-
[show abstract]
[hide abstract]
ABSTRACT: Meniscus efficacy at promoting joint congruity and preventing osteoarthritis hinges on enthesis integrity Gross-scale tensile testing, histomorphometry, and magnetic resonance imaging reveal significant differences between the four attachments, implicating that each must endure a unique mechanical environment thereby dictating their structure. However, little data exists to elucidate how these interfaces have adapted to their complex loading environment, particularly on a relevant scale as the enthesis transitions through several unique zones in less than a millimeter. In our study we leveraged nano-indentation to determine viscoelastic material properties through the transition zones. Additionally, we employed histological techniques to evaluate enthesis structure including collagen organization and interdigitation morphometry. Mechanical evaluation revealed the medial posterior insertion site to be significantly more compliant than others. Collagen fiber orientation and dispersion as well as interdigitation morphometry was significantly different between attachments sites. These findings are clinically relevant as a disproportionate amount of enthesis failure occurs in the medial posterior attachment. Also, meniscal enthesis structure and function will need to be considered in future reparative and replacement strategies in order to recreate native meniscus mechanics and prevent osteoarthritis propagation.
Acta biomaterialia 02/2013; · 3.98 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Menisci are two crescent shaped fibrocartilaginous structures that provide fundamental load distribution and support within the knee joint. Their unique shape transmits axial stresses (i.e. 'body force') into hoop or radial stresses. The menisci are primarily an inhomogeneous aggregate of glycosaminoglycans (GAGs) supporting bulk compression and type I collagen fibrils sustaining tension. It has been shown that the meniscal superficial layers are functionally homogeneous throughout the three distinct regions (anterior, central and posterior) using a 300 μm diameter spherical indenter tip, but the deep zone of the meniscus has yet to be mechanically characterized at this scale. Furthermore, the distribution and intensity of GAG throughout the human meniscal cross-section has not been examined. This study investigated the mechanical properties, via indentation, of the human deep zone meniscus among three regions of the lateral and medial menisci. The distribution of GAG's through the cross-section was also documented. Results for the deep zone of the meniscus showed the medial posterior region to have a significantly greater instantaneous elastic modulus than the central region. No significant differences were seen for equilibrium modulus when comparing regions or hemijoint. Histological results revealed that GAG's are not present until at least ∼600 μm from the meniscal surface. Understanding the role and distribution of GAG within the human meniscus in conjunction with the material properties of the meniscus will aid in the design of tissue engineered meniscal replacements.
Acta biomaterialia 01/2013; · 3.98 Impact Factor
-
-
[show abstract]
[hide abstract]
ABSTRACT: Skeletal muscle tissue provides support and mobility of the musculoskeletal system. Numerical modeling of muscle tissue aids in understanding disease pathophysiology, however, the effectiveness is dependent on accurately accounting for various tissue phenomena. Muscle modeling is made difficult due to the multitude of constituents that contribute to elastic and viscous mechanisms. Often, deterministic single fiber or fiber bundle studies are undertaken to examine these contributions. However, examination of whole, intact and structurally altered tissue and comparison to findings at the myofibril scale can help elucidate tissue mechanics. Stress relaxation tests at 10% strain were performed on 28 New Zealand White rabbit's tibialis anterior muscles for whole, intact muscle and sub-sectioned muscle samples. Additionally, to aid in examining viscous effects, sub groups were tested with and without a phosphate buffered saline bath. The steady-state elastic modulus was not significantly different between groups. Interestingly, sectioning did result in a negative Poisson's ratio following tensile loading. Additionally, sectioning resulted in altering the viscous tissue response as the time to reach steady-state was significantly faster than whole muscle samples (p<0.05), as well as the linear relaxation rate from 0 to 0.1 (p<0.01), 1 to 10 (p<0.05), and 10 to 100s (p<0.05). Bathing tissue resulted in a significantly greater amount of percent stress relaxation for whole muscle (p<0.01). These findings provide new insight into the differing mechanical characteristics of whole and sectioned muscle tissue.
