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Analysis of morphological properties of fibrous electrospun polyurethane grafts using image segmentation 利用图像分割分析纤维电纺聚氨酯移植物的形态特性
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-05-09 DOI: 10.1016/j.jmbbm.2024.106573
Jerry Ochola , Cameron Hume , Deon Bezuidenhout

The concentration of the polymer in the electrospinning solution greatly influences the mechanical behaviour of electrospun vascular grafts due to the influence on scaffold morphology. The scaffold morphology (fiber diameter, fiber orientation and inter-fiber voids) of the grafts plays an important role in their behaviour during use. Even though manual methods and complex algorithms have been used so far for characterisation of the morphology of electrospun architecture, they still have several drawbacks that limit their reliability. This study therefore uses conventional, statistical region merging and a hybrid image segmentation algorithm, to characterise the morphology of the electrospun vascular grafts. Consequently, vascular grafts were fabricated using an in-house electrospinning equipment using three polymer material concentration levels (14%, 16% and 18%) of medical-grade thermoplastic polyurethane (Pellethane®). The image thresholding and segementation algorithms were then used for segmentation of SEM images extracted from the polymer grafts and then morphological parameters were investigated in terms of fiber diameter, fiber orientation, and interfiber spaces (pore area and porosity). The results indicate that electrospun image segmentation was "best" when the hybrid algorithm and the conventional algorithm was used, which implied that fiber property values computed from the hybrid algorithm were closed to the manually measurements especially for the 14% PU with fiber diameter 2.2%, fiber orientation 7.6% and porosity at 1.9%. However there was higher disperity between the manual and hybrid algorithm. This suggests more fiber uniformity in the 14%PU potentially affected the accuracy of the hybrid algorithm.

电纺溶液中聚合物的浓度对支架形态的影响极大地影响着电纺血管移植物的机械性能。移植物的支架形态(纤维直径、纤维取向和纤维间空隙)对其在使用过程中的行为起着重要作用。尽管迄今已有人工方法和复杂算法用于表征电纺结构的形态,但它们仍存在一些缺点,限制了其可靠性。因此,本研究采用了传统的统计区域合并和混合图像分割算法来表征电纺血管移植物的形态。因此,血管移植物是利用内部电纺设备,使用三种聚合物材料浓度水平(14%、16% 和 18%)的医用级热塑性聚氨酯(Pellethane®)制成的。然后使用图像阈值和分割算法对从聚合物移植物中提取的扫描电镜图像进行分割,然后从纤维直径、纤维取向和纤维间隙(孔面积和孔隙率)方面研究形态学参数。结果表明,在使用混合算法和传统算法时,电纺图像分割效果 "最佳",这意味着混合算法计算出的纤维特性值与人工测量值接近,特别是对于纤维直径为 2.2%、纤维取向为 7.6%、孔隙率为 1.9%的 14%聚氨酯。不过,人工测量和混合算法之间的差异较大。这表明 14%PU 中更多的纤维均匀性可能会影响混合算法的准确性。
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引用次数: 0
Understanding frictional behavior in fascia tissues through tribological modeling and material substitution 通过摩擦学建模和材料替代了解筋膜组织的摩擦行为
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-05-05 DOI: 10.1016/j.jmbbm.2024.106566
A. Streďanská , D. Nečas , M. Vrbka , J. Suchánek , J. Matonohová , E. Toropitsyn , M. Hartl , I. Křupka , K. Nešporová

The objective of this study is to develop a reliable tribological model to enable a more thorough investigation of the frictional behavior of fascia tissues connected to non-specific lower back pain. Several models were designed and evaluated based on their coefficient of friction, using a low-frequency, low-load reciprocating motion. The study found that two technical elastomers, layered on PDMS to simulate the fascia and underlying muscle, are suitable substitutes for biological tissue in the model. The influence of tribopair geometry was also examined, and the results showed that greater conformity of contact leads to a lower COF, regardless of the material combination used. Finally, the friction properties of HA of various molecular weights and concentrations were tested.

