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McPhee, S.

Publications and source records attributed to McPhee, S..

3 recordsLinked to original sources

Micromechanical characterisation of osteoarthritic subchondral bone by micropillar compression

Osteoarthritis (OA) is a multifaceted joint disease which poses significant socioeconomic burdens and remains a significant clinical challenge. Evidence suggests that structural and mechanical changes in subchondral bone influence the pathogenesis and development of OA, leading to diminished bone quality and cartilage degeneration. While changes in microstructure and tissue scale elastic properties are well reported, the tissue yield response of subchondral bone in OA and their correlation with compositional changes have not been investigated. Here, we performed quasistatic micropillar compression and nanoindentation within the subchondral bone plate and trabeculae of hydrated non-diseased (ND) and OA affected specimens retrieved from the distal tibia in vivo. The micropillars, extracted by laser ablation, exhibited a taper angle which mandated the use of an in silico micropillar compression routine to back-calculate elastic modulus and strength of the bone tissue that comprised each micropillar. Elastic modulus remained unchanged between ND and OA subchondral bone, whereas strength increased from 46.0 MPa to 57.3 MPa in OA subchondral trabecular bone but not in the bone plate. Micropillar matched Raman spectroscopy and quantitative backscattered electron imaging revealed mineralisation is the underlying determinant of elastic modulus and strength at the microscale. By combining micromechanical and tissue compositional analyses, we investigated how the mechanical properties are related and how these properties are affected in subchondral bone by OA. Our results may be of value in the development and optimisation of interventions used to alleviate the socioeconomic burdens associated with this debilitating joint disease. Statement of significanceOsteoarthritis imposes significant socioeconomic burden, necessitating ever improving treatment strategies. Abnormal mechanical forces at the joint, such as injury, overloading, or aging are associated with osteoarthritis development. While healthy tissue is well understood, the impact of diseases on tissue mechanical properties needs to be brought on a similar level of understanding. We present in this study the first use of micropillar compression for assessing the tissue scale compressive strength of subchondral bone in osteoarthritis. Strength was increased in osteoarthritis compared to non-diseased tissue only in trabeculae subjacent to the bone plate. Compositional analysis confirmed mineralisation as a key determinant of tissue mechanical properties. This integration of micromechanical and compositional analyses sheds light on tissue properties and how these are affected by osteoarthritis in subchondral bone.

bioengineering↗

QCT-based computational bone strength assessment updated with MRI derived 'hidden' microporosity

Microdamage accumulated through sustained periods of cyclic loading or single over-loading events contributes to bone fragility through a reduction in stiffness and strength. Monitoring microdamage in vivo remains unattainable by clinical imaging modalities. As such, there are no established computational methods for clinical fracture risk assessment that account for microdamage that exists in vivo at any specific timepoint. We propose a method that combines multiple clinical imaging modalities to identify an indicative surro-gate, which we term hidden porosity, that incorporates pre-existing bone microdamage in vivo. To do so, we use the third metacarpal bone of the equine athlete as an exemplary model for fatigue induced microdamage, which coalesces in the subchondral bone. N=10 metacarpals were scanned by clinical quantitative computed tomography (QCT) and mag-netic resonance imaging (MRI). We used a patch-based similarity method to quantify the signal intensity of a fluid sensitive MRI sequence in bone regions where microdamage coa-lesces. The method generated MRI-derived pseudoCT images which were then used to de-termine a pre-existing damage (Dpex) variable to quantify the proposed surrogate and which we incorporate into a nonlinear constitutive model for bone tissue. The minimum, median, and maximum detected Dpex of 0.059, 0.209, and 0.353 reduced material stiffness by 5.9%, 20.9%, and 35.3% as well as yield stress by 5.9%, 20.3%, and 35.3%. Limb-specific voxel-based finite element meshes were equipped with the updated material model. Lateral and medial condyles of each metacarpal were loaded to simulate physiological joint loading dur-ing gallop. The degree of detected Dpex correlated with a relative reduction in both condylar stiffness (p = 0.001, R2 > 0.74) and strength (p < 0.001, R2 > 0.80). Our results illustrate the complementary value of looking beyond clinical CT, which neglects the inclusion of micro-damage due to partial volume effects. As we use clinically available imaging techniques, our results may aid research beyond the equine model on fracture risk assessment in human diseases such as osteoarthritis, bone cancer, or osteoporosis.

bioengineering↗

Nonlinear micro finite element models based on digital volume correlation measurements predict early microdamage in newly formed bone

Bone regeneration in critical-sized defects is a clinical challenge, with biomaterials under constant development aiming at enhancing the natural bone healing process. The delivery of bone morphogenetic proteins (BMPs) in appropriate carriers represents a promising strategy for bone defect treatment but optimisation of the spatial-temporal release is still needed for the regeneration of bone with biological, structural, and mechanical properties comparable to the native tissue. Nonlinear micro finite element (FE) models can address some of these challenges by providing a tool able to predict the biomechanical strength and microdamage onset in newly formed bone when subjected to physiological or supraphysiological loads. Yet, these models need to be validated against experimental data. In this study, experimental local displacements in newly formed bone induced by osteoinductive biomaterials subjected to in situ X-ray computed tomography compression in the apparent elastic regime and measured using digital volume correlation (DVC) were used to validate FE models. Displacement predictions from homogeneous linear FE models were highly correlated to DVC-measured local displacements, while tissue heterogeneity capturing mineralisation differences showed negligible effects. Nonlinear FE models improved the correlation and showed that tissue microdamage occurs at low apparent strains. Microdamage seemed to occur next to large cavities or in biomaterial-induced thin trabeculae, independent of the mineralisation. While localisation of plastic strain accumulation was similar, the amount of damage accumulated in these locations was slightly higher when including material heterogeneity. These results demonstrate the ability of the nonlinear FE model to capture local microdamage in newly formed bone tissue and can be exploited to improve the current understanding of healing bone and mechanical competence. This will ultimately aid the development of BMPs delivery systems for bone defect treatment able to regenerate bone with optimal biological, mechanical, and structural properties.

bioengineering↗