Biomedical Engineering and Bioengineering Commons^™

Characterizing Tkr Biomechanics Using A Novel Muscle-Driven Joint Motion Simulator, Alexandre Galley

Electronic Thesis and Dissertation Repository

Total knee replacement (TKR) is the end-stage treatment for severe cases of knee osteoarthritis (OA). Despite its success in alleviating pain and restoring mobility to the knee, patient satisfaction rates post-TKR are still lower than other common joint replacement surgeries. Knee kinematics and stability, key determinants of successful TKR, are assessed intraoperatively and tracked post-operatively in in vivo clinical studies. However, the persistently low satisfaction rates suggest that more sophisticated pre-clinical testing methods are needed to better understand the biomechanics of these implants early in their development. During pre-clinical testing of TKR implants, different joint motion simulators are used for …

Using Statistics, Computational Modelling And Artificial Intelligence Methods To Study And Strengthen The Link Between Kinematic Impacts And Mtbis, Andrew Luke Mcconnell Patterson

Electronic Thesis and Dissertation Repository

Mild traumatic brain injuries (mTBIs) are frequently occurring, yet poorly understood, injuries in sports (e.g., ice hockey) and other physical recreation activities where head impacts occur. Helmets are essential pieces of equipment used to protect participants’ heads from mTBIs. Evaluating the performance of helmets to prevent mTBIs using simulations on anatomically accurate computational head finite element models is critically important for advancing the development of safer helmets. Advancing the level of detail in, and access to, such models, and their continued validation through state-of-the-art brain imaging methods and traditional head injury assessment procedures, is also essential to improve safety. The …

Motion And Crosslinked Polyethylene Wear In Reverse Total Shoulder Arthroplasty, Christopher Millward

Electronic Thesis and Dissertation Repository

The reverse total shoulder arthroplasty (RTSA) has quickly grown to become the most commonly used shoulder arthroplasty design; however, reports have shown evidence of RTSA failures related to polyethylene wear and damage. Therefore, the present work investigated the wear of crosslinked polyethylene (XLPE) in environments similar to that of an in vivo RTSA. Additionally, a computational model was developed based on a previous study of the shoulder motions obtained from a selection of typical patients with RTSA. This model quantified the amount of glenohumeral motion that an RTSA may be subjected to in vivo and provided an approximate value for …

The Role Of Transient Vibration Of The Skull On Concussion, Rodrigo Dalvit Carvalho Da Silva

Electronic Thesis and Dissertation Repository

Concussion is a traumatic brain injury usually caused by a direct or indirect blow to the head that affects brain function. The maximum mechanical impedance of the brain tissue occurs at 450±50 Hz and may be affected by the skull resonant frequencies. After an impact to the head, vibration resonance of the skull damages the underlying cortex. The skull deforms and vibrates, like a bell for 3 to 5 milliseconds, bruising the cortex. Furthermore, the deceleration forces the frontal and temporal cortex against the skull, eliminating a layer of cerebrospinal fluid. When the skull vibrates, the force spreads directly to …

Biomaterial For Cervical Intervertebral Disc Prosthesis, Helium Mak

Electronic Thesis and Dissertation Repository

Recent long-term follow-up studies have shown that the cervical disc arthroplasty treatment have potentials in developing surrounding heterotopic ossification (HO). While its cause requires further investigation, this thesis has hypothesized that it may be the result of the continual remodeling of the injured vertebrae caused by the prostheses with smaller footprints introducing abnormal stresses. The research objective of this thesis is to develop a new prosthesis material that can be molded into any form conforming to the size and shape of the end-plates of the affected patient vertebrae. For prototype development, a composite material consisting of 10wt% polyvinyl alcohol cryogel …

Development Of A Wireless Telemetry Load And Displacement Sensor For Orthopaedic Applications, William Anderson

