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ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

ARUP; ISBN: 978-0-9562121-5-3 - CMBBE 2012 - Cardiff University

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Cancellous<br />

bone<br />

Acrylic bone<br />

cement<br />

Cortical bone<br />

pressure<br />

Thermal and<br />

mechanical symmetry<br />

heat convection<br />

Fig. 2: Material regions of the finite element mesh (left) and double symmetric finite<br />

element model including boundary conditions (right)<br />

By the help of the described FE-model, an exemplary investigation of the thermal<br />

behaviour of the curing process and a subsequent mechanical analysis of a uniform<br />

loading condition is examined. In the first load step the curing process of acrylic bone<br />

cement right after its injection into the vertebral body is explored. Within this load step<br />

no mechanical loads are applied and the bone cement region is assigned with an initial<br />

temperature of θ0 = 22°C.<br />

The thermo-mechanical simulation of the first load step results in the following<br />

behaviour: Due to the exothermal chemical reaction of the acrylic bone cement, heat<br />

gets dissipated and leads to an increasing temperature. Since heat flow is allowed to<br />

ambient regions, the peak values of temperature decrease over the time until a uniform<br />

temperature of 37°C is reached again. The temperature evolution over time has been<br />

plotted for different locations in Fig. 3 (left). The figure shows that the temperature in<br />

the centre of the bone cement reaches values of about 60°C. However, temperature<br />

values beyond the region of bone cement just slightly rises over 37°C. This behaviour is<br />

also confirmed by the temperature field plot on the geometry of Fig. 3 (right).<br />

Fig. 3: Temperature evolution at different locations (left) and contour plot of the<br />

temperature field at the time t = 5 min (right)<br />

Within a second load step, a mechanical load has been applied to the upper shell of the<br />

vertebral body. In order to achieve a uniform distribution of the loading, a pressure of<br />

p = 0.5 N/mm 2 has been applied to the upper cortical shell. This corresponds to a<br />

resulting total force of F ≈ 700N in vertical direction. The resulting vertical<br />

displacements of the treated vertebral body are compared with those of an untreated<br />

one. Fig. 4 shows the contour plots of the displacements for both cases. Due to the<br />

stiffening of the core of the vertebral body treated by vertebroplasty, lower values of the<br />

displacements are achieved for the treated vertebral body. As an additional result,<br />

differing stress distributions between both models have been observed. This can be<br />

1<br />

3<br />

2

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