Numerical simulation of strain-adaptive bone remodelling in the ankle joint

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Authors

  • Anas Bouguecha
  • Nelly Weigel
  • Bernd Arno Behrens
  • Christina Stukenborg-Colsman
  • Hazibullah Waizy

External Research Organisations

  • Hannover Medical School (MHH)
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Details

Original languageEnglish
Article number58
JournalBiomedical engineering online
Volume10
Publication statusPublished - 5 Jul 2011

Abstract

Background: The use of artificial endoprostheses has become a routine procedure for knee and hip joints while ankle arthritis has traditionally been treated by means of arthrodesis. Due to its advantages, the implantation of endoprostheses is constantly increasing. While finite element analyses (FEA) of strain-adaptive bone remodelling have been carried out for the hip joint in previous studies, to our knowledge there are no investigations that have considered remodelling processes of the ankle joint. In order to evaluate and optimise new generation implants of the ankle joint, as well as to gain additional knowledge regarding the biomechanics, strain-adaptive bone remodelling has been calculated separately for the tibia and the talus after providing them with an implant.Methods: FE models of the bone-implant assembly for both the tibia and the talus have been developed. Bone characteristics such as the density distribution have been applied corresponding to CT scans. A force of 5,200 N, which corresponds to the compression force during normal walking of a person with a weight of 100 kg according to Stauffer et al., has been used in the simulation. The bone adaptation law, previously developed by our research team, has been used for the calculation of the remodelling processes.Results: A total bone mass loss of 2% in the tibia and 13% in the talus was calculated. The greater decline of density in the talus is due to its smaller size compared to the relatively large implant dimensions causing remodelling processes in the whole bone tissue. In the tibia, bone remodelling processes are only calculated in areas adjacent to the implant. Thus, a smaller bone mass loss than in the talus can be expected. There is a high agreement between the simulation results in the distal tibia and the literature regarding.Conclusions: In this study, strain-adaptive bone remodelling processes are simulated using the FE method. The results contribute to a better understanding of the biomechanical behaviour of the ankle joint and hence are useful for the optimisation of the implant geometry in the future.

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Numerical simulation of strain-adaptive bone remodelling in the ankle joint. / Bouguecha, Anas; Weigel, Nelly; Behrens, Bernd Arno et al.
In: Biomedical engineering online, Vol. 10, 58, 05.07.2011.

