Virtual prototyping of a new intramedullary nail for tibial fractures

In this work a new distal interlocking system has been developed which is easy to use, allows a reduction of the operating time and consequently the exposure to radiations both for surgeon and patient. The main goal of this study has been the design of a new intramedullary nail for tibial fractures able to simplify and speed up the distal locking operation phases. After a preliminary stage during which several candidate concepts have been proposed and analysed, the best solution has been developed and deeply investigated. The new system, called "expansion nail", has been firstly modelled by setting up a full parametric CAD model and, then, tested by running non linear FEM analyses to evaluate stresses and stability of the joining during normal working conditions. The new design has shown very high mechanical stability in the axial compression and torsional load cases. Since its very simple self-locking system, the new expansion intramedullary nail would reduce the operating time and the exposure to radiations for the surgeons as well as the patients

Behaviour of a speargun with a novel muzzle

The paper presents the results of a numerical and experimental investigation performed on a barrel of a speargun equipped with two kinds of muzzle. In particular, a standard muzzle for speargun (having an elastic propulsion) has been compared with an innovative one called 'roller'. This new muzzle is equipped with two rollers and special bands. The rubber bands, fixed at the lower side of the barrel, run through the rollers and are engaged in suitable seats of the shaft. These bands are, therefore, longer than the traditional ones and, consequently, with equal force applied by the diver, the roller speargun has a longer range. Thanks to the particular geometry of the new muzzle, one of the front constraints of the elastic bands is moved to the lower part of the barrel or the handle.As a consequence, the scheme of the loads applied on the speargun remarkably changes passing from a standard muzzle to a roller one. All that has a great influence on the level of deformation of the barrel and, consequently, on the accuracy of the shot. Because of the low velocity of the spear (if compared with the firearms), in fact, the accuracy of the shoot if strongly influenced by the barrel bending due to the forces applied by means of the elastic bands. In this paper it is experimentally evaluated the bending of the barrel equipped both with the innovative muzzle and with the traditional one in order to compare their performances. The experimental analysis of the barrel was performed by electrical strain gauges suitably located at the section with the highest values of the strains. In order to find the barrel section with the highest strain values where to locate the strain gauges, a preliminary numerical FEM analysis has been performed. The loads and constraints scheme has been evaluated both for the standard and the new muzzle. In particular, the forces due to the elastic bands, their application points and directions have been experimentally obtained. To speed up the process of numerical simulation, without invalidating the results reliability, simplified FEM models have been used. In particular, a very accurate model of the barrel has been shaped, whereas the models of the muzzles and the handle have been simplified. The forces due to the elastic bands, experimentally obtained, have been applied on the FEM models. The maps of the maximum and minimum principal strains have allowed to find the area with the highest strain values, placed in rear part of the barrel (near the handle). The strain values experimentally measured on the speargun have been very similar to the ones calculated by means of the numerical simulations. That demonstrates the developed FEM models are very reliable and can ben used to predict the performances of the speragun under different loads conditions. The speargun with the new roller muzzle shows very lower strain values if compared with the ones measured in the standard one. Nevertheless, considering the two spearguns have different elastic bands setup, it has been thought the comparison of their performances should be made hypothesizing the same maximum force applied during the speargun charge. This condition, moreover, could be really obtained by changing the kind of the elastic bands in the speargun with the roller muzzle. For this reason, during the results analysis phase, the strain values measured on the roller speargun have been 'normalized' by increasing them of a value equal to the ratio of the maximum forces due to the rubber bands. The data post processing has allowed to evaluate the forces and the bending moments on the barrels with the standard muzzle and the roller one. Results show the barrel with the innovative muzzle has, also considering equal forces applied by the diver, a lower bending than the barrel with a traditional muzzle. To evaluate the maximum deflection of both the spearguns, a new numerical simulation has been set up. In particular, in this FEM analysis, the roller speargung has been loaded with a maximum force comparable with the standard one. The obtained results show that the standard speargun has a higher value of the maximum deflection respect to the roller one. Since higher deflection values of the barrel make worse the accuracy of the shot, these results demonstrate the novel speargun can be more precise than the traditional one

On the left ventricular remodeling of patients with stenotic aortic valve: A statistical shape analysis

