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Ohio Orthopaedic Research and Innovation Day

Submitted Abstracts


Author's Name: Sasidhar Uppuganti

Advisor's Name: Juay Seng Tan

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Sasidhar Uppuganti

Title: In-Vitro Biomechanical Stability of Trans-Sacral L5-S1 Fusion

Abstract: Background: The axial trans-sacral screw for L5-S1 fusion is a recently introduced least invasive surgical procedure.  Clinical outcomes have not been satisfactory despite favorable outcome from sponsored biomechanical studies.  The purpose of this biomechanical study was to independently assess the multi-directional stability of trans-sacral L5-S1 fixation.  Methods: Flexibility tests in flexion-extension (FE), lateral bending (LB) and axial rotation (AR) were carried out on 8 L3-S1 human cadaveric specimens.  The specimens were tested 1) intact, 2) with L5-S1 discectomy, 3) with pedicle screws alone, 4) with combined pedicles screws and trans-sacral screw, and 5) with trans-sacral screw alone.  Range of motion (ROM) and neutral zone (NZ) was compared using repeated measures ANOVA with &#945;=0.05.  Adjacent level effects across L3-L4 and L4-L5 were analyzed using the hybrid protocol.    Results: Trans-sacral fixation alone did not result in reduced L5-S1 ROM in FE (104%?27% of intact), LB (100%?24%) or AR (96%?23%) (all p>0.05).  Comparatively, pedicle screws fixation alone resulted in significantly lower ROM in FE (58%?34% of intact, p=0.0007), LB (41%?34%, p=0.0001) and AR (73%?24%, p=0.045).  Adjacent level effect was not observed with trans-sacral fixation.  Conclusion: The current biomechanical study determined that stand-alone trans-sacral fixation did not result in enhanced multi-directional stability across L5-S1.


Author's Name: Nagmesh Kumar

Advisor's Name: Dr. Juay Seng Tan

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Nagmesh Kumar

Title: In-Vitro Biomechanical Analysis of Cervical Open Door Laminoplasty

Abstract: Background:  Current surgical techniques of cervical open door laminoplasty (ODL) involve resection of posterior ligaments and spinous processes across C3-C7.  The purpose of this study was to compare the effects of resection of posterior ligaments and lamina on stability and range of motion (ROM) of the cervical spine. Methods: Multidirectional flexibility tests were carried out on 9 C2-T1 cadaveric specimens.  The specimens were tested intact and after each surgical procedure of 1) ODL alone, 2) ODL with resection of terminal ligaments, 3) ODL with removal of all ligaments, and 4) total laminectomy.  Repeated measures ANOVA at &#945;=0.05 determined differences between surgical procedures. Results:  ROM in flexion-extension (FE), normalized against intact, was 95%?7% for ODL alone, 100%?10% for ODL without terminal ligaments, and 102%?10% for ODL without all ligaments.  There was no significant difference between ODL techniques in FE, with similar trend in lateral bending.  Total laminectomy resulted in significantly higher FE ROM (120%?18% of intact, p<0.0001).  ODL resulted in 27% to 39% increase in axial rotation ROM (p=0.008).   Conclusion: The less disruptive ODL is no different from the disruptive procedures in terms of overall cervical motion.  The cervical spine is unstable in axial rotation after ODL surgery.


Author's Name: Mary Beth Wade

Advisor's Name: Kimberly Sloan Stakleff, PhD

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Mary Beth Wade

Title: Mechanically Enhanced, Peptide Cross-linked Poly(ester ureas) for Critical Bone Defect Repair

Abstract: Critical-sized bone defects are injuries to bones that create a gap in the range of 10 to 30 cm. The goal of the current research is to develop a bioactive (PEU) scaffold that will promote bone healing across large bone defects. Incorporation of bone growth factors will stimulate the migration and synthesis of new bone. Creation of a biodegradable scaffold with the porosity and strength of bone will provide enough support to bear weight while effectively inducing bone to grow into it as it slowly degrades over time.  The objective of the first phase of these studies was to demonstrate biocompatibility of the polymers. The initial polymer derivatives that were tested included PEU crosslinked with Phenylalanine (PHE) or with Leucine (LEU).  Additionally, each was tethered with the active region of Osteogenic Growth Peptide (OGP) at either 0.5% or 1% (w/w) concentration. PLLA was used as a control. All polymers were melt-pressed and cut into 1 cm wide discs. The polymers were placed in the subcutaneous space and maintained in vivo for 4 and 12 weeks. Histological analyses of the surrounding subcutaneous tissue were performed to determine whether the polymers elicit an inflammatory response, integration of new bone or neovascularization.