本研究的目的是开发一种可靠的摩擦学模型,以便更深入地研究与非特异性下背痛有关的筋膜组织的摩擦行为。通过低频、低负荷往复运动,根据摩擦系数设计并评估了几种模型。研究发现,在 PDMS 上分层模拟筋膜和下层肌肉的两种技术弹性体适合替代模型中的生物组织。研究还考察了摩擦对几何形状的影响,结果表明,无论使用哪种材料组合,接触的一致性越高,COF 越低。最后,还测试了不同分子量和浓度的 HA 的摩擦特性。
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引用次数: 0
Biaxial flexural strength of hydrothermally aged resin-based materials 水热老化树脂基材料的双轴抗弯强度
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-05-04 DOI: 10.1016/j.jmbbm.2024.106568
Rodrigo Ricci Vivan , Mariana Miranda de Toledo Piza , Bruna de Mello Silva , Thalya Fernanda Horsth Maltarollo , Gustavo Sivieri-Araujo , Murilo Priori Alcalde , Marco Antonio Hungaro Duarte , Estevam Augusto Bonfante , Henrico Badaoui Strazzi-Sahyon

Purpose

The strength of temporary restorations plays a vital role in full-mouth reconstruction, and it can be impacted by the aging process. The aim of this in vitro study was to evaluate the biaxial flexural strength and fractographic features of different resin-based materials submitted to thermal aging.

Material and methods

One hundred and ninety-two resin disc-shaped specimens (6.5 mm in diameter and 0.5 mm in thickness) were fabricated and divided into six experimental groups according to the resin-based materials (Filtek Bulk-Fill flowable resin; J-Temp temporary resin; and Fuji Lining glass ionomer cement) and aging process (before and after thermal cycling). Biaxial flexural strength test was performed using a universal testing machine at a crosshead speed of 0.5 mm/min before and after thermal cycling (5 °C and 55 °C, 5760 cycles, 30 s). The mechanical properties were assessed using Weibull parameters (characteristic strength and Weibull modulus) (n = 30). Fractured specimens were examined under a polarized light stereomicroscope to identify crack origin and propagation direction. The surface microstructure of the resin-based materials was assessed by scanning electron microscopy (n = 2). The Weibull modulus (m), characteristic strength, and reliability properties were calculated, and a contour plot was used to detect differences among groups (95% confidence interval).

Results

The Weibull modulus (m), characteristic strength, and reliability of the resin-based compounds were influenced by material type and thermal aging (p < 0.05). Weibull modulus (m) revealed no differences when comparing the materials and aging process (p > 0.05), except for the preceding aging period where Filtek Bulk-Fill exhibited higher values compared to J-Temp (p < 0.05). Filtek Bulk-Fill demonstrated superior characteristic strength and reliability compared to J-Temp and Fuji Lining before and after thermal cycling (p < 0.05). Fractography of the resin-based materials showed fractures originating from surface defects exposed to tensile side and their propagation toward the compressive side. Generally, no differences in surface microstructure were observed on micrographs before and after thermal aging for Filtek Bulk-Fill and Fuji Lining. However, the aging process developed flaws in J-Temp.

Conclusion

Resin-based material composition resulted in different flexural strength performance, impacting the Weibull modulus (m), characteristic strength, and reliability of the resin-based restorations.

