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Sensitivity of a two-dimensional biomorphoelastic model for post-burn contraction
Authors:Egberts  Ginger  Desmoulière  Alexis  Vermolen  Fred  van Zuijlen  Paul
Institution:1.Delft Institute of Applied Mathematics, Delft University of Technology, Delft, The Netherlands
;2.Research Group Computational Mathematics (CMAT), Department of Mathematics and Statistics, University of Hasselt, Hasselt, Belgium
;3.Department of Physiology, and EA 6309, Faculty of Pharmacy, University of Limoges, Limoges, France
;4.Burn Centre and Department of Plastic, Reconstructive and Hand Surgery, Red Cross Hospital, Beverwijk, The Netherlands
;5.Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location VUmc, Amsterdam Movement Sciences, Amsterdam, The Netherlands
;6.Pediatric Surgical Centre, Emma Children’s Hospital, Amsterdam UMC, location AMC and VUmc, Amsterdam, The Netherlands
;
Abstract:

We consider a two-dimensional biomorphoelastic model describing post-burn scar contraction. This model describes skin displacement and the development of the effective Eulerian strain in the tissue. Besides these mechanical components, signaling molecules, fibroblasts, myofibroblasts, and collagen also play a significant role in the model. We perform a sensitivity analysis for the independent parameters of the model and focus on the effects on features of the relative surface area and the total strain energy density. We conclude that the most sensitive parameters are the Poisson’s ratio, the equilibrium collagen concentration, the contraction inhibitor constant, and the myofibroblast apoptosis rate. Next to these insights, we perform a sensitivity analysis where the proliferation rates of fibroblasts and myofibroblasts are not the same. The impact of this model adaptation is significant.

Keywords:
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