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Tricuspid valve edge-to-edge repair simulations are highly sensitive to annular boundary conditions 三尖瓣边缘到边缘修复模拟对环空边界条件高度敏感。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-22 DOI: 10.1016/j.jmbbm.2024.106879
Collin E. Haese , Vijay Dubey , Mrudang Mathur , Alison M. Pouch , Tomasz A. Timek , Manuel K. Rausch
Transcatheter edge-to-edge repair (TEER) simulations may provide insight into this novel therapeutic technology and help optimize its use. However, because of the relatively short history and technical complexity of TEER simulations, important questions remain unanswered. For example, there is no consensus on how to handle the annular boundary conditions in these simulations. In this short communication, we tested the sensitivity of such simulations to the choice of annular boundary conditions using a high-fidelity finite element model of a human tricuspid valve. Therein, we embedded the annulus among elastic springs to simulate the compliance of the perivalvular myocardium. Next, we varied the spring stiffness parametrically and explored the impact on two key measures of valve function: coaptation area and leaflet stress. Additionally, we compared our results to simulations with a pinned annulus. We found that a compliant annular boundary condition led to a TEER-induced “annuloplasty effect,” i.e., annular remodeling, as observed clinically. Moreover, softer springs led to a larger coaptation area and smaller leaflet stresses. On the other hand, pinned annular boundary conditions led to unrealistically high stresses and no “annuloplasty effect.” Furthermore, we found that the impact of the boundary conditions depended on the clip position. Our findings in this case study emphasize the importance of the annular boundary condition in tricuspid TEER simulations. Thus, we recommend that care be taken when choosing annular boundary conditions and that results from simulations using pinned boundaries should be interpreted with caution.
经导管边缘到边缘修复(TEER)模拟可以深入了解这种新型治疗技术,并有助于优化其使用。然而,由于TEER模拟的历史相对较短和技术复杂性,一些重要问题仍未得到解答。例如,在这些模拟中如何处理环形边界条件没有达成共识。在这篇简短的通信中,我们使用人体三尖瓣的高保真有限元模型测试了这种模拟对环形边界条件选择的敏感性。其中,我们将环嵌入弹性弹簧中以模拟瓣周心肌的顺应性。接下来,我们参数化地改变了弹簧刚度,并探讨了对阀功能的两个关键指标的影响:适应面积和叶应力。此外,我们将结果与固定环空的模拟结果进行了比较。我们发现,如临床观察到的那样,一个顺从的环边界条件导致teer诱导的“环成形术效应”,即环重构。此外,更软的弹簧导致更大的适应面积和更小的小叶应力。另一方面,固定环空边界条件导致不切实际的高应力,没有“环成形效应”。此外,我们发现边界条件的影响取决于夹片位置。我们在这个案例研究中的发现强调了环形边界条件在三尖瓣TEER模拟中的重要性。因此,我们建议在选择环形边界条件时要小心,并且使用固定边界的模拟结果应谨慎解释。
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引用次数: 0
Mechanical properties of the bicipital aponeurosis 肱二头肌腱膜的力学特性。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-20 DOI: 10.1016/j.jmbbm.2024.106876
Emmanuel Ocran , Michele Oliver , Anne Agur , Amr Elmaraghy , Karen Gordon
As a biarticular muscle, the biceps brachii both supinates the forearm and flexes the elbow and shoulder, thus allowing the upper limb to perform a variety of activities of daily living (ADL). The biceps brachii originates on the coracoid apex as well as the supraglenoid tubercle and inserts on the radial tuberosity. At the distal end, the bicipital aponeurosis (BA) provides a transition of the biceps tendon into the antebrachial fascia. Previous work has reported the importance of the bicipital aponeurosis in stabilizing distal tendons. Other studies have reported the supination effect that the BA has on the forearm at the radioulnar joint, where it also protects the brachial artery and median nerve (neurovascular bundle). In addition, it has been speculated to have a proprioceptive function. However, despite the important functions fulfilled by this structure, the mechanical properties of the BA are yet to be quantified.