Author's Name: Samuel Dwomoh

Advisor's Name: Juay Seng Tan, PhD

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Samuel Dwomoh

Title: Biomechanical Evaluation of Annular Closure with Polyisobutylene Cyanoacrylate 1Samuel Dwomoh B.E., 3Ryan Gasser M.D., 2Gabor Erdodi Ph.D.,  2Joseph Kennedy Ph.D., 1Juay Seng Tan Ph.D. 1Department

Abstract: Background: No gold standard exists to repair torn annulus in herniated discs.  A novel biocompatible polyisobutylene cyanoacrylate ?(PIB-CA)3 glue is proposed as an annular sealant.  This study was carried out to determine if the repaired disc could withstand physiologic intradiscal pressure. Method:  A 9 mm wide and 20 mm deep posterolateral annular defect was created in the disc of 18 bovine lumbar specimens.  Twelve defects were repaired with ?(PIB-CA)3 while 6 were repaired with cyanoacrylate (control).  Static intradiscal pressurization up to 3.4 MPa was applied and the maximum pressure sustained without leakage was noted.  In surviving specimens, cyclic intradiscal pressurization between 2.0 to 3.4 MPa was applied for 20 cycles. Results: Two specimens repaired with ?(PIB-CA)3 leaked at 0 MPa, while 9 out of the remaining 10 specimens withstood 3.4 MPa of intradiscal pressure without leakage.  In contrast, only 1 out of 6 specimens repaired with cyanoacrylate withstood 3.4 MPa of pressure.  Cyclic loading resulted in leakage in 2 of 9 remaining ?(PIB-CA)3 repaired specimens.   Conclusion: Our novel ?(PIB-CA)3 glue provided sufficient repair strength to the annular defect to withstand intradiscal pressure beyond physiological levels.  Optimal injection volume and delivery protocol remains to be established to achieve higher success rates.


Author's Name: Kushal Shah

Advisor's Name: John Elias

Presentation Type: research

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Kushal Shah

Title: All-Epiphyseal ACL Reconstruction Improves Tibiofemoral Contact

Abstract: An all-epiphyseal approach to ACL reconstruction is performed in pediatric patients to restore knee stability without disturbing the physis.  We hypothesized that all-epiphyseal ACL reconstruction would shift contact anteriorly on the tibia, as compared to the ACL-deficient knee.  Ten cadaver knees were tested with the ACL cut and with an all-epiphyseal reconstruction.  The knees were fixed at multiple flexion angles (0?, 15?, 30?, and 45?) and loaded through a combination of quadriceps (600 N) and hamstrings (200 N) forces.  Sensors under the menisci characterized the center of force on the tibia.  Paired t-tests were used to identify significant (p < 0.05) differences between the reconstructed and cut conditions at all flexion angles.  On the medial plateau, the average center of force was at least 2 mm more anterior for the reconstructed condition than for the ACL cut, with the difference significant at all angles.  On the lateral plateau, the anterior shift in the center of force from the ACL cut to reconstructed condition was significant for all angles except 0?, with an average difference of approximately 2 mm for all significant differences.  The data indicates that all-epiphyseal ACL reconstruction can improve stability while minimizing the risk of iatrogenic physeal injury.


