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vol. 51, no. 4 (2003)

Contents of issue 2-3, vol. 51

  1. S.C. Cowin: Adaptive Elasticity: A Review and Critique of a Bone Tissue Adaptation Model
  2. P. Kowalczyk: Influence Of Bone Anisotropy On Stress Distribution And Optimum Shape Of Cementless Femoral Implants
  3. A. John, P. Orantek: Computer Aided Modelling of Human Pelvic Bone
  4. M. Gzik, D. Tejszerska: Dynamical Forces Inside Facet Joints, Intervertebral Discs and Ligaments of Human Cervical Spine
  5. D. Jasińska--Choromańska, J. Deszczyński: A New Type of External Fixation
  6. D. Jasińska-Choromańska, I. Sadzyński: Monitoring Techniques of Bone Fracture Healing Using External Fixators
  7. M. Stańczyk, J. J. Telega: Heat Transfer Problems in Orthopaedics
  8. J. Chłopek, G. Kmita: Non-Metallic Composite Materials for Bone Surgery
  9. K. Skiba: Diagnostics and Treatment of Traumatic Damages to Achilles Tendon
  10. E. Wiczkowski, A. Kędzia, A. Kania: Raumatic Damage Pathomechanism of Cerebral Vessels Caused by Geriatric Changes

S.C. Cowin: Adaptive Elasticity: A Review and Critique of a Bone Tissue Adaptation Model
Living bone is continually undergoing processes of growth, reinforcement and resorption. These processes are termed collectively ``remodeling''. The remodeling processes in living bone are the mechanisms by which the bone adapts its histological structure to changes in long-term loading. The theory of adaptive elasticity was developed as a model for the mechanical load induced adaptation of bone. All three aspects of the theory of adaptive elasticity are reviewed here. These include internal adaptation, surface adaptation and architectural adaptation. The successes of the theory as well as the features of the theory that should now be revised are discussed.

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P. Kowalczyk: Influence Of Bone Anisotropy On Stress Distribution And Optimum Shape Of Cementless Femoral Implants
Implant separation from bone tissue, resulting in the necessity for revision surgery, is a serious drawback of cementless total joint replacement. Unnatural stress distribution around the implant is considered the main reason for the failure. Optimization of the implant properties, especially its geometric parameters, is believed to be the right way to improve reliability of joint prosthetics. Numerical models of femur--implant system enabling approximate analysis of stress distribution and shape optimization of implants suffer from numerous simplifications as, e.g., the assumption of bone isotropy, which may put in question reliability of the results obtained. In this paper, a numerical model including orthotropic properties of both cancellous and cortical bone is presented and influence of this assumption on results of the analysis and optimization is investigated.

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A. John, P. Orantek: Computer Aided Modelling of Human Pelvic Bone
Numerical modelling of human pelvic bone makes it possible to determine the stress and strain distribution in bone tissue. Before numerical analysis, the geometrical model of analyzed structure should be prepared. It is an important step in numerical analysis because the obtained results depend on it. Up to the present, in the most of examples, the creation of geometrical model was done in a simple but time-consuming way. In the paper the numerical routine, translating data from the coordinate measuring machine to the Patran code is presented. At the first step, the geometrical model with the layer structure of bone tissue is created. The geometrical data is the basis to create an FE mesh. After meshing, the boundary conditions and load should be assumed. When the load and boundary conditions are known, the strain and stress distribution can be calculated using the Nastran or Advanced FEA code. The presented program enables to reduce the time of creation of numerical model.

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M. Gzik, D. Tejszerska: Dynamical Forces Inside Facet Joints, Intervertebral Discs and Ligaments of Human Cervical Spine
The paper presents a dynamic spatial mathematical model in which a head, seven cervical vertebrae, a group of 19 couples of neck muscles, 6 intervertebral discs, ligaments and facet joints are taken into consideration. The created model enables simulation of dynamical forces inside anatomical parts of human neck. The behaviour of the modelled body exposed to action of a~force corresponding to the real enforcement, which occurs at a head-on collision during the road accident was simulated, and the model was verified on the basis of the data obtained from published experiments.

