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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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VARIATION OF MICRO-ARCHITECTURE AND APPARENT-LEVEL<br />

MECHANICAL PROPERTIES AT DIFFERENT LOCATIONS<br />

WITHIN THE FEMORAL HEAD<br />

1. ABSTRACT<br />

M. Crabbe 1 , B. Esteban 1 , R. Ramaesh 2 , P. Jenkins 3 , P. Pankaj 4<br />

Computational modelling of bone requires careful assignment of mechanical properties<br />

due to bone's high degree of multi-scale heterogeneity and anisotropy. This study<br />

investigates the effect of bone micro-architecture on its mechanical properties, in<br />

particular the variation of apparent stiffness within the femoral head. Twelve femoral<br />

heads from osteoarthritic and osteoporotic donors were assessed using micro-finite<br />

element (µ-FE) analyses on geometry obtained from micro-computed tomography (µ-<br />

CT) scans. Bone porosity was found to be the strongest indicator of Young's modulus,<br />

with a correlation coefficient of 0.92. Young's modulus was also found to vary with<br />

location within the femoral head, the stiffest region being at the centre of the femoral<br />

head. The principal stiffness directions within the femoral head vary significantly with<br />

location. Additionally, OA bone was to found be 39.1% stiffer than OP bone on<br />

average. These studies have implications in optimising arthroplastic implant placement.<br />

2. INTRODUCTION<br />

Osteoporosis (OP) and osteoarthritis (OA) are bone conditions that develop with age<br />

and lead to a change in the mechanical properties of bone [1, 2]. This may result in an<br />

increased risk of fracture, particularly of the hip [3]. Due to our aging global population,<br />

the number of hip fractures is expected to increase significantly [4]. Bone implants such<br />

as dynamic hip screws and proximal femoral nails can be used to treat hip fractures [5].<br />

However, implant failure is not uncommon [6, 7], which suggests a need for a better<br />

understanding of bone mechanical behaviour at the proximal femur.<br />

Several studies attempt to model medical implants in the hip [8, 9, 10], but are<br />

undermined by the use of generic input parameters that may not apply on a patientspecific<br />

basis. Patient-specific modelling is emerging as a useful tool in diagnosis and<br />

pre-clinical trials [11]. While determining geometry for patient-specific models is by<br />

and large a resolved issue, determination and assignment of material properties remains<br />

a difficult process [11].<br />

1<br />

Student, Alexander Graham Bell Building, School of Engineering, The <strong>University</strong> of Edinburgh, West<br />

Mains Road, The King’s Buildings, Edinburgh EH9 3JL, UK.<br />

2<br />

Student, Chancellor's Building, Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16<br />

4SB, UK.<br />

3<br />

Orthopaedic Research Fellow and Clinical Lecturer, Chancellor's Building, Royal Infirmary of<br />

Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SB, UK.<br />

4<br />

Senior Lecturer, Alexander Graham Bell Building, School of Engineering, The <strong>University</strong> of Edinburgh,<br />

West Mains Road, The King’s Buildings, Edinburgh EH9 3JL, UK.

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