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  1. Article ; Online: Trabecula-level mechanoadaptation: Numerical analysis of morphological changes.

    Smotrova, Ekaterina / Li, Simin / Silberschmidt, Vadim V

    Computers in biology and medicine

    2023  Volume 168, Page(s) 107720

    Abstract: Background: Bone is a living material that, unlike man-made ones, demonstrates continuous adaptation of its structure and mechanical properties to resist the imposed mechanical loading. Adaptation in trabecular bone is characterised by improvement of ... ...

    Abstract Background: Bone is a living material that, unlike man-made ones, demonstrates continuous adaptation of its structure and mechanical properties to resist the imposed mechanical loading. Adaptation in trabecular bone is characterised by improvement of its stiffness in the loading direction and respective realignment of trabecular load-bearing architecture. Considerable experimental and simulation evidence of trabecular bone adaptation to its mechanical environment at the tissue- and organ-levels was obtained, while little attention was given to the trabecula-level of this process. This study aims to describe and classify load-driven morphological changes at the level of individual trabeculae and to propose their drivers.
    Method: For this purpose, a well-established mechanoregulation-based numerical model of bone adaptation was implemented in a user-defined subroutine that changed the structural and mechanical properties of trabeculae based on the magnitude of a mechanical stimulus. This subroutine was used in conjunction with finite-element models of variously shaped structures representing trabeculae loaded in compression or shear.
    Results: In all analysed cases, trabeculae underwent morphological evolution under applied compressive or shear loading. Among twelve cases analysed, six main mechanisms of morphological evolution were established: reorientation, splitting, merging, full resorption, thinning, and thickening. Moreover, all simulated cases presented the ability to reduce the mean value of von Mises stress while increasing their ability to resist compressive/shear loading during adaptation.
    Conclusion: This study evaluated morphological and mechanical changes in trabeculae of different shapes in response to compressive or shear loadings and compared them based on the analysis of von Mises stress distribution as well as profiles of normal and shear stresses in the trabeculae at different stages of their adaptation.
    MeSH term(s) Humans ; Bone and Bones ; Stress, Mechanical ; Weight-Bearing ; Models, Biological ; Computer Simulation ; Finite Element Analysis
    Language English
    Publishing date 2023-11-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 127557-4
    ISSN 1879-0534 ; 0010-4825
    ISSN (online) 1879-0534
    ISSN 0010-4825
    DOI 10.1016/j.compbiomed.2023.107720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Mechanoregulated trabecular bone adaptation: Progress report on

    Smotrova, Ekaterina / Li, Simin / Silberschmidt, Vadim V

    Biomaterials and biosystems

    2022  Volume 7, Page(s) 100058

    Abstract: ... ...

    Abstract Adaptation
    Language English
    Publishing date 2022-07-21
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2666-5344
    ISSN (online) 2666-5344
    DOI 10.1016/j.bbiosy.2022.100058
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comparison of standard automotive industry injury predictors and actual injury sustained during significant whiplash events.

    Smotrova, Ekaterina / Morris, Lucy / McNally, Donal

    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

    2021  Volume 30, Issue 10, Page(s) 3043–3058

    Abstract: Purpose: We present a unique opportunity to compare standard neck injury criteria (used by the automotive industry to predict injury) with real-life injuries. The injuries sustained during, and the overall kinematics of, a television demonstration of ... ...

    Abstract Purpose: We present a unique opportunity to compare standard neck injury criteria (used by the automotive industry to predict injury) with real-life injuries. The injuries sustained during, and the overall kinematics of, a television demonstration of whiplash mechanics were used to inform and validate a vertebral level model of neck mechanics to examine the relevance of current injury criteria used by the automotive industry.
    Methods: Frontal and rear impact pulses, obtained from videos of sled motion, were used to drive a MADYMO human model to generate detailed segmental level biomechanics. The maximum amplitude of the frontal and rear crash pulses was 166 ms
    Results: Whilst the subject suffered significant upper neck injuries, these were not predicted by conventional upper neck injury criteria (Nij and Nkm). However, the model did predict anterior accelerations of C1 and C2 of 40 g, which is 5 times higher than the threshold of the acceleration for alar ligament injury. Similarly, excessive anterior shear displacement (15 mm) of the skull relative to C2 was predicted. Predictions of NIC, an injury criterion relevant to the lower neck, as well as maximum flexion angles for the lower cervical segments (C3-T1) exceeded injury thresholds.
    Conclusion: The criteria used by the automotive industry as standard surrogates for upper neck injury (Nij and Nkm) did not predict the significant cranio-cervical junction injury observed clinically.
    MeSH term(s) Accidents, Traffic ; Biomechanical Phenomena ; Humans ; Neck ; Neck Injuries/etiology ; Whiplash Injuries
    Language English
    Publishing date 2021-05-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1115375-1
    ISSN 1432-0932 ; 0940-6719
    ISSN (online) 1432-0932
    ISSN 0940-6719
    DOI 10.1007/s00586-021-06851-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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