Electrical stimulation is a promising therapeutic approach for the regeneration of large bone defects. Innovative electrically stimulating implants for critical size defects in the lower jaw are under development and need to be optimized in silico and tested in vivo prior to application. In this context, numerical modelling and simulation are useful tools in the design process. In this study, a numerical model of an electrically stimulated minipig mandible was established to find optimal stimulation parameters that allow for a maximum area of beneficially stimulated tissue. Finite-element simulations were performed to determine the stimulation impact of the proposed implant design and to optimize the electric field distribution resulting from sinusoidal low-frequency ( f = 20 Hz ) electric stimulation. Optimal stimulation parameters of the electrode length h el = 25 m m and the stimulation potential φ stim = 0.5 V were determined. These parameter sets shall be applied in future in vivo validation studies. Furthermore, our results suggest that changing tissue properties during the course of the healing process might make a feedback-controlled stimulation system necessary.
Fractures or other major bone defects in the mandible are commonly treated by mounting a reconstruction plate at the fracture site. To avoid complications due to loosening of the implant or the fixation screws, electrical stimulation presents a possibility to accelerate bone healing. The aim of this study was to investigate different combinations of activated electrodes and plate designs regarding their feasibility for electrostimulation of the mandibular bone. The electric field distribution for multiple implant designs was computed using the finite element method. The results suggest that the electrode insulation renders a crucial parameter, which influences substantially the stimulation impact and its power consumption.
The reproducibility of scientific results gains increasing attention. In the context of biomedical engineering, this applies to experimental studies of three different kinds: in-vivo, in-vitro, and in-silico. Numerical modelling and finite element simulation of bio-electric systems are intricate processes involving manifold steps. A typical example of this process is the electrical stimulation at alloplastic reconstruction plates of the mandible. During the bio-electric modelling and simulation process, diverse methods realised in various software tools are exploited. To comprehensibly render how the final model has been developed requires a thorough documentation. We exploit the W3C provenance model PROV to structure this process and to make it accessible for modellers and for automatic analyses. Different entity types, such as data, model, software, literature, assumptions, and mathematical equations are distinguished; roles of entities within an activity are revealed as well as the involved researchers. In addition, we identify five process patterns: 1) information extraction from the literature; 2) generation of a geometrical model which uses data as input; 3) composition of several geometrical or mathematical models into a combined model; 4) parameterisation, which augments the input model by additional properties; and, finally, 5) refinement, which uses a model in addition to an assumption and generates an enhanced model. By modelling provenance information of a typical bio-electric modelling and simulation process as well as identifying provenance patterns, we provide a first step towards a better documentation of academic investigations in that scientific field.
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