10 - examples density growth 10 - examples 1 different load cases [1] midstance phase of gait 2317 N 24˚ [2] extreme range of 1158 N -15˚ [3] abduction extreme range of adduction 1548 N 56˚ 703 N 28˚ 351 N -8 ˚ 468 N 35˚ Carter & Beaupré [2001] example - adaptation in bone 2 different load cases combination of all load cases necessary Carter & Beaupré [2001] example - adaptation in bone 3 experiment vs simulation • dense system of compressive trabaculae carrying stress into calcar region • secondary arcuate system, medial joint surface to lateral metaphyseal region • ward‘s triangle, low density region contrasting dense cortical shaft Carter & Beaupré [2001] example - adaptation in bone 4 node point based - h-refinement example - adaptation in bone 5 node point based - p-refinement example - adaptation in bone 6 integration point based - p-refinement example - adaptation in bone 7 parameter sensitivity - instabilities certain parameters induce checkerboard Harrigon & Hamilton [1992],[1994] modes example - adaptation in bone 8 comparison with x-rays coxa vara coxa norma Pauwels [1973] coxa valga excellent agreement of simulation and xray pattern example - adaptation in bone 9 total hip replacement vs hip resurfacing • about 120,000 artificial hip replacements in us per year • aseptic loosening caused by adaptive bone • goal prediction of dredisctribution of bone density remodeling example - hip replacement 10 convential total hip replacement ward‘s triangle • trabeculae • dense cortical shaft example - hip replacement 11 convential total hip replacement stress shielding • bone resorption • implang loosening example - hip replacement 12 new birmingham hip resurfacing ward‘s triangle • trabeculae • dense cortical shaft example - hip replacement 13 new birmingham hip resurfacing improved ingrowth • anatomic situation • less resorption example - hip replacement 14 computer tomography of human femur patient specific medical treatment example - hip replacement 15 wound healing Murray [2003] • epidermal migration / spreading of existing cells • increase of mitotic activity of about15 times in 1mm wide zone @wound edge example - wound healing 16 wound healing Edwin Smith Surgical Papyrus [13th Dynasty] „…thou shouldst bind it with fresh meet the first day, and thou shouldst treat afterword with grease and honey every day until he recovers…“ Breadsted [1930] example - wound healing 17 tension - single edge notched specimen example - wound healing 18 tension - single edge notched specimen increased cell activity @wound edge example - wound healing 19 tension - surface cut specimen increased cell activity @wound edge example - wound healing 20 tension - crack mouth opening displacement increased cell activity - wound healing & closure example - wound healing 21 bending - single edge notched specimen increased cell activity @wound edge example - wound healing 22 bending - surface cut specimen increased cell activity @wound edge example - wound healing 23 bending - crack mouth opening displacement increased cell activity - wound healing & closure example - wound healing 24 form follows function optimal load case I load case II material distribution I structural design example - topology optimization 25 form follows function bicycle frames 1817-2005 example - topology optimization 26 form follows function a dna ™emiTk ciuQ ro s se rpmo ced )de s serpmo cnU ( FFIT .erut cip siht ee s ot dedeen era Armstrong [2005] design of bicycle frame Kuhl [2005] example - topology optimization 27