokines, confirmed through in vitro and in vivo experiments.Conclusion: Our findings suggest that M-Se@SiO2 has an immunomodulatory role in LPS-induced inflammation and bone remodeling, which demonstrates that M-Se@SiO2 is a promising engineered nano-platform for the treatment of osteolysis arising after arthroplasty.


Author(s):  
Ashwin S. Nathan ◽  
Brendon M. Baker ◽  
Robert L. Mauck

Nanofibrous scaffolds hold great potential for tissue engineering as they recapitulate the mechanical and topographic features of fibrous tissues on both the macroscopic and microscopic level [1,2]. When seeded with cells capable of fibrous extracellular matrix (ECM) production such as mesenchymal stem cells (MSCs), the new matrix is deposited in accordance with the underlying topography, and scaffolds develop improved mechanical properties with time in free swelling culture [6]. While promising, the free swelling conditions employed in evaluating in vitro construct maturation have thus far remained insufficient in achieving native-level properties. As most fibrous tissues are subjected to loading in vivo, mechanical conditioning is considered critical in directing tissue development and subsequent homeostasis with normal use. Mechanical signals are translated from the ECM to the nucleus via the cytoskeleton, with signals culminating in the control of biosynthetic activity based upon external loading conditions. Various bioreactor systems have been developed to mimic these in vivo conditions towards enhancing the maturation of engineered constructs, with most focusing on dynamic tensile deformation [3,4]. Towards gaining further insight into the means by which mechanical cues inspire alterations in cellular behavior, this study developed methods for evaluating cell and sub-cellular deformation of MSCs seeded on randomly-oriented and aligned nanofibrous scaffolds. Using a device that enables visualization of cells seeded on nanofibrous scaffolds undergoing static tensile deformation, we examined the effect of applied strain rate on cell adhesion to scaffolds, as well as changes in nuclear shape in the context of viable actin and microtubule sub-cellular networks with applied strain. These data provide new insight into fundamental mechanisms of MSC mechanoregulation on nanofibrous scaffolds, and offer constraints for long-term bioreactor studies.


2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0008
Author(s):  
Brett D. Steineman ◽  
Constantine A. Demetracopoulos ◽  
Jonathan T. Deland ◽  
Brett D. Steineman ◽  
Fernando Quevedo Gonzalez ◽  
...  

Category: Ankle Introduction/Purpose: Biologic fixation of total joint replacements by bone ingrowth requires minimal bone-implant micromotion [1]. Computational finite element (FE) models used to evaluate the interaction between implant and bone typically only consider simplified loading conditions based on the peak compressive force which occurs near toe-off [2,3]. However, a previous study focused on cementless knee replacements demonstrated that peak micromotion during activity cycles occurred with sub-maximal forces and moments [4]. Our objective was to calculate multi-axial loading at the ankle joint throughout level walking and evaluate tibial fixation of ankle replacements under these loading conditions. We hypothesized that peak micromotion would occur with sub-maximal loads and moments instead of at the instant of peak compressive load. Methods: Our validated six-degree-of-freedom robotic simulator utilizes in vivo data from human subjects to replicate the individual bone kinematics in cadaveric specimen throughout activity [5]. We rigidly fixed retro-reflective markers using bone pins to the tibia, talus, and calcaneus bones of three cadaveric specimens to record individual bone kinematics using motion capture cameras. We recorded the ground reaction and muscle-tendon forces during the simulated stance phase of level walking. Musculoskeletal models were then developed in OpenSim using the specimen-specific morphology and implant position from CT- scans and from the simulator outputs to determine the loading profile at the ankle joint during stance. The calculated loads were then applied to specimen-specific finite element models to evaluate the bone-implant interaction. Peak micromotion at each time point of loading was measured and compared to the loading profile to determine if it corresponded with the peak compressive load. Results: For all specimens, the peak compressive load at the ankle joint was accompanied by multi-axial moments and relatively small shear forces (Figure 1). The peak compressive load for each specimens was between 750 N and 850 N and occurred during 75-80% of gait. The largest moment experienced by all specimens was an internal moment late in stance. The peak micromotion for each specimen did not correspond to the instance of peak compressive load, as indicated in Figure 1. Instead, peak micromotion occurred at 54%, 88%, and 96% of gait. For each specimen, these instances corresponded to the combination of a sub-maximal compressive load with high eversion and internal moments. Conclusion: We have developed a workflow to calculate ankle joint loads corresponding to cadaveric simulations that reproduce a daily activity based on in vivo data. The specimen-specific, multi-axial loading profile at the ankle for our initial results suggests that peak micromotion at the bone-implant interface of the tibial implant does not coincide with the peak compressive force. The instant of peak compressive load may not capture the worst-case scenario for the interaction between the implant and the bone. Instead, the multi-axial forces and moments at the ankle joint throughout activity should be considered when evaluating implant fixation.


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