Journal of the mechanical behavior of biomedical materials. 10/2012;
-
[show abstract]
[hide abstract]
ABSTRACT: Menisci are crescent shaped fibrocartilaginous structures which support load distribution of the knee. The menisci are specifically designed to fit the contour of the femoral condyles, aiding to disperse the stresses on the tibial plateau and in turn safeguarding the underlying articular cartilage. The importance of the meniscal superficial layer has not been fully revealed and it is suspected that this layer plays a pivotal role for meniscal function. In this study, both femoral (proximal) and tibial (distal) contacting meniscal surfaces were mechanically examined on the nano-level among three distinct regions (anterior, central and posterior) of the lateral and medial menisci. Nanoindentation testing showed no significant differences among regions, surfaces or anatomical locations, possibly elucidating on the homogeneity of the meniscal superficial zone structure (E(instantaneous): 3.17-4.12MPa, E(steady-state): 1.47-1.69MPa). Nanomechanical moduli values were approximately an order of magnitude greater than micro-scale testing derived moduli values. These findings validate the structural homogeneity of the meniscal superficial zone, showing that material properties are statistically similar regardless of meniscal surface and region. Understanding the mechanical behavior of meniscal surfaces is imperative to properly design an effective meniscal replacement.
Journal of biomechanics 07/2012; 45(13):2230-5. · 2.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Imaging of meniscal tissue reveals an extracellular matrix comprised of collagen fibrils arranged in circumferential bundles and radially aligned tie fibers, implicating structural material anisotropy. Biochemical analyses demonstrate regional disparities of proteoglycan content throughout the meniscal body, a constituent known to affect the shearing response of fibrocartilagenous tissue. Despite this phenomenological evidence and previous mechanical testing implicating otherwise, the meniscus if often modeled as a homogeneous, transversely isotropic material with little regard for regional specificity and material properties. The aim of this investigation was to determine if shear stress response homogeneity and directionality exists in and between bovine menisci with respect to anatomical location (medial and lateral), region (anterior, central, and posterior) and fiber orientation (parallel and perpendicular). Meniscus explants were subjected to lap shear strain at 0.002 s(-1) with the circumferential collagen fibers oriented parallel or perpendicular to the loading axis. Comparisons were made using a piecewise linear elastic analysis. The toe region shear modulus was calculated from the first observed linear region, between 3% and 13% strain and the extended shear modulus was established after 80% of the maximum shear strain. The posterior region was significantly different than the central for the extended shear modulus, correlating with known proteoglycan distribution. Observed shearing anisotropy led to the use of an anisotropic hyperelastic model based on a two-fiber family composite, previously used for arterial walls. The chosen model provided an excellent fit to the sample population for each region. These data can be utilized in the advancement of finite element modeling as well as biomimetic tissue engineered constructs.
Journal of the mechanical behavior of biomedical materials. 11/2011; 4(8):2024-30.
-
[show abstract]
[hide abstract]
ABSTRACT: The menisci have crucial weight-bearing roles in the knee. Regional variations in structure and cellularity of the meniscus have only been minimally investigated. Therefore, the goal of this study was to illustrate the regional cell density, tissue area, and structure of healthy lapine menisci. Skeletally mature Flemish Giant rabbits were used for this study. Upon sacrifice, menisci were removed, fixed in formalin, and cryosectioned. Histological analysis was performed for the detection of sulfated glycosaminoglycans (GAG), collagen Types I and II, cellular density, and tissue area. ANOVA and paired t tests were used for testing of statistical significance. Glycosaminoglycan coverage of the medial meniscus significantly varied between regions, with the anterior region demonstrating significantly more GAG coverage than the posterior region. Inter- and intra-meniscal comparisons revealed variations between zones, with trends that outer zones of the medial menisci had less GAG coverage. Collagen Types I and II had marked characteristics and varying degrees of coverage across regions. Tissue area varied between regions for both medial and lateral menisci. Cellular density was dependent on region in the lateral meniscus. This is the first study to illustrate regional and zonal variation in glycosaminoglycan coverage, size, and cellular density for healthy lapine meniscal tissue. This data provides baseline information for future investigations in meniscal injury models in rabbits.