Mechanical properties for eight fresh frozen BA specimens (82 ± 12 years, 5 females, 5 right) were quantified using a Cellscale Biaxial (Waterloo, ON) testing machine. Three samples (approximately 7 × 7mm each) were harvested from the proximal, middle and distal regions along the length of the BA. Samples were tested on a biaxial testing machine while maintaining the alignment of the longitudinal collagen fiber orientation with the X-axis of the tester. The testing protocol included 10 preconditioning sinusoidal cycles at 9% strain, at a strain rate of 1%/s, followed by biaxial testing to a maximum strain of 12% at a strain rate of 1%/s. Young's modulus was quantified for all biaxial tests from the linear portion of the resulting stress-strain relation. Results showed that elastic modulus values were significantly greater in the longitudinal direction aligned with the collagen fibers. The outcomes of this study will provide input values for future models of distal biceps repair, thus aiding surgical planning by providing insight into the potential load sharing contributions of the BA.
作为一种双关节肌肉,肱二头肌既能使前臂旋后,又能使肘部和肩部屈曲,从而使上肢能够进行各种日常生活活动(ADL)。肱二头肌起源于喙尖和锁骨上结节并插入桡骨结节。在远端,二头肌腱膜(BA)提供二头肌腱进入肱前筋膜的过渡。以前的工作已经报道了肱二头肌腱膜在稳定远端肌腱中的重要性。其他研究报道了BA对前臂尺桡关节处的旋后作用,它也保护肱动脉和正中神经(神经血管束)。此外,据推测它还具有本体感觉功能。然而,尽管这种结构具有重要的功能,但BA的力学性能尚未被量化。采用Cellscale Biaxial (Waterloo, ON)试验机对8个新鲜冷冻BA标本(82±12年,女性5例,男性5例)的力学性能进行定量分析。沿着BA的长度从近端、中端和远端区域采集三个样本(每个约7 × 7mm)。样品在双轴试验机上进行测试,同时保持胶原纤维纵向方向与试验机的x轴对齐。试验方案包括10次预处理正弦循环,应变率为9%,应变率为1%/s,然后进行双轴测试,应变率为1%/s,最大应变为12%。杨氏模量从产生的应力-应变关系的线性部分量化所有双轴试验。结果表明,弹性模量值在与胶原纤维对齐的纵向上显著增大。本研究的结果将为未来的二头肌远端修复模型提供输入值,从而通过洞察BA的潜在负荷分担贡献来帮助手术计划。
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引用次数: 0
Automatic adjustment of dental crowns using Laplacian mesh editing 利用拉普拉斯网格编辑技术自动调整牙冠
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-20 DOI: 10.1016/j.jmbbm.2024.106878
Oliver Roffmann , Meike Stiesch , Christof Hurschler , Andreas Greuling
Currently, the restoration of missing teeth by means of dental implants is a common treatment method in dentistry. Ensuring optimal contact between teeth (occlusion) when designing the occlusal surface of an implant-supported crown is crucial for the patient. Although there are various occlusal concepts and guidelines for achieving optimised occlusion, adapting an occlusal surface is challenging. The contact points must be established in certain areas of the occlusal surface without impairing the aesthetics of the teeth and the masticatory function. A computer-aided, automated modelling approach can assist in the design process and can reduce the reliance on manual labour. This study aimed to develop a modelling approach that enables the automatic adaptation of an occlusal surface to specific occlusal concepts while preserving the natural appearance. In this study, the occlusal surface of an implant-supported crown based on a scanned first right mandibular molar was adopted. Nominal contact points were determined based on occlusal concepts by Ramfjord and Ash (RA) and Thomas (T). The shape of the occlusal surface was then adapted concerning the desired contact points using Laplacian mesh editing. The modification results were validated for different forces and crown materials (3Y-TZP and PMMA) using a finite element contact analysis. The contact analysis results showed that locations with high compressive stresses correspond with the locations of the nominal contact points. The reaction forces were more evenly distributed in PMMA crowns, due to the lower Young's modulus of PMMA compared to 3Y-TZP. Furthermore, the occlusal scheme with fewer contact points (RA) showed higher maximum reaction forces per contact area. The presented method enables the automated adaptation of an (implant-supported) crown to specific occlusal schemes, proving to be valuable in dental CAD.
