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Background The functional results of total elbow arthroplasty (TEA) are controversial and the medium- to long-term revision rates are relatively high. The aim of the present study was to analyze the stresses of TEA in its classic configuration, identify the areas of greatest stress in the prosthesis–bone–cement interface, and evaluate the most wearing working conditions. Materials and methods By means of a reverse engineering process and using a 3D laser scanner, CAD (computer-aided drafting) models of a constrained elbow prosthesis were acquired. These CAD models were developed and their elastic properties, resistance, and stresses were studied through finite element analysis (finite element method—FEM). The obtained 3D elbow-prosthesis model was then evaluated in cyclic flexion–extension movements (> 10 million cycles). We highlighted the configuration of the angle at which the highest stresses and the areas most at risk of implant mobilization develop. Finally, we performed a quantitative study of the stress state after varying the positioning of the stem of the ulnar component in the sagittal plane by ± 3°. Results The greatest von Mises stress state in the bone component for the 90° working configuration was 3.1635 MPa, which occurred in the most proximal portion of the humeral blade and in the proximal middle third of the shaft. At the ulnar level, peaks of 4.1763 MPa were recorded at the proximal coronoid/metaepiphysis level. The minimum elastic resistance and therefore the greatest stress states were recorded in the bone region at the apex of the ulnar stem (0.001967 MPa). The results of the analysis for the working configurations at 0° and 145° showed significant reductions in the stress states for both prosthetic components; similarly, varying the positioning of the ulnar component at 90° (− 3° in the sagittal plane, 0° in the frontal plane) resulted in better working conditions with a greater resulting developed force and a lower stress peak in the ulnar cement. Conclusion The areas of greatest stress occur in specific regions of the ulnar and humeral components at the bone–cement–prosthesis interface. The heaviest configuration in terms of stresses was when the elbow was flexed at 90°. Variations in the positioning in the sagittal plane can mechanically affect the movement, possibly resulting in longer survival of the implant. Level of evidence: 5

The spine is the load-bearing structure of human beings and may present several disorders, with low back pain the most frequent problem during human life. Signs of a spine disorder or disease vary depending on the location and type of the spine condition. Therefore, we aim to develop a probabilistic atlas of the lumbar spine segment using statistical shape modeling (SSM) and then explore the variability of spine geometry using principal component analysis (PCA). Using computed tomography (CT), the human spine was reconstructed for 24 patients with spine disorders and then the mean shape was deformed upon specific boundaries (e.g., by ±3 or ±1.5 standard deviation). Results demonstrated that principal shape modes are associated with specific morphological features of the spine segment such as Cobb’s angle, lordosis degree, spine width and height. The lumbar spine atlas here developed has evinced the potential of SSM to investigate the association between shape and morphological parameters, with the goal of developing new treatments for the management of patients with spine disorders.

The realization of nuclear fusion reaction as energy source is under investigation, among the scientific community, through the design and development of tokamak reactors. Among the several experiments worldwide, the ITER project is the ma-jor international experiment and it involves several research institutes from sev-eral countries. In such a project, a Systems Engineering (SE) approach is re-quested to organize and manage the design due to its highly integrated design, the safety requirements related to nuclear aspects and the complex procurement scheme. The SE discipline focuses the attention on the requirements which are crucial for every successful project, defining what the stakeholders want from a potential new system, namely what the system must do to satisfy stakeholders need. Correctly stating WHAT is needed for the system, it is possible to obtain its conceptual design (HOW) as much as possible complying the requirements. The incorrect definition of requirements often leads to the failing of a project. Stakeholders’ needs are written in Natural Language that is generally ambiguous, imprecise, incomplete and redundant. Their transformation into SMART require-ments is crucial to avoid design failure. However, it requires a great expertise, unless a specific procedure is assessed. To this end, this work presents a specific procedure based on “like-mind” processes to make systematic the SMART re-quirements definition and assessment from stakeholders needs. The procedure is based on a demand/response framework and it is developed to obtain ITER re-quirements. However, it can be easily extended to every project using its own specifications. A specific case study on ITER Remote Handling is presented in this paper as example of the conceived requirements transformation procedure.

