finite element analysis of stress fractures in a rat …

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FINITE ELEMENT A 1 Amit Gefen, 1 Mi 1 Department of Biomedical Engineeri 3 Heller Institute of Medical Research, SUMMARY The objective of this study was to develop (FE) modeling methodology for studying the stress fracture (SF). Several variants of a th (3D) FE model of a rat hindlimb, which diffe stiffness of tissues, enabling the analyses of me and stress in the tibia, were created. We occurrence of SFs in an animal model to valid peak strains/stresses in the FE models. F subjected to mechanical cyclic loads, which w their hindlimb for 30min, 3 times/week, up to results showed that: (i) FE modeling predict strains/stresses between the mid and proxim tibia; (ii) Longer shin was associated with gr inhomogeneous tensile strains/stresses; (i variants in shin length influenced the strain/str to a greater extent than changes in mechanic tissues; (iv) The effect of bone stiffness was m than that of muscle stiffness. The location of t in the rat limb verified the FE model. INTRODUCTION A stress fracture (SF) is a partial or comple bone resulting from its inability to withstand mechanical loads. There is no satisfactory an investigating risk factors for SFs, which is w studies used non-human in vivo models fo aetiology. In many of these studies the act loads causing the fracture and the anatomical SFs occurred were not reported. FE mod developed to evaluate strains and stresses wit the context of SF aetiology. However, thos limited because they considered an isolated overlying soft tissues were not incorporate chronic animal experiments and comparing the the strain/stress data obtained from the FE m possible to characterize anatomical and biome contributing to SFs. The objective of this study to develop an experimentally validated methodology for studying SFs. METHODS Computational model The 3D anatomy of the undeformed rat shi from axial MRI scans of a rat. The MRI sca into parallel planes. The contours of cortical bo ANALYSIS OF STRESS FRACTURES IN A RAT MO ichal Stern-Perry 2 Nogah Shabshin and 3, 4 Yoram Epstein ing, Tel Aviv University, 2 Division of Diagnostic Imaging , Sheba Medical Center, 4 Sackler Faculty of Medicine, Te a finite element e aetiology of a hree-dimensional ered in length or echanical strains e compared the date locations of Four rats were were delivered to o 12 weeks. The ted the maximal mal thirds of the greater and more iii) Anatomical ress distributions cal properties of more substantial the identified SF ete fracture of a cyclic sub-yield nimal model for why only a few or studying SF tual tissue-level locations where dels have been thin the bone in se studies were bone, while the ed. By running e outcomes with model, it will be echanical factors y was, therefore, FE modeling in was obtained ans were loaded one, trabecular bone and bone marrow of the tibia muscle and fat, and distal and prox manually drawn for each slice and means of a solid modeling softw geometrical model was imported t where a skin layer was added (Fig the model were solved using the n strain/stress analyses features of A and cartilage tissues were conside materials, whereas soft tissues considered hyperelastic homogen boundary conditions applied we preliminary analyses, we applied a of 3.4N on the distal surface of th proximal end of the shin was c translational or rotational motion designed as follows: we built va where the shin length was varied b or shorter limbs; we further built m simulated altered tissue mechanica the reference configuration, to rep of ±30% in tissue bone and muscle configuration was analyzed for th tensile strains/stresses in the cortic distributions were plotted along a p the site where peak principle tensil proximal and distal edges of the bo Figure 1: The process of modeling bodies; (b) The meshed 3D model. (a) (b) ODEL n g, Sheba Medical Center, el Aviv University, Israel. a and fibula, the enveloping ximal cartilage tissues, were d lofted into 3D bodies by ware (SolidWorks). The 3D to an FE solver (ABAQUS) gure 1). All the variants of nonlinear large deformation ABAQUS. Specifically, bone ered isotropic linear-elastic other than cartilage were neous isotropic solids. The ere as follows: based on uniformly-distributed force he cartilage of the shin. The constrained to prevent any ns. Simulations were then ariant model configurations by ±30% to represent longer model configurations which al properties with respect to present biological variability e stiffness. Each such model he distributions of principal cal bone of the tibia. These path, which was defined by le strain occurred and by the one. g: (a) from MRI scans to 3D .