The Anatomical Record Advances in Integrative Anatomy and Evolutionary Biology 11/2010; 293(12):1991-2000. · 1.47 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Meniscal attachments are ligamentous tissues anchoring the menisci to the underlying subchondral bone. Currently little is known about the behavior of meniscal attachments, with only a few studies quantitatively documenting their properties. The objective of this study was to quantify and compare the tensile mechanical properties of human meniscal attachments in the transverse direction, curve fit experimental Cauchy stress-stretch data to evaluate the hyperelastic behavior, and couple these results with previously obtained longitudinal data to generate a more complete constitutive model. Meniscal attachment specimens were tested using a uniaxial tension test with the collagen fibers oriented perpendicular to the loading axis. Tests were run until failure and load-optical displacement data was recorded for each test. The medial posterior attachment was shown to have a significantly greater elastic modulus (6.42±0.78 MPa) and ultimate stress (1.73±0.32 MPa) when compared to the other three attachments. The Mooney-Rivlin material model was selected as the best fit for the transverse data and used in conjunction with the longitudinal data. A novel computational approach to determining the transition point between the toe and linear regions is presented for the hyperelastic stress-stretch curves. Results from piece-wise non-linear longitudinal curve fitting correlate well with previous linear elastic and SEM findings. These data can be used to advance the design of meniscal replacements and improve knee joint finite element models.
Journal of biomechanics 10/2010; 44(3):413-8. · 2.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Qualitative analysis of meniscal attachments from five human knees was completed using scanning electron microscopy (SEM). In addition, quantitative analysis to determine the collagen crimping angle and length in each attachment was done. Morphological differences were revealed between the distinct zones of the attachments from the meniscus transition to the bony insertion. Collagen fibers near to the meniscus appeared inhomogeneous in a radial cross-section view. The sheath surrounding the fibers seemed loose compared with the membrane wrapping around the fibers in the menisci. The midsubstance of human meniscal attachments was composed of collagen fibers running parallel to the longitudinal axis, with a few fibers running obliquely, and others transversely. The bony insertion showed that the crimping pattern vanishes as the collagen fibers approach the fibrocartilagenous enthesis. There were no differences between attachments for crimping angle or length. Collagen crimping angles for all attachments were similar with values of approximately 22°. Crimp length values tended to be smaller for the medial attachments (MA: 4.76 ± 1.95 μm; MP: 3.72 ± 2.31 μm) and higher for the lateral (LA: 6.49 ± 2.34 μm, LP: 6.91 ± 2.29 μm). SEM was demonstrated to be an effective method for revealing the morphology of fibrous connective tissue. The data of collagen fiber length and angle found in this study will allow for better development of microstructural models of meniscal attachments. This study will help to better understand the relation between the morphology and the architecture of collagen and the mechanical behavior of meniscal attachments.
Connective tissue research 04/2010; 51(5):327-36. · 1.55 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Of the plethora of work performed analyzing skeletal muscle tissue, relatively little has been done in the examination of its passive material properties. Previous studies of the passive properties of skeletal muscle have been primarily performed along the longitudinal material direction. In order to ensure the accuracy of the predictions of computational models of skeletal muscles, a better understanding of the tensile three-dimensional material properties of muscle tissue is necessary. To that end, the purpose of this study was to collect a comprehensive set of tensile stress-strain data from skeletal muscle tissue. Load-deformation data was collected from eighteen extensor digitorum longus muscles, dissected free of aponeuroses, from nine New Zealand White rabbits tested under longitudinal extension (LE), transverse extension (TE), or longitudinal shear (LS). The linear modulus, ultimate stress, and failure strain were calculated from stress-strain results. Results indicate that the linear modulus under LE is significantly higher than the modulus of either TE or LS. Additionally, the ultimate stress of muscle was seen to be significantly higher under LE than TE. Conversely, the failure strain was significantly higher under TE than under LE.
Journal of the mechanical behavior of biomedical materials. 01/2010; 3(1):124-9.
-
[show abstract]
[hide abstract]
ABSTRACT: Meniscectomies have been shown to lead to osteoarthritis and the success of meniscal replacements remains questionable. It has been suggested that the success of a meniscal replacement is dependent on several factors, one of which is the secure fixation and firm attachment of the replacement to the tibial plateau at the horn locations. To aid in the development of meniscal replacements, the objectives of the current study were to determine the time-dependent and failure properties of human meniscal attachments. In contrast to the time-dependent tests, during uniaxial failure testing a charge-coupled video camera was used to document the local strain and linear modulus distribution across the surface of the attachments. The lateral attachments were statistically smaller in cross-sectional area and longer than the medial attachments. The anterior attachments were statistically longer and had a smaller cross-sectional area than the posterior attachments. From the stress relaxation tests, the load and stress relaxation rates of the medial anterior attachment were statistically greater than the medial posterior attachment. There were no significant differences in the creep, structural properties or the ultimate stress between the different attachments. Ultimate strain varied between attachments, as well as along the length of the attachment. Ultimate strain in the meniscus region (10.4+/-6.9%) and mid-substance region (12.7+/-16.4%) was smaller than the bony insertion region (32.2+/-21.5%). The lateral and anterior attachments were also found to have statistically greater strain than the medial and posterior attachments, respectively. The linear modulus was statistically weaker in the bony insertion region (69.7+/-33.7MPa) compared to the meniscus region (153+/-123MPa) and mid-substance region (195+/-121MPa). Overall the anterior attachments (169+/-130MPa) were also found to be statistically stronger than the posterior attachments (90.8+/-64.9MPa). These results can be used to help design tissue-engineered replacement menisci and their insertions and show the differences in material properties between attachments, as well as within an attachment.