Author's Name: Caroline Frampton

Advisor's Name: John Elias

Presentation Type: innovation

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Caroline Frampton

Title: A System for Characterization of In Vivo Patellofemoral Motion

Abstract: No consensus exists on optimal surgical treatment for recurrent patellofemoral instability.  Representing symptomatic knees with in vitro models or computational simulations is complicated by the unstable condition of the knee, as well as the dysplasia that frequently contributes to instability.  We are developing a technique to reconstruct in vivo patellofemoral motion through a combination of diagnostic imaging and computational modeling.  The system will be used to characterize function in patients before and after surgical treatment.  Subjects perform a knee extension during a dynamic CT scan.  The CT data is used to reconstruct representations of the patella, femur and tibia at multiple positions of extension.  Patellofemoral and tibiofemoral kinematics are characterized by digitizing landmarks on the three bones to create local coordinate systems and characterizing the motion of the patella and tibia with respect to the femur based on the floating axis convention.  The method has been used to evaluate three patients in the pre-operative condition to date.  Lateral malalignment was identified, with the average patellar lateral tilt and shift larger than 15&#61616; and 6 mm, respectively, from 40&#61616; of flexion to full extension.  Post-operative reevaluation will show how surgical treatment influences patellofemoral alignment during function.


Author's Name: Greg Gould

Advisor's Name: Tarun Goswami

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Greg Gould

Title: Research at Wright State's Biomechanical Lab

Abstract: Many orthopedic devices are currently available on the market. The biomechanics lab at Wright State uses synthetic and cadaver specimens to test these devices and make the outcome relevant in the clinical aspect. It is not only important to know the orthopedic devices materialistic properties and how the device withstands forces independently but also when fixated with bones. The lab not only test devices currently on the market, but is also used to test prototype designs from Wright State graduate students, Professors, and medical students. Orthopedic surgeons, engineers, and students work together to design projects and testing procedures for the orthopedic device and then create resulting articles to be published.


Author's Name: Michael Lawrenchuk

Advisor's Name:

Presentation Type: innovation

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: attendee

Name Tag: Michael Lawrenchuk

Title: Innovations in medical image processing for the design of custom medical devices and implants

Abstract: There is a growing trend towards personalization of medical care, as evidenced by the latest developments in multislice CT imaging and ultra-fast MR imaging, personalized treatment planning in a variety of surgical disciplines and the development of more suitable implantable devices. To support this trend, the role of the biomedical engineer becomes increasingly important, as the operating theater becomes more and more a technical environment. Hospitals need multidisciplinary teams for the development of diagnostic tools, implants and tissue engineered materials, computer assisted surgery and rapid product development & virtual process simulation processes.   Here, we will describe the use of 3D medical image information of individual patients as well as selected patient populations, combined with CAE tools and processes, in the rapid product development of custom and standard implantable devices. The combination of medical image information with methods such as CAD, RP,  and FEA allows the engineer to develop implantable devices faster and better, with optimized designs tailored to the anthropometry of the targeted patient (population), using virtual instead of mechanical prototype testing.   Case studies from leading biomedical research institutes as well as medical device manufacturers will be demonstrated with a focus on orthopedic applications of this innovative technology.


Author's Name: J. Adam Hamilton, John Dundon

Advisor's Name: Michael Herbenick

Presentation Type: innovation

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: John Dundon, MD

Title: The Cannulated Screw Core: Improving the Mechanical properties of Cannulated Screws

Abstract: Introduction: Cannulated screws are commonly used orthopedic implants.  While cannulated screws can be easier to insert, studies have demonstrated a decrease in fatigue strength.[i]  The purpose of this study is to test a novel cannulated screw, as designed by Hamilton, that has a so called ?cannulated screw core? insert that may allow it to have similar mechanical properties to a solid core screw. Methods: Five separate groups of 4.5mm screws were tested with six samples per group.  These groups included: a Synthes solid core, a Synthes cannulated, a solid core prototype, a cannulated prototype, and a cannulated with core prototype screws.  Each sample was subjected to 3-point bending at a constant rate.  Maximum load to failure and flexural strength were determined from stress strain graphs.   Results: The mean 3-poin flexural strength of the solid core, cannulated, and cannulated with core prototypes were 2414 (SD 70.8), 1775 (SD 50.6), and 2166 (SD 72.9) N, respectively.   Discussion: Testing of the Synthes screws confirmed that solid core screws are generally stronger than cannulated screws.  Although other testing like cyclical loading will have to be done, this study suggests that a cannulated screw core makes a cannulated screw behave similarly to a solid core screw.


Author's Name: Amy Yousefi

Advisor's Name:

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: attendee

Name Tag: Amy Yousefi, Ph.D.