目的 临时修复体的强度在全口重建中起着至关重要的作用,它可能会受到老化过程的影响。材料和方法 制作了 192 个树脂圆盘状试样(直径 6.5 毫米,厚度 0.5 毫米),并根据树脂材料(Filtek Bul-Fill 流动树脂、J-Temp 临时树脂和 Fuji Lining 玻璃离子粘固剂)和老化过程(热循环前后)分为六个实验组。在热循环前后(5 °C 和 55 °C,5760 个循环,30 秒),用万能试验机以 0.5 mm/min 的十字头速度进行了双轴挠曲强度测试。机械性能采用威布尔参数(特性强度和威布尔模量)进行评估(n = 30)。在偏振光体视显微镜下对断裂试样进行检查,以确定裂纹的起源和扩展方向。用扫描电子显微镜评估了树脂基材料的表面微观结构(n = 2)。结果树脂基化合物的威布尔模量(m)、特征强度和可靠性受材料类型和热老化的影响(p <0.05)。在比较材料和老化过程时,Weibull 模量(m)没有发现差异(p > 0.05),但在老化前期,Filtek Bulk-Fill 的值比 J-Temp 高(p < 0.05)。在热循环前后,Filtek Bulk-Fill 与 J-Temp 和 Fuji Lining 相比,显示出更高的特性强度和可靠性(p < 0.05)。树脂基材料的断裂图显示,断裂源于暴露在拉伸侧的表面缺陷,并向压缩侧扩展。一般来说,Filtek Bulk-Fill 和 Fuji Lining 在热老化前后的显微照片上没有观察到表面微观结构的差异。结论树脂基材料的组成导致了不同的抗弯强度性能,影响了树脂基修复体的威布尔模量(m)、特征强度和可靠性。
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引用次数: 0
Effect of gastric acids on the mechanical properties of conventional and CAD/CAM resin composites - An in-vitro study 胃酸对传统和 CAD/CAM 树脂复合材料机械性能的影响 - 体外研究
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-05-03 DOI: 10.1016/j.jmbbm.2024.106565
Alexandra Gil-Pozo , Daniela Astudillo-Rubio , Álvaro Ferrando Cascales , Francesco Inchingolo , Ronaldo Hirata , Salvatore Sauro , Andrés Delgado-Gaete

Objectives

Dental erosion in patients with gastroesophageal reflux disease (GERD) is a current and frequent condition that may compromise the mechanical properties and clinical durability of resin-based composites (RBCs). This study assessed the mechanical properties of conventional and computer-aided design/computer-aided manufacturing (CAD/CAM) RBCs subsequent to simulated gastric acid aging.

Materials and method

Three conventional and three CAD/CAM composites were assessed. They were divided into an experimental group (exposed to simulated gastric acid aging) and a control group (no aging). Both groups were analyzed for Vickers microhardness (VHN), wear and flexural strength over a period of six months. The failure rate probability for each RBC was calculated through the Weibull cumulative distribution function (m). Statistical analysis was conducted using repeated measures ANOVA, 3-way ANOVA, a non-parametric Kruskal-Wallis and U Mann-Whitney tests (α = 0.05).

Results

The mechanical properties of all the RBCs dropped significantly after aging (p < 0.05). Lower VHN and flexural strength values, along with greater wear values were evident in the experimental groups, though the effects of the treatment varied between RBCs. The Weibull m of all the RBCs decreased over time.

Conclusion

Conventional RBCs might show greater reduction in mechanical properties compared to CAD/CAM RBCs when exposed to gastric acid attack. Thus, CAD/CAM composites may represent a suitable choice for the treatment of patients presenting erosive issues.

目的胃食管反流病(GERD)患者的牙齿腐蚀是一种常见病,可能会影响树脂基复合材料(RBC)的机械性能和临床耐久性。本研究评估了传统和计算机辅助设计/计算机辅助制造(CAD/CAM)RBC 在模拟胃酸老化后的机械性能。它们被分为实验组(暴露于模拟胃酸老化)和对照组(无老化)。在六个月的时间里,对两组的维氏硬度(VHN)、磨损和弯曲强度进行了分析。每个 RBC 的失效率概率是通过 Weibull 累积分布函数 (m) 计算得出的。统计分析采用了重复测量方差分析、3 方方差分析、非参数 Kruskal-Wallis 检验和 U Mann-Whitney 检验(α = 0.05)。实验组的 VHN 值和抗弯强度值较低,磨损值较大,但不同 RBC 的处理效果各不相同。所有 RBC 的 Weibull m 均随时间推移而降低。因此,CAD/CAM 复合材料可能是治疗侵蚀性问题患者的合适选择。
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引用次数: 0
Comparing finite viscoelastic constitutive relations and variational principles in modeling gastrointestinal soft tissue deformation 比较有限粘弹性构成关系和变分原理在胃肠道软组织变形建模中的应用
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-30 DOI: 10.1016/j.jmbbm.2024.106560
Swati Sharma, Martin Lindsay Buist