Journal of biomechanics 11/2009; 43(3):463-8. · 2.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: A computational model of the tibiofemoral joint utilizing the discrete element analysis method has been developed and validated with human cadaveric knees. The computational method can predict load distributions to within a root mean square error (RMSE) of 3.6%. The model incorporates subject-specific joint geometry and the health of the subjects' articular cartilage to determine the cartilage stiffness. It also includes the collateral and cruciate ligaments and utilizes stiffness values derived from literature for these elements. Comparisons of the total load, peak load, and peak load location for axial, varus, and valgus loading conditions confirmed that there was less than 4% RMSE between the analytical and experimental results. The model presented in this paper can generate results with minimal computational time and it can be used as a non-invasive method for characterizing and monitoring subject-specific knee loading patterns.
Journal of biomechanics 05/2009; 42(9):1355-9. · 2.66 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Injury patterns of the meniscus following impact trauma resulting in anterior cruciate ligament (ACL) rupture are not well understood. This study explored the spatial and temporal distribution of meniscal tears in a novel in vivo lapine model.
Skeletally mature Flemish Giant rabbits were subjected to either tibiofemoral impaction resulting in ACL rupture or surgical ACL transection. Meniscal damage was assessed acutely and after 12 wk for traumatically torn, and after 12 wk in ACL transected animals. Morphological grading was assessed using previously established criteria, and descriptions of meniscal damage were diagnosed by a Board certified orthopedist. Histological assessment was also made on 12 wk traumatically torn and ACL transected animals using Fast-Green/Safranin-O staining.
Traumatic ACL rupture resulted in acute tears predominately in the lateral menisci. Animals subjected to both surgical transection and traumatic ACL rupture experienced degradation of the lateral and medial menisci 12 wk after injury. However, traumatic ACL rupture resulted in acute lateral damage and chronic degradation of the menisci, as well as more severe degradation of the menisci 12 wk after injury.
This study showed that unconstrained high-intensity impacts on the tibiofemoral joint lead to meniscal damage in conjunction with ACL ruptures. Both acute and chronic changes to the menisci following traumatic impaction were observed. This research has implications for the future use of lapine models for osteoarthritis, as it incorporates traumatic loading as a more realistic mode contributing to the progression of osteoarthritis (OA) compared to surgically transected models.
Journal of Surgical Research 05/2009; 164(2):234-41. · 2.25 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Little quantitative data is available on the structure of meniscal attachments. Therefore, as an aid to designing meniscal replacements as well as a possible explanation for mechanical behavior, this study was designed to further the knowledge of the microstructure and biochemistry of native meniscal attachments. Bovine medial meniscal attachments (the external ligamentous portion as well as the transition zones at the bony insertion) were removed and prepared for microstructural evaluation. After embedding in paraffin, the samples were sliced on a microtome and stained for quantitative analysis. The anterior and posterior insertion sites are known to contain three zones: subchondral bone, calcified fibrocartilage, and uncalcified fibrocartilage. Additionally, others have shown that the anterior insertion site contains a ligamentous zone. The insertion zones were further divided into proximal, middle, and distal zones. The posterior attachment's insertion site had a significantly greater thickness of interdigitations, subchondral bone, uncalcified fibrocartilage, and calcified fibrocartilage zone thickness compared to the anterior attachment insertion. The anterior attachment's insertion had the greatest GAG fraction in each zone when compared to the posterior attachment's insertion. GAG fraction decreased from the meniscus to the subchondral bone. Both GAG fraction and normalized thickness varied within a given zone, decreasing from the distal to proximal regions in both the anterior and posterior attachments' insertion zones. Crimp frequency of the collagen fibrils in the external ligamentous portion of the tissue was homogeneous along the length. The findings from this study agree with previously published material property data on the medial meniscal attachments, and could be used in the future to design methods of attachment for tissue engineered replacement menisci.
