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408                           21. NUMERICAL ASSESSMENT OF BONE TISSUE REMODELING

                         TABLE 21.1 Coefficients of Belinha’s Law
                         Coefficients     j50              j51            j52             j53

                         a j               0.000E+00       0.000E+00       2.680E+01        2.035E+01
                         b j               0.000E+00       0.000E+00       2.501E+01        1.247E+00
                         c j               0.000E+00       7.216E+02       8.059E+02        0.000E+00
                         d j               1.770E+05       3.861E+05       2.798E+05        6.836E+04
                         e j               0.000E+00       0.000E+00       2.004E+03       1.442E+02


                                                            1  X Q
                                                      ρ med  ¼    ρ x I                                    (21.10)
                                                                   ðÞ
                                                           Q    I¼1
           in which Q is the number of integration points and ρ(x I ) the bone apparent density of integration point x I .
              The algorithm moves on to the next iterative step, j, performing a new mechanical analysis. It should be noted that a
           new material constitutive matrix, c(x I ) j+1 , is constructed for the next iteration given by j+1.
              The remodeling process ends when ρ med  reaches a value determined by the user or if two consecutive iteration steps
           have the same ρ med  (Δρ med /Δt=0).


                                        21.3 BONE REMODELING AFTER THA


           21.3.1 Computational Model
              The goal of this work is to analyze the remodeling of bone tissue after THA. Using X-ray images as the one presented
           in Fig. 21.1A, a computational model is created and discretized in an irregular triangular mesh with 4473 nodes and
           8591 elements, as shown in Fig. 21.1B and C.
              To simulate the daily loading history of the femur, the three loading cases proposed by Beaupr  e et al. [17–19] are
           imposed. Each load case consists of a parabolic distributed load applied in the femoral head and another in the great
           trochanter. An essential boundary condition is also imposed, considering that all degrees of freedom are constrained at



































           FIG. 21.1  (A) Anteroposterior X-ray of the right femur; geometric model discretized with (B) 4473 nodes and (C) 8591 elements.



                                          II. MECHANOBIOLOGY AND TISSUE REGENERATION
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