The mechanical attributes of soft tissues within the gastrointestinal (GI) tract are crucial for the effective operation of the GI system, and alterations in these properties may play a role in motility-related disorders. Various constitutive modeling approaches have been suggested to comprehend the response of soft tissues to diverse loading conditions. Among these, hyperelastic constitutive models based on finite elasticity have gained popularity. However, these models fall short in capturing rate- and time-dependent tissue properties. In contrast, finite viscoelastic models offer a solution to overcome these limitations. Nevertheless, the development of a suitable finite viscoelastic model, coupled with a variational formulation for efficient finite element (FE) implementation, remains an ongoing challenge. This study aims to address this gap by developing diverse finite viscoelastic constitutive relations and applying them to characterize soft tissue. Furthermore, the research explores the creation of compressible, nearly incompressible, and incompressible versions of viscoelastic constitutive relations, along with their variational formulation, to facilitate efficient FE implementation. The proposed model demonstrates remarkable accuracy in replicating experimental results, achieving an R2 value exceeding 0.99.

胃肠道(GI)内软组织的机械属性对胃肠道系统的有效运行至关重要,这些属性的改变可能会导致运动相关疾病。为了理解软组织对不同加载条件的响应,人们提出了各种构造建模方法。其中,以有限弹性为基础的高弹性构成模型广受欢迎。然而,这些模型在捕捉随速率和时间变化的组织特性方面存在不足。相比之下,有限粘弹性模型为克服这些局限性提供了解决方案。然而,如何开发合适的有限粘弹性模型,并将其与有效实施有限元(FE)的变分法相结合,仍然是一个持续的挑战。本研究旨在通过开发多样化的有限粘弹性构成关系,并将其应用于描述软组织特征,从而弥补这一不足。此外,研究还探索了粘弹性构成关系的可压缩、近不可压缩和不可压缩版本,以及它们的变分公式,以促进有效的有限元实施。所提出的模型在复制实验结果方面具有显著的准确性,R2 值超过 0.99。
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引用次数: 0
Mechanical properties of hydrated electrospun polycaprolactone (PCL) nanofibers 水合电纺聚己内酯(PCL)纳米纤维的机械性能。
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-27 DOI: 10.1016/j.jmbbm.2024.106564
Nouf Alharbi , Martin Guthold

Polycaprolactone (PCL) nanofibers are a promising material for biomedical applications due to their biocompatibility, slow degradation rate, and thermal stability. We electrospun PCL fibers onto a striated substrate with 12 μm wide ridges and grooves and determined their mechanical properties in an aqueous solution with a combined atomic force/inverted optical microscopy technique. Fiber diameters, D, ranged from 27 to 280 nm. The hydrated PCL fibers had an extensibility (breaking strain), εmax, of 137%. The Young's modulus, E, and tensile strength, σT, showed a strong dependence on fiber diameter, D; decreasing steeply with increasing diameter, following empirical equations E(D)=(4.3103eD51nm+1.1102) MPa and σT(D)=(2.6103eD55nm+0.6102) MPa. Incremental stress-strain measurements were employed to investigate the viscoelastic behavior of these fibers. The fibers exhibited stress relaxation with a fast and slow relaxation time of 3.7 ± 1.2 s and 23 ± 8 s and these experiments also allowed the determination of the elastic and viscous moduli. Cyclic stress-strain curves were used to determine that the elastic limit of the fibers, εelastic, is between 19% and 36%. These curves were also used to determine that these fibers showed small energy losses (<20%) at small strains (ε < 10%), and over 50% energy loss at large strains (ε > 50%), asymptotically approaching 61%, as Eloss=61%·(1e0.04*ε). Our work is the first mechanical characterization of hydrated electrospun PCL nanofibers; all previous experiments were performed on dry PCL fibers, to which we will compare our data.

