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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

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

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cortical thickness only). The values used are shown in Table 1 [6].<br />

Table 1 – Material properties of the bone<br />

Young / Healthy Old / Osteoporotic<br />

periosteum endosteum periosteum endosteum<br />

E11 18.6 16.6 12.9 3.2<br />

E22 18.8 17.1 14.6 6.0<br />

E33 22.4 21.4 19.3 11.2<br />

G12 7.2 6.6 5.4 1.8<br />

G13 6.9 6.4 5.4 2.2<br />

G23 7.0 6.5 5.7 3.0<br />

v12 0.29 0.27 0.24 0.16<br />

v13 0.26 0.24 0.20 0.07<br />

v23 0.26 0.24 0.22 0.14<br />

The heterogeneity was modelled using a temperature gradient from the periosteum to<br />

the endosteum and applying tensorally interpolated material properties accordingly. The<br />

anisotropy was incorporated using cylindrical axes for each segment of the crosssection.<br />

The plate and screws were assumed to be homogeneous, isotropic and linear elastic<br />

steel. The Young’s moduli for both were 1.80x10 11 N/m 2 [7-10]. Poisson’s ratio for<br />

steel was taken as 0.3 [9-11].<br />

Both linear and nonlinear models have been considered for friction between the bone<br />

and the implant [5, 7, 12-15]. The screw-bone interaction at the entrant cortex was<br />

modelled as frictional using a standard Coulomb friction coefficient of 0.3 based on<br />

some of the recent studies [13, 14]. As the majority of load is transferred at the screw<br />

holes on the entrant cortex the screw-bone interaction at the exit cortex was modelled as<br />

tied for analysis simplification. The plate-bone interaction used a frictional coefficient<br />

of 0.4 [2].<br />

The load was applied as prescribed axial displacement at the free end. The analysis was<br />

conducted up to a load of 1891N which is approximately 2.6 times bodyweight for a<br />

75kg person. Patient weight bearing force in the tibial mid shaft has been shown to be<br />

up to 2000N at 10 weeks and 2500N at 16 weeks after surgery [16].<br />

The screw fastening preload was represented using thermal contraction. A thin slice of<br />

the screw shaft, below the head and above the first thread, was shrunk and contraction<br />

was only permitted in the desired direction (axially); transverse and shear expansions<br />

were set to zero. The coefficient of expansion was calculated using trial and error until<br />

the net tensile force generated in the screw was 500N. Similarly, the plate was shrunk to<br />

induce compression at the fracture gap to a value of 500N. Values of screw axial force<br />

and plate tension generated during screw fastening vary widely in the literature. The<br />

values chosen was based on an average of some previous studies [2, 3, 17, 18].<br />

The fastening preload induced by the thermal contraction was compared with other<br />

studies. The load sharing of the threads was found to be similar to an FE screw pullout<br />

study by Gefen et al. [8] and to analytical models by Grewal et al. [19], with the<br />

proportion of load taken by threads decreasing down the shaft.

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