The left ventricle (LV) constantly changes its shape and function as a response to patho-logical conditions, and this process is known as remodeling. In the presence of aortic stenosis (AS), the degenerative process is not limited to the aortic valve but also involves the remodeling of LV. Statistical shape analysis (SSA) offers a powerful tool for the visualization and quantification of the geometrical and functional patterns of any anatomic changes. In this paper, a SSA method was devel-oped to determine shape descriptors of the LV under different degrees of AS and thus to shed light on the mechanistic link between shape and function. A total of n = 86 patients underwent computed tomography (CT) for the evaluation of valvulopathy were segmented to obtain the LV surface and then were automatically aligned to a reference template by rigid registrations and transformations. Shape modes of the anatomical LV variation induced by the degree of AS were assessed by principal component analysis (PCA). The first shape mode represented nearly 50% of the total variance of LV shape in our patient population and was mainly associated to a spherical LV geometry. At Pearson’s analysis, the first shape mode was positively correlated to both the end-diastolic volume (p < 0.01, R = 0.814) and end-systolic volume (p < 0.01, and R = 0.922), suggesting LV impairment in patients with severe AS. A predictive model built with PCA-related shape modes achieved better perfor-mance in stratifying the occurrence of adverse events with respect to a baseline model using clinical demographic data as risk predictors. This study demonstrated the potential of SSA approaches to detect the association of complex 3D shape features with functional LV parameters

On the Finite Element Modeling of the Lumbar Spine: A Schematic Review

Finite element modelling of the lumbar spine is a challenging problem. Lower back pain is among the most common pathologies in the global populations, owing to which the patient may need to undergo surgery. The latter may differ in nature and complexity because of spinal disease and patient contraindications (i.e., aging). Today, the understanding of spinal column biomechanics may lead to better comprehension of the disease progression as well as to the development of innovative therapeutic strategies. Better insight into the spine’s biomechanics would certainly guarantee an evolution of current device-based treatments. In this setting, the computational approach appears to be a remarkable tool for simulating physiological and pathological spinal conditions, as well as for various aspects of surgery. Patient-specific computational simulations are constantly evolving, and require a number of validation and verification challenges to be overcome before they can achieve true and accurate results. The aim of the present schematic review is to provide an overview of the evolution and recent advances involved in computational finite element modelling (FEM) of spinal biomechanics and of the fundamental knowledge necessary to develop the best modeling approach in terms of trustworthiness and reliability

Contact between the components of a knee prosthesis: numerical and experimental study

The aim of this work is the analysis of the contact area in a knee prosthesis using two different approaches. In particular, the interface between the femoral component and the polyethylene insert has been studied both numerically and experimentally. The interest in studying the contact area is related to the fact that the wear of the polyethylene insert, due to the high contact pressures, represents one of the major causes of failure of the total knee prosthesis. The possibility to evaluate the contact area at different loads and mutual position between femur and tibia is, therefore, of fundamental importance to study the service life of a prosthesis and to improve its performance. The finite element numerical approach has required the acquisition, through reverse engineering, and CAD modelling of the prosthetic components. Then the FEM simulations have been developed considering two different load conditions. In order to compare the calculated data, the same load configurations have been used for experimental tests based on ultrasonic method. In this case, some preliminary tests were required to calibrate the system depending on the particular characteristics of materials, geometries and surface finish of the prosthesis.The results show a good correlation between the data obtained with the two different approaches and, consequently, a good level of reliability of the procedures developed for the numerical and experimental evaluation of the contact area. The numerical procedure can be used to determine the area for different angles and loads, but especially in the design phase. The ultrasonic technique can be used to validate the numerical data