Finite element modelling of the lumbar spine is a challenging problem. Lower back pain is among the most common pathologies in the global populations, owing to which the patient may need to undergo surgery. The latter may differ in nature and complexity because of spinal disease and patient contraindications (i.e., aging). Today, the understanding of spinal column biomechanics may lead to better comprehension of the disease progression as well as to the development of innovative therapeutic strategies. Better insight into the spine’s biomechanics would certainly guarantee an evolution of current device-based treatments. In this setting, the computational approach appears to be a remarkable tool for simulating physiological and pathological spinal conditions, as well as for various aspects of surgery. Patient-specific computational simulations are constantly evolving, and require a number of validation and verification challenges to be overcome before they can achieve true and accurate results. The aim of the present schematic review is to provide an overview of the evolution and recent advances involved in computational finite element modelling (FEM) of spinal biomechanics and of the fundamental knowledge necessary to develop the best modeling approach in terms of trustworthiness and reliability.

Purpose Shoulder instability and reduced range of motion are two common complications of a total reverse shoulder arthroplasty. In this work, a new approach is proposed to estimate how the glenoid component positioning can influence the stability and the range of motion of a reverse shoulder prosthesis. Materials and methods A standard reverse shoulder prosthesis has been analysed. To perform virtual simulation of the shoulder-prosthesis assembly, all the components of the prosthesis have been acquired via a 3D laser scanner and the solid models of the shoulder bones have been reconstructed through CT images. Loads on the shoulder joint have been estimated using anatomical models database. A new virtual/numerical procedure has been implemented using a 3D parametric modelling software to find the optimal position of the glenosphere. Results Several analyses have been performed using different configurations obtained by changing the glenoid component tilt and the lateral position of the glenosphere, modified through the insertion of a cylindrical spacer. For the analysed case study, it was found that the interposition of a spacer (between the baseplate and the glenoid) and 15° inferior tilt of the glenosphere allow improving the range of motion and the stability of the shoulder. Conclusions Some common complications of the reverse shoulder arthroplasty could be effectively reduced by a suitable positioning of the prosthesis components. In this work, using a new method based on virtual simulations, the influence of the glenosphere positioning has been investigated. An optimal configuration for the analysed case study has been found. The proposed approach could be used to find, with no in vivo experiments, the optimal position of a reverse shoulder prosthesis depending on the different dimensions and shape of the bones of each patient.

Purpose: The study aims were to assess the kinematic data, Internal-External (IE) rotation, and Antero-Posterior (AP) translation of the contact points between the femoral condyles and polyethylene insert and to develop a combined dynamic RSA-FE (Radiostereometric – Finite Element) model that gives results congruent with the literature. Methods: A cohort of 15 patients who underwent cemented cruciate-retaining highly congruent mobile-bearing total knee arthroplasty were analyzed during a sit-to-stand motor task. The kinematical data from Dynamic RSA were used as input for a patient-specific FE model to calculate condylar contact points between the femoral component and polyethylene insert. Results: The femoral component showed an overall range about 4 mm of AP translation during the whole motor task, and the majority of the movement was after 40° of flexion. Concerning the IE rotation, the femoral component started from an externally rotate position (− 6.7 ± 10°) at 80° of flexion and performed an internal rotation during the entire motor task. The overall range of the IE rotation was 8.2°. Conclusions: During the sit to stand, a slight anterior translation from 40° to 0° of flexion of the femoral component with respect to polyethylene insert, which could represent a paradoxical anterior translation. Despite a paradoxical anterior femoral translation was detected, the implants were found to be stable. Dynamic RSA and FE combined technique could provide information about prosthetic component’s stress and strain distribution and the influence of the different designs during the movement., SCOPUS: ar.j, info:eu-repo/semantics/published

Purpose The purpose of this paper is to implement a new process aimed at the design and production of orthopaedic devices fully manufacturable by additive manufacturing (AM). In this context, the use of generative algorithms for parametric modelling of additively manufactured textiles (AMTs) also has been investigated, and new modelling solutions have been proposed. Design/methodology/approach A new method for the design of customised elbow orthoses has been implemented. In particular, to better customise the elbow orthosis, a generative algorithm for parametric modelling and creation of a flexible structure, typical of an AMT, has been developed. Findings To test the developed modelling algorithm, a case study based on the design and production of an elbow orthosis made by selective laser sintering was investigated. The obtained results have demonstrated that the implemented algorithm overcomes many drawbacks typical of the traditional computer aided design (CAD) modelling approaches. The parametric CAD model of the orthosis obtained through the new approach is characterised by a flexible structure with no deformations or mismatches and has been effectively used to produce the prototype through AM technologies. Originality/value The obtained results present innovative elements of originality in the CAD modelling sector, which can contribute to solving problems related to modelling for AM in different application fields.