Electronic Thesis and Dissertation Repository

Due to sensor size and supporting circuitry, in vivo load and deformation measurements are currently restricted to applications within larger orthopaedic implants. The objective of this thesis is to repurpose a commercially available low-power, miniature, wireless, telemetric, tire-pressure sensor (FXTH87) to measure load and deformation for future use in biomechanical applications. The capacitive transducer membrane of the FXTH87 was modified, and a relationship was reported between applied compressive deformation and sensor signal value. The sensor package was embedded within a deformable enclosure to illustrate potential applications of the sensor for monitoring load. Finite element analysis was an effective tool to …

An Investigation On The Influences Of Radial Head Hemiarthroplasty Stem Fixation Techniques On Articular Mechanics, Jakub Szmit

Electronic Thesis and Dissertation Repository

Radial head hemiarthroplasty design has been extensively studied with a focus on utilizing the geometrical characteristics of the native radial dish as a guide of implant placement and design. Although implant design has been studied, optimal radial head implant fixation technique remains unknown. This thesis focused on the effect of stem fit on radiocapitellar contact mechanics, using both finite element and experimental bench-top approaches. Additionally, investigation into the impact of varus/valgus malalignment of the radial head in both the native state and following hemiarthroplasty was conducted. It was found that loose fitting a smooth stem axisymmetric radial head implant through …

A Heterogeneous Patient-Specific Biomechanical Model Of The Lung For Tumor Motion Compensation And Effective Lung Radiation Therapy Planning, Parya Jafari

Electronic Thesis and Dissertation Repository

Radiation therapy is a main component of treatment for many lung cancer patients. However, the respiratory motion can cause inaccuracies in radiation delivery that can lead to treatment complications. In addition, the radiation-induced damage to healthy tissue limits the effectiveness of radiation treatment. Motion management methods have been developed to increase the accuracy of radiation delivery, and functional avoidance treatment planning has emerged to help reduce the chances of radiation-induced toxicity. In this work, we have developed biomechanical model-based techniques for tumor motion estimation, as well as lung functional imaging. The proposed biomechanical model accurately estimates lung and tumor motion/deformation …

Virtual Reality Simulation Of Glenoid Reaming Procedure, Mohammadreza Faieghi

Electronic Thesis and Dissertation Repository

Glenoid reaming is a bone machining operation in Total Shoulder Arthroplasty (TSA) in which the glenoid bone is resurfaced to make intimate contact with implant undersurface. While this step is crucial for the longevity of TSA, many surgeons find it technically challenging. With the recent advances in Virtual Reality (VR) simulations, it has become possible to realistically replicate complicated operations without any need for patients or cadavers, and at the same time, provide quantitative feedback to improve surgeons' psycho-motor skills. In light of these advantages, the current thesis intends to develop tools and methods required for construction of a VR …

An In-Silico Assessment Of Stemless Shoulder Arthroplasty: From Ct To Predicted Bone Response, Jacob M. Reeves

Electronic Thesis and Dissertation Repository

Despite the emergence of stemless humeral implants that utilize short fixation features to gain purchase solely in the metaphysis, the literature contains little information regardingthe morphology and mechanical properties of the humerus’ proximal trabecular-canal, and how stemless implants impact bone response. The present work employs in-silicotools, including CT-based and Finite Element (FE) methods, to define parameters that may influence stemless implant design.

The density and morphology of the proximal humerus were assessed using CT-derived point clouds of the trabecular-canal. Bone density was found to diminish 15-20mm beneath the humeral head resection and was greater peripherally. The depth, path and bounding …

A Numerical Investigation Of Human Cough Jet Development And Droplet Dispersion, Ran Bi

Electronic Thesis and Dissertation Repository

As part of the Western Cold and Flu aerosol (WeCoF) studies, the present study provides Computational Fluid Dynamics (CFD) modelling of human cough flow. The cough flow is characterized in two different aspects, the flow field and the droplets. In the study of the flow field of coughing, various dynamic characteristics, including the velocity variation, streamwise penetration and power spectral density, are examined. CFD simulations using two different approaches, the unsteady Reynolds Averaged Navier-Stokes (URANS) and the large eddy simulation (LES), are performed for comparison purposes. The numerical results are validated by the experimental data obtained from the measurements by …