聚己内酯(PCL)纳米纤维具有生物相容性好、降解速度慢和热稳定性高等特点,是一种很有前景的生物医学应用材料。我们将 PCL 纤维电纺到具有 12 μm 宽脊和槽的条纹基底上,并采用原子力/倒置光学显微镜组合技术测定了它们在水溶液中的机械性能。纤维的直径(D)从 27 纳米到 280 纳米不等。水合 PCL 纤维的延伸率(断裂应变)εmax 为 137%。杨氏模量 E 和拉伸强度 σT 与纤维直径 D 关系密切;根据经验公式 E(D)=(4.3∙103∙e-D51nm+1.1∙102) MPa 和 σT(D)=(2.6∙103∙e-D55nm+0.6∙102) MPa,随着直径增大,杨氏模量 E 和拉伸强度 σT 急剧下降。增量应力-应变测量被用来研究这些纤维的粘弹性行为。纤维表现出应力松弛,快速和慢速松弛时间分别为 3.7 ± 1.2 秒和 23 ± 8 秒。循环应力-应变曲线用于确定纤维的弹性极限(εelastic)介于 19% 和 36% 之间。这些曲线还用于确定这些纤维显示出较小的能量损失(50%),渐近接近 61%,即 Eloss=61%-(1-e-0.04*ε)。我们的工作是首次对水合电纺 PCL 纳米纤维进行力学表征;之前的所有实验都是在干 PCL 纤维上进行的,我们将把我们的数据与之进行比较。
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引用次数: 0
Corrigendum to “Evaluation of gelatin bloom strength on gelatin methacryloyl hydrogel properties” [J. Mech. Behav. Biomed. Mater. 154 (2024) 106509] 对 "明胶开花强度对明胶甲基丙烯酰水凝胶性能的影响 "的更正[J. Mech. Behav. Biomed. Mater. 154 (2024) 106509]。
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-26 DOI: 10.1016/j.jmbbm.2024.106558
Samantha G. Zambuto , Samyuktha S. Kolluru , Eya Ferchichi , Hannah F. Rudewick , Daniella M. Fodera , Kristin M. Myers , Silviya P. Zustiak , Michelle L. Oyen
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引用次数: 0
Influence of additives and binder on the physical properties of dental silicate glass-ceramic feedstock for additive manufacturing 添加剂和粘合剂对牙科硅酸盐玻璃陶瓷添加剂制造原料物理性质的影响
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-25 DOI: 10.1016/j.jmbbm.2024.106563
Moritz Hoffmann , Bogna Stawarczyk , Jens Günster , Andrea Zocca

Objectives

The aim of the study was to investigate the impact of organic additives (binder, plasticizer, and the cross-linking ink) in the formulation of water-based feedstocks on the properties of a dental feldspathic glass-ceramic material developed for the slurry-based additive manufacturing technology “LSD-print.”

Material and methods

Three water-based feldspathic feedstocks were produced to study the effects of polyvinyl alcohol (AC1) and poly (sodium 4-styrenesulfonate) (AC2) as binder systems. A feedstock without organic additives was tested as the control group (CG). Disc-shaped (n = 15) and bar (n = 7) specimens were slip-cast and characterized in the green and fired states. In the green state, density and flexural strength were measured. In the fired state, density, shrinkage, flexural strength (FS), Weibull modulus, fracture toughness (KIC), Martens parameters, and microstructure were analyzed. Disc-shaped and bar specimens were also cut from commercially available CAD/CAM blocks and used as a target reference (TR) for the fired state.

Results

In the green state, CG showed the highest bulk density but the lowest FS, while the highest FS in the green state was achieved with the addition of a cross-linking ink. After firing, no significant differences in density and a similar microstructure were observed for all slip-cast groups, indicating that almost complete densification could be achieved. The CAD/CAM specimens showed the highest mean FS, Weibull modulus, and KIC, with significant differences between some of the slip-cast groups.