The aim of this work is the design of a new customised elbow orthosis completely realized by Additive Manufacturing and the development of generative algorithms for parametric modelling and creation of 3D patterns to be adapted to the CAD model. This work describes a method to perfect the design of a custom elbow orthosis. A reverse engineering approach has been used to digitalize the patient’s arm and the subsequent CAD modelling of the structure of the custom elbow orthosis has been performed. In particular, two algorithms have been implemented for the creation of 3D patterns and Voronoi tessellations. Subsequently, FEM analyses have been carried out to validate the design. Finally, a prototype of the elbow orthosis with Voronoi tessellation has been realized by means of the SLS technology. The results obtained have demonstrated that the implemented algorithm solved the problems found during CAD modelling with conventional software. Furthermore, the results of FEM analyses have validated the design choices. All this allowed realizing the prototype by AM technologies without problems. Moreover, the new proposed modelling approaches allows creating, in an interactive way, patterns on complex surfaces. The results of this research activity present innovative elements of originality in the CAD modelling sector, which can contribute to solving problems related to the modelling for Additive Manufacturing. Furthermore, another innovative characteristic of the device is the use of torsion springs that simulate the action of physiotherapists during exercises for patient rehabilitation.

In the last two decades, osseointegrated prostheses have been shown to be a good alternative for lower limb amputees experiencing complications in using a traditional socket-type prosthesis, however, restraining biomechanical issues, such as peri-prosthetic bone fractures or loosening, are present. To better understand and overcome these limiting issues, and thus reduce the number of implant failures, many studies have investigated the stress distribution on bone and implant during normal daily activities. The aim of this study was a biomechanical analysis of two different osseointegrated implants, a screw-type (OPRA) and a press fit system (OPL, Osseointegrated Prosthetic Limb), to evaluate the stresses generated in bone and prosthesis during a fall. In particular, four scenarios have been experimentally reproduced to determine the loads on the limb during different kinds of fall. For this purpose, a motion capture system and a force plate have been used. Numerical FEM (Finite Element Method) simulations have been performed to compare the behaviour of the OPRA and OPL systems in different fall scenarios. The obtained results showed that a fall backwards due to balance loss is the most stressful scenario among the ones analysed. As regards the comparison between OPRA and OPL devices, it emerged they have similar behaviours in terms of peak values of the stress, but the OPL implant generates larger high-stress areas in the distal femur as compared with the OPRA system.

Tibial fractures are common injuries in people. The proper treatment of these fractures is important in order to recover complete mobility. The aim of this work was to investigate if screw positioning in plates for proximal tibial fractures can affect the stability of the system, and if it can consequently influence the patient healing time. In fact, a more stable construct could allow the reduction of the non-weight-bearing period and consequently speed up the healing process. For that purpose, virtual models of fractured bone/plate assemblies were created, and numerical simulations were performed to evaluate the reaction forces and the maximum value of the contact pressure at the screw/bone interface. A Schatzker type I tibial fracture was considered, and four different screw configurations were investigated. The obtained results demonstrated that, for this specific case study, screw orientation affected the pressure distribution at the screw/bone interface. The proposed approach could be used effectively to investigate different fracture types in order to give orthopaedists useful guidelines for the treatment of proximal tibial fractures.

Orthoses are additional devices that help people with disabilities. The focus of this work is the design and manufacture of a new customized elbow orthosis completely made by Additive Manufacturing (AM). One of the innovative characteristic of the device is the use of torsion springs that simulate the action of physiotherapists during exercises for patient rehabilitation. Parametric modeling approach based on generative algorithms was used to design the device. Finally, FEM analyses have been performed to validate the design.

