Numerical modelling of hip fracture patterns in human femur.


Journal

Computer methods and programs in biomedicine
ISSN: 1872-7565
Titre abrégé: Comput Methods Programs Biomed
Pays: Ireland
ID NLM: 8506513

Informations de publication

Date de publication:
May 2019
Historique:
received: 15 02 2019
revised: 12 03 2019
accepted: 13 03 2019
entrez: 4 5 2019
pubmed: 3 5 2019
medline: 26 11 2019
Statut: ppublish

Résumé

Hip fracture morphology is an important factor determining the ulterior surgical repair and treatment, because of the dependence of the treatment on fracture morphology. Although numerical modelling can be a valuable tool for fracture prediction, the simulation of femur fracture is not simple due to the complexity of bone architecture and the numerical techniques required for simulation of crack propagation. Numerical models assuming homogeneous fracture mechanical properties commonly fail in the prediction of fracture patterns. This paper focuses on the prediction of femur fracture based on the development of a finite element model able to simulate the generation of long crack paths. The finite element model developed in this work demonstrates the capability of predicting fracture patterns under stance loading configuration, allowing the distinction between the main fracture paths: intracapsular and extracapsular fractures. It is worth noting the prediction of different fracture patterns for the same loading conditions, as observed during experimental tests. The internal distribution of bone mineral density and femur geometry strongly influences the femur fracture morphology and fracture load. Experimental fracture paths have been analysed by means of micro-computed tomography allowing the comparison of predicted and experimental crack surfaces, confirming the good accuracy of the numerical model.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
Hip fracture morphology is an important factor determining the ulterior surgical repair and treatment, because of the dependence of the treatment on fracture morphology. Although numerical modelling can be a valuable tool for fracture prediction, the simulation of femur fracture is not simple due to the complexity of bone architecture and the numerical techniques required for simulation of crack propagation. Numerical models assuming homogeneous fracture mechanical properties commonly fail in the prediction of fracture patterns. This paper focuses on the prediction of femur fracture based on the development of a finite element model able to simulate the generation of long crack paths.
METHODS METHODS
The finite element model developed in this work demonstrates the capability of predicting fracture patterns under stance loading configuration, allowing the distinction between the main fracture paths: intracapsular and extracapsular fractures. It is worth noting the prediction of different fracture patterns for the same loading conditions, as observed during experimental tests.
RESULTS AND CONCLUSIONS CONCLUSIONS
The internal distribution of bone mineral density and femur geometry strongly influences the femur fracture morphology and fracture load. Experimental fracture paths have been analysed by means of micro-computed tomography allowing the comparison of predicted and experimental crack surfaces, confirming the good accuracy of the numerical model.

Identifiants

pubmed: 31046997
pii: S0169-2607(19)30227-5
doi: 10.1016/j.cmpb.2019.03.010
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

67-75

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Miguel Marco (M)

Department of Mechanical Engineering, Universidad Carlos III de Madrid, Avda. de la Universidad 30, 28911 Leganés, Madrid, Spain. Electronic address: mimarcoe@ing.uc3m.es.

Eugenio Giner (E)

CIIM-Department of Mechanical and Materials Engineering, Universitat Politècnica de València Camino de Vera, 46022 Valencia, Spain.

José Ramón Caeiro-Rey (JR)

Orthopedic Surgery and Traumatology Service, Complejo Hospitalario Universitario de Santiago de Compostela, Rúa de Ramón Baltar, s/n, 15706 Santiago de Compostela, A Coruña, Spain.

M Henar Miguélez (MH)

Department of Mechanical Engineering, Universidad Carlos III de Madrid, Avda. de la Universidad 30, 28911 Leganés, Madrid, Spain.

Ricardo Larraínzar-Garijo (R)

Orthopaedics and Trauma Department, Surgery Department, Hospital Universitario Infanta Leonor, Complutense University, Madrid, Spain.

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