Influence Of Scapular Notching On Contact Mechanics And Simulator Wear Of Reverse Total Shoulder Arthroplasty Implants, Michael William Griffiths

Electronic Thesis and Dissertation Repository

Scapular notching is a common complication of reverse total shoulder arthroplasty (RTSA) wherein the predominant focus of current literature has been on changes in osseous anatomy. However, the implications on RTSA performance from the damaged humeral cup is largely unknown. Therefore the present work describes the effects of the initiation and propagation of the humeral cup defect resulting from scapular notching through the use of finite element modeling and wear simulation, in order to assess changes in RTSA contact mechanics and tribological properties. A significant decrease in articular contact area and increase in maximum contact stress values was found for …

Experimental Measurements Of Far Field Cough Airflows Produced By Healthy And Influenza- Infected Human Subjects, Ahmed Faraj Alarbi Mohamed

Electronic Thesis and Dissertation Repository

The present work details an experimental study of the cough airflow fields produced by subjects infected with influenza and when they are convalescent, together with data from healthy cohorts. The PIV and HWA measurements were taken far downstream at 1 m from the source within a cough chamber, along with droplet sampling at two different locations and nasal swabs from the sick subjects. The measured data over different seasons were used to evaluate and compare the results from sick, convalescent and healthy subjects. Although a total of 8 sick participants from winter 2014 and 2017 yielded positive nasal swab analysis, …

Development Of An In-Vitro Passive And Active Motion Simulator For The Investigation Of Wrist Function And Kinematics, Duncan J. Iglesias

Electronic Thesis and Dissertation Repository

This thesis outlines the design and development of an active motion simulator for the investigation of wrist kinematics in multiple gravity loaded positions. Using optical trackers on the third metacarpal, radius, and ulna, the position of the wrist was monitored in real time without introducing material incompatibilities as present for electromagnetic tracking systems. Performance of the system was performed using a series of five cadaver upper limbs that compared the ability to produce repeatable trials using unrestrained active motion techniques over passive manipulation methods. Comparisons to achieve static positions as well as motion trials in flexion-extension and radial-ulnar deviation planes …

Force Sensing In Arthroscopic Instruments Using Fiber Bragg Gratings, Daniel S. Yurkewich

Electronic Thesis and Dissertation Repository

Minimally-invasive surgery has revolutionized many medical procedures; however, it also impedes the ability to feel the interaction between the surgical tool and the anatomical part being operated on. In order to address this problem, it is necessary to obtain accurate measurements of the interaction forces exerted on the surgical tools during surgery. These forces can then be manifested to the surgeon via a haptic device or presented visually (visual-force feedback). This thesis describes the use of a fiber optic device to measure and display to the surgeon interaction forces acting on an arthroscopic tool. The sensorization of the tool involves …

Osteoarthritis Induced Glenoid Morphology And Bone Quality: An Evaluation Of Augmented Glenoid Components, Nikolas K. Knowles

Electronic Thesis and Dissertation Repository

Osteoarthritis of the glenoid results in regional bone density variations and bone loss that may compromise early component fixation and support. The two common morphologies, symmetric and asymmetric erosion, were characterized by bone density and morphology, and assessed on the basis of bone removal and bone quality in the context of augmented glenoid components. The bone strain field was also compared when different augmented glenoid components underwent simulated joint loading using finite element analysis.

Asymmetrically eroded glenoids were found to have denser bone (p

On The Application Of Mechanical Vibration In Robotics-Assisted Soft Tissue Intervention, Iman Khalaji

Electronic Thesis and Dissertation Repository

Mechanical vibration as a way of transmitting energy has been an interesting subject to study. While cyclic oscillation is usually associated with fatigue effect, and hence a detrimental factor in failure of structures and machineries, by controlled transmission of vibration, energy can be transferred from the source to the target. In this thesis, the application of such mechanical vibration in a few surgical procedures is demonstrated.

