A Finite Element Model of a Surgical Knot

Author(s):  
Arz Y. Qwam Alden ◽  
Andrew G. Geeslin ◽  
Jeffrey C. King ◽  
Peter A. Gustafson

Background Surgical knots are one of several structures which can fail during surgical repair. However, there is no universal agreement on the superiority (best/safest) of one particular surgical knot technique. Tensile testing of repaired soft tissue has been used to assess the efficacy of surgical knot tying techniques, however, few computational models exist. The purpose of this study was to create a validated biomechanical model to evaluate the effect of knot configuration on the mechanical performance of surgical sutures. Methods Two sutures were tested experimentally to find the mechanical properties and strength. Single throw knots were also tested for strength. Finite element models were constructed of each configuration and correlation was established. Results The finite element results are quantitatively and qualitatively consistent with experimental findings. The FE model stress concentrations are also consistent with published strength reductions. Model and experimental results are presented using as-manufactured No. 2 FiberWire as well as its core and jacket constituents separately. Clinical Relevance This paper describes a model which can evaluate the effect of knot topology on the mechanics of surgical suture. In the future, the model may be used to evaluate the mechanical differences between surgical techniques and suture materials. The findings may impact choices for suture and knot types selected for soft tissue repairs.

Author(s):  
Arz Y. Qwam Alden ◽  
Andrew G. Geeslin ◽  
Peter A. Gustafson

Background: Knot tying is considered a basic surgical skill, however, there is no consensus on the best technique. Suture breakage and slippage are failure modes during surgical repair and are related to stress concentrations which cannot be easily established with physical testing. Few computational models exist that describe the effect of knot topology on the failure mechanism. The purpose of this study was to implement the finite element method to analyze the mechanical behavior of surgical sutures according to number of throws and to validate the model against experiments. Methods: Experiments and models of monofilament and multifilament sutures were conducted. Multiple throw knots were tested to failure in a laboratory setting and with corresponding finite element models. Gross loads were compared when the knot reached a localized material yield stress in the model or when failure occurred in laboratory tests that have the same suture topology. Results: The results of laboratory tests and corresponding finite element models of single throw knots were compared and found to be well correlated and consistent with existing literature in strength prediction and failure location. Moreover, single throw knots have reduced failure strengths relative to non-knotted suture approximately by 120 N for both monofilament and multifilament sutures, respectively. Clinical Relevance: This paper describes a model which can describe the initial failure process leading to knot failure. In addition, the model can evaluate the effect of knot topology on the mechanics of surgical suture. Numerically, no assessment has been completed of knot security (i.e., how likely the knot is to untie), therefore, clinical recommendations are premature. In the future, the results may provide a framework for choosing the suture and knot types for soft tissue repairs.


Author(s):  
Jong-Eun Kim ◽  
Zuoping Li ◽  
Yasushi Ito ◽  
Christina D. Huber ◽  
Alan M. Shih ◽  
...  

The pediatric pelvis is vulnerable to injuries in motor vehicle collisions, sport activities, and fall accidents. Pelvic fractures and injury mechanisms in children differ substantially from those found in adults [1]. While the injury mechanisms and tolerances of the adult pelvis have been fairly well characterized through cadaveric experiments and computational models, efforts related to the pediatric pelvis have been limited due to difficulties in acquiring and testing pediatric cadavers. The objective of this study was to develop a finite element (FE) model of a 10-year-old (10YO) human pelvis to provide more comprehensive understanding of injury mechanisms experienced by children.


Author(s):  
Mark A. Baldwin ◽  
Chadd W. Clary ◽  
Lorin P. Maletsky ◽  
Paul J. Rullkoetter

Verified computational models of total knee replacement serve as the primary design-phase tool for parametric analysis of implant geometry. Previously, dynamic finite element models of the Kansas Knee Simulator (KKS) were developed and tibiofemoral (TF) and patellofemoral (PF) kinematic predictions were verified by comparison with experimental measurements [1,2]. In this prior work, the implants were mounted in metallic fixtures to assess the ability of the model to accurately predict the TF and PF kinematics without the additional complexity of variable cadaver specimens and soft-tissue constraint. The next step in the systematic model verification procedure was to verify kinematic predictions with multiple specimen-specific models. Specifically, the objectives of the present study were: 1) to develop an explicit finite element (FE) model of the KKS capable of recreating experimental loading protocols for a deep knee bend activity and 2) to verify predicted six degree-of-freedom (DOF) TF and PF kinematics of two cruciate retaining (CR) and two posterior stabilized (PS) implanted specimen-specific models with deformable, wrapping soft tissue constraint.


2013 ◽  
Vol 454 ◽  
pp. 163-168 ◽  
Author(s):  
Yuan Zhang Yang ◽  
Zhi Jun Wang ◽  
Wei Chao Kong

This paper describes the important influence of screw connection between profiled steel sheets and the light gauge steel truss girders on the mechanical performance of the light gauge steel truss girder-profiled steel-light concrete composite floor. The ABAQUS finite element model is built to simulate the bending performance of the composite floor. The feasibility of FE model is examined based on the experiment data. By changing the screw distribution of the model, this paper analyzes the relation between the mechanical performance and screw distributions of the composite floor.