Title: Biomimetic Constructs for Cartilage Regeneration and Cartilage Replacement

Abstract: The biological basis of joint problems is the deterioration of articular cartilage and subchondral bone at the joint surface.  Current treatments have limited success in terms of their efficiency or have unacceptable side effects.  Tissue engineering approach using polymeric scaffolds is a novel alternative to conventional repair techniques with the goal of restoring tissue functionality. In our previous studies, poly(L-lactic acid)(PLLA) and poly(L-lactic-co-glycolic acid)(PLGA) were used to produce tissue-engineering scaffolds by a combination of 3D-plotting and porogen-leaching techniques. These constructs, designed to mimic cartilage and seeded with chondrocytes, improved the cell viability under dynamic loading inside a mechanically-loaded bioreactor. The in vivo results in a canine model demonstrated that the implanted scaffolds were favorably contributing to the repair process as compared to the empty control lesions. While our current focus is on tissue engineering approach, this work will also present our recent results on designing hydrogel-based biomaterials for cartilage replacement. Polyvinyl alcohol/polyvinylpyrrolidone (PVA/PVP) hydrogels were prepared by successive freeze-thaw cycles. Adjusting the polymer concentration, PVP/PVA ratio, number of freeze-thaw cycles , and thawing rate provided insight into designing constructs with desired wear resistance and target storage and loss moduli (E? and E?) matching those of cartilage.


Author's Name: Lei Kerr and Huiying Jia

Advisor's Name: Lei Kerr

Presentation Type: innovation

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: attendee

Name Tag: Dr. Lei Kerr, Associate Professor, Miami Universit

Title: Anodized TiO2 Nanotube Film for Controllable Drug Delivery in the Implant

Abstract: To control drug delivery is to administer the necessary amount of drug safely and effectively to specific sites in the human body and to regulate the temporal drug profile for maximum therapeutic benefits.  Drug therapy regiments are now required by most of medical implant procedures in order to decrease inflammation, control infection and prevent clotting. However, when the antibiotic is given orally, it is not effective for preventing bacterial infection around the implant. This is because most antibiotic will travel through the whole body as well as be absorbed by the liver, intestine, kidneys, or lung. As a result the drug cannot reach the infection site in the implant surface with effective concentration.  Increasing drug doses cannot solve this problem because it will lead to organ toxicity. Thus, delivery of drugs locally from an implant surface has become a commonly used option to prevent infection. In this study, we develop a method for controllable drug release using an innovative hybrid biodegradable polymer/TiO2 nanotube structure.  The TiO2 nanotube with various morphologies is synthesized via the anodization method.


Author's Name: David Kirschman

Advisor's Name: n/a

Presentation Type: innovation

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: attendee

Name Tag: David Kirschman

Title: In vivo and In vitro biomechanical performance of a novel pedicle screw system: A two-year retrospective analysis.

Abstract: Objective. To perform a review of the in vivo and in vitro biomechanical performance of a novel rotary locking polyaxial pedicle screw system. Methods. Operative and postoperative data on all patients treated at single center with lumbar rotary-locking pedicle screw &#64257;xation between January and December of 2007 were reviewed using standard operative data. Additionally, the screw system was tested using internationally accepted biomechanical testing methodologies. Results.Of the implantations performed, no patients required re-operation due to hardware complications and 1 patient required re-operation due to infection (2.4%), and 1 patient required non-surgical treatment for superficial wound infection (2.4%). Additionally, rotary locking pedicle screw systems underwent in vitro polyaxial yield testing, screw pullout testing, axial slip testing, compressive static yield testing and compressive fatigue testing per ASTM F1717 and F1798 guidelines.  Conclusion. The Capless pedicle screw system is a viable alternative to currently used pedicle screw systems, demonstrating effective biomechanical performance in vitro and in vivo.


