Ramin Oftadeh

Biomechanics and Mechanobiology of Trabecular Bone: A Review

Trabecular bone is a highly porous, heterogeneous, and anisotropic material which can be found at the epiphyses of long bones and in the vertebral bodies. Studying the mechanical properties of trabecular bone is important, since trabecular bone is the main load bearing bone in vertebral bodies and also transfers the load from joints to the compact bone of the cortex of long bones. This review article highlights the high dependency of the mechanical properties of trabecular bone on species, age, anatomic site, loading direction, and size of the sample under consideration. In recent years, high resolution micro finite element methods have been extensively used to specifically address the mechanical properties of the trabecular bone and provide unique tools to interpret and model the mechanical testing experiments. The aims of the current work are to first review the mechanobiology of trabecular bone and then present classical and new approaches for modeling and analyzing the trabecular bone microstructure and macrostructure and corresponding mechanical properties such as elastic properties and strength.

Self-similar hierarchical honeycombs

Hierarchical structures are observed in nature, and can be shown to offer superior efficiency. However, the potential advantages of structural hierarchy are not well understood. We extensively explored a bending-dominated model material (i.e. transversely loaded hexagonal honeycomb) which is susceptible to improvement by simple iterative refinement that replaces each three-edge structural node with a smaller hexagon. Using a blend of analytical and numerical techniques, both elastic and plastic properties were explored over a range of loadings and iteration parameters. A wide variety of specific stiffness and specific strengths (up to fourfold increase) were achieved. The results offer insights into the potential value of iterative structural refinement for creating low-density materials with desired properties and function.

Curved Beam Computed Tomography based Structural Rigidity Analysis of Bones with Simulated Lytic Defect: A Comparative Study with Finite Element Analysis

In this paper, a CT based structural rigidity analysis (CTRA) method that incorporates bone intrinsic local curvature is introduced to assess the compressive failure load of human femur with simulated lytic defects. The proposed CTRA is based on a three dimensional curved beam theory to obtain critical stresses within the human femur model. To test the proposed method, ten human cadaveric femurs with and without simulated defects were mechanically tested under axial compression to failure. Quantitative computed tomography images were acquired from the samples, and CTRA and finite element analysis were performed to obtain the failure load as well as rigidities in both straight and curved cross sections. Experimental results were compared to the results obtained from FEA and CTRA. The failure loads predicated by curved beam CTRA and FEA are in agreement with experimental results. The results also show that the proposed method is an efficient and reliable method to find both the location and magnitude of failure load. Moreover, the results show that the proposed curved CTRA outperforms the regular straight beam CTRA, which ignores the bone intrinsic curvature and can be used as a useful tool in clinical practices.

Hierarchical analysis and multi-scale modelling of rat cortical and trabecular bone.

The aim of this study was to explore the hierarchical arrangement of structural properties in cortical and trabecular bone and to determine a mathematical model that accurately predicts the tissues mechanical properties as a function of these indices. By using a variety of analytical techniques, we were able to characterize the structural and compositional properties of cortical and trabecular bones, as well as to determine the suitable mathematical model to predict the tissues mechanical properties using a continuum micromechanics approach. Our hierarchical analysis demonstrated that the differences between cortical and trabecular bone reside mainly at the micro- and ultrastructural levels. By gaining a better appreciation of the similarities and differences between the two bone types, we would be able to provide a better assessment and understanding of their individual roles, as well as their contribution to bone health overall.

Effects of Different Loading Patterns on the Trabecular Bone Morphology of the Proximal Femur Using Adaptive Bone Remodeling

In this study, the changes in the bone density of human femur model as a result of different loadings were investigated. The model initially consisted of a solid shell representing cortical bone encompassing a cubical network of interconnected rods representing trabecular bone. A computationally efficient program was developed that iteratively changed the structure of trabecular bone by keeping the local stress in the structure within a defined stress range. The stress was controlled by either enhancing existing beam elements or removing beams from the initial trabecular frame structure. Analyses were performed for two cases of homogenous isotropic and transversely isotropic beams.Trabecular bone structure was obtained for three load cases: walking, stair climbing and stumbling without falling. The results indicate that trabecular bone tissue material properties do not have a significant effect on the converged structure of trabecular bone. In addition, as the magnitude of the loads increase, the internal structure becomes denser in critical zones. Loading associated with the stumbling results in the highest density;whereas walking, considered as a routine daily activity, results in the least internal density in different regions. Furthermore, bone volume fraction at the critical regions of the converged structure is in good agreement with previously measured data obtained from combinations of dual X-ray absorptiometry (DXA) and computed tomography (CT). The results indicate that the converged bone architecture consisting of rods and plates are consistent with the natural bone morphology of the femur. The proposed model shows a promising means to understand the effects of different individual loading patterns on the bone density.

The effect of the rotator interval on glenohumeral kinematics during abduction

BackgroundThe rotator interval (RI) has been exploited as a potentially benign point of entry into the glenohumeral (GH) joint. Bounded by the supraspinatus, subscapularis and coracoid process of the scapula, the RI is believed to be important in the shoulder’s soft tissue balancing and function. However, the role of the RI in shoulder kinematics is not fully understood. The purpose of this study is to describe the effect of the RI on GH motion during abduction of the arm.MethodsSix shoulders from three cadaveric torsos were studied to assess the impact of changes in the RI during abduction under four conditions: Intact (Baseline), Opened, Repaired (repaired with side-to-side tissue approximation, no overlap) and Tightened (repaired with 1 cm overlap). For each group, the GH translation and area under the Curve (AUC) were measured during abduction using an intact cadaveric shoulder (intact torso).ResultsGH kinematics varied in response to each intervention and throughout the entire abduction arc. Opening the RI caused a significant change in GH translation. The Repair and Tightened groups behaved similarly along all axes of GH motion.ConclusionsThe RI is central to normal GH kinematics. Any insult to the tissue’s integrity alters the shoulder’s motion throughout abduction. In this model, closing the RI side-to-side has the same effect as tightening the RI. Since suture closure may offer the same benefit as tightening the RI, clinicians should consider this effect when treating patients with shoulder laxity. This investigation provides an improved perspective on the role of the RI on GH kinematics during abduction. When managing shoulder pathology, surgeons should consider how these different methods of RI closure affect the joint’s motion. In different circumstances, the surgical approach to the RI can be tailored to address each patient’s specific needs.

Adaptive Bone Remodeling to Capture the Trabecular Bone Morphology of the Proximal Femur

In this study, a model of femur which resembles bone natural structure has been developed. The model initially consists of a solid shell representing cortical bone encompassing a cubical network of interconnected rods with circular cross-sections representing trabecular bone part. A computational efficient program has been developed which iteratively changes the structure of trabecular bone by keeping the local stress in the structure within a defined stress range. The stress is controlled by either enhancing existing beam elements or removing beams from the initial trabecular frame structure. Trabecular bone structure is obtained for two load cases: walking and stair climbing. The results show that as the magnitude of the loads increase, the internal structure gets denser in critical zones. The higher density is achieved using loading associated with the stair climbing. Walking which is considered as the routine daily activity, results in the less internal density in different regions of the bone. The results show that the converged bone architecture consisting of rods and plates are consistent with the natural bone morphology of femur. Furthermore, the bone volume fraction at the critical regions of the converged structure is in a good agreement with previously measured data obtained from combinations of Dual X-ray Absorptiometry (DXA) and Computed Tomography (CT).Copyright