Significance

These results suggest that the investigated feedstocks are promising candidates for the slurry-based additive manufacturing of restorations meeting the class 1a requirements according to DIN EN ISO 6871:2019–01.

材料和方法为研究聚乙烯醇(AC1)和聚(4-苯乙烯磺酸钠)(AC2)作为粘合剂体系的影响,生产了三种水基长石原料。不含有机添加剂的原料作为对照组(CG)进行测试。对圆盘状(n = 15)和棒状(n = 7)试样进行了滑铸,并对生坯和烧成坯进行了表征。在生坯状态下,测量了密度和抗折强度。在烧成状态下,分析了密度、收缩率、抗弯强度 (FS)、威布尔模量、断裂韧性 (KIC)、马腾斯参数和微观结构。结果在绿色状态下,CG 的体积密度最高,但 FS 最低,而加入交联油墨后,绿色状态下的 FS 最高。焙烧后,所有滑铸组的密度均无明显差异,且微观结构相似,表明几乎可以实现完全致密化。CAD/CAM试样显示出最高的平均FS、Weibull模量和KIC,某些滑铸组之间存在显著差异。这些结果表明,所研究的原料是基于浆料的增材制造修复体的理想候选材料,符合DIN EN ISO 6871:2019-01的1a级要求。
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引用次数: 0
Studying the nonlinear response of incompressible hyperelastic thin circular cylindrical shells with geometric imperfections 研究具有几何缺陷的不可压缩超弹性薄圆柱壳的非线性响应
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-25 DOI: 10.1016/j.jmbbm.2024.106562
Morteza Shayan Arani, Mehrdad Bakhtiari, Mohammad Toorani, Aouni A. Lakis

This study presents a comprehensive analysis of hyperelastic thin cylindrical shells exhibiting initial geometrical imperfections. The nonlinear equations of motion are derived using an improved formulation of Donnell’s nonlinear shallow-shell theory and Lagrange’s equations, incorporating the small strain hypothesis. Mooney–Rivlin constitutive model is employed to capture the hyperelastic behavior of the material. The coupled nonlinear equations of motion are analytically solved using Multiple-Scale method, which effectively accounts for the inherent nonlinearity of the system. To ensure the model’s accuracy, the linear model is verified by comparing the results with those obtained through hybrid finite element method. Subsequently, the model with only geometrical nonlinearity is evaluated against other research works existing in the open literature to ensure its reliability and precision. Finally, the results of the model, considering both geometrical and physical nonlinearity, are verified against the results obtained from Abaqus software. The main objective of this research is to provide a detailed understanding of the response of hyperelastic thin cylindrical shells in the presence of initial geometric imperfections. In this order, the impact of three distinct geometric imperfections – axisymmetric, asymmetric, and a combination of driven and companion modes – on the natural frequency is examined. The behavior of each of these geometric imperfections is investigated by varying their respective coefficients. The numerical results indicate that geometric imperfections enhance the natural frequency, and employing different models for imperfections leads to a variation in this trend. In the amplitude response of hyperelastic cylindrical shells, two peaks coexist, reflecting the softening and hardening responses of the system. Distinct initial geometric imperfections influence these two peaks.

