| 1. |
- Barker, D S, et al.
(författare)
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A circumferentially flanged tibial tray minimizes bone-tray shear micromotion.
- 2005
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H: Journal of Engineering in Medicine. - 0954-4119. ; 219:6, s. 449-456
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Tidskriftsartikel (refereegranskat)abstract
- Aseptic loosening of the tibial component is the major complication of total knee arthroplasty There is an association between early excessive shear micromotion between the bone and the tray of the tibial component and late aseptic loosening. Using non-linear finite element analysis, whether a tibial tray with a circumferentially flanged rim and a mating cut in the proximal tibia could minimize bone-tray shear micromotion was considered. fifteen competing tray designs with various degrees of flange curvature were assessed with the aim of minimizing bone-tray shear micromotion. A trade-off was found between reducing micromotion and increasing peripheral cancellous bone stresses. It was found that, within the limitations of the study, there was a theoretical design that could virtually eliminate micromotion due to axial loads, with minimal bone removal and without the use of screws or pegs.
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| 2. |
- Bressan, E., et al.
(författare)
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Experimental and computational investigation of Morse taper conometric system reliability for the definition of fixed connections between dental implants and prostheses
- 2014
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Ingår i: Proceedings of the Institution of Mechanical Engineers Part H-Journal of Engineering in Medicine. - : SAGE Publications. - 0954-4119 .- 2041-3033. ; 228:7, s. 674-681
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Tidskriftsartikel (refereegranskat)abstract
- Nowadays, dental implantology is a reliable technique for treatment of partially and completely edentulous patients. The achievement of stable dentition is ensured by implant-supported fixed dental prostheses. Morse taper conometric system may provide fixed retention between implants and dental prostheses. The aim of this study was to investigate retentive performance and mechanical strength of a Morse taper conometric system used as implant-supported fixed dental prostheses retention. Experimental and finite element investigations were performed. Experimental tests were achieved on a specific abutment-coping system, accounting for both cemented and non-cemented situations. The results from the experimental activities were processed to identify the mechanical behavior of the coping-abutment interface. Finally, the achieved information was applied to develop reliable finite element models of different abutment-coping systems. The analyses were developed accounting for different geometrical conformations of the abutment-coping system, such as different taper angle. The results showed that activation process, occurred through a suitable insertion force, could provide retentive performances equal to a cemented system without compromising the mechanical functionality of the system. These findings suggest that Morse taper conometrical system can provide a fixed connection between implants and dental prostheses if proper insertion force is applied. Activation process does not compromise the mechanical functionality of the system.
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| 3. |
- Clarke, IC, et al.
(författare)
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Ultra-low wear rates for rigid-on-rigid bearings in total hip replacements
- 2000
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. - : SAGE Publications. - 0954-4119 .- 2041-3033. ; 214:H44, s. 331-347
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Tidskriftsartikel (refereegranskat)abstract
- With the increased clinical interest in metal-on-metal and ceramic-on-ceramic total-hip replacements (THRs), the objective of this hip simulator study was to identify the relative wear ranking of three bearing systems, namely CoCr-polyethylene (M-PE), CoCr-CoCr (M-M) and ceramic-on-ceramic (C-C). Volumetric wear rates were used as the method of comparison. The seven THR groupings included one M-PE study, two M-M studies and four C-C studies. Special emphasis was given to defining the ‘run-in’ phase of accelerated wear that rigid-on-rigid bearings generally exhibit. The hypothesis was that characterization of the run-in and steady state wear phases would clarify not only the tribological performance in vitro but also help correlate these in vitro wear rates with the ‘average’ wear rates measured on retrieved implants. The implant systems were studied on multichannel hip simulators using the Paul gait cycle and bovine serum as the lubricant. With 28 mm CoCr heads, the PE (2.5 Mrad/N2) wear rates averaged 13 mm3/106 cycles duration. This was considered a low value compared with the clinical model of 74 mm3/year (for 28 mm heads). Our later studies established that this low laboratory value was a consequence of the serum parameters then in use. The mating CoCr heads (with PE cups) wore at the steady state rate of 0.028 mm3/106 cycles. The concurrently run Metasul™ M-M THRs wore at the steady state rate of 0.119 mm3/106 cycles with high-protein serum. In the second Metasul M-M study with low-protein serum, the THR run-in rate was 2.681 mm3/106 cycles and steady state was 0.977 mm3/106 cycles. At 10 years, these data would predict a 70-fold reduction in M-M wear debris compared with the clinical PE wear model. All M-M implants exhibited biphasic wear trends, with the transition point at 0.5 × 106 cycles between run-in and steady state phases, the latter averaging a 3-fold decrease in wear rate. White surface coatings on implants (coming from the serum solution) were a confounding factor but did not obscure the two orders of magnitude