目前,牙种植体修复缺牙是牙科常用的治疗方法。当设计种植体支撑冠的咬合面时,确保牙齿之间的最佳接触(咬合)对患者至关重要。虽然有各种咬合的概念和指导方针,以实现优化咬合,适应咬合表面是具有挑战性的。接触点必须建立在咬合表面的某些区域,而不损害牙齿的美观和咀嚼功能。计算机辅助的自动化建模方法可以协助设计过程,并可以减少对体力劳动的依赖。本研究旨在开发一种建模方法,使咬合表面能够自动适应特定的咬合概念,同时保持自然外观。在本研究中,采用基于扫描的右下颌第一磨牙种植支撑冠的咬合面。根据Ramfjord和Ash (RA)和Thomas (T)的咬合概念确定名义接触点。然后使用拉普拉斯网格编辑根据期望的接触点调整咬合表面的形状。通过有限元接触分析验证了不同力和不同冠材(3Y-TZP和PMMA)的修正结果。接触分析结果表明,高压应力位置与标称接触点位置相对应。与3Y-TZP相比,PMMA的杨氏模量更低,因此反作用力在PMMA冠中分布更均匀。此外,接触点较少的咬合方案显示出更高的每接触面积的最大反作用力。提出的方法能够自动适应(种植支持)冠特定的咬合方案,证明是有价值的牙科CAD。
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引用次数: 0
Mechanical characteristics of spinal cord tissue by indentation 通过压痕分析脊髓组织的机械特性
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-19 DOI: 10.1016/j.jmbbm.2024.106863
Oskar Neumann , Harsh Vardhan Surana , Stephen Melly , Paul Steinmann , Silvia Budday
The mechanical properties of brain and spinal cord tissue have proven to be extremely complex and difficult to assess. Due to the heterogeneous and ultra-soft nature of the tissue, the available literature shows a large variance in mechanical parameters derived from experiments. In this study, we performed a series of indentation experiments to systematically investigate the mechanical properties of porcine spinal cord tissue in terms of their sensitivity to indentation tip diameter, loading rate, holding time, ambient temperature along with cyclic and oscillatory dynamic loading. Our results show that spinal cord white matter tissue is more compliant than grey matter tissue with apparent moduli of 128.7 and 403.8 Pa, respectively. They show similar viscoelastic behavior with stress relaxation time constants of τ1=1.38s and τ2=36.29s for grey matter and τ1=1.46s and τ2=46.10s for white matter, while the initial peak force decreased by 54 % for grey and 59 % for white matter tissue. An increase of the applied loading rate by two orders of magnitude led to an approximate doubling of the apparent modulus for both tissue types. Thermal variations showed a decrease in apparent modulus of up to 30 % after heating from 20 to 37.0 °C. Our dynamic tests revealed a significant influence of cyclic preload on the stiffness, with a drop of up to 20 % and a relative decrease of up to 60 % after the first cycle compared to the total modulus drop after five cycles for spinal cord grey matter tissue. Oscillatory indentation experiments identified similar loss moduli for spinal cord grey and white matter tissue and a higher storage modulus for white matter tissue. This work provides systematic insights into the mechanical properties of spinal cord tissue under different loading scenarios using nanoindentation.
脑和脊髓组织的力学特性已被证明是极其复杂和难以评估的。由于组织的异质性和超柔软性,现有文献显示,从实验中得出的力学参数差异很大。在这项研究中,我们进行了一系列的压痕实验,系统地研究了猪脊髓组织的力学特性,包括压痕尖端直径、加载速率、保温时间、环境温度以及循环和振荡动态加载的敏感性。结果表明,脊髓白质组织比灰质组织更柔顺,表观模量分别为128.7和403.8 Pa。灰质的应力松弛时间常数τ1=1.38s和τ2=36.29s,白质的应力松弛时间常数τ1=1.46s和τ2=46.10s,两者表现出相似的粘弹性行为,而灰质和白质组织的初始峰值力分别下降了54%和59%。应用加载率增加两个数量级导致两种组织类型的表观模量近似加倍。热变化表明,从20°C加热到37.0°C后,表观模量下降了30%。我们的动态测试揭示了循环预载荷对刚度的显著影响,与脊髓灰质组织在五个循环后的总模量下降相比,第一个循环后的刚度下降高达20%,相对下降高达60%。振荡压痕实验表明,脊髓灰质和白质组织的损失模量相似,白质组织的储存模量更高。这项工作提供了系统的见解脊髓组织的力学性质在不同的负载情况下使用纳米压痕。
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引用次数: 0
Design, additive manufacturing, and characterization of an organ-on-chip microfluidic device for oral mucosa analogue growth 用于口腔黏膜模拟物生长的器官芯片微流控装置的设计、增材制造和表征。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-19 DOI: 10.1016/j.jmbbm.2024.106877
Foteini Machla , Paraskevi Kyriaki Monou , Panagiotis Artemiou , Ioannis Angelopoulos , Vasileios Zisis , Emmanuel Panteris , Orestis Katsamenis , Eric Williams , Emmanouil Tzimtzimis , Dimitrios Tzetzis , Dimitrios Andreadis , Alexander Tsouknidas , Dimitrios Fatouros , Athina Bakopoulou