Author's Name: John Cotton

Advisor's Name:

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration: attendee

Name Tag: John Cotton

Title: Mechanical modeling of the porcine temporomandibular joint

Abstract: Temporomandiular joint (TMJ) disorders affect up to 25 percent of the population, leading to pain disfunction and arthritis.  The pig is an excellent model for examining human TMJ mechanics due to its low cost and relative similarity.  My lab at Ohio University uses the pig TMJ to examine both porcine and human TMJ mechanics.    We created a FE model of a pig TMJ as follows.  From a Hanford pig CT scan, we segmented the mandibular and temporal bone proximal to the joint.  Soft tissues representing the fibrocartilage disc, and both TMJ and retrodiscal ligaments were added based on the CT image and anatomic dissections.  The model was meshed, and bone and ligaments given appropriate linear elastic or hyperelastic material properties.  We applied muscle and reaction loads representing mastication taken from the literature.  We see a stress distribution pattern in the disc similar to published qualitative estimations.    In a related work, we have microCT scanned the mandibular condyle from six Handford pigs to determine microscale properties of the underlying bone.  As trabecular bone adapts both its density and orientation in response to the magnitude and directionality of stress, we examine the use of trabecular bone structure to validate the FE model.


Author's Name: Rinki Goswami

Advisor's Name: Dr. James Bartsch

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Rinki Goswami

Title: Characterizing the Effects of Bromelain on the Mechanical Properties of Bovine Articular Cartilage

Abstract: The effects of an enzymatic environment on the mechanical properties of bovine cartilage was examined.  Additionally, the effects of varying bromelain concentrations (BR1 ? 2.3 GDU/gram vs. BR2 ? 10 GDU/gram) on cartilage are characterized, and the effects of immersion time on the properties of cartilage are noted.  Cartilage samples were tested under compression, relaxation, and cyclic loading. The average strain energy tended to be higher in PBS samples compared to bromelain samples for both 1 week and 24 hour samples. The Young?s modulus was greater in BR1 samples. Neither of the analyses showed solution sensitive results. The Young?s modulus data showed definite decrease after increased immersion time sensitivity. From the relaxation data, the average relaxation time was not particularly descriptive.  For the samples submerged for 24 hours, the time constant was the largest in PBS, a value that was lower than the one in BR1, but larger than the one in BR2.  This latter decreasing trend was reversed with an increase in the length of the submersions, with the time constant for the submersion in the order of BR1, PBS, BR2.  From analysis of the cyclic loading data, the average hysteresis and degree of plasticity tended to be higher in PBS samples than in samples that were immersed in bromelain (47.3% and 13.2% respectively).  Increased bromelain concentrations resulted in an increase on the hysteresis and degree of elasticity of cartilage samples (13.27% and 12.9% respectively).


Author's Name: S.Hueston, I.Mabe, M.Makola

Advisor's Name: Tarun Goswami, D.Sc

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Susan Hueston, Isaac Mabe, Mbulelo Makola

Title: Morphometry Analysis and Kinematic Response of the Cervical Spine

Abstract: In medical device development it is important to understand the anatomy of the human body, of particular interest for this group and this investigation is the cervical spine.  In order to aid in the understanding of the cervical spine an analysis of differences in the morphometry based on demographics of the patient was investigated.  Investigation into the change in the dimensional anatomy of the cervical spine vertebras based off gender, race, and age was accomplished.  From the same CT scans three-dimensional anatomical models were constructed of the cervical spine. Static load conditions are used to for model validation to determine the accuracy of the 3D model.  While static analysis is good, in vivo situations are dynamic so this study will also examine the relationship between static and dynamic loading and the differences there in.  While complete physiological loads are difficult to replicate a dynamic load response is key to investigating the kinematic response of the cervical vertebra to applied injurious loading conditions.  The results of this will further assist in more accurate device development, understanding of risk, and a better understanding of the functionality of the cervical spine.


