journal article·2021-10-11Open access

The Human Meniscus Behaves as a Functionally Graded Fractional Porous Medium under Confined Compression Conditions

Raphaël Bulle, Gioacchino Alotta, Gregorio Marchiori, Matteo Berni, Nicola F. Lopomo, Stefano Zaffagnini, Stéphane P. A. Bordas, Olga Barrera

Applied Sciences· Volume 11· Issue 20

Abstract

In this study, we observe that the poromechanical parameters in human meniscus vary spatially throughout the tissue. The response is anisotropic and the porosity is functionally graded. To draw these conclusions, we measured the anisotropic permeability and the “aggregate modulus” of the tissue, i.e., the stiffness of the material at equilibrium, after the interstitial fluid has ceased flowing. We estimated those parameters within the central portion of the meniscus in three directions (i.e., vertical, radial and circumferential) by fitting an enhanced model on stress relation confined compression tests. We noticed that a classical biphasic model was not sufficient to reproduce the observed experimental behaviour. We propose a poroelastic model based on the assumption that the fluid flow inside the human meniscus is described by a fractional porous medium equation analogous to Darcy’s law, which involves fractional operators. The fluid flux is then time-dependent for a constant applied pressure gradient (in contrast with the classical Darcy’s law, which describes a time independent fluid flux relation). We show that a fractional poroelastic model is well-suited to describe the flow within the meniscus and to identify the associated parameters (i.e., the order of the time derivative and the permeability). The results indicate that mean values of λβ,β in the central body are λβ=5.5443×10−10m4Ns1−β, β=0.0434, while, in the posterior and anterior regions, are λβ=2.851×10−10m4Ns1−β, β=0.0326 and λβ=1.2636×10−10m4Ns1−β, β=0.0232, respectively. Furthermore, numerical simulations show that the fluid flux diffusion is facilitated in the central part of the meniscus and hindered in the posterior and anterior regions.
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Research context

OpenAlex topics: Tendon Structure and Treatment · Sports injuries and prevention · Lower Extremity Biomechanics and Pathologies

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Institute of Computational Engineering Sciences, University of Luxembourg, 4365 Luxembourg, Luxembourg

Department of Civil, Environmental, Energy and Materials Engineering (DICEAM), University “Mediterranea” of Reggio Calabria, 89124 Reggio Calabria, Italy

Complex Structure of Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy

Medical Technology Laboratory, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy

Ipartimento di Ingegneria dell’Informazione, Universitá degli Studi di Brescia, 25121 Brescia, Italy

2nd Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy

School of Engineering, Cardiff University, Cardiff CF10 3AT, UK

School of Engineering Computing and Mathematics, Oxford Brookes University, Oxford OX3 0BP, UK

Department of Engineering Science, University of Oxford, Oxford OX3 0BP, UK

Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40402, Taiwan

Funding

H2020 Marie Skłodowska-Curie Actions · Fonds National de la Recherche Luxembourg

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