Development of a novel geometrically-parametric patient-specific finite element model for anterior cruciate ligament reconstruction.

Purpose: A personalized model of the knee joint, with adjustable effective geometric parameters for the transplanted autograft diameter in Anterior Cruciate Ligament Reconstruction (ACLR) using the bone-patella-tendon-bone (BPTB) technique, has been developed. The model will assist researchers in understanding how different graft sizes impact a patient's recovery over time.

Methods: The study involved selecting a group of individuals without knee injuries and one patient who had undergone knee surgery.

Enzymatic denaturation versus excessive fatigue loading degeneration: Effects on the time-dependent response of the intervertebral disc.

Degenerative disc disease (DDD), regardless of its phenotype and clinical grade, is widely associated with low back pain (LBP), which remains the single leading cause of disability worldwide. This work provides a quantitative methodology for comparatively investigating artificial IVD degeneration via two popular approaches: enzymatic denaturation and fatigue loading. An in-vitro animal study was used to study the time-dependent responses of forty fresh juvenile porcine thoracic IVDs in conjunction with inverse and forward finite element (FE) simulations.

Impact of osteoporosis and Cement-Augmented fusion on adjacent spinal levels Post-Fusion Surgery: Patient-Specific finite element analysis.

Cement-augmentation is a technique commonly used during posterior lumbar instrumented fusion (PLIF) to reinforce compromised osteoporotic vertebral bone, minimize the risk of loosening screws, enhance stability, and improve overall surgical outcomes. In this study, we introduce a novel segmented vertebral body regional modeling approach to investigate the effects of osteoporosis and cement-augmented lumbar fusion on disc biomechanics at spinal levels adjacent to the fused vertebrae. Using our previously validated personalized-poroelastic-osteoligamentous FE model of the spine, fusion was simulated at L4-L5, and the biomechanics of adjacent levels were studied for 30 patients (non-osteoporotic patients (N = 15), osteoporotic patients (N = 15)).

ASIC3 roles in mechanosensitive elongation of nucleus pulposus cells.

Morphological changes of the nucleus pulposus (NP) cells occur concomitantly as part of the intervertebral disc (IVD) degeneration and excessive mechanical loading has been speculated as a significant key factor for contributing to such morphological changes. Therefore, we hypothesize that stress exerted on NP cells can cause a deformity of nucleus in response. The changes of cell morphology is observed in degenerative nucleus pulposus.

High-Performance Novel Polyoxometalate-LDH Nanocomposite-Modified Thin-Film Nanocomposite Forward Osmosis Membranes: A Study of Desalination and Antifouling Performance.

Numerous investigations have focused on creating effective membranes for desalination in order to alleviate the water scarcity crisis. In this study, first, LDH nanoplates were synthesized and utilized to alter the surface of thin-film composite (TFC) membranes in the course of this investigation. Following that, a simple technique was used to produce a novel nanocomposite incorporating LDH layers and Na(PWCoO)·28HO polyoxometalate nanoparticles, resulting in the creation of a fresh variety of thin-film nanocomposite (TFN).

The influence of over-distraction on biomechanical response of cervical spine post anterior interbody fusion: a comprehensive finite element study.

Anterior cervical discectomy and fusion (ACDF) has been considered as the gold standard surgical treatment for cervical degenerative pathologies. Some surgeons tend to use larger-sized interbody cages during ACDF to restore the index intervertebral disc height, hence, this study evaluated the effect of larger-sized interbody cages on the cervical spine with ACDF under both static and cyclic loading. Twenty pre-operative personalized poro-hyperelastic finite element (FE) models were developed.

High-Performance Novel MoS@Zeolite X Nanocomposite-Modified Thin-Film Nanocomposite Forward Osmosis Membranes: A Study of Desalination and Antifouling Performance.

Novel thin-film nanocomposite (TFN) membranes modified by the MoS@Zeolite X nanocomposite were made and studied for desalination by the forward osmosis (FO) method. Herein, MoS@Zeolite X nanocomposite (MoS@Z) and zeolite X particles are integrated into the polyamide (PA) selective layer of the TFN membranes, separately. The aim of this study is the synthesis of nanocomposites containing hydrophilic zeolite X particles with a modified surface and pore and improvement of their effective properties on desalination and antifouling performance.

