Biomedical subjects

Manuela Teresa Raimondi

Publications and source records attributed to Manuela Teresa Raimondi.

4 recordsLinked to original sources

PubMed2006

Loss in mechanical contact of cementless acetabular prostheses due to post-operative weight bearing: a biomechanical model.

The primary stability of cementless acetabular components is a prerequisite for their clinical success. The target of the present study was to analyse possible effects of post-operative joint loading on the initial mechanical stability of a press-fitted acetabular prosthesis. For this purpose, a three-dimensional finite element model of the pelvic bone with acetabular reconstruction was set-up. The analysis included two steps: (1) simulation of the prosthesis press-fit implantation and (2) simulation of the instant of peak resultant hip loading during the one-legged stance. The difference between the contact pressures at the bone/implant interface, at the end of the second step and those at the end of the first step was calculated and assumed as an index of variation in mechanical contact due to post-operative weight bearing. The results show that, due to hip loading, contact pressures given by press-fit increase in the postero-superior acetabular region but decrease in the antero-inferior acetabular region. The calculated area in which the contact pressures decrease extend to about 30% of the total contact surface. These results imply that post-operative joint loading significantly reduces the mechanical stability given by press-fit. The decrease in contact pressures at the bone/implant interface may result in a lack of osteointegration, possibly hindering the implant secondary stability. It may also create a route for wear debris, possibly favouring periprosthetic osteolysis, which may lead to further loss in contact and clinical failure of the implant due to loosening.

Acetabulum↗

PubMed2006

Biomechanical analysis of cages for posterior lumbar interbody fusion.

Interbody fusions using intervertebral cages have become increasingly common in spinal surgery. Computational simulations were conducted in order to compare different cage designs in terms of their biomechanical interaction with the spinal structures. Differences in cage design and surgical technique may significantly affect the biomechanics of the fused spine segment, but little knowledge is available on this topic. In the present study, four 3D finite element models were developed, reproducing the human L4-L5 spinal unit in intact condition and after implantation of three different cage models. The intact model consisted of two vertebral bodies and relevant laminae, facet joints, main ligaments and disc. The instrumented models reproduced the post-operative conditions resulting after implant of the different cages. The three considered devices were hollow threaded titanium cages, the BAK (Zimmer Centerpulse, Warsaw, IN, USA), the Interfix and the Interfix Fly (both by Medtronic Sofamor Danek, Memphis, TN, USA). Simulations were run imposing various loading conditions, under a constant compressive preload. A great increase in the stiffness induced on the spinal segment by all cages was observed in all the considered loading cases. Stress distributions on the bony surface were evaluated and discussed. The differences observed between the biomechanics of the instrumented models were associated with the geometrical and surgical features of the devices.

Biomechanical Phenomena↗

PubMed2006

Modeling evaluation of the fluid-dynamic microenvironment in tissue-engineered constructs: a micro-CT based model.

Natural cartilage remodels both in vivo and in vitro in response to mechanical stresses, hence mechanical stimulation is believed to be a potential tool to modulate extra-cellular matrix synthesis in tissue-engineered cartilage. Fluid-induced shear is known to enhance chondrogenesis in engineered cartilage constructs. The quantification of the hydrodynamic environment is a condition required to study the biochemical response to shear of 3D engineered cell systems. We developed a computational model of culture medium flow through the microstructure of a porous scaffold, during direct- perfused culture. The 3D solid model of the scaffold micro-geometry was reconstructed from 250 micro-computed tomography (micro-CT) images. The results of the fluid dynamic simulations were analyzed at the central portions of the fluid domain, to avoid boundary effects. The average, median and mode shear stress values calculated at the scaffold walls were 3.48, 2.90, and 2.45 mPa respectively, at a flow rate of 0.5 cm(3)/min, perfused through a 15 mm diameter scaffold, at an inlet fluid velocity of 53 microm/s. These results were compared to results estimated using a simplified micro-scale model and to results estimated using an analytical macro-scale porous model. The predictions given by the CT-based model are being used in conjunction with an experimental bioreactor model, in order to quantify the effects of fluid-dynamic shear on the growth modulation of tissue-engineered cartilage constructs, to potentially enhance tissue growth in vitro.

Bioreactors↗

PubMed2006

Prediction of the micro-fluid dynamic environment imposed to three-dimensional engineered cell systems in bioreactors.

Bioreactors allowing culture medium perfusion overcome diffusion limitations associated with static culturing and provide flow-mediated mechanical stimuli. The hydrodynamic stress imposed to cells will depend not only on the culture medium flow rate, but also on the scaffold three-dimensional (3D) micro-architecture. We developed a CFD model of the flow of culture medium through a 3D scaffold of homogeneous geometry, with the aim of predicting the shear stress acting on cells as a function of parameters that can be controlled during the scaffold fabrication process, such as the scaffold porosity and the pore size, and during the cell culture, such as the medium flow rate and the diameter of the perfused scaffold section. We built three groups of models corresponding to three pore sizes: 50, 100 and 150 microm. Each group was made of four models corresponding to 59%, 65%, 77%, and 89% porosity. A commercial finite-element code was used to set up and solve the problem and to analyze the results. The mode value of shear stress varied between 2 and 5 mPa, and was obtained for a circular scaffold of 15.5 mm diameter, perfused by a flow rate of 0.5 ml/min. The simulations showed that the pore size is a variable strongly influencing the predicted shear stress level, whereas the porosity is a variable strongly affecting the statistical distribution of the shear stresses, but not their magnitude. Our results provide a basis for the completion of more exhaustive quantitative studies to further assess the relationship between perfusion, at known micro-fluid dynamic conditions, and tissue growth in vitro.

Bioreactors↗