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.

Highlights

  • Human meniscus plays a key role in the functioning of the knee joint (Figure 1a)

  • The structure of the paper is as follows: we introduce the rationale behind a fractional Darcy’s law, we summarize the main equations of both biphasic and fractional poroelastic theories; we present the confined compression poromechanics experimental tests and discuss the material parameters we recover through the fittings

  • Focusing on confined compression tests, we measured the decrease in weight of the cylinder during the tests and correlate this data to the amount of fluid discharged by the samples j f during the test

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Summary

Introduction

Human meniscus plays a key role in the functioning of the knee joint (Figure 1a). This tissue has a number of functions, such as: load bearing (about 45–75% of the total load on the joint), joint stability and lubrication [1,2]. The most common surgical procedure is currently total/partial meniscectomy (i.e., removal of the damaged tissue). It has been noticed that, the knee joint can still function with the total/partial absence of the meniscus, the loss of the meniscus leads to an increase in the contact stresses on the tibial/femoral cartilage proportional to the amount of meniscal tissue removed [4]. Partial/total meniscal replacements are expected to help avoid articular cartilage degeneration

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