Biomechanics Analysis of Pressure Ulcer Using Damaged Interface Model between Bone and Muscle in the Human Buttock

• Published in: Journal of Computational Science and Technology Vol. 6; no. 2; pp. 70 - 80
• Main Authors: SLAMET, Samuel Susanto, TAKANO, Naoki, TANABE, Yoshiyuki, HATANO, Asako, NAGASAO, Tomohisa
• Format: Journal Article
• Language: English
• Published: The Japan Society of Mechanical Engineers 2012
• Subjects: Biomechanics; Bones; Damage; Finite Element Method; Flaps; Interface Strain; Mathematical analysis; Mathematical models; Muscles; Pressure Ulcer; Shear strain; Ulcers
• ISSN: 1881-6894; 1881-6894
• DOI: 10.1299/jcst.6.70

This paper aims at building up a computational procedure to study the bio-mechanism of pressure ulcer using the finite element method. Pressure ulcer is a disease that occurs in the human body after 2 hours of continuous external force. In the very early stage of pressure ulcer, it is found that the tissues inside the body are damaged, even though skin surface looks normal. This study assumes that tension and/or shear strain will cause damage to loose fibril tissue between the bone and muscle and that propagation of damaged area will lead to fatal stage. Analysis was performed using the finite element method by modeling the damaged fibril tissue as a cutout. By varying the loading directions and watching both tensile and shear strains, the risk of fibril tissue damage and propagation of the damaged area is discussed, which may give new insight for the careful nursing for patients, particularly after surgical treatment. It was found that the pressure ulcer could reoccur for a surgical flap treatment. The bone cut and surgical flap surgery is not perfect to prevent the bone-muscle interfacial damage.