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Medical & Biological Engineering & Computing

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17.06.2016 | Original Article

Geometry reconstruction method for patient-specific finite element models for the assessment of tibia fracture risk in osteogenesis imperfecta

verfasst von: Christiane Caouette, Nicole Ikin, Isabelle Villemure, Pierre-Jean Arnoux, Frank Rauch, Carl-Éric Aubin

Erschienen in: Medical & Biological Engineering & Computing | Ausgabe 4/2017

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Abstract

Lower limb deformation in children with osteogenesis imperfecta (OI) impairs ambulation and may lead to fracture. Corrective surgery is based on empirical assessment criteria. The objective was to develop a reconstruction method of the tibia for OI patients that could be used as input of a comprehensive finite element model to assess fracture risks. Data were obtained from three children with OI and tibia deformities. Four pQCT scans were registered to biplanar radiographs, and a template mesh was deformed to fit the bone outline. Cortical bone thickness was computed. Sensitivity of the model to missing slices of pQCT was assessed by calculating maximal von Mises stress for a vertical hopping load case. Sensitivity of the model to ±5 % of cortical thickness measurements was assessed by calculating loads at fracture. Difference between the mesh contour and bone outline on the radiographs was below 1 mm. Removal of one pQCT slice increased maximal von Mises stress by up to 10 %. Simulated ±5 % variation of cortical bone thickness leads to variations of up to 4.1 % on predicted fracture loads. Using clinically available tibia imaging from children with OI, the developed reconstruction method allowed the building of patient-specific finite element models.

Vorheriger Artikel An explorative investigation of functional differences in plantar center of pressure of four foot types using sample entropy method

Nächster Artikel A comparison of four techniques to measure anterior and posterior vertebral body heights and sagittal plane wedge angles in adolescent idiopathic scoliosis

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Titel: Geometry reconstruction method for patient-specific finite element models for the assessment of tibia fracture risk in osteogenesis imperfecta
verfasst von: Christiane Caouette
Nicole Ikin
Isabelle Villemure
Pierre-Jean Arnoux
Frank Rauch
Carl-Éric Aubin
Publikationsdatum: 17.06.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Medical & Biological Engineering & Computing / Ausgabe 4/2017
Print ISSN: 0140-0118
Elektronische ISSN: 1741-0444
DOI: https://doi.org/10.1007/s11517-016-1526-5

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