Abstract
Successful development of implants for orthopaedic surgical procedures depends on a comprehensive understanding of the interaction between implant biomaterials and the host tissues of the musculoskeletal system. Mechanical factors are a key part of this interaction. This chapter investigates the potential of computational modelling and simulation approaches at multiple length scales to elucidate the response of musculoskeletal tissues to orthopaedic implants, leading to improved treatment outcomes. To a large extent, musculoskeletal tissues derive their load-bearing function from their hierarchically arranged structure; therefore we pay particular attention to modelling of the musculoskeletal tissues themselves from the nano- and micro-scales to the macro-scale. The most well-characterised musculoskeletal tissue are bone, and this chapter covers recent work on micro- and nanoscale modelling of bone and collagen and on defining the elasto-plastic constitutive response of the bone extracellular matrix using finite element models of bone nanoindentation combined with atomic force microscopy to map the inelastic deformation of the tissues. The use of serial milling and block face imaging techniques to determine soft tissue anatomy at multiple length scales for definition of model geometry is also covered. The potential for further development of multiscale computational biomechanics through modelling cell and tissue mechanobiology is discussed, including more detailed mechanical characterisation of the tissue–implant interface, modelling the strain fields experienced by cells within the extracellular matrix and within scaffolds and coupled modelling of other physical and biological phenomena within tissues and biomaterials.
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Notes
- 1.
We note that it is not possible to deduce from this meta-analysis which of the complications were directly implant related or which were due to other causes.
- 2.
Even in this supposedly simple case of modelling the body as a multi-jointed mechanism, modelling uncertainties abound: muscle lines of action are complex and involve wrapping and contact with other muscles; joints are polycentric, the axis of rotation changing with the degree of rotation. Intra-abdominal pressure affects trunk stiffness, and muscle activation strategies vary during repeated performance of the same task.
- 3.
The physics-based, mechanistic models we refer to here are spatio-temporal models, i.e. they represent tissues and implants as structures in three-dimensional space. Pivonka and Komarova [39] provide an overview of other types of (temporal only) mathematical models used in bone biology.
- 4.
Micro-scale FE models of bone are sometimes described in the literature as ‘high-resolution finite element models’ (see, e.g. [46]).
- 5.
We note that several studies refer to four types of microcracks rather than three.
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The author wishes to acknowledge Dr Victoria Toal, Dr Katrina McDonald and Dr Cameron Bell for providing images.
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Adam, C.J. (2017). Multiscale Modelling and Simulation of Musculoskeletal Tissues for Orthopaedics. In: Li, Q., Mai, YW. (eds) Biomaterials for Implants and Scaffolds. Springer Series in Biomaterials Science and Engineering, vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53574-5_1
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