Feasibility of a kinect-based system in assessing physical function of the elderly for home-based care.

Background: With concerns about accurate diagnosis through telehealth, the Kinect sensor offers a reliable solution for movement analysis. However, there is a lack of practical research investigating the suitability of a Kinect-based system as a functional fitness assessment tool in homecare settings. Hence, the objective of this study was to evaluate the feasibility of using a Kinect-based system to assess physical function changes in the elderly.

Biomechanical Investigation of Bone Screw Head Design for Extracting Stripped Screw Heads: Integration of Mechanical Tests and Finite Element Analyses.

Enhancing the design of bone screw head sockets to prevent stripping and improve the torque required for smooth unscrewing is a significant challenge in orthopedic applications. This research aims to establish a quantitative methodology by integrating mechanical testing with finite element (FE) simulations to determine a safe limitation depth for the screwdriver when engaging with the hexagonal socket, thus avoiding stripped screw heads. A FE model was developed to investigate the biomechanical responses of the screw head design.

Anatomical parameters alter the biomechanical responses of adjacent segments following lumbar fusion surgery: Personalized poroelastic finite element modelling investigations.

While the short-term post-operative outcome of lumbar fusion is satisfying for most patients, adjacent segment disease (ASD) can be prevalent in long-term clinical observations. It might be valuable to investigate if inherent geometrical differences among patients can significantly alter the biomechanics of adjacent levels post-surgery. This study aimed to utilize a validated geometrically personalized poroelastic finite element (FE) modeling technique to evaluate the alteration of biomechanical response in adjacent segments post-fusion.

Comparative biomechanical analyses of lower cervical spine post anterior fusion versus intervertebral disc arthroplasty: A geometrically patient-specific poroelastic finite element investigation.

Background/objective: The optimal surgical technique for the treatment of cervical degenerative disc disease (CDDD) towards decreasing the risk of adjacent segment disease (ASD) remains elusive. This study aimed to comparatively investigate the biomechanics of the lower cervical spine following fusion (ACDF) and artificial disc arthroplasty (Bryan® and Prestige LP®) using a validated geometrically patient-specific poroelastic finite element modeling (FEM) approach.

Methods: Ten subject-specific pre-operative models were developed and validated based on a FEM approach.

Using different unit-cell geometries to generate bone tissue scaffolds by additive manufacturing technology.

The design and manufacturing three-dimensional scaffolds are a significant concept in bone tissue engineering (BTE). Firstly, from the perspective of manufacturing, Additive manufacturing (AM) technology has achieved great attraction in the field of BTE during the past few years. In the field of BTE, the possibility of generating complex porous structures with high precision compared to typical manufacturing methods has made AM the leading option for scaffold production.

Comparative biomechanical analysis of rigid vs. flexible fixation devices for the lumbar spine: A geometrically patient-specific poroelastic finite element study.

Background And Objective: Lumbar spinal stenosis (LSS), or the narrowing of the spinal canal, continues to be the leading preoperative diagnosis for adults older than 65 years who undergo spine surgery. Although the treatment of LSS depends on its severity, the optimal surgical technique towards decreasing the risk of adjacent segment disease (ASD) remains elusive. This study aimed to comparatively analyze spinal biomechanics with rigid and flexible fixation devices (i.

The effect of orthopedic screw profiles on the healing time of femoral neck fracture.

One possible treatment for femoral neck fractures, especially in young people, is the use of bone screws or Lug screws. The design of these implants requires taking into account the biocompatibility of materials, mechanical properties plus surface properties, and thread's geometric, as well as chemical properties, etc. Various profiles are designed for fracture fixation.

Biomechanical modeling of spinal ligaments: finite element analysis of L4-L5 spinal segment.

The complex mechanical structure of spine is usually simplified in finite element (FE) modes. In this study, different 3D models of L4-L5 spinal segment distinguished by their ligament modelling were developed (1D truss, 2D shell and 3D space truss elements). All models could be considered validated with respect to range of motion and intradiscal pressure, although their ligament stresses/forces were substantially different.

