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Simultaneous Effects of Disuse and Microdamage in the Trabecular Bone Remodeling Theory

机译:剥离和微岩同时效应在小梁骨改造理论中

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Despite the fact that we implemented the mathematical model in a computer code from scratch, final configurations obtained in this research are very similarto the ones obtained by Huiskes and co-workers [4], The differences between the figures shown here and the figures from [4] are due to a difference in the time constants. Even though, this research showed that including effect of cellular accommodation would not change the final morphology when time constant τ in Eq. (2) is large enough; but, it must be considered in the simulations, because it shows how long a load will be effective in the remodeling process. The most significant result of this work is capturing simultaneous effects of disuse and microdamge on bone remodeling. In order to include the effect of microdamge on bone remodeling we proposed a quadratic relationship based on experimental findings of Nagaraja et al. [8]. From results of our simulations, it was proposed that remodeling is regulated by both SED and damage; but damage-stimulated remodeling is prioritized over SED-stimulated remodeling when stimulus is above a critical level. A physiological mechanism for such a mechanoregulatory system could involve osteocyte apoptosis with remodeling in response to damage over-riding SED-adaptive remodeling at high damage levels [5]. In conclusion, the proposed algorithm of disuse- and damage-stimulated remodeling seems to present a realistic computational algorithm for simulation of trabecular bone remodeling.
机译:尽管我们在从划痕中实施了计算机代码中的数学模型,但在本研究中获得的最终配置非常非常类似地由HUISKES和CON-WORKERS [4]获得的,这里显示的附图与附图之间的差异非常介绍。 4]是由于时间常数的差异。即使,该研究表明,包括细胞间接效果的效果不会在EQ中的时间常数τ时改变最终形态。 (2)足够大;但是,必须在模拟中考虑它,因为它显示了在重塑过程中负载有效的时间。这项工作的最重要结果正在捕捉消毒和微妙对骨重塑的同时效应。为了包括微摩摩加对骨重塑的影响,我们提出了一种基于Nagaraja等人的实验结果的二次关系。 [8]。从我们的模拟结果中,建议通过SED和损坏来调节重塑;但是,当刺激高于临界水平时,通过SED刺激的重塑优先考虑损伤刺激的重塑。这种机械调节系统的生理机制可能涉及骨细胞凋亡,响应于高损伤水平的损伤过度摇摆损伤的SED-Adaprive重塑而进行重塑[5]。总之,所提出的废弃和损伤刺激的重塑算法似乎呈现了用于模拟小梁骨重塑的实际计算算法。

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