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Abedi A, Farahmand F, Zanjani LO, Nabian MH. Effect of geometrical design variables on implantation configuration and fixation stiffness of titling bone anchors: A parametric finite element study. Med Eng Phys 2024; 129:104191. [PMID: 38906573 DOI: 10.1016/j.medengphy.2024.104191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 05/04/2024] [Accepted: 05/22/2024] [Indexed: 06/23/2024]
Abstract
The mechanical interaction of a tilting anchor and cancellous bones of various densities was simulated using finite element modeling. The model enjoyed a sophisticated representation of the bone, as an elasto-plastic material with large deformation capability. The anchor's tilting action during implantation phase, as well as its fixation stiffness during pull-out test, were predicted by the model and a parametric study was performed to investigate the effects of the anchor's distal width and corner fillet radius, on these measures. The model predictions were validated against the results of an experimental test on ovine humerus specimens. The model could reasonably reproduce the tilting action of the anchor during the implantation phase. Comparison of the model predictions with the experimental results revealed similar trends during both the implantation and the pull-out phases, but smaller displacement magnitudes (end points: 1.4 vs. 2.1 mm and 4.6 vs. 5.2 mm, respectively). The results of the parametric study indicated substantial increase in the fixation stiffness with increasing bone density. Reducing the distal width and increasing the fillet radius improved the anchor's implantation configuration and fixation stiffness in low-density bones. For high-density bone applications, however, a larger distal width was favored for improving the fixation stiffness.
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Affiliation(s)
- Ali Abedi
- Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran
| | - Farzam Farahmand
- Mechanical Engineering Department, Sharif University of Technology, Tehran, Iran.
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Halloran KM, Focht MDK, Teague A, Peters J, Rice I, Kersh ME. Moving forward: A review of continuous kinetics and kinematics during handcycling propulsion. J Biomech 2023; 159:111779. [PMID: 37703719 DOI: 10.1016/j.jbiomech.2023.111779] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 08/23/2023] [Accepted: 08/24/2023] [Indexed: 09/15/2023]
Abstract
Wheelchair users (WCUs) face high rates of shoulder overuse injuries. As exercise is recommended to reduce cardiovascular disease prevalent among WCUs, it is becoming increasingly important to understand the mechanisms behind shoulder soft-tissue injury in WCUs. Understanding the kinetics and kinematics during upper-limb propulsion is the first step toward evaluating soft-tissue injury risk in WCUs. This paper examines continuous kinetic and kinematic data available in the literature. Attach-unit and recumbent handcycling are examined and compared. Athletic modes of propulsion such as recumbent handcycling are important considering the higher contact forces, speed, and power outputs experienced during these activities that could put users at increased risk of injury. Understanding the underlying kinetics and kinematics during various propulsion modes can lend insight into shoulder loading, and therefore injury risk, during these activities and inform future exercise guidelines for WCUs.
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Affiliation(s)
- Kellie M Halloran
- Department of Mechanical Science and Engineering, University of Illinois Urbana-Champaign, United States of America
| | - Michael D K Focht
- Department of Mechanical Science and Engineering, University of Illinois Urbana-Champaign, United States of America
| | - Alexander Teague
- Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, United States of America
| | - Joseph Peters
- Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, United States of America; Disability Resources and Educational Services, University of Illinois Urbana-Champaign, United States of America
| | - Ian Rice
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, United States of America
| | - Mariana E Kersh
- Department of Mechanical Science and Engineering, University of Illinois Urbana-Champaign, United States of America; Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, United States of America; Beckman Institute for Advanced Science and Technology, University of Illinois Urbana-Champaign, United States of America.
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Williamson P, Garcia M, Momenzadeh K, Abbasian M, Kheir N, Stewart I, DeAngelis JP, Ramappa AJ, Nazarian A. A Validated Three-Dimensional, Heterogenous Finite Element Model of the Rotator Cuff and The Effects of Collagen Orientation. Ann Biomed Eng 2023; 51:1002-1013. [PMID: 36469168 PMCID: PMC10428175 DOI: 10.1007/s10439-022-03114-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 11/24/2022] [Indexed: 12/12/2022]
Abstract
Continuum mechanics-based finite element models of the shoulder aim to quantify the mechanical environment of the joint to aid in clinical decision-making for rotator cuff injury and disease. These models allow for the evaluation of the internal loading of the shoulder, which cannot be measured in-vivo. This study uses human cadaveric rotator cuff samples with surface tendon strain estimates, to validate a heterogeneous finite element model of the supraspinatus-infraspinatus complex during various load configurations. The computational model was considered validated when the absolute difference in average maximum principal strain for the articular and bursal sides for each load condition estimated by the model was no greater than 3% compared to that measured in the biomechanical study. The model can predict the strains for varying infraspinatus loads allowing for the study of load sharing between these two tightly coordinated tendons. The future goal is to use the modularity of this validated model to study the initiation and propagation of rotator cuff tear and other rotator cuff pathologies to ultimately improve care for rotator cuff tear patients.
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Affiliation(s)
- Patrick Williamson
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
- Mechanical Engineering Department, Boston University, Boston, MA, USA
| | - Mason Garcia
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
- Mechanical Engineering Department, Boston University, Boston, MA, USA
| | - Kaveh Momenzadeh
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
| | - Mohammadreza Abbasian
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
| | - Nadim Kheir
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
| | - Isabella Stewart
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
| | - Joseph P DeAngelis
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
- Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN121, Boston, MA, 02115, USA
| | - Arun J Ramappa
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA
- Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN121, Boston, MA, 02115, USA
| | - Ara Nazarian
- Musculoskeletal Translational Innovation Initiative, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN123, Boston, MA, 02115, USA.
- Mechanical Engineering Department, Boston University, Boston, MA, USA.
- Carl J. Shapiro Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, RN121, Boston, MA, 02115, USA.
- Department of Orthopaedic Surgery, Yerevan State Medical University, Yerevan, Armenia.
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