The influence of osteoporotic bone structures of the pelvic-hip complex on stress distribution under impact load

• Autorzy: Arkusz K. , Klekiel T. , Niezgoda T. M. , Będziński R.

Identyfikatory

DOI

10.5277/ABB-00882-2017-02

• Języki publikacji: EN

Abstrakty

EN

Purpose: The aim of this study was to determine the effect of bone mineral density (BMD) on the stress distribution in pelvic-hip complex (PHC) model which included bone structures and soft tissues. Bone mass changes in osteoporosis and osteopenia were considered in this analysis. In addition, the relations between force direction and stress distribution causing PHC fractures were determined. Methods: This paper presents the development and validation of a detailed 3D finite element model with high anatomical fidelity of the PHC and BMD changes in trabecular and cortical bones, modelled based on CT scans. 10 kN loading was induced on a model consisting of 8 ligaments, the pelvis, sacrum, femur in front and side directions. Results: For validation, the results of this model were compared to physiological stress in standing position and previous results with high-energy crashes under side impact load. Analysis of side-impact indicated the influence of BMD on femoral neck fractures, acetabular cartilage and sacroiliac joint delaminations. Front-impact analysis revealed the inferior pubic ramus, femoral neck fractures and soft tissue injuries, i.e., acetabular cartilage and symphysis pubis in osteoporosis and osteopenia. Conclusions: The elaborated PHC model enables effective prediction of pelvis injuries in high-energy trauma, according to Young-Burgess classification, and the determination of the influence of BMD reduction on pelvis trauma depending on force direction. The correlation between BMD and stress distribution causing varying injuries was determined.

Słowa kluczowe

EN

pelvic-hip complex; PHC; bone mineral density; BMD; finite element analysis; FEA; osteoporosis

PL

gęstość mineralna kości; BMD; osteoporoza

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2018
• Tom: Vol. 20, no. 1
• Strony: 29--38
• Opis fizyczny: Bibliogr. 28 poz., rys., tab.

Twórcy

autor

Arkusz K.

• Department of Biomedical Engineering, Faculty of Mechanical Engineering, University of Zielona Góra, Zielona Góra, Poland

autor

Klekiel T.

• Department of Biomedical Engineering, Faculty of Mechanical Engineering, University of Zielona Góra, Zielona Góra, Poland

autor

Niezgoda T. M.

• Department of Mechanics and Applied Computer Science, Faculty of Mechanical Engineering, Military University of Technology, Warszawa, Poland

autor

Będziński R.

• Department of Biomedical Engineering, Faculty of Mechanical Engineering, University of Zielona Góra, Zielona Góra, Poland

Bibliografia

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Uwagi

Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2018).