Author's Name: Dishita Patel

Advisor's Name: Dr.Tarun Goswami

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Dishita Patel

Title: Influence of Design Parameters on Cup-Stem Orientations for Impingement free RoM in Hip Implants

Abstract: This study was conducted to study the influence of design parameters namely the head/neck ratio, neck-shaft angle , oscillation angle and stem offset on cup-stem orientations namely the cup inclination, cup anteversion and stem antetorsion. This study attempted to answer following assumptions whether a) implants with higher H-N ratio can achieve higher oscillations and higher stem anterosion, b) stems with higher neck shaft angle can achieve higher cup anteversion with lower stem offset and stem antetorsion, c) stem with higher offsets can achieve lower cup anteversion with higher stem antetorsion, and d) lower cup anteversion can be achieved when stem antetorsion is higher, e)maximum stress occurs on acetabular cup or femoral stem during gait cycle, f) how critical is the interaction between ball-stem to predict impingement for dislocation. A theoretical and a finite element method was implemented to anaylze range of motion until impingement between cup and neck occurred. Multivariate prediction models were developed to predict optimal cup-stem orientations for the chosen design parameters of 12 hip implants. This study aims to enhance the understanding of cup-stem orientation  for pre-surgical planning to achieve optimal component placement as well as designing better components for a successful Total Hip Arthroplasty.


Author's Name: Matthew Coombs

Advisor's Name: Donita Bylski-Austrow

Presentation Type: research

Invention Disclosure Rights: private

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Matthew Coombs incl. Donita Bylski-Austrow & D

Title: Spinal Hemiepiphysiodesis: Initial Biomechanical Conditions that Modify Growth

Abstract: With the goal of preventing juvenile and adolescent spine deformity progression without arthrodesis, methods of mechanically altering spine growth asymmetrically have been under investigation. One implant construct has been approved by the FDA for an early stage clinical study. In previous studies using this device, scoliotic curvatures were induced in normal porcine spines within 2 months. The tissue-level mechanism of graduated growth inhibition included decreased physeal hypertrophic zone and disc heights. Intra-operative bilateral compressive stresses and in vivo physiological stresses have been reported in this model. The purpose of these studies was to determine if staple implantation caused initial biomechanical gradients.   Biomechanical tests were performed in vitro on porcine thoracic spinal motion segments before and after stapling. Compression tests included custom MEMS sensors placed bilaterally in the annulus. A finite element model was developed of the segment and test conditions. FEA well predicted the nonlinear load-displacement curve before stapling, and overestimated the stiffness of the segment after stapling. Disc stresses from model and experiment showed stress shielding after stapling. These studies help define at least one set of biomechanical initial conditions that have been shown capable of modifying spine growth asymmetrically.


Author's Name: Brian Yeakley

Advisor's Name: Dr. Tarun Goswami

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Brian Yeakley - Booz | Allen | Hamilton

Title: Increased Aircrew Helmet Protection

Abstract: Currently, there are eight different Air Force aircrew helmets providing 27 different configurations.  The Modular Aircrew Common Helmet program will provide greater personal protection and replace the eight different helmets with a single helmet capable of providing the current configurations.  When an aircrew member initiates an aircraft ejection, the added weight of a helmet has a measurable effect on the cervical spine.  The effect is compounded based on the orientation of the aircrew?s head at the time of ejection initiation.  This analysis focuses on the potential increase in cervical spine injuries as a result of a heavier helmet.  The analysis will also investigate whether or not the overall increase in personal protection is worth an increase in cervical spine injuries and fatalities.


Author's Name: Norman, Timothy

Advisor's Name:

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration:

Name Tag: Tim Norman

Title: In-Service Damage Accumulation and Mineralization Heterogeneity in Human Femoral Cortical Bone

Abstract: Mineralization heterogeneity may have a role in defining the relationship between microdamage and mineralization in human cortical bone. Significantly more cracks exists in interstitial regions of bone perhaps due to increased mineralization in those regions. However, even though microdamage significantly increases with age, several studies indicate that average (or bulk) mineralization in bone decreases with age. It is believed that bone damageability increases with the elevation or suppression of bone turnover. Suppression of turnover via bisphosphonates increases local bone mineralization which theoretically should increase the susceptibility of bone to microcrack formation. Elevation of bone turnover has also been proposed to increase bone microdamage through an increase in bone intracortical porosity and local stresses and strains. This work investigates the relationship between mineral content and porosity and increase bone in-service damageability. Experimental measurements of in-vivo diffuse damage area (Df.Dm.Ar, %) and microcrack density (Cr.Dn) (cracks/mm2) from human cortical bone of the midshaft of the proximal femur were made from cadavers with an age range of eight decades. In addition, a semi-empirical micromechanical mineralization model was developed, to determine the relationship between amount of hypermineralized bone and average (bulk) mineralization with age. It was hypothesized that although bone may contain hyper-mineralized regions, that average or bulk mineralization can decrease with age consistent with experimental data, when undermineralized regions also exist.