A reverse engineering approach to measure the deformations of a sailing yacht

In this work, a multidisciplinary experience, aimed to study the permanent deformations of the hull of a regatta sailing yacht is described. In particular, a procedure to compare two different surfaces of the hull of a small sailing yacht, designed and manufactured at the University of Palermo, has been developed. The first one represents the original CAD model while the second one has been obtained by means of a reverse engineering approach. The reverse engineering process was performed through an automatic close-range photogrammetry survey, that has allowed to obtain very accurate measures of the hull, and a 3D modelling step by the well-known 3D computer graphics software Rhinoceros. The reverse engineering model was checked through two different procedures implemented by the graphical algorithm editor Grasshopper. The first procedure has allowed to compare the photogrammetric measurements with the rebuilt surface, in order to verify if the reverse engineering process has led to reliable results. The second has been implement to measure the deviations between the original CAD model and the rebuilt surface of the hull. This procedure has given the possibility to highlight any permanent deformation of the hull due to errors during the production phase or to excessive loads during its use. The obtained results have demonstrated that the developed procedure is very efficient and able to give detailed information on the deviation values of the two compared surfaces

Contact between the components of a knee prosthesis: numerical and experimental study

The aim of this work is the analysis of the contact area in a knee prosthesis using two different approaches. In particular, the interface between the femoral component and the polyethylene insert has been studied both numerically and experimentally. The interest in studying the contact area is related to the fact that the wear of the polyethylene insert, due to the high contact pressures, represents one of the major causes of failure of the total knee prosthesis. The possibility to evaluate the contact area at different loads and mutual position between femur and tibia is, therefore, of fundamental importance to study the service life of a prosthesis and to improve its performance. The finite element numerical approach has required the acquisition, through reverse engineering, and CAD modelling of the prosthetic components. Then the FEM simulations have been developed considering two different load conditions. In order to compare the calculated data, the same load configurations have been used for experimental tests based on ultrasonic method. In this case, some preliminary tests were required to calibrate the system depending on the particular characteristics of materials, geometries and surface finish of the prosthesis.The results show a good correlation between the data obtained with the two different approaches and, consequently, a good level of reliability of the procedures developed for the numerical and experimental evaluation of the contact area. The numerical procedure can be used to determine the area for different angles and loads, but especially in the design phase. The ultrasonic technique can be used to validate the numerical data

Behaviour of a speargun with a novel muzzle - Comportamento di un fucile subacqueo con testata innovativa

The paper presents the results of a numerical and experimental investigation performed on a barrel of a speargun equipped with two kinds of muzzle. In particular, a standard muzzle for speargun (having an elastic propulsion) has been compared with an innovative one called ‘roller’. This new muzzle is equipped with two rollers and special bands. The rubber bands, fixed at the lower side of the barrel, run through the rollers and are engaged in suitable seats of the shaft. These bands are, therefore, longer than the traditional ones and,consequently, with equal force applied by the diver, the roller speargun has a longer range. Thanks to theparticular geometry of the new muzzle, one of the front constraints of the elastic bands is moved to the lowerpart of the barrel or the handle.As a consequence, the scheme of the loads applied on the speargun remarkably changes passing from a standard muzzle to a roller one. All that has a great influence on the level of deformation of the barrel and, consequently, on the accuracy of the shot. Because of the low velocity of the spear (if compared with the firearms), in fact, the accuracy of the shoot if strongly influenced by the barrel bending due to the forces applied by means of the elastic bands

Biomechanical analysis of two types of osseointegrated transfemoral prosthesis

In the last two decades, osseointegrated prostheses have been shown to be a good alternative for lower limb amputees experiencing complications in using a traditional socket-type prosthesis; however, restraining biomechanical issues, such as peri-prosthetic bone fractures or loosening, are present. To better understand and overcome these limiting issues, and thus reduce the number of implant failures, many studies have investigated the stress distribution on bone and implant during normal daily activities. The aim of this study was a biomechanical analysis of two different osseointegrated implants, a screw-type (OPRA) and a press fit system (OPL, Osseointegrated Prosthetic Limb), to evaluate the stresses generated in bone and prosthesis during a fall. In particular, four scenarios have been experimentally reproduced to determine the loads on the limb during different kinds of fall. For this purpose, a motion capture system and a force plate have been used. Numerical FEM (Finite Element Method) simulations have been performed to compare the behaviour of the OPRA and OPL systems in different fall scenarios. The obtained results showed that a fall backwards due to balance loss is the most stressful scenario among the ones analysed. As regards the comparison between OPRA and OPL devices, it emerged they have similar behaviours in terms of peak values of the stress, but the OPL implant generates larger high-stress areas in the distal femur as compared with the OPRA system