Author(s):  
Ashwini Gautam ◽  
Chris Fuller ◽  
James Carneal

This work presents an extensive analysis of the properties of distributed vibration absorbers (DVAs) and their effectiveness in controlling the sound radiation from the base structure. The DVA acts as a distributed mass absorber consisting of a thin metal sheet covering a layer of acoustic foam (porous media) that behaves like a distributed spring-mass-damper system. To assess the effectiveness of these DVAs in controlling the vibration of the base structures (plate) a detailed finite elements model has been developed for the DVA and base plate structure. The foam was modeled as a poroelastic media using 8 node hexahedral elements. The structural (plate) domain was modeled using 16 degree of freedom plate elements. Each of the finite element models have been validated by comparing the numerical results with the available analytical and experimental results. These component models were combined to model the DVA. Preliminary experiments conducted on the DVAs have shown an excellent agreement between the results obtained from the numerical model of the DVA and from the experiments. The component models and the DVA model were then combined into a larger FE model comprised of a base plate with the DVA treatment on its surface. The results from the simulation of this numerical model have shown that there has been a significant reduction in the vibration levels of the base plate due to DVA treatment on it. It has been shown from this work that the inclusion of the DVAs on the base plate reduces their vibration response and therefore the radiated noise. Moreover, the detailed development of the finite element model for the foam has provided us with the capability to analyze the physics behind the behavior of the distributed vibration absorbers (DVAs) and to develop more optimized designs for the same.


2013 ◽  
Vol 456 ◽  
pp. 576-581 ◽  
Author(s):  
Li Fu Xu ◽  
Na Ta ◽  
Zhu Shi Rao ◽  
Jia Bin Tian

A 2-D finite element model of human cochlea is established in this paper. This model includes the structure of oval window, round window, basilar membrane and cochlear duct which is filled with fluid. The basilar membrane responses are calculated with sound input on the oval window membrane. In order to study the effects of helicotrema on basilar membrane response, three different helicotrema dimensions are set up in the FE model. A two-way fluid-structure interaction numerical method is used to compute the responses in the cochlea. The influence of the helicotrema is acquired and the frequency selectivity of the basilar membrane motion along the cochlear duct is predicted. These results agree with the experiments and indicate much better results are obtained with appropriate helicotrema size.


Author(s):  
J. Rodriguez ◽  
M. Him

Abstract This paper presents a finite element mesh generation algorithm (PREPAT) designed to automatically discretize two-dimensional domains. The mesh generation algorithm is a mapping scheme which creates a uniform isoparametric FE model based on a pre-partitioned domain of the component. The proposed algorithm provides a faster and more accurate tool in the pre-processing phase of a Finite Element Analysis (FEA). A primary goal of the developed mesh generator is to create a finite element model requiring only essential input from the analyst. As a result, the generator code utilizes only a sketch, based on geometric primitives, and information relating to loading/boundary conditions. These conditions represents the constraints that are propagated throughout the model and the available finite elements are uniformly mapped in the resulting sub-domains. Relative advantages and limitations of the mesh generator are discussed. Examples are presented to illustrate the accuracy, efficiency and applicability of PREPAT.


2021 ◽  
Author(s):  
Junqing Xue ◽  
Dong Xu ◽  
Yufeng Tang ◽  
Bruno Briseghella ◽  
Fuyun Huang ◽  
...  

<p><br clear="none"/></p><p>The vulnerability problem of expansion joints could be fundamentally resolved using the concept of jointless bridges. The longitudinal deformation of the superstructure can be transferred to the backfill by using the approach slab. The flat buried approach slab (FBAS) has been used in many jointless bridges in European countries. In order to understand the mechanical performance of FBAS and soil deformation, a finite element model (FEM) was implemented in PLAXIS. Considering the friction between the FBAS and soil, the buried depth, the FBAS length and thickness as parameters, a parametric analysis was carried out. According to the obtained results and in order to reduce the soil deformation above the FBAS, it is suggested to increase the friction between the FBAS and sandy soil, and the buried depth of FBAS. Moreover, it should be paid attention to the vertical soil deformation and the concrete tensile stress of FBAS in pulling condition.</p>


Author(s):  
Jami M. Saffioti ◽  
Brittany Coats

Current finite element (FE) models of the pediatric eye are based on adult material properties [2,3]. To date, there are no data characterizing the age dependent material properties of ocular tissues. The sclera is a major load bearing tissue and an essential component to most computational models of the eye. In preparation for the development of a pediatric FE model, age-dependent and anisotropic properties of sclera were evaluated in newborn (3–5 days) and toddler (4 weeks) pigs. Data from this study will guide future testing protocols for human pediatric specimens.


2010 ◽  
Vol 24-25 ◽  
pp. 25-41 ◽  
Author(s):  
Keith Worden ◽  
W.E. Becker ◽  
Manuela Battipede ◽  
Cecilia Surace

This paper concerns the analysis of how uncertainty propagates through large computational models like finite element models. If a model is expensive to run, a Monte Carlo approach based on sampling over the possible model inputs will not be feasible, because the large number of model runs will be prohibitively expensive. Fortunately, an alternative to Monte Carlo is available in the form of the established Bayesian algorithm discussed here; this algorithm can provide information about uncertainty with many less model runs than Monte Carlo requires. The algorithm also provides information regarding sensitivity to the inputs i.e. the extent to which input uncertainties are responsible for output uncertainty. After describing the basic principles of the Bayesian approach, it is illustrated via two case studies: the first concerns a finite element model of a human heart valve and the second, an airship model incorporating fluid structure interaction.


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