Relationship between locations of rib defects and loss of respiratory function-A biomechanical study

Asako Hatano, Tomohisa Nagasao, Yasunori Cho, Yusuke Shimizu, Naoki Takano, Tsuyoshi Kaneko, Kazuo Kishi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective The present study elucidates the relationship between the locations of rib defects and loss of respiratory function. Methods Ten sets of three-dimensional finite element models were produced from computed tomography data of 10 persons and categorized as normal type models. These models were modified by removing part of the ribs, and the resultant models were categorized as defect type models. Varying the location of the defects, six types of defect model were produced from each of the 10 normal models; the defects were made on the anterior-superior, anterior-inferior, lateral-superior, lateral-inferior, posterior-superior, and posterior-inferior regions of the thorax. To simulate respiration, contracture forces were applied to nonlinear springs modeling respiratory muscles for each of the normal and defect models. Difference in volume of the thoracic cavity between inspiration and expiration phases was viewed as the indicator of respiratory function and was defined as ΔV. The values of ΔV were compared between normal type models and their corresponding defect type models. Results Among the six types of defect, the degree of functional loss was greatest with those defects on the lateral-inferior part of the thorax, where ΔV of the affected side hemithorax drops to 38 to 45% of normal values, whereas ΔV was 62 to 88% with other defect models. Conclusion Thoraces that have defects on their lateral-inferior regions present lower respiratory functioning than thoraces with other defect locations. Hence, in treating clinical cases where defects are expected to occur in this region, effort should be made to minimize the area of the defect.

Original languageEnglish
Pages (from-to)357-362
Number of pages6
JournalThoracic and Cardiovascular Surgeon
Volume62
Issue number4
DOIs
Publication statusPublished - 2014

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Ribs
Thorax
Thoracic Cavity
Respiratory Muscles
Contracture
Respiration
Reference Values
Tomography

Keywords

  • experimental
  • imaging (all modalities)
  • physiology
  • pulmonary function
  • robotics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

Cite this

Relationship between locations of rib defects and loss of respiratory function-A biomechanical study. / Hatano, Asako; Nagasao, Tomohisa; Cho, Yasunori; Shimizu, Yusuke; Takano, Naoki; Kaneko, Tsuyoshi; Kishi, Kazuo.

In: Thoracic and Cardiovascular Surgeon, Vol. 62, No. 4, 2014, p. 357-362.

Research output: Contribution to journalArticle

Hatano, Asako ; Nagasao, Tomohisa ; Cho, Yasunori ; Shimizu, Yusuke ; Takano, Naoki ; Kaneko, Tsuyoshi ; Kishi, Kazuo. / Relationship between locations of rib defects and loss of respiratory function-A biomechanical study. In: Thoracic and Cardiovascular Surgeon. 2014 ; Vol. 62, No. 4. pp. 357-362.
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