Annals of biomedical engineering 02/2008; 36(1):123-31. · 2.41 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: The menisci are frequently injured due to both degeneration and traumatic tearing. It has been suggested that the success of a meniscal replacement is dependent on several factors, one of which is the secure fixation and firm attachment of the replacement to the tibial plateau. Therefore, the objectives of the current study were to (1) determine the failure properties of the meniscal horn attachments, and (2) determine the strain distribution over their surfaces. Eight bovine knee joints were used to study the mechanical response of the meniscal attachments. Three meniscal attachments from one knee of each animal were tested in uniaxial tension at 2%/s to determine the load deformation response. During the tests, the samples were marked and local strain distributions were determined with a video extensometer. The linear modulus of the medial anterior attachment (154+/-134 MPa) was significantly less than both the medial posterior (248+/-179 MPa, p=0.0111) and the lateral anterior attachment (281+/-214 MPa, p=0.0007). Likewise, the ultimate strain for the medial anterior attachments (13.5+/-8.8%) was significantly less than the medial posterior (23+/-13%, p<0.0001) and the lateral anterior attachment (20.3+/-11.1%, p=0.0033). There were no significant differences in the structural properties or ultimate stress between the meniscal attachments (p>0.05). No significant differences in ultimate strain or moduli across the surface of the attachments were noted. Based on the data obtained, a meniscal replacement would need different moduli for each of the different attachments. However, the attachments appear to be homogeneous.
Journal of Biomechanics 01/2007; 40(12):2655-62. · 2.43 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Fibrochondrocytes within meniscal tissue have been shown to alter their biochemical activity in response to changes in their mechanical environment. Meniscal tissue is known to contain both spherical (chondrocytic-like) and elliptical (fibroblastic-like) cells. We hypothesize that a cell's mechanical environment is governed by local material properties of the tissue around the cell, the cell morphology and the cell's position within the tissue. A two-dimensional, non-linear, fiber (collagen) reinforced, multi-scale, finite element model was utilized to quantify changes in the stress, strain, fluid velocity and fluid flow induced shear stress (FFISS) within and around fibrochondrocytes. Cells differing in morphology and size were modeled at different locations within an explant 6mm in diameter and 5mm thick, under 5% unconfined compression. Cellular stresses were an order of magnitude less than surrounding extracellular matrix stresses but cellular strains were higher. Cell size affected both the stress and strain levels within the cell, with smaller cells being exposed to smaller principal stresses and strains than larger cells of the same shape. The pericellular matrix of an elliptical cell was less effective at shielding the cell from large principal strains and stresses. FFISS were largest around small circular cells ( approximately 0.13Pa), and were dramatically affected by the position of the cell relative to the axis of the explant, with cells closer to the periphery experiencing greater FFISS than cells near the central axis of the explant. These results will allow biosynthetic activity of fibrochondrocytes to be correlated with position and morphology in the future.
Acta Biomaterialia 10/2006; 2(5):483-92. · 4.86 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Mechanical loading in the form of oscillatory fluid flow-induced shear stress was applied to meniscal cells while the biochemical response [intracellular calcium mobilization and sulfated glycosaminoglycan (GAG) production] was studied. Isolated rabbit meniscal cells were cultured onto microscope slides and placed in a parallel plate flow chamber. Cells were exposed to oscillating fluid flow-induced shear stresses of 4 Pa for sulfated GAG studies and 0-6.5 Pa for calcium studies. The calcium response was monitored using a fluorescent probe and imaging techniques, sulfated GAG production was measured using the modified 1,9-dimethylmethylene blue method, and thapsigargin was used to block intracellular calcium ([Ca2+]i) mobilization. A significant dose-dependent relationship was found for the percentage of cells responding to oscillating fluid flow with an increase in [Ca2+]i versus shear stress level. The percentage of cells responding decreased linearly from 72% +/- 17% at 6.5 Pa to 28% +/- 7% at 2.0 Pa to 2% +/- 1% for baseline no-flow (0 Pa). No differences were found in the amplitude of the calcium response of responding cells for any shear stress level. Oscillating fluid flow-induced shear stresses of 4 Pa produced a significantly greater amount of sulfated GAGs (253 +/- 95 ng GAG/microg cell protein) compared to the no-flow control (158 +/- 86 ng/microg). The addition of thapsigargin to the media inhibited both the intracellular calcium response to oscillating fluid flow (less than 1.5% of the cells responded) and the increase in GAG production following oscillating fluid flow, which was returned to control levels (170 +/- 72 ng/microg). These findings suggest that oscillatory fluid flow-induced shear stress increases intracellular calcium levels and sulfated GAG production. Furthermore, they suggests that calcium may modulate the biochemical pathway that leads to sulfated GAG production.
