Effect of uncertain clinical conditions on the early healing and stability of distal radius fractures.

Background And Objectives: The healing outcomes of distal radius fracture (DRF) treated with the volar locking plate (VLP) depend on surgical strategies and postoperative rehabilitation. However, the accurate prediction of healing outcomes is challenging due to a range of certainties related to the clinical conditions of DRF patients, including fracture geometry, fixation configuration, and physiological loading. The purpose of this study is to investigate the influence of uncertainty and variability in fracture/fixation parameters on the mechano-biology and biomechanical stability of DRF, using a probabilistic numerical approach based on the results from a series of experimental tests performed in this study.

Development of numerical model-based machine learning algorithms for different healing stages of distal radius fracture healing.

Background And Objectives: Early therapeutic exercises are vital for the healing of distal radius fractures (DRFs) treated with the volar locking plate. However, current development of rehabilitation plans using computational simulation is normally time-consuming and requires high computational power. Thus, there is a clear need for developing machine learning (ML) based algorithms that are easy for end-users to implement in daily clinical practice.

Influences of variability and uncertainty in vertical and horizontal surface roughness on articular cartilage lubrication.

Background And Objectives: Cartilage surface roughness has significant implications on joint lubrication. However, the effects of the variability in surface roughness in different directions (especially in horizontal direction) in mixed-mode lubrication have not been fully investigated and relevant research work in this field is limited. This study presents a probabilistic numerical approach to investigate the influence of variability and uncertainty of Root-Mean-Square (RMS) roughness heights (vertical roughness) and roughness correlation lengths (horizontal roughness) on cartilage lubrication.

Influence of therapeutic grip exercises induced loading rates in distal radius fracture healing with volar locking plate fixation.

Background And Objective: Therapeutic exercises could potentially enhance the healing of distal radius fractures (DRFs) treated with volar locking plate (VLP). However, the healing outcomes are highly dependant on the patient-specific fracture geometries (e.g.

Balance Between Mechanical Stability and Mechano-Biology of Fracture Healing Under Volar Locking Plate.

The application of volar locking plate (VLP) is promising in the treatment of dorsally comminuted and displaced fracture. However, the optimal balance between the mechanical stability of VLP and the mechanobiology at the fracture site is still unclear. The purpose of this study is to develop numerical models in conjunction with experimental studies to identify the favourable mechanical microenvironment for indirect healing, by optimizing VLP configuration and post-operative loadings for different fracture geometries.

A Probabilistic Failure Risk Approach to The Problem of Articular Cartilage Lubrication.

Background And Objective: The geometrical and mechanical properties that characterise the cartilage contact gap are uncertain and spatially varied. To date the effects of such uncertainties on cartilage lubrication have not been explored. Using a probabilistic approach, the purpose of this study is to numerically investigate the influence of surficial cartilage glycoaminoglycan (GAG) content on joint lubrication behaviour.

Computational study on synovial fluid flow behaviour in cartilage contact gap under osteoarthritic condition.

This study numerically investigates the pathological changes of fluid flow in cartilage contact gap due to the changes in cartilage surface roughness and synovial fluid characteristics in osteoarthritic (OA) condition. First, cartilage surface topographies in both healthy and OA conditions are constructed using a numerical approach with consideration of both vertical and horizontal roughness. Then, constitutive equations for synovial fluid viscosity are obtained through calibration against previous experimental data.

The investigation of fluid flow in cartilage contact gap.

Synovial fluid flow in articular joint capsule plays an important role during mixed mode lubrication. However, the actual fluid flow behaviour during cartilage contact has not been fully understood so far. This is due to the difficulties in measuring the gap permeability using conventional experimental techniques.