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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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A complete heterogeneous orthotropic model of the femur was produced with artificial<br />

hip and knee joint structures, muscles and ligaments were included explicitly according<br />

to the linear muscle model proposed [9] (Fig. 1, left). The geometry was extracted from<br />

the Muscle Standardised Femur [11] and meshed with 326026 tetrahedral C3D4<br />

elements with the same initial local orthotropic material properties (E1, E2, E3 = 3000<br />

MPa, ν12, ν13, ν23 = 0.3, G12, G13, G23 = 1500 MPa) and orientations. The hip, patellofemoral<br />

and tibio-femoral joints were modelled as bi-layered structures with an internal<br />

isotropic elastic layer representing the cartilage (E = 10 MPa, ν = 0.49) and an external<br />

isotropic elastic cortical bone layer (E = 18GPa, ν = 0.3) connected to the scaled<br />

functional joint centres [12] by stiff elastic beam elements, in order to promote a<br />

physiological load distribution (Fig. 1, right).<br />

3.2 Load Cases<br />

Three frames for three daily activities (normal walking, going upstairs and going<br />

downstairs) were modelled, including the frame resulting in the maximum measured hip<br />

contact forces. Segment positioning was extracted from published data [17, 18]. Body<br />

weight was applied at the L5S1 joint and a single node on the condyle structure fixed in<br />

the translational degrees of freedom (Figure 1, right).<br />

3.3 Algorithm<br />

At each iteration, , the model’s strains and stresses were found and processed. For each<br />

element, the maximum absolute value across all frames was chosen for each of the<br />

loading diagonal components, , of the strain tensor, . The guiding frame was<br />

selected as the one where the maximum absolute value among these could be found and<br />

its corresponding stress tensor, , extracted. The element material orientations were<br />

matched with the local principal stress orientations, (Equation 1) and their associated<br />

strain stimuli, , found (Equation 2),<br />

eig , (1, 2)<br />

The elements outside the remodelling plateau (1000 – 1500 µstrain) were then updated<br />

proportionally to the absolute value of their associated strains in order to achieve a<br />

target normal strain value of 1250 µstrain [2] (Equation 3),<br />

with limited between 10 MPa and 30 GPa [13, 14]. E1, E2 and E3 were based on<br />

the normal strains associated with the minimum, medium and maximum principal<br />

stresses, respectively. Poisson’s ratios, were restricted (Equation 4) [15], and shear<br />

moduli, , taken as a constant fraction of the average of the Young’s Moduli (Equation<br />

5) [16]. The model was considered to achieve a state of convergence when E1, E2 and E3<br />

remained constant at less than ±5% between iterations for at least 95% of elements and<br />

the change in the model average elastic moduli values was less than ±1% after the<br />

twentieth iteration. [10].<br />

ν<br />

0.09 ,<br />

(3)<br />

(4, 5)

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