Introduction

Α customized organ-on-a-chip microfluidic device was developed for dynamic culture of oral mucosa equivalents (Oral_mucosa_chip-OMC).

Materials and methods

Additive Manufacturing (AM) was performed via stereolithography (SLA) printing. The dimensional accuracy was evaluated via microfocus computed tomography (mCT), the surface characteristics via scanning electron microscopy (SEM), while the mechanical properties via nanoindentation and compression tests. Computational fluid dynamics (CFD) optimized net forces towards the culture area. An oral mucosa equivalent comprising a multilayered epithelium derived by culture of TR146 cells at the air-liquid interface (ALI) and a lamina propria-analogue based on a collagen-I/fibrin hydrogel was maintained under ultra-precise flow conditions.

Results

An open-type device concept encompassing two interconnected chambers for long-term dynamic culture was developed and characterized for AM parameters, mechanical and biological properties. The split-inlet flow channel architecture allowed even distribution and symmetric flow velocity to the culture area. Cell viability exceeded 90%, while mCT and SEM indicated the 0° building angle as the most accurate SLA condition. CFD further showed that the 0° and 30° building angles most accurately reproduced the channel flow velocity predicted by the initial CAD model.

Conclusion

This study developed a customized, easy-to-produce, and cell-friendly OMC device, providing a 3D tool for biocompatibility assessment of biomaterials.
介绍:Α定制的器官芯片微流控装置用于口腔粘膜当量的动态培养(Oral_mucosa_chip-OMC)。材料和方法:增材制造(AM)通过立体光刻(SLA)印刷进行。通过微聚焦计算机断层扫描(mCT)评估尺寸精度,通过扫描电子显微镜(SEM)评估表面特征,通过纳米压痕和压缩测试评估力学性能。计算流体动力学(CFD)优化了朝向培养区的净力。在超精确的流动条件下,在空气-液体界面(ALI)培养TR146细胞获得的多层上皮和基于胶原- i /纤维蛋白水凝胶的固有层类似物组成的口腔黏膜等效物得以维持。结果:开发了一种开放式装置概念,包括两个相互连接的室,用于长期动态培养,并对AM参数,机械和生物特性进行了表征。分流入口流道结构允许均匀分布和对称的流速到培养区。细胞存活率超过90%,而mCT和SEM显示0°建筑角是最准确的SLA条件。CFD进一步表明,0°和30°建筑角最准确地再现了初始CAD模型预测的通道流速。结论:本研究开发了一种定制的、易于制作的、细胞友好的OMC装置,为生物材料的生物相容性评估提供了一种3D工具。
{"title":"Design, additive manufacturing, and characterization of an organ-on-chip microfluidic device for oral mucosa analogue growth","authors":"Foteini Machla ,&nbsp;Paraskevi Kyriaki Monou ,&nbsp;Panagiotis Artemiou ,&nbsp;Ioannis Angelopoulos ,&nbsp;Vasileios Zisis ,&nbsp;Emmanuel Panteris ,&nbsp;Orestis Katsamenis ,&nbsp;Eric Williams ,&nbsp;Emmanouil Tzimtzimis ,&nbsp;Dimitrios Tzetzis ,&nbsp;Dimitrios Andreadis ,&nbsp;Alexander Tsouknidas ,&nbsp;Dimitrios Fatouros ,&nbsp;Athina Bakopoulou","doi":"10.1016/j.jmbbm.2024.106877","DOIUrl":"10.1016/j.jmbbm.2024.106877","url":null,"abstract":"<div><h3>Introduction</h3><div>Α customized organ-on-a-chip microfluidic device was developed for dynamic culture of oral mucosa equivalents (Oral_mucosa_chip-OMC).</div></div><div><h3>Materials and methods</h3><div>Additive Manufacturing (AM) was performed via stereolithography (SLA) printing. The dimensional accuracy was evaluated via microfocus computed tomography (mCT), the surface characteristics via scanning electron microscopy (SEM), while the mechanical properties via nanoindentation and compression tests. Computational fluid dynamics (CFD) optimized net forces towards the culture area. An oral mucosa equivalent comprising a multilayered epithelium derived by culture of TR146 cells at the air-liquid interface (ALI) and a lamina propria-analogue based on a collagen-I/fibrin hydrogel was maintained under ultra-precise flow conditions.