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Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers Alice Younge IStructE YRC 15 th March 2012 Supervisors: Dr ATM Phillips Prof AA Amis
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Page 1: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

Structural Analysis of the Femur:

A Collaborative Tool for Surgeons and Engineers

Alice Younge

IStructE YRC15th March 2012

Supervisors: Dr ATM Phillips Prof AA Amis

Page 2: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

OVERVIEW• Introduction

– The Femur

– Context

– Objectives

• Beam Theory Modelling – Basic Model

– Comparison to finite element Model

– Results of comparison to finite element model

• Applications

Page 3: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

INTRODUCTION

• Longest and strongest bone in the human body

• Two main functions:

• Support structure• Facilitates movement

Proximal end Hip Joint

Distal end Knee Joint

The Femur:

Page 4: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

INTRODUCTIONThe Femur:• Consists of two types of bone:

- Cortical

Thin layer on the outside of the bone – Strong, stiff, low porosity shell like structure

- Trabecular

Continuous within the inner surface of the cortical shell – Bony plates and struts, high porosity sponge like structure

Page 5: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

INTRODUCTION

The joints are surrounded by:

Ligaments -

• Connect bone to bone

• Provide stability for the joint they surround

The Femur:

Page 6: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

INTRODUCTION

The joints are surrounded by:

Muscles -

• Support and stabilise the joint

• Provide the power for locomotion

The Femur:

Page 7: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

• From April 2010 to April 2011 the NHS performed over 70,000 hip replacements in England

• We are all expecting to live longer and with a better quality of life

• A replacement hip joint lasts for ~ 15 years

• Additionally increased incidence of patients with musculoskeletal disorders – About 1 in 500 babies born in the UK have Cerebral Palsy

Advances in design of replacement joint and surgical procedure are essential

CONTEXT

Page 8: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

Ultimate objective: Build joint replacements that outlast the patient

Interim objective: To create a beam theory model which could be used to -

Assess the femur in natural condition and following arthroplasty

Assess various clinical procedures and inform the choice of surgical approach

Predict the effect of changes at one joint, hip or knee, to the other

Inform new and existing designs of artificial hip or knee joint

Assess the effects of muscle damage through disease, injury or surgery

OBJECTIVES

Page 9: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY Background within biomechanics:

• Popular in early to mid 1900s

• Models crude and calculations carried out by hand

• By 1970s finite element method considered to be superior

• Little development since

• Advancement of computational power and with modern surgical planning time constraints – beam theory modelling is again becoming a viable option

Page 10: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORYBasic model definition:

1) Medium left fourth generation Sawbones femur scanned

using a computerised tomography (CT) scan at intervals of 0.75 mm.

- Series of x-ray beams scan the bone

- Create detailed images of the structure

2) CT data converted to contour geometry using Mimics.

- Converts 2D image data to 3D model

Page 11: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY

3) Using Rhino, a CAD package, and the composite femur model a neutral axis was estimated through the head region and down the shaft of the femur. An altered axis was then included to ensure smooth loading through the neck region.

Page 12: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY4) Using Rhincerous, a CAD package, section

cuts were taken perpendicular to the axis.

- Head region, 2mm intervals 23 sections- Neck region, equally spaced in an arc 30 sections- Shaft region, 5mm intervals 65 sections

5) For each section, cortical and trabecular, line plots in the form of .dxf files were exported.

Page 13: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY6) The .dxf files were imported in to Oasys GSA as perimeter

sections. Section properties were calculated and assigned for all cortical and trabecular parts.

The section properties included the:

- Area, - Centroid, - Second moments of area,

Custom script written to calculate:

- Torsion constant

Page 14: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY7) The mid-point of the cortical centroid

values were calculated and nodes were plotted at these points.

- Ensured even distribution of the element section properties between the nodes.

The resulting node path

8) Trabecular sections aligned coincident to cortical sections

- Parallel axis theorem used to calculate new section properties

Page 15: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY9) Element assigned between

each node with individual section property – cortical and trabecular

Image shows section definition plot of cortical (right) and trabecular (left) parts

10) Muscle origination and insertion nodes (surface nodes)

plotted

- Surface nodes connected to centroid nodes via stiff beam elements to the femur direct transfer of force

Page 16: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY

Now have the basic beam theory model

Using the basic model one can:

• Rotate the model to any position/stance

• Apply any chosen muscle ligament or joint reaction force

• Alter the position of the muscle origination or insertion site

• Change the material properties of the bone, cortical or trabecular

• Add an additional component such as an artificial joint

Page 17: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

• Femur position at 12° of adduction & 7° of flexion – representative of single leg stance

• Twenty six muscles & seven ligaments included as cable elements with specific stiffness’s

• Each muscle had a defined force-displacement relationship

Force-displacement curve based on the muscles peak contractile force and stiffness value

Note: Stiffness acted in and tension not in compression

Compare Beam Theory Model to Finite Element Model:

BEAM THEORY

Page 18: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY

• An equivalent acetabular and condylar structure was defined and connected using stiff beam elements

• Muscles originating on the pelvis connected to the acetabular structure

• Muscles inserting into the tibia were fully constrained

• Force of 835 N applied to L5S1 node

Compare Beam Theory Model to Finite Element Model:

Page 19: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

Acetabular structure

Muscle origination point

Stiff beam element

Cable element representing muscle

Tibial plateau

BEAM THEORY

Page 20: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY

Beam theory line plot

Beam theory section plot

Finite element model

Page 21: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORYProcessing Results:Bending moment output Myy Section definition and properties

Stress calculated using moment, position and section properties Strain calculated using stress and Young’s modulus

Page 22: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORY

FE shown in black Beam theory shown in red

Time to analyse model:

Beam theory: 1 secondFinite element: 1937 seconds (super computer)

Results – Comparison to Finite Element model:

Page 23: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

BEAM THEORYFE lateral surface shown in black

FE medial surface shown in blue

Beam theory centroid line shown in red

Reaction forces at condyles

Deflection of femoral head

Page 24: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

APPLICATIONSBeam theory model main advantages:

Analysis time – very fast

Ease with which parameters can be changed- muscle origination site- loading condition

Beam theory model applications:

Rapidly assess the effects of muscle damage through, disease injury or surgery - changes in muscle attachment etc

Assess femur in natural condition and following arthroplasty. To inform a new design of artificial hip or knee joint

Predict the effect of changes at one joint, hip or knee, to the other

Page 25: Context The Femur Basic Model Comparison Objectives Results Application Structural Analysis of the Femur: A Collaborative Tool for Surgeons and Engineers.

Context

The Femur

Basic Model

Comparison

Objectives

Results

Application

THANK YOU

ANY QUESTIONS Contact: [email protected]


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