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FINITE ELEMENT ANALYSIS

1 Amit Gefen,

1 Michal Stern

1Department of Biomedical Engineering, Tel Aviv University,

3Heller Institute of Medical Research, Sheba Medical Center

SUMMARY

The objective of this study was to develop a finite element

(FE) modeling methodology for studying the aetiology of a

stress fracture (SF). Several variants of a three

(3D) FE model of a rat hindlimb, which differed in length or

stiffness of tissues, enabling the analyses of mechanical strains

and stress in the tibia, were created. We compared the

occurrence of SFs in an animal model to validate locations of

peak strains/stresses in the FE models. Four

subjected to mechanical cyclic loads, which were delivered to

their hindlimb for 30min, 3 times/week, up to 12 weeks. The

results showed that: (i) FE modeling predicted the maximal

strains/stresses between the mid and proximal thirds of th

tibia; (ii) Longer shin was associated with greater

inhomogeneous tensile strains/stresses; (iii) Anatomical

variants in shin length influenced the strain/stress distributions

to a greater extent than changes in mechanical proper

tissues; (iv) The effect of bone stiffness was more

than that of muscle stiffness. The location of the identified SF

in the rat limb verified the FE model.

INTRODUCTION

A stress fracture (SF) is a partial or complete fracture of a

bone resulting from its inability to withstand cyclic sub

mechanical loads. There is no satisfactory animal model for

investigating risk factors for SFs, which is why only a few

studies used non-human in vivo models for studying SF

aetiology. In many of these studies the actual tissue

loads causing the fracture and the anatomical locations where

SFs occurred were not reported. FE models

developed to evaluate strains and stresses within the bone

the context of SF aetiology. However, those studies were

limited because they considered an isolated bone, while the

overlying soft tissues were not incorporated

chronic animal experiments and comparing the outcomes with

the strain/stress data obtained from the FE model, it will be

possible to characterize anatomical and biomechanical factors

contributing to SFs. The objective of this study was, therefore,

to develop an experimentally validated FE modeling

methodology for studying SFs.

METHODS

Computational model

The 3D anatomy of the undeformed rat shin was obtained

from axial MRI scans of a rat. The MRI scans were loaded

into parallel planes. The contours of cortical bone, trabecular

ANALYSIS OF STRESS FRACTURES IN A RAT MODEL

Michal Stern-Perry 2

Nogah Shabshin and 3, 4 Yoram Epstein

Department of Biomedical Engineering, Tel Aviv University, 2Division of Diagnostic Imaging, Sheba Medical

Heller Institute of Medical Research, Sheba Medical Center, 4Sackler Faculty of Medicine, Tel Aviv University, Israel.

