Debonding of coin-shaped osseointegrated implants: Coupling of experimental and numerical approaches.

While cementless implants are now widely used clinically, implant debonding still occur and is difficult to anticipate. Assessing the biomechanical strength of the bone-implant interface can help improving the understanding of osseointegration phenomena and thus preventing surgical failures. A dedicated and standardized implant model was considered. The samples were tested using a mode III cleavage device to assess the mechanical strength of the bone-implant interface by combining experimental and numerical approaches. Four rough (Sa = 24.5 µm) osseointegrated coin-shaped implants were left in sheep cortical bone during 15 weeks of healing time. Each sample was experimentally rotated at 0.03°/sec until complete rupture of the interface. The maximum values of the torque were comprised between 0.48 and 0.72 N m, while a significant increase of the normal force from 7-12 N to 31-43 N was observed during the bone-implant interface debonding, suggesting the generation of bone debris at the bone-implant interface. The experimental results were compared to an isogeometric finite element model describing the adhesion and debonding phenomena through a modified Coulomb's law, based on a varying friction coefficient to represent the transition from an unbroken to a broken bone-implant interface. A good agreement was found between numerical and experimental torques, with numerical friction coefficients decreasing from 8.93 to 1.23 during the bone-implant interface rupture, which constitutes a validation of this model to simulate the debonding of an osseointegrated bone-implant interface subjected to torsion.

Modeling the debonding process of osseointegrated implants due to coupled adhesion and friction.

Cementless implants have become widely used for total hip replacement surgery. The long-term stability of these implants is achieved by bone growing around and into the rough surface of the implant, a process called osseointegration. However, debonding of the bone-implant interface can still occur due to aseptic implant loosening and insufficient osseointegration, which may have dramatic consequences. The aim of this work is to describe a new 3D finite element frictional contact formulation for the debonding of partially osseointegrated implants. The contact model is based on a modified Coulomb friction law by Immel et al. (2020), that takes into account the tangential debonding of the bone-implant interface. This model is extended in the direction normal to the bone-implant interface by considering a cohesive zone model, to account for adhesion phenomena in the normal direction and for adhesive friction of partially bonded interfaces. The model is applied to simulate the debonding of an acetabular cup implant. The influence of partial osseointegration and adhesive effects on the long-term stability of the implant is assessed. The influence of different patient- and implant-specific parameters such as the friction coefficient [Formula: see text], the trabecular Young's modulus [Formula: see text], and the interference fit [Formula: see text] is also analyzed, in order to determine the optimal stability for different configurations. Furthermore, this work provides guidelines for future experimental and computational studies that are necessary for further parameter calibration.

Determinants of the primary stability of cementless acetabular cup implants: A 3D finite element study.

Primary stability of cementless implants is crucial for the surgical success and long-term stability. However, primary stability is difficult to quantify in vivo and the biomechanical phenomena occurring during the press-fit insertion of an acetabular cup (AC) implant are still poorly understood. The aim of this study is to investigate the influence of the cortical and trabecular bone Young's moduli Ec and Et, the interference fit IF and the sliding friction coefficient of the bone-implant interface µ on the primary stability of an AC implant. For each parameter combination, the insertion of the AC implant into the hip cavity and consequent pull-out are simulated with a 3D finite element model of a human hemi-pelvis. The primary stability is assessed by determining the polar gap and the maximum pull-out force. The polar gap increases along with all considered parameters. The pull-out force shows a continuous increase with Ec and Et and a non-linear variation as a function of µ and IF is obtained. For µ > 0.6 and IF > 1.4 mm the primary stability decreases, and a combination of smaller µ and IF lead to a better fixation. Based on the patient's bone stiffness, optimal combinations of µ and IF can be identified. The results are in good qualitative agreement with previous studies and provide a better understanding of the determinants of the AC implant primary stability. They suggest a guideline for the optimal choice of implant surface roughness and IF based on the patient's bone quality.

Nonaxisymmetric Shapes of Biological Membranes from Locally Induced Curvature.

In various biological processes such as endocytosis and caveolae formation, the cell membrane is locally deformed into curved morphologies. Previous models to study membrane morphologies resulting from locally induced curvature often only consider the possibility of axisymmetric shapes-an indeed unphysical constraint. Past studies predict that the cell membrane buds at low resting tensions and stalls at a flat pit at high resting tensions. In this work, we lift the restriction to axisymmetry to study all possible membrane morphologies. Only if the resting tension of the membrane is low, we reproduce axisymmetric membrane morphologies. When the resting tension is moderate to high, we show that 1) axisymmetric membrane pits are unstable and 2) nonaxisymmetric ridge-shaped structures are energetically favorable. Furthermore, we find the interplay between intramembrane viscous flow and the rate of induced curvature affects the membrane's ability to transition into nonaxisymmetric ridges and axisymmetric buds. In particular, we show that axisymmetric buds are favored when the induced curvature is rapidly increased, whereas nonaxisymmetric ridges are favored when the curvature is slowly increased. Our results hold relevant implications for biological processes such as endocytosis and physical phenomena like phase separation in lipid bilayers.

A modified Coulomb's law for the tangential debonding of osseointegrated implants.

