Biomedical Engineering Reference
In-Depth Information
3. Trabeculae remodeling algorithm with both adaptive and microdamage remodeling
mechanisms . Initially, damage rate ω . was defined to assess the state of damage. If damage
accumulation ω = 1 was a failure, and if the rate of damage accumulation was assumed
to be linear, then Miner's rule was employed to define the damage rate (McNamara and
Prendergast 2007):
ω . =
1
(20.11)
N f
where N f denotes the number of cycles required for a failure of the material at a given
stress. In the case of bones, the empirical equation of Carter et al. (1976) was used to cal-
culate N f :
log
NH
=
log
σ ++ +
JT
KM
ρ
(20.12)
i
i
f
where σ i is the stress (MPa), T is the temperature (°C), and H, J, K , and M are all empirical
constants. Then, the damage accumulates as
ω .
t
=
dt
(20.13)
where ω denotes the state of local damaged bone tissue and t the duration of calculation.
When the damage accumulation ω was below a certain damage threshold, the adaptive
remodeling program was used. Based on previous research (Ruimerman et al. 2005;
Xinghua, He, and Bingzhao 2005), strain energy density at location i was given by
εε
ρ
i
E
i
i
U
=
(20.14)
i
2
i
where E i is the elastic modulus (MPa) at location i (assumed isotropic), ε i is the strain,
and the unit of ρ i is g/cm 3 . At the given location, the stimulus for an element is S i , and is
defined as
SUU
i
=−
i
ref
(20.15)
where U ref represents the reference stimulus. The total stimulus received by an osteocyte is
a sum of stimuli from other osteocytes surrounding it, hence
dxt
dt
ρ
(,)
N
m
=
Bf
i
() ()
xS x
i
0
<≤
ρρ
(20.16)
max
i
=
1
where ρ m is the bone density mediated by adaptive remodeling. Parameter B denotes the
proportion coefficient, N is the number of sensor cells that contribute to the total stimuli,
and ρ max signifies the maximal bone density. f i ( x ) is a spatial influence function, describing
the decay in signal intensity relative to distance d and decay parameter D , according to
=
dxxD
(,')
f i
()
xe
(20.17)
where d ( x , x ') is the distance from osteocyte x to surface location x ' and D is the distance
from an osteocyte location where its effect has been reduced to e -1 . The density of bone
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