The objective of this study was to develop a finite element

(FE) modeling methodology for studying the aetiology of a

three-dimensional

FE model of a rat hindlimb, which differed in length or

ssues, enabling the analyses of mechanical strains

and stress in the tibia, were created. We compared the

occurrence of SFs in an animal model to validate locations of

Four rats were

which were delivered to

their hindlimb for 30min, 3 times/week, up to 12 weeks. The

results showed that: (i) FE modeling predicted the maximal

strains/stresses between the mid and proximal thirds of the

greater and more

(iii) Anatomical

variants in shin length influenced the strain/stress distributions

changes in mechanical properties of

stiffness was more substantial

muscle stiffness. The location of the identified SF

A stress fracture (SF) is a partial or complete fracture of a

bone resulting from its inability to withstand cyclic sub-yield

here is no satisfactory animal model for

investigating risk factors for SFs, which is why only a few

models for studying SF

studies the actual tissue-level

anatomical locations where

FE models have been

sses within the bone in

However, those studies were

limited because they considered an isolated bone, while the

ot incorporated. By running

chronic animal experiments and comparing the outcomes with

the strain/stress data obtained from the FE model, it will be

possible to characterize anatomical and biomechanical factors

The objective of this study was, therefore,

to develop an experimentally validated FE modeling

The 3D anatomy of the undeformed rat shin was obtained

The MRI scans were loaded

into parallel planes. The contours of cortical bone, trabecular

bone and bone marrow of the tibia

muscle and fat, and distal and proximal cartilage tissues, were

manually drawn for each slice and lofted into 3D bodies

means of a solid modeling software (SolidWorks). The 3D

geometrical model was imported to an FE solver (AB

where a skin layer was added (Figure 1).

the model were solved using the nonlinear large deformation

strain/stress analyses features of ABAQUS. Specifically, bone

and cartilage tissues were considered isotropic linear

materials, whereas soft tissues other than cartilage were

considered hyperelastic homogeneous isotropic solids.

boundary conditions applied were

preliminary analyses, we applied a uniformly

of 3.4N on the distal surface of the cartilage of the shin

proximal end of the shin was constrained to prevent any

translational or rotational motions

designed as follows: we built variant model configurations

where the shin length was varied by ±30% to re

or shorter limbs; we further built model configurations

simulated altered tissue mechanical properties with respect to

the reference configuration, to represent biological variability

of ±30% in tissue bone and muscle

configuration was analyzed for the distributions of principal

tensile strains/stresses in the cortical bone of the tibia. The

distributions were plotted along a path, which was defined by

the site where peak principle tensile strain

proximal and distal edges of the bone.

Figure 1: The process of modeling

bodies; (b) The meshed 3D model.

(a)

(b)

MODEL

n

Diagnostic Imaging, Sheba Medical Center,

Sackler Faculty of Medicine, Tel Aviv University, Israel.

bone and bone marrow of the tibia and fibula, the enveloping

muscle and fat, and distal and proximal cartilage tissues, were

nd lofted into 3D bodies by

means of a solid modeling software (SolidWorks). The 3D

geometrical model was imported to an FE solver (ABAQUS)

(Figure 1). All the variants of

were solved using the nonlinear large deformation

ABAQUS. Specifically, bone

and cartilage tissues were considered isotropic linear-elastic

rials, whereas soft tissues other than cartilage were

considered hyperelastic homogeneous isotropic solids. The

applied were as follows: based on

preliminary analyses, we applied a uniformly-distributed force

ce of the cartilage of the shin. The

proximal end of the shin was constrained to prevent any

slational or rotational motions. Simulations were then

we built variant model configurations

where the shin length was varied by ±30% to represent longer

further built model configurations which

mechanical properties with respect to

represent biological variability

bone and muscle stiffness. Each such model

configuration was analyzed for the distributions of principal

stresses in the cortical bone of the tibia. These

a path, which was defined by

the site where peak principle tensile strain occurred and by the

bone.

The process of modeling: (a) from MRI scans to 3D

model.

Animal experimentation

Four male rats were used as an in vivo model for inducing a

SF. The anaesthetized rat was laid on a horizontal rigid

surface. Cyclic loading was delivered through the hindfoot,

using a custom-made electromechanical apparatus.

loads, with a triangle wave shape, frequency of ~1.2Hz which

is typical for physiological gait of a man or a rat, and pre

peak of 7N, were delivered for ~30min per session, 3 times a

week, for a period of two weeks up to 12 weeks.

measures were the presence or absence of a tibial

X-rays scans. The anatomical location of an established SF

was compared to the location of maximal strains within the

tibial cortical bone, as predicted by the FE models. In addition,

we recorded the load waves and the number of loading cycles

to enable the calculation of the total number of loading cycles

delivered to each animal.