wear performance improvement for CoCr over PE cups. The liners in the alumina head-alumina cup combination wore at the steady state rate of 0.004 mm3/106 cycles over 14 × 106 cycles duration (high-protein serum). The zirconia head-alumina cup THR combination wore at 0.174 and 0.014 mm3/106 cycles for run-in and steady state rates respectively (low-protein serum). The zirconia head and cup THR combination wore slightly higher initially with 0.342 and 0.013 mm3/106 cycles for run-in and steady state rates respectively. Other wear studies have generally predicted catastrophic wear for such zirconia-ceramic combinations. It was noted that the zirconia wear trends were frequently masked by the effects of tenacious white surface coatings. It was possible that these coatings protected the zirconia surfaces somewhat in this simulator study. The experimental ceramic Crystaloy THR had the highest ceramic run-in wear at 0.681 mm3/106 cycles and typical 0.016 mm3/106 cycles for steady state. Since these implants represented the first Crystaloy THR sets made, it was likely that the surface conditions of this high-strength ceramic could be improved in the future. Overall, the ceramic THRs demonstrated three orders of magnitude wear performance improvement over PE cups. With zirconia implants, while the cup wear was sometimes measurable, head wear was seldom discernible, Therefore, we have to be cautious in interpreting such zirconia wear data. Identifying the run=in and steady state wear rates was a valuable step in processing the ceramic wear data and assessing its reliability. Thus, The M-M and C-C THRs have demonstrated two to three orders of reduction in volumetric wear in the laboratory compared with the PE wear standard, which helps to explain the excellent wear performance and minimal osteolysis seen with such implants at retrieval operations.
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| 4. |
- Ekström, Lars, 1959, et al.
(författare)
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Intervertebral disc response to cyclic loading--an animal model.
- 1996
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. - 0954-4119. ; 210:4, s. 249-58
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Tidskriftsartikel (refereegranskat)abstract
- The viscoelastic response of a lumbar motion segment loaded in cyclic compression was studied in an in vivo porcine model (N = 7). Using surgical techniques, a miniaturized servohydraulic exciter was attached to the L2-L3 motion segment via pedicle fixation. A dynamic loading scheme was implemented, which consisted of one hour of sinusoidal vibration at 5 Hz, 50 N peak load, followed by one hour of restitution at zero load and one hour of sinusoidal vibration at 5 Hz, 100 N peak load. The force and displacement responses of the motion segment were sampled at 25 Hz. The experimental data were used for evaluating the parameters of two viscoelastic models: a standard linear solid model (three-parameter) and a linear Burger's fluid model (four-parameter). In this study, the creep behaviour under sinusoidal vibration at 5 Hz closely resembled the creep behaviour under static loading observed in previous studies. Expanding the three-parameter solid model into a four-parameter fluid model made it possible to separate out a progressive linear displacement term. This deformation was not fully recovered during restitution and is therefore an indication of a specific effect caused by the cyclic loading. High variability was observed in the parameters determined from the 50 N experimental data, particularly for the elastic modulus E1. However, at the 100 N load level, significant differences between the models were found. Both models accurately predicted the creep response under the first 800 s of 100 N loading, as displayed by mean absolute errors for the calculated deformation data from the experimental data of 1.26 and 0.97 percent for the solid and fluid models respectively. The linear Burger's fluid model, however, yielded superior predictions particularly for the initial elastic response.
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| 5. |
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| 6. |
- Hult, E, et al.
(författare)
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In vivo measurement of spinal column viscoelasticity--an animal model.
- 1995
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. - 0954-4119. ; 209:2
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Tidskriftsartikel (refereegranskat)abstract
- The goal of this study was to measure the in vivo viscoelastic response of spinal motion segments loaded in compression using a porcine model. Nine pigs were used in the study. The animals were anaesthetized and, using surgical techniques, four intrapedicular screws were inserted into the vertebrae of the L2-L3 motion segment. A miniaturized servohydraulic exciter capable of compressing the motion segment was mounted on to the screws. In six animals, a loading scheme consisting of 50 N and 100 N of compression, each applied for 10 min, was used. Each loading period was followed by 10 min restitution with zero load. The loading scheme was repeated four times. Three animals were examined for stiffening effects by consecutively repeating eight times 50 N loading for 5 min followed by 5 min restitution with zero load. This loading scheme was repeated using a 100 N load level. The creep-recovery behavior of the motion segment was recorded continuously. Using non-linear regression techniques, the experimental data were used for evaluating the parameters of a three-parameter standard linear solid model. Correlation coefficients of the order of 0.85 or higher were obtained for the three independent parameters of the model. A survey of the data shows that the viscous deformation rate was a function of the load level. Also, repeated loading at 100 N seemed to induce long-lasting changes in the viscoelastic properties of the porcine lumbar motion segment.