In this work the mechanical behaviour of a core reinforced composite sandwich structure is studied. The sandwich employs a Glass Reinforced Polymer (GRP) orthotropic material for both the two external skins and the inner core web. In particular, the core is designed in order to cooperate with the GRP skins in membrane and flexural properties by means of the addition of a corrugated laminate into the foam core. An analytical model has been developed to replace a unit cell of this structure with an orthotropic equivalent thick plate that reproduces the in plane and out of plane behaviour of the original geometry. Different validation procedures have been implemented to verify the quality of the proposed method. At first a comparison has been performed between the analytical model and the original unit cell modelled with a Finite Element mesh. Elementary loading conditions are reproduced and results are compared. Once the reliability of the analytical model was assessed, this homogenised model was implemented within the formulation of a shell finite element. The goal of this step is to simplify the FE analysis of complex structures made of corrugated core sandwiches; in fact, by using the homogenised element, the global response of a real structure can be investigated only with the discretization of its mid-surface. Advantages are mainly in terms of time to solution saving and CAD modelling simplification. Last step is then the comparison between this FE model and experiments made on sandwich beams and panels whose skins and corrugated cores are made of orthotropic cross-ply GRP laminates. Good agreement between experimental and numerical results confirms the validity of the proposed model.

In this work, a multidisciplinary experience, aimed to study the permanent deformations of the hull of a regatta sailing yacht is described. In particular, a procedure to compare two different surfaces of the hull of a small sailing yacht, designed and manufactured at the University of Palermo, has been developed. The first one represents the original CAD model while the second one has been obtained by means of a reverse engineering approach. The reverse engineering process was performed through an automatic close-range photogrammetry survey, that has allowed to obtain very accurate measures of the hull, and a 3D modelling step by the well-known 3D computer graphics software Rhinoceros. The reverse engineering model was checked through two different procedures implemented by the graphical algorithm editor Grasshopper. The first procedure has allowed to compare the photogrammetric measurements with the rebuilt surface, in order to verify if the reverse engineering process has led to reliable results. The second has been implement to measure the deviations between the original CAD model and the rebuilt surface of the hull. This procedure has given the possibility to highlight any permanent deformation of the hull due to errors during the production phase or to excessive loads during its use. The obtained results have demonstrated that the developed procedure is very efficient and able to give detailed information on the deviation values of the two compared surfaces.

In this paper, two optimization approaches to improve the product design process have been analysed. Through the analysis of a case study, concerning the designing of a new High Energy Absorption Rear Underrun Protective Device (HEARUPD), two different optimization approaches (simplex and simulated annealing) have been compared. In the implemented optimization processes, the crash between an economy car and the rear part of a truck has been simulated by dynamic numerical (FEM) analyses. Moreover, authors have proposed the use of a suitable linear function of four variables with the purpose of reducing the multi-objective optimization processes to mono-objective ones. That has been made to simplify the analysis procedures without affecting the quality and the completeness of the optimization processes. The obtained results, as well as showing the high effectiveness of the integrated use of numerical crash analyses and optimization methods, demonstrate that simplex method is more effective than simulated annealing one for optimization problems where the single analysis loop requires much time. Even if the solutions are quite similar in terms of calculated values of the objective function, design and state variables, simplex method needs shorter computational time than simulated annealing to obtain an optimized solution.

The non-destructive evaluation of defects by automatic procedures is of great importance for structural components. Thanks to the developments of the non-contact ultrasonic techniques, the automation of the inspections is gaining a progressively important role. In this work, an automatic inspection technique for the evaluation of defects by the analysis of B-scan images obtained by a laser ultrasonic system is presented. The data are extracted directly from a B-scan map obtained for a panel with internal defects, and are used to build an image of the cross section of the panel. The proposed automatic procedure allows the definition of size, position and shape of defects in panels of known thickness.

During the braking phase, the heat produced by friction between pads and disc cannot be entirely dissipated. Consequently, the brake disc, especially if very hard braking occur, can accumulate large amounts of heat in a short time so producing high gradients of temperature on it. Under these conditions, functionality and safety of the brake system can be compromised. The object of this study is to investigate, under extreme working conditions, the thermomechanical behaviour of different brake rotors in order to evaluate their efficiency and stability and to identify any compromising weakness on them. In particular, by means of FEM thermo-mechanical coupled analyses, one full disc and three ventilated rotors with different shapes have been studied. A very hard (fading) test has been used to evaluate the performances of the discs in terms of temperature distribution, stresses and strains. Obtained results demonstrate that the analysed ventilated discs, unlike the full rotor, can be effectively used in very hard working conditions, always ensuring high safety levels. Among the studied rotors, the curved-vanes disc was found to be the best solution.