Author's Name: Shirish Ingawale

Advisor's Name: Dr. Tarun Goswami

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Shirish Ingawale

Title: Subject-specific Modeling and Finite Element Assessment of Mandible and the TMJ Implant

Abstract: A subject-specific 3D model of mandible was developed from CT scans of a female. FEA of the model were performed under four loading conditions - balanced loading, unbalanced loading, teeth grinding, and clenching - using bite and muscle forces independently. Three FEA simulations for each loading condition were performed and peak von Mises stresses in condylar fibrocartilage were noted. Also, FEA of the patient-fitted Biomet-Lorenz TMJ implant were performed. The peak von Mises stresses developed in mandibular condylar cartilage during teeth grinding and clenching were found significantly different (p-value <0.0001 at = 0.05) and higher than during balanced loading for bite as well as muscle force simulations. However, the peak stresses in condylar cartilage during unbalanced loading were not significantly different (at = 0.05, p-value = 0.4386 and 0.1967 for bite force and muscle force simulations, respectively) than during balanced loading. Stresses developed in the implant provide insight into structural hot spots of the device; and may help improve the design, treatment efficiency, and durability of the TMJ prostheses.


Author's Name: Kane, Erik, Pernicano, Leah

Advisor's Name: Tim Norman

Presentation Type: research

Invention Disclosure Rights:

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Erik Kane

Title: Three Dimensional Finite Element Analysis of Intramedullary Nails for Size

Abstract: Missionary surgeons in third world countries face the challenge of treating many patients for numerous medical conditions with very limited resources.  One specific surgery they often perform is an intramedullary (IM) nailing to treat a femoral fracture.  The overall goal of this project is to provide a solution to the problem faced by missionary hospitals, which is the high cost of modern day medicine.  To do this, an existing intramedullary nail (Russell-Taylor/Smith & Nephew IM nail) used by missionary surgeons was reverse-engineered.  These injuries affect people of many different ages, heights, and weights; therefore, the missionary surgeons in third world countries need IM nails of various sizes. The objective of this study was to investigate the effect of nail size on stresses in the nail, fasteners, and bone to assess the likelihood of failure. To do this, a 3D finite element model was created and loaded to simulate single-legged stance and stair-climbing. Numerical analysis was then performed on these models.  Specifically, nails with diameters of 11, 12, and 13 mm were analyzed and the stresses of the nail, fasteners, and bone were compared to static and fatigue allowable stresses. Ultimately, the design will be manufactured and distributed to Tenwek hospital in Kenya, Africa.


Author's Name: Bradley Elliott

Advisor's Name: Dr. Tarun Goswami

Presentation Type: research

Invention Disclosure Rights: university

Funding Provided By:

Conflict of Interest: no

Registration: student

Name Tag: Bradley Elliott

Title: Hip Implant Micromotion and Resulting Femoral Canal Damage for Several Implant Materials

Abstract: Interfacial motion between the hip implant stem and the femoral canal in total hip arthroplasties is one of the primary reasons for a lack of boney ingrowth for press-fit implants.  It has been demonstrated that as much as 40-150 ?m (Jasty, Bragdon, Burke, O'Connor, Lowenstein, & Harris, 1997) of motion at the interface can degrade the likelihood of ingrowth to a point of non-adherence.  Furthermore, the potential for bone damage in the canal attributed to this motion cannot be readily ignored.  Therefore, this research is aimed at using finite element methods to determine the level of relative motion between the implant stem and femoral canal and attempt to find a correlation between this motion and the rate of accumulating damage in the bone canal.  Several implant materials will be tested in order to determine the role material properties plays in both phenomena.       Reference:   Jasty, M., Bragdon, C., Burke, D., O'Connor, D., Lowenstein, J., & Harris, W. H. (1997). In Vivo Skeletal Response to Pourous-Surfaced Implants Subjected to Small Induced Motions. Journal of Bone and Joint Surgery , 707-714.

 

 

 

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