Journal of Orthopaedic Research 04/2006; 24(3):375-84. · 2.81 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: The goal of this study is to quantify changes in knee joint contact behavior following varying degrees of the medial partial meniscectomy. A previously validated 3D finite element model was used to simulate 11 different meniscectomies. The accompanying changes in the contact pressure on the superior surface of the menisci and tibial plateau were quantified as was the axial strain in the menisci and articular cartilage. The percentage of medial meniscus removed was linearly correlated with maximum contact pressure, mean contact pressure, and contact area. The lateral hemi-joint was minimally affected by the simulated medial meniscectomies. The location of maximum strain and location of maximum contact pressure did not change with varying degrees of partial medial meniscectomy. When 60% of the medial meniscus was removed, contact pressures increased 65% on the remaining medial meniscus and 55% on the medial tibial plateau. These data will be helpful for assessing potential complications with the surgical treatment of meniscal tears. Additionally, these data provide insight into the role of mechanical loading in the etiology of post-meniscectomy osteoarthritis.
Journal of Biomechanical Engineering 03/2006; 128(1):115-23. · 1.90 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: In an effort to prevent degeneration of articular cartilage associated with meniscectomies, both meniscal allografts and synthetic replacements have been studied. A number of biomechanical criteria may be important for a meniscal replacement to restore normal tibiofemoral contact pressure in the knee joint and hence be clinically successful. One of these criteria is geometric similarity. The objectives of the current study were to: determine the sensitivity of the contact variables of the tibial plateau to the transverse depth and width of both the lateral and medial menisci; determine the sensitivity of the contact variables of the tibial plateau to the cross-sectional width and height of the lateral and medial menisci; and determine the tolerances on each of the four parameters for both menisci. To satisfy these objectives, a previously developed finite element model of the tibiofemoral joint was used to compute the contact pressure distribution on the tibial plateau. The effect of the above-mentioned geometric parameters on the contact behavior was studied by perturbing the finite element model. Results showed that the contact variables are similarly sensitive to both the transverse and cross-sectional parameters of the menisci. Additionally the medial meniscal parameters have a greater effect on the contact variables than do the lateral meniscal parameters. Finally, less than a 0.5 mm change in the medial meniscal height and greater than a 1 mm change in the lateral meniscal height could be tolerated before the relative difference in the contact variables from those for the original geometry exceeded 10%. Thus in the design or selection of meniscal replacements, each of the four parameters should be measured when sizing a replacement tissue. Also tighter tolerances should be placed on the medial meniscal parameters compared to the lateral meniscal parameters.
Journal of Orthopaedic Research 08/2004; 22(4):807-14. · 2.81 Impact Factor
-
[show abstract]
[hide abstract]
ABSTRACT: Mechanical circulatory support (MCS) devices are blood pumps that support or replace the function of the native heart. It is important to minimize the material stresses in the flexing blood sac or diaphragm in order to increase the duration of support these devices can provide. An axisymmetric finite element model of a pusherplate blood pump was constructed to evaluate the effect of various design parameters on the material stresses in a segmented poly(ether polyurethane urea) seamless blood sac. The design parameters of interest were the sac thickness, pump case wall taper, and radius of the sac between the pusherplate and pump case wall. The analysis involved a quasi-static analysis of the systolic ejection phase of the pump. The finite element solution suggested that the principal stresses and strains increased almost linearly with sac thickness. The pump case wall taper had the largest effect; decreasing the peak principal stresses by approximately 35% when the pump case was straight versus tapered. Lastly, the model demonstrated that the radius of the blood sac between the pusherplate and pump case wall had little or no effect on the magnitude of the blood sac stresses. Therefore, this study suggests that in order to minimize the stresses in a blood sac of a pusherplate blood pump, a straight pump case should be chosen with the thinnest sac.
Computer Methods in Biomechanics and Biomedical Engineering 03/2003; 6(1):7-15. · 0.85 Impact Factor