Three challenges associated with lung cancer diagnosis and treatment are chosen for this purpose, namely, Motion Compensation, tumor targeting in lung Needle Insertion and Soft Tissue Dissection:

1. A robotic solution is proposed …

Numerical Investigation Of The Interdependence Between Humeral Implant Position And Bone Removal Amount For Total Elbow Arthroplasty, Alexander J. Heroux

Electronic Thesis and Dissertation Repository

Total elbow arthroplasty is a surgical procedure used to replace an afflicted articulation with prosthetic joint components. A good alignment between the native and prosthetic flexion-extension axes of the elbow is required to preserve its functionality. However, this is often unobtainable because of the mismatch between humeral canal and implant stem geometries. To correct this, surgeons are often required to intraoperatively make error-prone decisions when determining an appropriate implant posture that minimizes the amount of cortical bone to be removed while maintaining the alignment between the two flexion-extension axes. To address this issue, the present study has developed computational tools …

Design Of A Minimally Invasive Single Port Hdr Brachytherapy Applicator For The Treatment Of Lung Cancer, Mauricio Nahum Leroy

Electronic Thesis and Dissertation Repository

Cancer has become the number one cause of death in Canada and lung cancer is its deadliest form. Surgical resection remains as the treatment of choice for most patients; however, in many cases a less aggressive alternative such as brachytherapy may be preferable. Today, HDR brachytherapy is a relatively common procedure but with current techniques and equipment only tumours close to the main bronchi can be reached.

This project describes the design, development and validation of a first prototype of an ultrasound-guided needle guidance system that would enable physicians to perform HDR brachytherapy for the treatment of lung cancer in …

An Investigation Of Subaxial Cervical Spine Trauma And Surgical Treatment Through Biomechanical Simulation And Kinematic Analysis, Stewart D. Mclachlin

Electronic Thesis and Dissertation Repository

In vitro biomechanical investigations can help to identify changes in subaxial cervical spine (C3-C7) stability following injury, and determine the efficacy of surgical treatments through controlled joint simulation experiments and kinematic analyses. However, with the large spectrum of cervical spine trauma, a large fraction of the potential injuries have not been examined biomechanically. This includes a lack of studies investigating prevalent flexion-distraction injuries. Therefore, the overall objective of this thesis was to investigate the changes in subaxial cervical spine kinematic stability with simulated flexion-distraction injuries and current surgical instrumentation approaches using both established and novel biomechanical techniques.

Three in vitro …

Optimal Inertial Sensor Placement And Motion Detection For Epileptic Seizure Patient Monitoring, Babak Kamalizonouzi

Electronic Thesis and Dissertation Repository

Use of inertial sensory systems to monitor and detect seizure episodes in patients suffering from epilepsy is investigated via numerical simulations and experiments. Numerical simulations employ a mathematical model that is able to predict human body dynamic responses during a typical epileptic seizure. An optimized inertial sensor placement procedure is developed to address achievement of highest possible sensing resolution in determining angular accelerations with minimal errors. In addition, a joint torque estimation procedure is formulated to assist in the future development of a possible detection scheme. Experimental motion data obtained from an epileptic seizure patient as well as a healthy …

Investigation Of In-Vivo Hindfoot And Orthotic Interactions Using Bi-Planar X-Ray Fluoroscopy, Kristen M. Bushey

Electronic Thesis and Dissertation Repository

A markerless RSA method was used to determine the effect of orthotics on the normal, pes planus and pes cavus populations. Computed tomography (CT) was used to create bone models that were imported into the virtual environment. Joint coordinate systems were developed to measure kinematic changes in the hindfoot during weight-bearing gait and quiet standing. The objectives of this thesis were to (1) implement a fluoroscopy-based markerless RSA system on the foot, (2) determine the effect of various orthotics at midstance of fully weight-bearing dynamic gait, and (3) determine the effect of orthotics as measured using three different techniques. Every …