RESULTS AND DISCUSSION

FE models

Overall, strains and stresses were found to peak between the

mid and proximal thirds of the tibia. The results from the FE

modeling indicated that: (i) more inhomogeneous and h

tensile strains/stresses occurred in longer shins

Figure 2: Principal tensile strains: (a) Reference

(b) 30%-longer tibia, (c) 30%-shorter tibia

passing through the site of peak tensile strain/stress as well as

through the proximal and distal edges of the tibia

Normalized Distance

(a)

(c)

(d)

(b)

Reference

Longer tibia

Shorter tibia

model for inducing a

he anaesthetized rat was laid on a horizontal rigid

Cyclic loading was delivered through the hindfoot,

made electromechanical apparatus. The cyclic

loads, with a triangle wave shape, frequency of ~1.2Hz which

is typical for physiological gait of a man or a rat, and pre-set

livered for ~30min per session, 3 times a

iod of two weeks up to 12 weeks. Outcome

the presence or absence of a tibial SF based on

anatomical location of an established SF

location of maximal strains within the

tibial cortical bone, as predicted by the FE models. In addition,

we recorded the load waves and the number of loading cycles

the calculation of the total number of loading cycles

Overall, strains and stresses were found to peak between the

he results from the FE

modeling indicated that: (i) more inhomogeneous and higher

occurred in longer shins (Figure 2).

(ii) anatomical variants in shin length influenced the

strain/stress distributions to a greater extent with respect to

changes in mechanical properties of tissues; (iii)

bone tissue stiffness was more dominant than

tissue stiffness in affecting the strain/stress distributions in

tibial cortical bone.

Animal model

The four animals were subjected to loading cycles in a rang

between 8,894 and 47,957 cycles.

exposed to the highest number of loading cycles and to the

highest peak force was diagnosed as suffering a SF in the

proximal third of its left tibia, based on the routine X

scans. This occurred following ~35

were delivered during 9 weeks of testing.

other 3 animals, which were exposed to fewer loading cycles

and lower average peak forces, did not demonstrate SF

CONCLUSIONS The present FE model enables a full mapping of the

strain/stress distributions within the tibia, showing that

engineering data are comparable to the actual location of a SF

occurring in a respective animal model

the present study could be extended in the future for studying

various aspects of SFs in humans as well.

ACKNOWLEDGEMENTS

This study was supported by Grant No. 3

Foundation of the Chief Scientist of the Israeli Ministry of

Health (A.G., Y.E.). We appreciate the help of

Portnoy for assisting in SolidWorks, ABAQUS,

We would like to thank Mr. Nadav Narkis (The

Musculoskeletal Biomechanics Lab, Dept. of Biomedical

Engineering, Tel Aviv University) for designing the

electromechanical loading device use

Reference-length tibia,

shorter tibia. (d) A path

passing through the site of peak tensile strain/stress as well as

through the proximal and distal edges of the tibia.

Normalized Distance

natomical variants in shin length influenced the

strain/stress distributions to a greater extent with respect to

changes in mechanical properties of tissues; (iii) the effect of

bone tissue stiffness was more dominant than this of muscle

tissue stiffness in affecting the strain/stress distributions in

The four animals were subjected to loading cycles in a range

957 cycles. The animal which was

exposed to the highest number of loading cycles and to the

highest peak force was diagnosed as suffering a SF in the

proximal third of its left tibia, based on the routine X-ray

scans. This occurred following ~35,000 loading cycles that

were delivered during 9 weeks of testing. The X-rays of the

other 3 animals, which were exposed to fewer loading cycles

and lower average peak forces, did not demonstrate SF.

nables a full mapping of the

istributions within the tibia, showing that the

engineering data are comparable to the actual location of a SF

occurring in a respective animal model. The approach taken in

the present study could be extended in the future for studying

SFs in humans as well.

This study was supported by Grant No. 3-3795 from the

Foundation of the Chief Scientist of the Israeli Ministry of

We appreciate the help of Dr. Sigal

olidWorks, ABAQUS, and Labview.

We would like to thank Mr. Nadav Narkis (The

Musculoskeletal Biomechanics Lab, Dept. of Biomedical

Engineering, Tel Aviv University) for designing the

electromechanical loading device used for the animal studies.

ULB
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