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Al-Tamimi
           independent filtering and sensitivity filtering to prevent   screw holes, six-screw holes, and eight-screw holes) were
           checkerboarding) along the design domain.           designed using Solidworks (Dassault Systèmes, France)
                                                               with a length of 180 mm, width of 14 mm, and thickness
           3. Simulation and optimization                      of 5 mm (Table 1). Abaqus (Dassault Systèmes, France)
                                                               was used to perform the TO and finite element analysis.
           3.1. Initial design domains                         Plates were considered to be made with Ti-6Al-4V (120

           The DePuy Synthes narrow LCP, commonly used for the   GPa of Elastic Modulus and 0.3 of Poisson’s ratio).
           treatment of long bones such as humerus, femur, and tibia,   Finite  element  meshes  were  created  using  eight-node
           was considered as a reference design. Three plates (four-  linear  hexahedral  elements  and  approximately  400,000
                                                               elements were considered. Different mesh densities were
                                                               also considered for the mesh dependency study.
                   Design domain
                                                               3.2. Loading and boundary conditions
                                                               Considering possible physiological  events, the plate
                  Material Definition
                     (E,V, ρ)                                  was  subjected  to  four  types  of  loadings:  compression,
                                                               bending,  torsion,  and  a  combination  of these  loads
                                                               that  mainly  occur  on  the  screw  holes  and  the  mid-
                 Domain discretisation                         plate (Table  2). Compression corresponded to a static
                  by finite element                            compressing force along the X-axis (the axis along the
                                                               length of the plate) applied on both far-end sides of the
                                                               plate and constraining the six nodes on the two opposite
                Finite element analysis                        middle faces of the plate in all directions and rotations
                                                               (d =d =d =r =r =r =0), symbolized  by an encastre
                                                                   y
                                                                x
                                                                             z
                                                                           y
                                                                      z
                                                                        x
                                                               constraint.  Bending corresponded to a static  four-point
                                                               bending test applied on the plate according to the bone
                 Objective function (ε)                                                                 [15]
                   Constraints (V)                             fixation plate testing standards (ISO 9585:1990) . The
                                                               two  loading  points  were  separated  with  a  distance  of
                                                               two screw holes and at least one screw hole between the
                                                               load and support point. The support points constrained
                 Density initialization                        the bone plate from moving across the Z-axis (dx=dy=0,
                                                               dz≠0)  (the  axis  crossing  the  thickness  of  the  plate),
                                                               symbolized by a red-colored pin constraint. An additional
                    Sensitivity                                two constraints were used to ensure stability in the X and
                    breakdown                                  Y axis (dx=dy≠0, dz=0) (the axis along the width of the
                                                               plate) during loading, symbolized by an orange color pin
                                                               constraint. Torsion corresponded to static moment acting
                     Filtering                                 along the X-axis on one end and constrained (i.e. pinned)
                 sensitivity/techniques                        on the other end of the plate (dx=dy=dz=0), symbolized
                                                               by an orange color pin constraint. Combined load was
                                                               the  combination  of compression, bending,  and  torsion,
                  Design’s density                             considering the constraints of the compression test. It is
                     updating                                  important to note that SIMP method was not sensitive to
                                                               the load magnitude when the compliance for a given load
                                                               was minimized.


                     Problem         No
                    converged??


                         Yes

                    Optimised
                      design                   End
                                                               Figure  2. Design (green)  and frozen  (red)  regions  of the  bone
           Figure 1. Workflow of SIMP optimisation.            plates.
                                       International Journal of Bioprinting (2021)–Volume 7, Issue 3       155
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