Research output: Contribution to journalArticleResearchpeer review

Bouguecha, A, Weigel, N, Behrens, BA, Stukenborg-Colsman, C & Waizy, H 2011, 'Numerical simulation of strain-adaptive bone remodelling in the ankle joint', Biomedical engineering online, vol. 10, 58. https://doi.org/10.1186/1475-925X-10-58
Bouguecha, A., Weigel, N., Behrens, B. A., Stukenborg-Colsman, C., & Waizy, H. (2011). Numerical simulation of strain-adaptive bone remodelling in the ankle joint. Biomedical engineering online, 10, Article 58. https://doi.org/10.1186/1475-925X-10-58
Bouguecha A, Weigel N, Behrens BA, Stukenborg-Colsman C, Waizy H. Numerical simulation of strain-adaptive bone remodelling in the ankle joint. Biomedical engineering online. 2011 Jul 5;10:58. doi: 10.1186/1475-925X-10-58
Bouguecha, Anas ; Weigel, Nelly ; Behrens, Bernd Arno et al. / Numerical simulation of strain-adaptive bone remodelling in the ankle joint. In: Biomedical engineering online. 2011 ; Vol. 10.
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title = "Numerical simulation of strain-adaptive bone remodelling in the ankle joint",
abstract = "Background: The use of artificial endoprostheses has become a routine procedure for knee and hip joints while ankle arthritis has traditionally been treated by means of arthrodesis. Due to its advantages, the implantation of endoprostheses is constantly increasing. While finite element analyses (FEA) of strain-adaptive bone remodelling have been carried out for the hip joint in previous studies, to our knowledge there are no investigations that have considered remodelling processes of the ankle joint. In order to evaluate and optimise new generation implants of the ankle joint, as well as to gain additional knowledge regarding the biomechanics, strain-adaptive bone remodelling has been calculated separately for the tibia and the talus after providing them with an implant.Methods: FE models of the bone-implant assembly for both the tibia and the talus have been developed. Bone characteristics such as the density distribution have been applied corresponding to CT scans. A force of 5,200 N, which corresponds to the compression force during normal walking of a person with a weight of 100 kg according to Stauffer et al., has been used in the simulation. The bone adaptation law, previously developed by our research team, has been used for the calculation of the remodelling processes.Results: A total bone mass loss of 2% in the tibia and 13% in the talus was calculated. The greater decline of density in the talus is due to its smaller size compared to the relatively large implant dimensions causing remodelling processes in the whole bone tissue. In the tibia, bone remodelling processes are only calculated in areas adjacent to the implant. Thus, a smaller bone mass loss than in the talus can be expected. There is a high agreement between the simulation results in the distal tibia and the literature regarding.Conclusions: In this study, strain-adaptive bone remodelling processes are simulated using the FE method. The results contribute to a better understanding of the biomechanical behaviour of the ankle joint and hence are useful for the optimisation of the implant geometry in the future.",
author = "Anas Bouguecha and Nelly Weigel and Behrens, {Bernd Arno} and Christina Stukenborg-Colsman and Hazibullah Waizy",
note = "Funding information: This study was supported by the Leibniz Universit{\"a}t Hannover in the project “Experimental and numerical investigations for the optimisation of total ankle endoprostheses”. We wish to thank the Leibniz Universit{\"a}t Hannover for the financial support. Furthermore, we thank the Small Animal Clinic of the University of Veterinary Medicine Hannover for carrying out the CT scans. We would also like to thank Small Bone Innovations (Donaueschingen/ Germany) for providing the implants and technical drawings.",
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T1 - Numerical simulation of strain-adaptive bone remodelling in the ankle joint

AU - Bouguecha, Anas

AU - Weigel, Nelly

AU - Behrens, Bernd Arno

AU - Stukenborg-Colsman, Christina

AU - Waizy, Hazibullah

N1 - Funding information: This study was supported by the Leibniz Universität Hannover in the project “Experimental and numerical investigations for the optimisation of total ankle endoprostheses”. We wish to thank the Leibniz Universität Hannover for the financial support. Furthermore, we thank the Small Animal Clinic of the University of Veterinary Medicine Hannover for carrying out the CT scans. We would also like to thank Small Bone Innovations (Donaueschingen/ Germany) for providing the implants and technical drawings.

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N2 - Background: The use of artificial endoprostheses has become a routine procedure for knee and hip joints while ankle arthritis has traditionally been treated by means of arthrodesis. Due to its advantages, the implantation of endoprostheses is constantly increasing. While finite element analyses (FEA) of strain-adaptive bone remodelling have been carried out for the hip joint in previous studies, to our knowledge there are no investigations that have considered remodelling processes of the ankle joint. In order to evaluate and optimise new generation implants of the ankle joint, as well as to gain additional knowledge regarding the biomechanics, strain-adaptive bone remodelling has been calculated separately for the tibia and the talus after providing them with an implant.Methods: FE models of the bone-implant assembly for both the tibia and the talus have been developed. Bone characteristics such as the density distribution have been applied corresponding to CT scans. A force of 5,200 N, which corresponds to the compression force during normal walking of a person with a weight of 100 kg according to Stauffer et al., has been used in the simulation. The bone adaptation law, previously developed by our research team, has been used for the calculation of the remodelling processes.Results: A total bone mass loss of 2% in the tibia and 13% in the talus was calculated. The greater decline of density in the talus is due to its smaller size compared to the relatively large implant dimensions causing remodelling processes in the whole bone tissue. In the tibia, bone remodelling processes are only calculated in areas adjacent to the implant. Thus, a smaller bone mass loss than in the talus can be expected. There is a high agreement between the simulation results in the distal tibia and the literature regarding.Conclusions: In this study, strain-adaptive bone remodelling processes are simulated using the FE method. The results contribute to a better understanding of the biomechanical behaviour of the ankle joint and hence are useful for the optimisation of the implant geometry in the future.

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