The paper presents the results of a numerical and experimental investigation performed on a barrel of a speargun equipped with two kinds of muzzle. In particular, a standard muzzle for speargun (having an elastic propulsion) has been compared with an innovative one called ‘roller’. This new muzzle is equipped with two rollers and special bands. The rubber bands, fixed at the lower side of the barrel, run through the rollers and are engaged in suitable seats of the shaft. These bands are, therefore, longer than the traditional ones and, consequently, with equal force applied by the diver, the roller speargun has a longer range. Thanks to the particular geometry of the new muzzle, one of the front constraints of the elastic bands is moved to the lower part of the barrel or the handle.As a consequence, the scheme of the loads applied on the speargun remarkably changes passing from a standard muzzle to a roller one. All that has a great influence on the level of deformation of the barrel and, consequently, on the accuracy of the shot. Because of the low velocity of the spear (if compared with the firearms), in fact, the accuracy of the shoot if strongly influenced by the barrel bending due to the forces applied by means of the elastic bands. In this paper it is experimentally evaluated the bending of the barrel equipped both with the innovative muzzle and with the traditional one in order to compare their performances. The experimental analysis of the barrel was performed by electrical strain gauges suitably located at the section with the highest values of the strains. In order to find the barrel section with the highest strain values where to locate the strain gauges, a preliminary numerical FEM analysis has been performed. The loads and constraints scheme has been evaluated both for the standard and the new muzzle. In particular, the forces due to the elastic bands, their application points and directions have been experimentally obtained. To speed up the process of numerical simulation, without invalidating the results reliability, simplified FEM models have been used. In particular, a very accurate model of the barrel has been shaped, whereas the models of the muzzles and the handle have been simplified. The forces due to the elastic bands, experimentally obtained, have been applied on the FEM models. The maps of the maximum and minimum principal strains have allowed to find the area with the highest strain values, placed in rear part of the barrel (near the handle). The strain values experimentally measured on the speargun have been very similar to the ones calculated by means of the numerical simulations. That demonstrates the developed FEM models are very reliable and can ben used to predict the performances of the speragun under different loads conditions. The speargun with the new roller muzzle shows very lower strain values if compared with the ones measured in the standard one. Nevertheless, considering the two spearguns have different elastic bands setup, it has been thought the comparison of their performances should be made hypothesizing the same maximum force applied during the speargun charge. This condition, moreover, could be really obtained by changing the kind of the elastic bands in the speargun with the roller muzzle. For this reason, during the results analysis phase, the strain values measured on the roller speargun have been ‘normalized’ by increasing them of a value equal to the ratio of the maximum forces due to the rubber bands. The data post processing has allowed to evaluate the forces and the bending moments on the barrels with the standard muzzle and the roller one. Results show the barrel with the innovative muzzle has, also considering equal forces applied by the diver, a lower bending than the barrel with a traditional muzzle. To evaluate the maximum deflection of both the spearguns, a new numerical simulation has been set up. In particular, in this FEM analysis, the roller speargung has been loaded with a maximum force comparable with the standard one. The obtained results show that the standard speargun has a higher value of the maximum deflection respect to the roller one. Since higher deflection values of the barrel make worse the accuracy of the shot, these results demonstrate the novel speargun can be more precise than the traditional one.

Total reverse shoulder arthroplasty is becoming more and more the standard therapeutic practice for glenohumeral arthropathy with massive lesions of the rotator cuff. The biomechanical principle of this prosthesis is represented by the reversion of the normal anatomy of the shoulder joint. This non-anatomical prosthesis leads to a medialization of the rotation centre of the glenohumeral joint and also to a distalization of the humeral head. All that causes a deltoid tension increasing so allowing a larger abduction of the arm. Main complications of the reverse shoulder prosthesis are due to the joint instability, the scapular notching and the wear of the polyethylene insert. The main goal of the present work is to study the effect of the positioning of the humeral component on the intrinsic stability of the reverse shoulder prosthesis. In particular, through finite element method simulations, the variation of the stability ratio of the shoulder joint has been calculated for both vertical and horizontal dislocating loads depending on the humeral stem version angle. Moreover, in order to estimate the wear of the polyethylene cup, some analyses have been developed to calculate the pressures on the polyethylene insert. The obtained results demonstrate the dislocation of a shoulder prosthesis and the wear of the polyethylene insert can be prevented or limited by conveniently varying the version angle of the humeral component.