本研究对表现出初始几何缺陷的超弹性薄圆柱壳进行了全面分析。非线性运动方程是利用 Donnell 的非线性浅壳理论和拉格朗日方程的改进公式并结合小应变假设推导出来的。采用 Mooney-Rivlin 构成模型来捕捉材料的超弹性行为。耦合的非线性运动方程采用多尺度法进行分析求解,该方法有效地考虑了系统固有的非线性。为确保模型的准确性,将线性模型与通过混合有限元法获得的结果进行比较,从而验证模型的准确性。随后,将仅具有几何非线性的模型与公开文献中的其他研究成果进行对比评估,以确保其可靠性和精确性。最后,考虑到几何非线性和物理非线性的模型结果与 Abaqus 软件获得的结果进行了验证。本研究的主要目的是详细了解超弹性薄圆柱壳在存在初始几何缺陷时的响应。为此,研究了三种不同几何缺陷(轴对称、非对称以及驱动模态和伴生模态的组合)对固有频率的影响。通过改变这些几何缺陷各自的系数,研究了它们各自的行为。数值结果表明,几何缺陷会提高固有频率,而采用不同的缺陷模型会导致这一趋势发生变化。在超弹性圆柱壳的振幅响应中,两个峰值同时存在,反映了系统的软化和硬化响应。不同的初始几何缺陷会影响这两个峰值。
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引用次数: 0
Subchondral bone fatigue injury in the parasagittal condylar grooves of the third metacarpal bone in thoroughbred racehorses elevates site-specific strain concentration 纯血赛马第三掌骨髁旁沟槽中的软骨下骨疲劳损伤会提高特定部位的应变浓度
IF 3.9 2区 医学 Q1 Engineering Pub Date : 2024-04-24 DOI: 10.1016/j.jmbbm.2024.106561
Soroush Irandoust , R. Christopher Whitton , Peter Muir , Corinne R. Henak

Condylar stress fracture of the distal end of the third metacarpal/metatarsal (MC3/MT3) bones is a major cause of Thoroughbred racehorse injury and euthanasia worldwide. Functional adaptation to exercise and fatigue damage lead to structural changes in the subchondral bone that include increased modeling (resulting in sclerotic bone tissue) and targeted remodeling repair (resulting in focal resorption spaces in the parasagittal groove). Whether these focal structural changes, as detectable by standing computed tomography (sCT), lead to elevated strain at the common site of condylar stress fracture has not been demonstrated. Therefore, the goal of the present study was to compare full-field three-dimensional (3D) strain on the distopalmar aspect of MC3 bone specimens with and without focal subchondral bone injury (SBI). Thirteen forelimb specimens were collected from racing Thoroughbreds for mechanical testing ex vivo and underwent sCT. Subsequently, full-field displacement and strain at the joint surface were determined using stereo digital image correlation. Strain concentration was observed in the parasagittal groove (PSG) of the loaded condyles, and those with SBI in the PSG showed higher strain rates in this region than control bones. PSG strain rate in condyles with PSG SBI was more sensitive to CT density distribution in comparison with condyles with no sCT-detectable injury. Findings from this study help to interpret structural changes in the subchondral bone due to fatigue damage and to assess risk of incipient stress fracture in a patient-specific manner.

第三掌骨/跖骨(MC3/MT3)远端的髁状应力性骨折是全球纯血赛马受伤和安乐死的主要原因。对运动和疲劳损伤的功能性适应会导致软骨下骨的结构变化,其中包括建模增加(导致骨组织硬化)和定向重塑修复(导致副胫槽中的局灶性吸收空间)。这些病灶结构变化是否会导致髁突应力性骨折常见部位的应变升高,目前尚未得到证实。因此,本研究的目的是比较有和无局灶性软骨下骨损伤(SBI)的 MC3 骨标本远端全场三维(3D)应变。从赛马纯血马身上采集了 13 块前肢标本进行体外力学测试,并对其进行了 SCT。随后,使用立体数字图像相关技术测定了关节表面的全场位移和应变。在加载的髁状突的矢状旁沟(PSG)中观察到了应变集中现象,与对照组骨骼相比,在 PSG 中存在 SBI 的髁状突在该区域显示出更高的应变率。与未检测到 sCT 损伤的髁骨相比,PSG SBI 髁骨的 PSG 应变率对 CT 密度分布更敏感。这项研究的结果有助于解释软骨下骨因疲劳损伤而产生的结构变化,并根据患者的具体情况评估发生应力性骨折的风险。
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Journal of the Mechanical Behavior of Biomedical Materials
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