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The adequate complexity three-dimensional finite element model of biomechanical system with space, shell and beam-type elements was built. The model includes the Ilizarov fixator and tibial bone’s simulator with the regenerating tissue at the fracture location. The proposed model allows us to specify the orthotropic elastic properties of tibial bone model in cortical and trabecular zones. It is also possible to change the basic geometrical and mechanical characteristics of biomechanical system, change the finite element mash density and define the different external loads, such as pressure on the bone and compression or distraction between the repositioned rings of Ilizarov device.

By using special APDL ANSYS program macros the mode of deformation was calculated in the fracture zone for various static loads on the simulator bone, for compression or distraction between the repositioned rings and for various mechanical properties during different stages of the bone regenerate formation (gelatinous, cartilaginous, trabecular and cortical bone remodeling). The obtained results allow us to estimate the permissible values of the external pressure on the bone and of the displacements of the Ilizarov fixator rings for different stages of the bone regeneration, based on the admittance criterion for the maximum of the stresses in the callus. The presented data can be used in a clinical condition for planning, realization and monitoring of the power modes for transosseous osteosynthesis with the external Ilizarov fixator.

Most biomechanical tasks of interest to clinicians can be solved only using personalized mathematical models. Such models allow to formalize and relate key pathophysiological processes, basing on clinically available data evaluate non-measurable parameters that are important for the diagnosis of diseases, predict the result of a therapeutic or surgical intervention. The use of models in clinical practice imposes additional restrictions: clinicians require model validation on clinical cases, the speed and automation of the entire calculated technological chain, from processing input data to obtaining a result. Limitations on the simulation time, determined by the time of making a medical decision (of the order of several minutes), imply the use of reduction methods that correctly describe the processes under study within the framework of reduced models or machine learning tools.

Personalization of models requires patient-oriented parameters, personalized geometry of a computational domain and generation of a computational mesh. Model parameters are estimated by direct measurements, or methods of solving inverse problems, or methods of machine learning. The requirement of personalization imposes severe restrictions on the number of fitted parameters that can be measured under standard clinical conditions. In addition to parameters, the model operates with boundary conditions that must take into account the patient’s characteristics. Methods for setting personalized boundary conditions significantly depend on the clinical setting of the problem and clinical data. Building a personalized computational domain through segmentation of medical images and generation of the computational grid, as a rule, takes a lot of time and effort due to manual or semi-automatic operations. Development of automated methods for setting personalized boundary conditions and segmentation of medical images with the subsequent construction of a computational grid is the key to the widespread use of mathematical modeling in clinical practice.

The aim of this work is to review our solutions for personalization of mathematical models within the framework of three tasks of clinical cardiology: virtual assessment of hemodynamic significance of coronary artery stenosis, calculation of global blood flow after hemodynamic correction of complex heart defects, calculating characteristics of coaptation of reconstructed aortic valve.