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D. Jasińska--Choromańska, J. Deszczyński: A New Type of External Fixation
The paper presents some problems related to external osteosynthesis. Design of the new generation of external fixators should use modelling, computer simulation and clinical postulates. New generation of external fixators has been equipped with the measuring system of the bone healing process. Some of the important problems connected with the mechatronical and clinical aspects of the external fixator design and clinical application are presented.

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D. Jasińska-Choromańska, I. Sadzyński: Monitoring Techniques of Bone Fracture Healing Using External Fixators
Long bone fractures can be healed using external fixators - devices that stiffly fix the fractured fragments, attached to the bone by pins parallel to the bone frame. This method enables to benefit both from healing and diagnostics of fracture during osteogenesis. Osteogenesis, traditionally diagnosed using X-rays methods (RTG, densitometry), can also be more precisely determined with mechanical properties like strength and stiffness inside the fracture slot. The treatment of long bone fractures by external fixators offers a unique opportunity to control the healing of the fracture by measuring the compression forces on the frame, that occurs under the load applied to the bone and depends on the mechanical properties of the fracture. The procedure of measurement of the compression force on the frame can be performed using tensometers, what is a cheap and simple method, and can be performed by the patient at home. The measurement of osteogenesis gives a possibility of more precise diagnostics of the fracture. It can also be combined with computer techniques like artificial intelligence. The paper presents one of the methods of monitoring the bone fracture healing.

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M. Stańczyk, J. J. Telega: Heat Transfer Problems in Orthopaedics
The present paper presents a comprehensive review of the heat transfer problems in orthopaedics. The emphasis is put on presenting clinically relevant issues along with the purpose and motivation for studying the presented problems. The available experimental methods and results are presented and the modelling approaches are described -- mathematical formulations and numerical results.

The first of the problems studied is the bone cement heating during cemented implantations, special attention being paid to modelling the kinetics of the acrylic bone cement polymerisation. Next, the heat production during drilling and sawing of the bone is discussed. Eventually, the results concerning frictional heating of the articulating joints are presented.

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J. Chłopek, G. Kmita: Non-Metallic Composite Materials for Bone Surgery
Possibility of using non-metallic materials in biomedical applications was considered. The attention was focused mainly on polymer materials and both the carbon-carbon and carbon-reinforced polymer composites, their mechanical and biological properties. The obtained results indicate that some of these materials can be successfully used instead of metallic implants for biomechanical functions.

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K. Skiba: Diagnostics and Treatment of Traumatic Damages to Achilles Tendon
Traumatic damages of Achilles tendon constitute an important and serious problem in clinical practice. Many theories are applied in order to explain the pathomechanism of traumatic damages of Achilles tendon. Among them, there is a mechanical theory which claims that sudden and not co-ordinated contraction of the calf triceps muscle with plantarly bent foot and extended limb causes rupture of the tendon continuity. In clinical practice, Achilles tendon appeared more susceptible to rupture in persons over 35 when elasticity degree is reduced due to the tendon deformative lesions (fragmentation and collagen fibres homogenisation).

In the Department of Traumatic Surgery and Hand Surgery of the Wroc{\l}aw University of Medicine, since 1993, clinical surveys have been carried on upgrading the surgical treatment methods of traumatic and subcutaneous ruptures of the Achilles tendon. In years 1995--1999, the examinations were carried on in co-operation with the Institute of Material Science and Applied Mechanics, Wroc{\l}aw University of Technology in order to explain the pathomechanism of traumatic lesions of Achilles tendon. New examination methods such as: ultrasonography, tomography, magnetic resonance as well as recent thermovision method contribute largely towards evaluation of both early and long-term results of operative treatment.

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E. Wiczkowski, A. Kędzia, A. Kania: Raumatic Damage Pathomechanism of Cerebral Vessels Caused by Geriatric Changes
The knowledge of mechanical properties of the brain blood vessels enables an assessment of pathological changes caused by human aging. As it results from our investigations, a greater elasticity of blood vessels in the occipital region accounts for the rare occurrence of subdural space blood clots in this region of the brain. Also, a map can be derived based on our results, of the most severe head trauma directions causing damages of blood vessels in the subdural space.

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