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| 7. |
- Khodaei, Hamid, 1982, et al.
(författare)
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Simulation of active skeletal muscle tissue with a transversely isotropic viscohyperelastic continuum material model
- 2013
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Ingår i: Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. - : SAGE Publications. - 0954-4119 .- 2041-3033. ; 227:5, s. 571-580
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Tidskriftsartikel (refereegranskat)abstract
- Human body models with biofidelic kinematics in vehicle pre-crash and crash simulations require a constitutive model of muscle tissue with both passive and active properties. Therefore, a transversely isotropic viscohyperelastic continuum material model with element-local fiber definition and activation capability is suggested for use with explicit finite element codes. Simulations of experiments with New Zealand rabbit's tibialis anterior muscle at three different strain rates were performed. Three different active force-length relations were used, where a robust performance of the material model was observed. The results were compared with the experimental data and the simulation results from a previous study, where the muscle tissue was modeled with a combination of discrete and continuum elements. The proposed material model compared favorably, and integrating the active properties of the muscle into a continuum material model opens for applications with complex muscle geometries.
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| 8. |
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| 9. |
- Lauge-Pedersen, Henrik, et al.
(författare)
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Arch-shaped versus flat arthrodesis of the ankle joint: strength measurements using synthetic cancellous bone
- 2002
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H: Journal of Engineering in Medicine. - : SAGE Publications. - 0954-4119 .- 2041-3033. ; 216:H1, s. 43-49
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Tidskriftsartikel (refereegranskat)abstract
- The aim Of this Study was to see if preservation of the arch shape of the ankle at arthrodesis contributes to stability. The ankle joint was simulated by paired blocks of a synthetic material corresponding to rheumatoid cancellous bone with low stiffness and strength. Flat end constructs with and without subchondral bone were compared with arch-shape constructs with and without subchondral bone. The pairs were fixed with two screws simulating an arthrodesis. These constructs were then tested to failure in four-point bending and torque. In four-point bending the subchondral bone increased the strength, regardless of shape. Stiffness was higher in the arch-shaped specimens but was not influenced b the subchondral bone. In torque, both arch-shape and subchondral bone increase the strength. Stiffness was increased by arch-shape but not subchondral bone. The results imply that the arch-shape and subchondral bone should be preserved when performing an ankle arthrodesis, especially in weak rheumatoid bone.
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| 10. |
- Magnusson, Mats, 1968, et al.
(författare)
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Intervertebral motion during vibration.
- 1991
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Ingår i: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. - 0954-4119. ; 205:1, s. 39-44
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Tidskriftsartikel (refereegranskat)abstract
- Vibration exposure is widely recognized as a risk factor for low back pain. An experimental protocol was designed to quantify the intervertebral motion response in human subjects to sinusoidal vertical vibration at 5 and 8 Hz, and at a variety of acceleration levels. Intervertebral motion in the mid-sagittal plane was measured using a transducer linkage system attached to pins placed directly into the spinous processes of adjacent vertebrae. The postures of the subjects were carefully controlled. The effects of forward flexion, arm support, gravitational load, and sitting on a cushion were evaluated. The rigid body motion of the superior vertebra with respect to the inferior vertebra was expressed in terms of relative sagittal plane rotation, axial translation, and anterior-posterior shear translation. It was found that the lumbar motion segments exhibited coupled periodic behaviour in response to sinusoidal vertical vibration, with up to 1 mm peak-to-peak displacement in the axial direction. The greatest intervertebral motion occurred when the subject was exposed to 5 Hz vibration as compared to 8 Hz. For a constant frequency of 5 Hz excitation, the peak-to-peak amplitudes of the computed motions tended to increase as the acceleration level increased. In the flexed posture, with no arm support, the active trunk musculature helped reduce the intervertebral motion. Additional gravitational load on the shoulders caused increased relative axial displacement. A polyethylene foam cushion placed on the seat reduced vibration transmission at 5 Hz excitation and consequently decreased the intervertebral motion.
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