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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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size. The model is used for two dimensional wounds.<br />

3. MATERIALS AND METHODS<br />

In this work, we propose a continuous angiogenesis model that incorporates biological,<br />

chemical and mechanical factors, consisting of a number of coupled reaction-diffusion<br />

equations. The primary variables of the model are the concentrations of oxygen (u1),<br />

macrophage-derived growth factors -such as VEGF (vascular endothelial growth factor)<br />

or others, henceforth MDGF (u2), capillary density (u3) and fibroblasts (n). We have<br />

modified the model proposed by Javierre et al. [6], based on the model of Maggelakis<br />

[5], in order to introduce the effect of fibroblasts in the process.<br />

The evolution of the biological and biochemical species stated above follows a<br />

conservation law<br />

where Q denotes the species (u1, u2, u3 or n), JQ its net flux (which takes into account<br />

the dragging term due to ECM deformation) and fQ its net production [9].<br />

We have also implemented the mechanical behaviour of the skin and cells. Fibroblasts<br />

can exert traction forces due to their actomyosin mechanism [3]. The net stress of one<br />

fibroblasts cell per unit of extra-cellular matrix is evaluated as<br />

where pcell is a piecewise linear function depending on the tissue volumetric strain of the<br />

tissue, ρecm is the density of the extra-cellular matrix and Rτ the traction inhibition<br />

collagen density.<br />

In this work we assume that skin behaves as a hyperelastic material, which is more<br />

suitable [10, 11] than a viscoelastic approach, which has been usually used to model<br />

skin in the wound healing process [7]. We assumed an Ogden energy function.<br />

We have solved the resulting problem using a finite element analysis. It has been<br />

implemented through an Abaqus user subroutine.<br />

In this work two wounds with different geometries were studied. The first one is a<br />

circular wound with a diameter of 2 cm and the second one is an elliptical wound with<br />

the same area and with aspect ratio of 5. Both wounds are surrounded by a sufficiently<br />

large circumference of undamaged skin to avoid boundary effects and are evaluated<br />

during 30 days.<br />

4. RESULTS<br />

In first place we observe the evolution of the wound area during the studied time. The<br />

contraction in both wounds is similar, the circular wound contracts by around 27% of its<br />

original size and the elliptical wound around 24% of its original size. We show the<br />

initial and the final geometry of both wounds after 30 days in Figure 1. The contraction

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