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Abstract

The paper presents a method of analysis of bone remodelling in the vicinity of implants. The authors aimed at building a model and numerical procedures which may be used as a tool in the prosthesis design process. The model proposed by the authors is based on the theory of adaptive elasticity and the lazy zone concept. It takes into consideration not only changes of the internal structure of the tissue (described by apparent density) but also surface remodelling and changes caused by the effects revealing some features of “creep”. Finite element analysis of a lumbar spinal segment with an artificial intervertebral disc was performed by means of the Ansys system with custom APDL code. The algorithms were in two variants: the so-called site-independent and site-specific. Resultant density distribution and modified shape of the vertebra are compared for both of them. It is shown that this two approaches predict the bone remodelling in different ways. A comparison with available clinical outcomes is also presented and similarities to the numerical results are pointed out.

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Authors and Affiliations

Paweł Wymysłowski
Tomasz Zagrajek
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Abstract

The paper presents the development procedures for both virtual 3D-CAD and material models of fractured segments of human spine formulated with the use of computer tomography (CT) and rapid prototyping (RP) technique. The research is a part of the project within the framework of which a database is developed, comprising both 3D-CAD and material models of segments of thoracic-lumbar spine in which one vertebrae is subjected to compressive fracture for a selected type of clinical cases. The project is devoted to relocation and stabilisation procedures of fractured vertebrae made with the use of ligamentotaxis method. The paper presents models developed for five patients and, for comparison purposes, one for a normal spine. The RP material models have been built basing on the corresponding 3D-CAD ones with the use of fused deposition modelling (FDM) technology. 3D imaging of spine segments in terms of 3D-CAD and material models allows for the analysis of bone structures, classification of clinical cases and provides the surgeons with the data helpful in choosing the proper way of treatment. The application of the developed models to numerical and experimental simulations of relocation procedure of fractured vertebra is planned.

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Authors and Affiliations

Anna Dąbrowska-Tkaczyk
Anna Floriańczyk
Roman Grygoruk
Konstanty Skalski
Piotr Borkowski

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