</div></div><div><h3>Results</h3><div>An open-type device concept encompassing two interconnected chambers for long-term dynamic culture was developed and characterized for AM parameters, mechanical and biological properties. The split-inlet flow channel architecture allowed even distribution and symmetric flow velocity to the culture area. Cell viability exceeded 90%, while mCT and SEM indicated the 0° building angle as the most accurate SLA condition. CFD further showed that the 0° and 30° building angles most accurately reproduced the channel flow velocity predicted by the initial CAD model.</div></div><div><h3>Conclusion</h3><div>This study developed a customized, easy-to-produce, and cell-friendly OMC device, providing a 3D tool for biocompatibility assessment of biomaterials.</div></div>","PeriodicalId":380,"journal":{"name":"Journal of the Mechanical Behavior of Biomedical Materials","volume":"163 ","pages":"Article 106877"},"PeriodicalIF":3.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comprehensive methodology to assess human bone transversal toughness based on macroscopic specimens, the compliance method, and 3D bio-faithful numerical simulations 基于宏观标本、顺应性方法和三维生物忠实数值模拟的评估人骨横向韧性的综合方法。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-18 DOI: 10.1016/j.jmbbm.2024.106869
T. Kurtz , Y. Godio-Raboutet , F.L.B. Ribeiro , J.-L. Tailhan
This study proposes a method for assessing the transverse toughness of human long-bone cortical tissue. The method is based on a three-point bending test of pre-notched femur diaphysis segments, post-processed using the compliance method coupled with numerical simulations. Given the cracking nature of bone and if cracking processes remain confined to the crack tip, it is assumed that the compliance method can be used. Numerical simulations are based on a bio-faithful 3D reconstruction of the bones tested and a detailed consideration of the boundary and loading conditions of the mechanical test. The resulting toughness values obtained on embalmed bones range from Gc=4.3 to 7.1 N/mm. The assumptions made, the biofidelity of the simulations, and the ability of the method to determine an intrinsic toughness value of cortical bone, considered a heterogeneous material, are discussed. Although related to embalmed bones, and considering the limitations this state can induce, the toughness values obtained are consistent with data from the literature. Due to the larger specimen size, they are also more realistic, ensuring a complete description of the material’s crack extension resistance curve. They mainly characterize the medial and lateral quadrants of the bone transversal section. The study concludes that the proposed method provides a robust approach for assessing bone transversal toughness.
本研究提出了一种评估人类长骨皮质组织横向韧性的方法。该方法基于预缺口股骨骨干段的三点弯曲试验,采用柔度法结合数值模拟进行后处理。鉴于骨的开裂性质,如果开裂过程仍然局限于裂纹尖端,假设顺应性方法可以使用。数值模拟是基于测试骨骼的生物忠实三维重建,并详细考虑了力学测试的边界和加载条件。在防腐骨上得到的韧性值从Gc=4.3到7.1 N/mm不等。讨论了所做的假设,模拟的生物保真度,以及该方法确定异质材料皮质骨的固有韧性值的能力。虽然与防腐骨有关,并且考虑到这种状态可能引起的局限性,但得到的韧性值与文献数据一致。由于试样尺寸较大,它们也更真实,确保了材料裂纹扩展阻力曲线的完整描述。它们主要表现为骨横切面的内侧和外侧象限。该研究的结论是,所提出的方法为评估骨横向韧性提供了一种可靠的方法。