Cementless implants are widely used in orthopedic and dental surgery. However, debonding-related failure still occurs at the bone-implant interface. It remains difficult to predict such implant failure since the underlying osseointegration phenomena are still poorly understood. Especially in terms of friction and adhesion at the macroscale, there is a lack of data and reliable models. The aim of this work was to present a new friction formulation that can model the tangential contact behavior between osseointegrated implants and bone tissue, with focus on debonding. The classical Coulomb's law is combined with a state variable friction law to model a displacement-dependent friction coefficient. A smooth state function, based on the sliding distance, is used to model implant debonding. The formulation is implemented in a 3D nonlinear finite element framework, and it is calibrated with experimental data and compared to an analytical model for mode III cleavage of a coin-shaped, titanium implant (Mathieu et al. in J Mech Behav Biomed Mater 8(1):194-203, 2012). Overall, the results show a close agreement with the experimental data, especially the peak and the softening part of the torque curve with a relative error of less than 2.25%. In addition, better estimates of the bone's shear modulus and the adhesion energy are obtained. The proposed model is particularly suitable to account for partial osseointegration.

Efficient isogeometric thin shell formulations for soft biological materials.

This paper presents three different constitutive approaches to model thin rotation-free shells based on the Kirchhoff-Love hypothesis. One approach is based on numerical integration through the shell thickness while the other two approaches do not need any numerical integration and so they are computationally more efficient. The formulation is designed for large deformations and allows for geometrical and material nonlinearities, which makes it very suitable for the modeling of soft tissues. Furthermore, six different isotropic and anisotropic material models, which are commonly used to model soft biological materials, are examined for the three proposed constitutive approaches. Following an isogeometric approach, NURBS-based finite elements are used for the discretization of the shell surface. Several numerical examples are investigated to demonstrate the capabilities of the formulation. Those include the contact simulation during balloon angioplasty.

Irreversible thermodynamics of curved lipid membranes.

The theory of irreversible thermodynamics for arbitrarily curved lipid membranes is presented here. The coupling between elastic bending and irreversible processes such as intramembrane lipid flow, intramembrane phase transitions, and protein binding and diffusion is studied. The forms of the entropy production for the irreversible processes are obtained, and the corresponding thermodynamic forces and fluxes are identified. Employing the linear irreversible thermodynamic framework, the governing equations of motion along with appropriate boundary conditions are provided.

A projection method to extract biological membrane models from 3D material models.

This paper presents a projection method for deriving membrane models from the corresponding three-dimensional material models. As a particular example the anisotropic Holzapfel-Gasser-Ogden model is considered. The projection procedure is based on the kinematical and constitutive assumptions of a general membrane theory, considering the membrane to be a general two-dimensional manifold. By assuming zero transverse stress, the Lagrange multiplier associated with the incompressibility constraint can be eliminated from the formulation. The resulting nonlinear model is discretized and linearized within the finite element method. Several numerical examples are shown, considering quadratic Lagrange and NURBS finite elements. These show that the proposed model is in very good agreement with analytical solutions and with full 3D finite element computations.

A detailed 3D finite element analysis of the peeling behaviour of a gecko spatula.

This paper presents a detailed finite element analysis of the adhesion of a gecko spatula. The gecko spatulae form the tips of the gecko foot hairs that transfer the adhesional and frictional forces between substrate and foot. The analysis is based on a parameterised description of the 3D geometry of the spatula that only requires 12 parameters. The adhesion is described by a nonlinear computational contact formulation that accounts for the van der Waals interaction between spatula and substrate. The spatula adhesion model is implemented using an enriched contact finite element formulation recently developed by the first author. The finite element model is then used to simulate the peeling behaviour of the gecko spatula under applied vertical and rotational loading for various model parameters. Variations of the material stiffness, adhesional strength and range, stiction, spatula size and spatula inclination are considered to account for the natural variation of spatula properties. The study demonstrates that the spatula can function over a wide range of conditions. The computed pull-off forces are in agreement with experimental results reported in the literature. The study also examines the energy required for the spatula pull-off. The proposed model is ideal to study the influence of substrate roughness on the spatula adhesion, as is finally demonstrated.

Multiscale modelling and simulation of the deformation and adhesion of a single gecko seta.

A 3D multiscale model is presented which describes the adhesion and deformation of a gecko seta. The multiscale approach combines three models at different length scales: at the top level, on the order of several micrometers, a nonlinear finite element beam model is chosen to capture the branched microstructure of the gecko seta. At the intermediate level, on the order of several nanometers, a second finite element model is used to capture the detailed behaviour of the seta tips, the so-called spatulae. At the lowest level, on the order of a few angstroms, a molecular interaction potential is used to describe the van der Waals adhesion forces between spatulae and substrate. Coarse-graining techiques are used to bridge the scale between the model levels. To illustrate and validate the proposed gecko seta model, numerical pull-off simulations are shown and compared to experimental data from the literature.

An atomistically enriched continuum model for nanoscale contact mechanics and its application to contact scaling.

This work provides a comprehensive exposition and extension of an atomistically enriched contact mechanics model initially proposed by the present authors. The contact model is based on the coarse-graining of the interaction occurring between the molecules of the contacting bodies. As these bodies may be highly compliant, a geometrically nonlinear kinematical description is chosen. Thus a large deformation continuum contact formulation is obtained which reflects the attractive and repulsive character of intermolecular interactions. Further emphasis is placed on the efficiency of the proposed atomistic-continuum contact model in numerical simulations. Therefore three contact formulations are discussed and validated by lattice statics computations. Demonstrated by a simple benchmark problem the scaling of the proposed contact model is investigated and some of the important scaling laws are obtained. In particular, the length scaling, or size effect, of the contact model is studied. Due to its formal generality and its numerical efficiency over a wide range of length scales, the proposed contact formulation can be applied to a variety of multiscale contact phenomena. This is illustrated by several numerical examples.