Abstract

BackgroundComputational models of Achilles tendons can help understanding how healthy tendons are affected by repetitive loading and how the different tissue constituents contribute to the tendon’s biomechanical response. However, available models of Achilles tendon are limited in their description of the hierarchical multi-structural composition of the tissue. This study hypothesised that a poroviscoelastic fibre-reinforced model, previously successful in capturing cartilage biomechanical behaviour, can depict the biomechanical behaviour of the rat Achilles tendon found experimentally.Materials and MethodsWe developed a new material model of the Achilles tendon, which considers the tendon’s main constituents namely: water, proteoglycan matrix and collagen fibres. A hyperelastic formulation of the proteoglycan matrix enabled computations of large deformations of the tendon, and collagen fibres were modelled as viscoelastic. Specimen-specific finite element models were created of 9 rat Achilles tendons from an animal experiment and simulations were carried out following a repetitive tensile loading protocol. The material model parameters were calibrated against data from the rats by minimising the root mean squared error (RMS) between experimental force data and model output.Results and ConclusionsAll specimen models were successfully fitted to experimental data with high accuracy (RMS 0.42-1.02). Additional simulations predicted more compliant and soft tendon behaviour at reduced strain-rates compared to higher strain-rates that produce a stiff and brittle tendon response. Stress-relaxation simulations exhibited strain-dependent stress-relaxation behaviour where larger strains produced slower relaxation rates compared to smaller strain levels. Our simulations showed that the collagen fibres in the Achilles tendon are the main load-bearing component during tensile loading, where the orientation of the collagen fibres plays an important role for the tendon’s viscoelastic response. In conclusion, this model can capture the repetitive loading and unloading behaviour of intact and healthy Achilles tendons, which is a critical first step towards understanding tendon homeostasis and function as this biomechanical response changes in diseased tendons.

Highlights

  • The Achilles tendon is the largest tendon in the body and the most commonly injured tendon [1]

  • The material model divides the Achilles tendon into three main constituents, namely fluid, collagen fibre and non-fibrillar matrix. We investigate if this model can capture the biomechanical behaviour of rat Achilles tendons as observed in cyclic tensile loading experiments, thereby predicting the mechanical role of the different tissue constituents under loading

  • The poroviscoelastic fibre-reinforced model developed in this study is able to capture the loading and unloading behaviour of rat Achilles tendons with good accuracy (Root Mean Square (RMS) between 0.42 and 1.02), see Fig 4

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Summary

Introduction

The Achilles tendon is the largest tendon in the body and the most commonly injured tendon [1]. The best treatments of tendinopathies and ruptures remain unresolved This is partly due to our limited knowledge in the basic structural and compositional properties of Achilles tendons [4] and how these control the tendon biomechanical behaviour. Understanding the relationship between structure, composition and function in healthy Achilles tendons is essential as it can act as a benchmark when testing novel treatment strategies. In this regard, biomechanical computer models can help explain the complex biology of Achilles tendon structure and composition and the synergies for functional load-bearing. This study hypothesised that a poroviscoelastic fibre-reinforced model, previously successful in capturing cartilage biomechanical behaviour, can depict the biomechanical behaviour of the rat Achilles tendon found experimentally

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