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引用次数: 0
The human patellar tendon is mechanically homogenous at its mid-substance 人髌骨肌腱的中间部分在机械上是均匀的。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-18 DOI: 10.1016/j.jmbbm.2024.106875
Adam Kositsky , Lauri Stenroth , Ervin Nippolainen , Jari Torniainen , Janne T.A. Mäkelä , Petri Paakkari , Tommi Paakkonen , Heikki Kröger , Juha Töyräs , Isaac O. Afara , Rami K. Korhonen
The human patellar tendon contains distinct fascicle bundles across its mediolateral and anteroposterior regions. Studies have suggested region-specific behaviour during in vivo actions, but it is unclear whether such regional differences result from localized variation in composition and mechanical properties within the tendon itself. Furthermore, the viscoelastic properties of any region of the human patellar tendon have not been well described previously. Here, a comprehensive investigation of the composition and material properties of six regions (three mediolateral × two anteroposterior) of the human patellar tendon was performed on tendons harvested from eight cadaver knees. Thorough viscoelastic (stress relaxation and sinusoidal) and elastic (failure) mechanical tests were conducted on dumbbell-shaped samples. Uronic acid (proteoglycan), hydroxyproline (collagen), and water contents were measured from the samples after mechanical testing. No systematic between-region differences were found for any measured biomechanical or biochemical parameter. However, the phase difference between stress and strain decreased as a function of increasing sinusoidal frequency (from 0.1 Hz to 5 Hz), suggesting the human patellar tendon behaves more elastically at higher strain rates. These results indicate the human patellar tendon is a homogenous material at its mid-substance and that other factors, such as geometrical constraints, enthesis properties, and insertion points, may be responsible for any region-specific behaviour in vivo. Additionally, the more elastic behaviour of the human patellar tendon as strain rate increases likely supports improved joint control and enhanced movement economy during fast actions such as sprinting.
人髌骨肌腱在其内外侧和前后区包含明显的束束。研究表明,在体内活动中存在区域特异性行为,但尚不清楚这种区域差异是否源于肌腱本身的局部成分和力学特性的差异。此外,人类髌骨肌腱任何区域的粘弹性特性在以前都没有得到很好的描述。本文对8具尸体膝盖的肌腱进行了人体髌骨肌腱6个区域(3个中外侧× 2个正后方)的组成和材料特性的全面研究。对哑铃形试样进行了全面的粘弹性(应力松弛和正弦)和弹性(破坏)力学试验。机械测试后,测定样品的尿酸(蛋白多糖)、羟脯氨酸(胶原蛋白)和含水量。没有发现任何测量的生物力学或生化参数的系统区域差异。然而,应力和应变之间的相位差随着正弦频率的增加而减小(从0.1 Hz到5 Hz),这表明人体髌骨肌腱在更高的应变率下表现得更有弹性。这些结果表明,人类髌骨肌腱在其中间是一种均匀的材料,其他因素,如几何约束、内固定特性和插入点,可能是体内任何区域特异性行为的原因。此外,随着应变率的增加,人类髌骨肌腱的弹性行为可能支持在快速动作(如短跑)中改善关节控制和增强运动经济性。
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引用次数: 0
Biomechanical behavior of cantilevered 3-unit implant-supported prostheses made of PEKK and monolithic zirconia: A finite element study PEKK -单片氧化锆悬臂式三单元种植体支撑假体的生物力学行为:有限元研究。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-17 DOI: 10.1016/j.jmbbm.2024.106872
Hatem S. Sadek , Noha M. Anany , Mohamed I. El-Anwar , Abdulaziz Alhotan , Al-Hassan Diab , Mostafa Aldesoki , Tarek M. Elshazly , Christoph Bourauel

