Abstract:word count: 249
Total word count: 3393Attachments: 5 figures and 2 tables + 1 figure and 4 tables in the appendices 2
Disclosure pageThe authors have no conflict of interest to report.
AcknowledgmentsThe script manager Medtool (www.dr-pahr.at) was used to generate the µFE models, start the computations and analyse the results. The authors would like to thank Prof. Bert van Rietbergen for sharing the µCT data. Karol Daszkiewicz is supported by grants from the are also gratefully acknowledged.
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“…In this process, it is necessary to assign material properties to the bone tissue and that is not a trivial issue. Usually, no direct influence of the mineral content is taken into account and typical isotropic elastic constants are considered (Ulrich et al, 1998;Roque et al, 2013;Daszkiewicz et al, 2017).…”
In this work, explicit expressions to estimate all the transversely isotropic elastic constants of lamellar bone as a function of the volumetric bone mineral density (BMD) are provided. The methodology presented is based on the direct homogenization procedure using the finite element method, the continuum approach based on the Hill bounds, the least-square method and the mean field technique. Firstly, a detailed description of the volumetric content of the different components of bone is provided. The parameters defined in this step are related to the volumetric BMD considering that bone mineralization process occurs at the smallest scale length of the bone tissue. Then, a thorough description provides the details of the numerical models and the assumptions adopted to estimate the elastic behaviour of the forward scale lengths. The results highlight the noticeable influence of the BMD on the elastic modulus of lamellar bone. Power law regressions fit the Young's moduli, shear stiffness moduli and Poisson ratios. In addition, the explicit expressions obtained are applied to the estimation of the elastic constants of cortical bone. At this scale length, a representative unit cell of cortical bone is analysed including the fibril orientation pattern given by Wagermaier et al. (Biointerphases 1:1-5, 2006) and the BMD distributions observed by Granke et al. (PLoS One 8:e58043, 2012) for the osteon. Results confirm that fibril orientation arrangement governs the anisotropic behaviour of cortical bone instead of the BMD distribution. The novel explicit expressions obtained in this work can be used for improving the accuracy of bone fracture risk assessment.
“…In this process, it is necessary to assign material properties to the bone tissue and that is not a trivial issue. Usually, no direct influence of the mineral content is taken into account and typical isotropic elastic constants are considered (Ulrich et al, 1998;Roque et al, 2013;Daszkiewicz et al, 2017).…”
In this work, explicit expressions to estimate all the transversely isotropic elastic constants of lamellar bone as a function of the volumetric bone mineral density (BMD) are provided. The methodology presented is based on the direct homogenization procedure using the finite element method, the continuum approach based on the Hill bounds, the least-square method and the mean field technique. Firstly, a detailed description of the volumetric content of the different components of bone is provided. The parameters defined in this step are related to the volumetric BMD considering that bone mineralization process occurs at the smallest scale length of the bone tissue. Then, a thorough description provides the details of the numerical models and the assumptions adopted to estimate the elastic behaviour of the forward scale lengths. The results highlight the noticeable influence of the BMD on the elastic modulus of lamellar bone. Power law regressions fit the Young's moduli, shear stiffness moduli and Poisson ratios. In addition, the explicit expressions obtained are applied to the estimation of the elastic constants of cortical bone. At this scale length, a representative unit cell of cortical bone is analysed including the fibril orientation pattern given by Wagermaier et al. (Biointerphases 1:1-5, 2006) and the BMD distributions observed by Granke et al. (PLoS One 8:e58043, 2012) for the osteon. Results confirm that fibril orientation arrangement governs the anisotropic behaviour of cortical bone instead of the BMD distribution. The novel explicit expressions obtained in this work can be used for improving the accuracy of bone fracture risk assessment.
“…Therefore, a study completely based on numerical simulations is the only alternative even though the results cannot be currently validated experimentally. The use of kinematic uniform boundary conditions in the μFE analyses could also be considered a limitation, as they are known for providing an upper bound of the stiffness tensor (Pahr and Zysset, 2008 ; Wang et al, 2009 ) or macroscopic yield (Panyasantisuk et al, 2015 ), and may also affect the damage morphology when compared to the in situ case (Daszkiewicz et al, 2017 ). We also assume that the orthotropic directions do not rotate during loading, which may be a valid assumption for the considered range of strains.…”
Realistic macro-level finite element simulations of the mechanical behavior of trabecular bone, a cellular anisotropic material, require a suitable constitutive model; a model that incorporates the mechanical response of bone for complex loading scenarios and includes post-elastic phenomena, such as plasticity (permanent deformations) and damage (permanent stiffness reduction), which bone is likely to experience. Some such models have been developed by conducting homogenization-based multiscale finite element simulations on bone micro-structure. While homogenization has been fairly successful in the elastic regime and, to some extent, in modeling the macroscopic plastic response, it has remained a challenge with respect to modeling damage. This study uses a homogenization scheme to upscale the damage behavior from the tissue level (microscale) to the organ level (macroscale) and assesses the suitability of different damage constitutive laws. Ten cubic specimens were each subjected to 21 strain-controlled load cases for a small range of macroscopic post-elastic strains. Isotropic and anisotropic criteria were considered, density and fabric relationships were used in the formulation of the damage law, and a combined isotropic/anisotropic law with tension/compression asymmetry was formulated, based on the homogenized results, as a possible alternative to the currently used single scalar damage criterion. This computational study enhances the current knowledge on the macroscopic damage behavior of trabecular bone. By developing relationships of damage progression with bone's micro-architectural indices (density and fabric) the study also provides an aid for the creation of more precise macroscale continuum models, which are likely to improve clinical predictions.
“…KUBCs showed a stiffer response especially at lower BV/TV values. Moreover, Daszkiewicz et al and Wili et al showed that apparent elastic and yield properties determined with PMUBCs are close to an embedded configuration of cubic RVEs of trabecular bone. Therefore, in the present study, PMUBCs are applied in the μFE analyses as well.…”
Homogenised finite element (FE) analyses are able to predict osteoporosis‐related bone fractures and become useful for clinical applications. The predictions of FE analyses depend on the apparent, heterogeneous, anisotropic, elastic, and yield material properties, which are typically determined by implicit micro‐FE (μFE) analyses of trabecular bone. The objective of this study is to explore an explicit μFE approach to determine the apparent post‐yield behaviour of trabecular bone, beyond the elastic and yield properties. The material behaviour of bone tissue was described by elasto‐plasticity with a von Mises yield criterion closed by a planar cap for positive hydrostatic stresses to distinguish the post‐yield behaviour in tension and compression. Two ultimate strains for tension and compression were calibrated to trigger element deletion and reproduce damage of trabecular bone. A convergence analysis was undertaken to assess the role of the mesh. Thirteen load cases using periodicity‐compatible mixed uniform boundary conditions were applied to three human trabecular bone samples of increasing volume fractions. The effect of densification in large strains was explored. The convergence study revealed a strong dependence of the apparent ultimate stresses and strains on element size. An apparent quadric strength surface for trabecular bone was successfully fitted in a normalised stress space. The effect of densification was reproduced and correlated well with former experimental results. This study demonstrates the potential of the explicit FE formulation and the element deletion technique to reproduce damage in trabecular bone using μFE analyses. The proper account of the mesh sensitivity remains challenging for practical computing times.
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