Frailty Level Classification of the Community Elderly Using Microsoft Kinect-Based Skeleton Pose: A Machine Learning Approach.

Frailty is one of the most important geriatric syndromes, which can be associated with increased risk for incident disability and hospitalization. Developing a real-time classification model of elderly frailty level could be beneficial for designing a clinical predictive assessment tool. Hence, the objective of this study was to predict the elderly frailty level utilizing the machine learning approach on skeleton data acquired from a Kinect sensor.

Corrigendum: Biomechanical Investigation Between Rigid and Semirigid Posterolateral Fixation During Daily Activities: Geometrically Parametric Poroelastic Finite Element Analyses.

[This corrects the article DOI: 10.3389/fbioe.2021.

Biomechanical Investigation Between Rigid and Semirigid Posterolateral Fixation During Daily Activities: Geometrically Parametric Poroelastic Finite Element Analyses.

While spinal fusion using rigid rods remains the gold standard treatment modality for various lumbar degenerative conditions, its adverse effects, including accelerated adjacent segment disease (ASD), are well known. In order to better understand the performance of semirigid constructs using polyetheretherketone (PEEK) in fixation surgeries, the objective of this study was to analyze the biomechanical performance of PEEK versus Ti rods using a geometrically patient-specific poroelastic finite element (FE) analyses. Ten subject-specific preoperative models were developed, and the validity of the models was evaluated with previous studies.

A finite element study of fatigue load effects on total hip joint prosthesis.

The main goal of this study was to perform a fatigue analysis and compare the results for different materials. A 72 years old patient was chosen and his hip radiographic/CT scan images were used to construct the geometry. We used four different material including Titanium, Titanium alloy, Cobalt-Chrome, and Stainless steel.

A comparative finite element simulation of locking compression plate materials for tibial fracture treatment.

The locking compression plate (LCP) system has several advantages in fracture fixation combining angular stability with the use of locking screws with traditional fixation techniques. However, the system is complex and requiring careful attention to biomechanical principles and good surgical technique. Due to the set of complicate stresses and strains in the LCP system after implantation, the material, which is being used here, is deemed important.

Development of a novel geometrically-parametric patient-specific finite element model to investigate the effects of the lumbar lordosis angle on fusion surgery.

The success of lumbar interbody fusion, the key surgical procedure for treating different pathologies of the lumbar spine, is highly dependent on determining the patient-specific lumbar lordosis (LL) and restoring sagittal balance. This study aimed to (1) develop a personalized finite element (FE) model that automatically updates spinal geometry for different patients; and (2) apply this technique to study the influence of LL on post-fusion spinal biomechanics. Using an X-Ray image-based algorithm, the geometry of the lumbar spine (L1-S1) was updated using independent parameters.

The Effect of Mandibular Flexure on Stress Distribution in the All-on-4 Treated Edentulous Mandible: A Comparative Finite-Element Study Based on Mechanostat Theory.

The All-on-4 treatment concept is a felicitous approach for treatment of edentulous mandible. Mandibular flexure plays a decisive role in several restorative failures-for instance, screw loosening, particularly in widely separated implant supports such as those utilized in All-on-4 treatment methods. We investigated the effect of mandibular flexure on stress distribution and likelihood of bone loss or growth in the implanted mandible using two frequently used All-on-4 methods of implantation: parallel and tilted.

Fatigue changes neck muscle control and deteriorates postural stability during arm movement perturbations in patients with chronic neck pain.

Background Context: Multisensory afferent inputs to the cervical spine affect the generation of neck muscle control. Chronic neck pain (CNP) and muscle fatigue are factors that disturb somatosensory function. Whether they affect postural control under self-initiated perturbation in daily activities is still unclear.

Biomechanical role of posterior cruciate ligament in total knee arthroplasty: A finite element analysis.

Background And Objective: The knee joint is a complex structure which is vulnerable to injury due to various types of loadings as a consequence of walking, running, stair climbing, etc. Total knee arthroplasty (TKA) is a widely used and successful orthopedic procedure which during that the posterior cruciate ligament (PCL) can either be retained or substituted. Different surgical techniques suggest retention or sacrifice of the PCL in TKA for the treatment of osteoarthritis which may alter the post-op outcomes.