Objective

To evaluate the biomechanical performance of various designs of cantilevered three-unit implant-supported prostheses, using two distinct prosthetic materials and under different loading conditions.

Method

Three mandibular models were created with varying implant positions to support a 3-unit prosthesis using two materials (Zirconia and PEKK), resulting in three different designs: distal cantilever (M1), fixed-fixed (M2), and mesial cantilever (M3). The geometric model was created by segmenting a CBCT scan of an edentulous mandible using Mimics software, followed by refinement in 3-Matic to generate a trabecular bone core encased by a 2 mm-thick cortical shell and a 1 mm-thick mucosal layer. Implant CAD files were integrated, and the models were processed in SolidWorks to finalize solid geometries. These were then imported into ANSYS for mesh generation and finite element analysis, with materials assumed to be isotropic and elastic. Models underwent 3 different static loading protocols (Vertical 100 N, 30° Oblique 50 N, 45° Oblique 50 N). Von Mises stress and total deformation were calculated.

Results

Model 2 demonstrated the best performance. Under vertical loading, PEKK prostheses showed lower stress than zirconia in the prosthetic body (10–45 %) and the cortical bone (3–40 %), but higher stresses in the implant (4–10 %). Compared to vertical loading, oblique loading generated higher stress but remained within a safe range without compromising function.

Conclusion

The fixed-fixed design showed optimal biomechanical performance. The mesial cantilever was more favorable than the distal for stress distribution. Zirconia provided superior stress dissipation, while PEKK showed reduced stress in the prosthetic body but increased stress I the implant and bone.