The aim of this work is the analysis of the contact area in a knee prosthesis using two different approaches. In particular, the interface between the femoral component and the polyethylene insert has been studied both numerically and experimentally. The interest in studying the contact area is related to the fact that the wear of the polyethylene insert, due to the high contact pressures, represents one of the major causes of failure of the total knee prosthesis. The possibility to evaluate the contact area at different loads and mutual position between femur and tibia is, therefore, of fundamental importance to study the service life of a prosthesis and to improve its performance. The finite element numerical approach has required the acquisition, through reverse engineering, and CAD modelling of the prosthetic components. Then the FEM simulations have been developed considering two different load conditions. In order to compare the calculated data, the same load configurations have been used for experimental tests based on ultrasonic method. In this case, some preliminary tests were required to calibrate the system depending on the particular characteristics of materials, geometries and surface finish of the prosthesis. The results show a good correlation between the data obtained with the two different approaches and, consequently, a good level of reliability of the procedures developed for the numerical and experimental evaluation of the contact area. The numerical procedure can be used to determine the area for different angles and loads, but especially in the design phase. The ultrasonic technique can be used to validate the numerical data.

In recent years the vehicle design field has followed a progressive evolution by focusing its main interest on passive and active safety levels. One of the most injurious cases for the safety of passengers is the crash between a car and a heavy vehicle (truck). Generally, in fact, when such an occurrence happens, the greatest damage is suffered by the passengers of the car. This is because of the considerable structural difference between the two vehicles and the lack of devices to reduce the injuries of the car passengers. In this work, as a consequence of the previous considerations, we deal with the design of a new protective system for heavy vehicles over 3.5 tons. The new rear underrun protective device presented here, compared to the traditional one, can dissipate a greater amount of energy; this reduces the damage suffered by the passengers of a car involved in an impact with a truck. To simulate the behaviour of the new protective device during different kinds of crashes, dynamic finite element method (FEM) analyses have been carried out. The comparison between the new protective system and the standard one has shown that the new designed protective system has better performances in terms of energy absorption and peaks of decelerations.

In order to keep or to reach a high level of competitiveness and performance of a product, it is necessary to explore all the possible solutions that allow the best compromise between costs and project requirements. By this point of view the study of alternative designs and/or materials to use, is an important aspect that can identify a new concept or way of thinking about a product. This paper presents how to make use of composite materials in the field of heavy vehicles transportation. A new semitrailer in composite material has been designed, using a methodical redesign approach and an optimisation process. The main innovation in this project is, besides the use of the Glass Fibre Reinforced Plastics (GFRPs), also a new topology of the vehicle frame; the designed semitrailer, in fact, has a monocoque structure.

In the last two decades a huge number of interactive and collaborative applications of Virtual Environments for designing products has been proposed. Such applications have been recommended as tools to implement Human Centered Design Approach in experiments where potential users are involved in participatory design sessions before going for production. In this kind of experiments, we observe that users are mainly involved in the validation of solutions previously elaborated by designers while in the last decade the most innovative approach in the creation of solutions seems to be moving from a user centered design to a co-design or co-creation process. Thus, it is essential to have a platform where the elements of co-creation can be fulfilled in building a successful project. The purpose of this paper is to outline the concept of co creation and the significance of co-creation platforms alongside of proposing innovative tools for building the co-creative environments. The paper aims to layout a classification of the Extended Reality (XR) tools currently available and of their functionality as valuable means to actually embed co-design and co creation concepts in Virtual Environments evaluating the advantages that this can bring to Industry through field studies. A review of innovative solutions like Virtual, Augmented and Mixed reality technologies is examined and drawn towards the requirements of the concept through a literature research. Additionally, a co-creative environment for designing aircraft cabin interiors is conceived and discussed a with company representative.