Clinical significance

The study provides prosthodontists with evidence recommending design and materials for 3-unit implant-supported prostheses. Zirconia is ideal for cantilevered designs, resisting high bending forces and minimizing implant stress, while PEKK is more suitable for fixed-fixed designs with lower stress levels.
目的:评价不同设计的悬臂式三单元种植体在两种不同材料和不同载荷条件下的生物力学性能。方法:采用两种材料(氧化锆和PEKK)制作了三个不同种植体位置的下颌模型,以支持三单元假体,形成三种不同的设计:远端悬臂式(M1),固定-固定式(M2)和近端悬臂式(M3)。几何模型是通过使用Mimics软件对无牙下颌骨的CBCT扫描进行分割创建的,然后在3-Matic中进行细化,生成由2mm厚的皮质壳和1mm厚的粘膜层包裹的小梁骨核心。整合植入体CAD文件,在SolidWorks中对模型进行处理,最终确定实体几何形状。然后将这些输入到ANSYS中进行网格生成和有限元分析,假设材料是各向同性和弹性的。模型采用垂直100 N、30°斜向50 N、45°斜向50 N 3种不同的静态加载方案,计算Von Mises应力和总变形。结果:模型2表现最佳。在垂直载荷下,PEKK假体的应力低于氧化锆假体(10- 45%)和皮质骨(3- 40%),但种植体的应力高于氧化锆(4- 10%)。与垂直加载相比,斜加载产生了更高的应力,但在不影响功能的安全范围内。结论:固定-固定设计具有最佳的生物力学性能。近端悬臂梁比远端悬臂梁更有利于应力分布。氧化锆提供了优越的应力消散,而PEKK显示了假体的应力减少,但增加了种植体和骨的应力。临床意义:本研究为义齿医师推荐3单元种植体支持义齿的设计和材料提供了依据。氧化锆是悬臂式设计的理想材料,可以抵抗高弯曲力并将种植体应力降至最低,而PEKK则更适合于应力水平较低的固定-固定设计。
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引用次数: 0
Pregnancy and age differentially affect stiffness, injury susceptibility, and composition of murine uterosacral ligaments 妊娠和年龄对小鼠子宫骶韧带的僵硬、损伤易感性和组成有不同的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-17 DOI: 10.1016/j.jmbbm.2024.106874
Catalina S. Bastías , Lea M. Savard , Kathryn R. Jacobson , Kathleen A. Connell , Sarah Calve , Virginia L. Ferguson , Callan M. Luetkemeyer
Pelvic organ prolapse is a debilitating condition that diminishes quality of life, and it has been linked to pregnancy and aging. Injury of the uterosacral ligaments (USLs), which provide apical support to the pelvic organs, is a major cause of uterine prolapse. In this study, we examined the effect of pregnancy and age on the apparent elastic modulus, susceptibility to collagen damage, and extracellular matrix (ECM) composition of the murine USL. USLs from mice at three different stages of pregnancy and across two age groups were mechanically tested and evaluated for collagen microdamage. Raman spectroscopy was used to evaluate changes in ECM composition. Our findings reveal that (1) all USLs subjected to mechanical stretch sustained collagen microdamage, (2) both pregnancy and age significantly affected USL stiffness and injury susceptibility, and (3) pregnancy, but not age, altered ECM composition. Overall, this work represents a major step toward understanding the role of tissue microstructure and mechanical function in USL injury, which should guide novel ECM-targeted treatment and prevention strategies for uterine prolapse.
盆腔器官脱垂是一种使人衰弱的疾病,它会降低生活质量,并与怀孕和衰老有关。子宫骶韧带为盆腔器官提供顶端支撑,其损伤是导致子宫脱垂的主要原因。在这项研究中,我们研究了妊娠和年龄对小鼠USL的表观弹性模量、对胶原损伤的易感性和细胞外基质(ECM)组成的影响。在三个不同的怀孕阶段和两个年龄组的小鼠的usl进行了机械测试和评估胶原蛋白微损伤。用拉曼光谱评价ECM成分的变化。我们的研究结果显示:(1)所有遭受机械拉伸的USL都会持续胶原微损伤;(2)妊娠和年龄都会显著影响USL僵硬度和损伤易感性;(3)妊娠而非年龄会改变ECM成分。总的来说,这项工作代表了了解组织微观结构和力学功能在USL损伤中的作用的重要一步,这将指导新的ecm靶向治疗和预防子宫脱垂的策略。
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引用次数: 0
3D-printed suction clamps for tensile testing of brain tissue 用于脑组织拉伸测试的3d打印吸钳。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-17 DOI: 10.1016/j.jmbbm.2024.106873
J. Zwirner , J.N. Waddell , B. Ondruschka , K.C. Li
The conventional mounting of ultra-soft biological tissues often involves gluing it between two plates or manually tightening grips. Both methods demand delicate handling skills and are time-consuming. This study outlines the design and practical application of 3D-printed suction clamps for uniaxial tension tests on brain samples. Successful testing was defined by the absence of relevant slippage or the sample being drawn into the clamp. A total of 112 deer brain samples underwent testing using a universal testing machine after one freeze-thaw cycle. These samples were obtained from eight different brain regions. During sample preparation, 7 out of all samples failed. Among the 105 tests, 89 (85%) were successful. Of the 16 unsuccessful tests, 15 samples (14%) slipped, while only one sample (1%) was drawn into the clamp to an extent that testing became impossible. Medulla oblongata samples exhibited exceptionally high slippage at 38%, whereas samples from the temporal cortex, external capsule, and putamen had the lowest slippage in only one single case. In conclusion, suction clamps facilitate high-throughput testing through user-friendly and rapid sample mounting. Testing success is contingent on the specific brain site, with sample slippage being the primary reason for testing failures, while sample inspiration into the clamp is negligible.
超软生物组织的传统安装通常需要将其粘在两个板之间或手动拧紧手柄。这两种方法都需要精细的处理技巧,而且耗时。本研究概述了用于脑样本单轴张力测试的3d打印吸钳的设计和实际应用。成功的测试被定义为没有相关的滑移或样品被拉入夹具。112个鹿脑样本经过一个冻融循环后,使用万能试验机进行测试。这些样本来自八个不同的大脑区域。在样品制备过程中,有7个样品不合格。在105次试验中,89次(85%)成功。在16次不成功的测试中,15个样品(14%)滑倒,而只有一个样品(1%)被拉入夹具,以至于无法进行测试。延髓样品的滑移率异常高,达到38%,而颞叶皮层、外包膜和壳核样品的滑移率最低,仅有一例。总之,吸钳通过用户友好和快速的样品安装促进高通量测试。测试成功取决于特定的大脑部位,样品滑动是测试失败的主要原因,而样品注入夹具是可以忽略不计的。
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引用次数: 0
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Journal of the Mechanical Behavior of Biomedical Materials
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